SRC-DBM S.B. 1156 76(R)   BILL ANALYSIS


Senate Research Center   S.B. 1156
76R7199  JRD-FBy: Carona
Health Services
4/5/1999
As Filed


DIGEST 

The mission of an injury prevention center is to reduce the incidence and
severity of injuries through education, public information, data
collection, community advocacy, and research.  S.B. 1156 would require the
Texas Department of Health (department) to designate seven regional centers
for injury prevention for the state in certain localities and require the
regional injury prevention centers to coordinate injury prevention control
activities within the public health regions for the state designated by the
department by rule.   

PURPOSE

As proposed, S.B. 1156 sets forth provisions for the designation of
regional injury prevention centers. 

RULEMAKING AUTHORITY

Rulemaking authority is granted to the Texas Department of Health in
SECTION 1 (Section 779.002(b), Title 9B, Health and Safety Code) and to the
Texas Board of Health in SECTION 1 (Section 779.009(d), Title 9B, Health
and Safety Code) of this bill. 

SECTION BY SECTION ANALYSIS

SECTION 1.  Amends Title 9B, Health and Safety Code, by adding Chapter 779,
as follows: 

CHAPTER 779.  REGIONAL INJURY PREVENTION CENTERS

 Sec. 779.001.  DEFINITIONS.  Defines "board" and "department."

Sec. 779.002.  REGIONAL INJURY PREVENTION CENTERS.  Requires the Texas
Department of Health (department) to designate seven regional centers for
injury prevention for the state in certain localities.  Requires the
regional injury prevention centers to coordinate injury prevention control
activities within the public health regions for the state designated by the
department by rule.  Authorizes the department to adopt rules permitting
regional injury prevention centers to provide services for regions served
by other injury prevention centers in this state as necessary to maximize
efficient use of resources and to provide appropriate services in each
region.  Requires each regional prevention center to affiliate with a level
one, two, or three trauma center as defined by the American College of
Surgeons. 

Sec. 799.003.  COMMUNITY PROGRAMS AND ASSISTANCE.  Requires an injury
prevention center to work with communities and neighborhoods to help
establish their injury prevention priorities; help communities define and
implement interventions; develop links between electronic datatbases to
provide data to community entities; provide leadership by bringing
community entities together to address injury issues; and undertake a
continuing epidemiologic evaluation of the effectiveness of community based
interventions in reducing the number and extent of injuries and in reducing
costs. 

Sec. 779.004.  RESOURCE CENTER.  Requires the department to designate one
of the regional injury prevention centers as the statewide resource center
to provide to the other regional injury prevention centers certain
assistance.  Provides that the department's designation of an injury
prevention center as the statewide resource center is for a five-year
period. 

Sec. 779.005.  RESEARCH PROGRAMS.  Authorizes a regional injury prevention
center to  conduct a research program to improve treatments for trauma
victims and to reduce the severity of injuries from trauma and to accept
gifts or grants from public or private sources to be used for research. 

Sec. 779.006.  PROVIDING INFORMATION AT BIRTH.  Requires the department to
assist regional injury prevention centers in providing informational
packets on injury prevention to parents shortly after a child's birth
because injury is a leading cause of death among children and adolescents. 

Sec. 779.007.  STATE LIABILITY.  Provides that a regional injury prevention
center is considered to be a state agency and an employee or former
employee of a regional injury prevention center is considered a state
employee or a former state employee, only for purposes of Chapter 104,
Civil Practice and Remedies Code. 

Sec. 779.008.  COORDINATING COMMITTEE.  Requires the Coordinating Committee
on Injury Prevention (committee) to advise the Texas Board of Health
(board) and the Advisory Commission on State Emergency Communications
(advisory committee).  Requires the committee to make recommendations to
the board regarding which entity operates each regional injury prevention
center.  Provides that the committee is composed of three members appointed
by the governor, three members appointed by the lieutenant governor, and
one member appointed by the board from certain entities.  Provides that
Chapter 2110, Government Code, does not apply to the size, composition, or
duration of the advisory committee. 

Sec. 779.009.  FUNDING; GIFTS AND GRANTS.  Requires the sponsoring entity
of each regional injury prevention center to contribute 40 percent of each
regional injury prevention center's budget.  Requires the state to provide
60 percent of each regional injury prevention center's budget.  Requires,
per the intent of the legislature, to the extent possible, money provided
by the state to come from tobacco litigation money the state receives under
the Comprehensive Settlement Agreement and Release filed in the case of The
State of Texas v. The American Tobacco Co., et al., No. 5-96CV-91, in the
United States District Court, Eastern District of Texas.  Requires the
state to provide all funding for statewide activities of the resource
center.  Requires the department to establish a program to award grants to
fund the regional injury prevention centers.  Requires the board to adopt
rules to establish criteria for awarding certain grants.  Sets forth the
required rulemaking considerations.  Authorizes the department to accept
gifts or grants from any source for purposes related to this chapter. 

SECTION 2.Emergency clause.
  Effective date: upon passage.