By Van de Putte, Uresti H.B. No. 1748 76R10001 KLA-D A BILL TO BE ENTITLED 1-1 AN ACT 1-2 relating to the long-range plan for the Texas Center for Infectious 1-3 Disease and the provision of tuberculosis and communicable 1-4 infectious disease health care and laboratory services. 1-5 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: 1-6 SECTION 1. RENOVATION OR CONSTRUCTION OF PHYSICAL FACILITIES 1-7 OF TEXAS CENTER FOR INFECTIOUS DISEASE. (a) The Texas Board of 1-8 Health shall contract for: 1-9 (1) renovation of the existing physical facilities of 1-10 the Texas Center for Infectious Disease; or 1-11 (2) construction of new physical facilities for the 1-12 Texas Center for Infectious Disease. 1-13 (b) If the Texas Board of Health contracts for the 1-14 renovation of the existing physical facilities under Subsection 1-15 (a)(1), the contract must specify that the renovations include 1-16 structural and design changes required for: 1-17 (1) reaccreditation during 1999 by the Joint 1-18 Commission on Accreditation of Health Care Organizations; 1-19 (2) compliance with Texas accessibility standards and 1-20 the federal Americans with Disabilities Act of 1990 (42 U.S.C. 1-21 Section 12101 et seq.), as amended; and 1-22 (3) the continued operation of the Texas Center for 1-23 Infectious Disease to provide all tuberculosis health care 1-24 services, communicable infectious disease health care services, as 2-1 designated by the commissioner of public health, and women's health 2-2 laboratory services that are provided at the center on the 2-3 effective date of this Act, except for those services that the 2-4 board contracts to be provided at another health care facility. 2-5 (c) If the Texas Board of Health contracts for the 2-6 construction of new physical facilities under Subsection (a)(2), 2-7 the board shall: 2-8 (1) ensure that the facilities are constructed to 2-9 allow for the provision of all tuberculosis health care services, 2-10 communicable infectious disease health care services, as designated 2-11 by the commissioner of public health, and women's health laboratory 2-12 services that are provided at the center on the effective date of 2-13 this Act, except for those services that the board contracts to be 2-14 provided at another health care facility; and 2-15 (2) contract for minimally necessary structural and 2-16 design renovations to the existing physical facilities required 2-17 for: 2-18 (A) reaccreditation during 1999 by the Joint 2-19 Commission on Accreditation of Health Care Organizations; 2-20 (B) compliance with Texas accessibility 2-21 standards and the federal Americans with Disabilities Act of 1990 2-22 (42 U.S.C. Section 12101 et seq.), as amended; and 2-23 (C) the continued operation of the existing 2-24 facilities until construction of new facilities is completed. 2-25 SECTION 2. TUBERCULOSIS AND COMMUNICABLE INFECTIOUS DISEASE 2-26 HEALTH CARE SERVICES. The Texas Board of Health may contract with 2-27 the board of regents of The University of Texas System or any other 3-1 public or private health care entity or provider to provide 3-2 physicians or other health care professionals who will provide 3-3 tuberculosis health care services and communicable infectious 3-4 disease health care services, as designated by the commissioner of 3-5 public health, at the Texas Center for Infectious Disease or at 3-6 another health care facility in proximity to the center. 3-7 SECTION 3. MYCOBACTERIAL-MYCOLOGY RESEARCH LABORATORY. (a) 3-8 The board of regents of The University of Texas System shall 3-9 construct physical facilities for a mycobacterial-mycology research 3-10 laboratory located at The University of Texas Health Science Center 3-11 at San Antonio to replace the laboratory located at the Texas 3-12 Center for Infectious Disease using funds appropriated to The 3-13 University of Texas System for that purpose. 3-14 (b) The physical facilities constructed under Subsection (a) 3-15 must be adequate for the provision of all mycobacterial-mycology 3-16 laboratory services provided on the effective date of this Act by 3-17 the mycobacterial-mycology research laboratory located at the Texas 3-18 Center for Infectious Disease. 3-19 (c) The board of regents of The University of Texas System 3-20 shall manage and operate the mycobacterial-mycology research 3-21 laboratory at The University of Texas Health Science Center at San 3-22 Antonio. 3-23 (d) The Texas Board of Health and the board of regents of 3-24 The University of Texas System shall adopt a joint memorandum of 3-25 understanding to facilitate and coordinate the transfer of the 3-26 mycobacterial-mycology research laboratory services from the Texas 3-27 Center for Infectious Disease to The University of Texas Health 4-1 Science Center at San Antonio. The memorandum shall coordinate the 4-2 transfer of mycobacterial-mycology research laboratory employees 4-3 from the Texas Department of Health to The University of Texas 4-4 System. 4-5 (e) The Texas Board of Health and the board of regents of 4-6 The University of Texas System shall adopt the memorandum of 4-7 understanding. 4-8 (f) On a date provided by the memorandum of understanding 4-9 between the Texas Board of Health and the board of regents of The 4-10 University of Texas System: 4-11 (1) the mycobacterial-mycology research laboratory at 4-12 the Texas Center for Infectious Disease shall close; 4-13 (2) all powers, duties, functions, programs, and 4-14 activities of the Texas Department of Health that relate to the 4-15 management or operation of the mycobacterial-mycology research 4-16 laboratory at the Texas Center for Infectious Disease are 4-17 transferred to The University of Texas System and the 4-18 mycobacterial-mycology research laboratory at The University of 4-19 Texas Health Science Center at San Antonio, as appropriate; 4-20 (3) all rights, contracts, records, and property in 4-21 the custody of the Texas Department of Health that relate to the 4-22 management or operation of the mycobacterial-mycology research 4-23 laboratory at the Texas Center for Infectious Disease and all funds 4-24 appropriated by the legislature to the Texas Department of Health 4-25 that relate to the management or operation of the 4-26 mycobacterial-mycology research laboratory are transferred to The 4-27 University of Texas System; and 5-1 (4) a reference in law to the Texas Department of 5-2 Health or the Texas Board of Health that relates to the management 5-3 or operation of the mycobacterial-mycology research laboratory 5-4 means The University of Texas System or The University of Texas 5-5 Health Science Center at San Antonio, as appropriate. 5-6 (g) Before a transfer occurs, the board of regents of The 5-7 University of Texas System shall adopt rules and regulations 5-8 necessary for the operation, control, and management of the 5-9 mycobacterial-mycology research laboratory at The University of 5-10 Texas Health Science Center at San Antonio that will take effect 5-11 when the transfer occurs. 5-12 SECTION 4. STATEWIDE COORDINATION OF MEDICAL MANAGEMENT OF 5-13 TUBERCULOSIS. The Texas Board of Health shall contract with the 5-14 board of regents of The University of Texas System for the 5-15 coordination of medical management of tuberculosis throughout this 5-16 state by The University of Texas Health Science Center at Tyler. 5-17 The contract may require that the statewide coordination of medical 5-18 management of tuberculosis include: 5-19 (1) providing a full-time medical director to direct 5-20 the provision of tuberculosis health care services; 5-21 (2) managing a state tuberculosis education center; 5-22 and 5-23 (3) for all health care facilities operated by the 5-24 Texas Department of Health that provide tuberculosis health care 5-25 services: 5-26 (A) credentialling of medical directors of 5-27 tuberculosis programs; 6-1 (B) providing tuberculosis education, medical 6-2 consultations, including telemedical consultations, and oversight 6-3 of and protocols for inpatient tuberculosis management; and 6-4 (C) determining appropriate placement of 6-5 tuberculosis patients. 6-6 SECTION 5. AGREEMENT FOR TRANSPORTATION OF COMMUNICABLE 6-7 DISEASE PATIENTS. (a) The Texas Department of Health, in 6-8 cooperation with the office of the governor, shall collaborate with 6-9 the United States Immigration and Naturalization Service to develop 6-10 a formal agreement regarding transportation of communicable disease 6-11 patients through Immigration and Naturalization Service checkpoints 6-12 to the Texas Center for Infectious Disease. 6-13 (b) The Texas Department of Health shall report the status 6-14 of negotiations and a summary of the department's activities 6-15 relating to the agreement required by this section to the 77th 6-16 Texas Legislature. 6-17 SECTION 6. DISPLACED EMPLOYEES OF TEXAS CENTER FOR 6-18 INFECTIOUS DISEASE. (a) To the extent possible out of available 6-19 funds appropriated to the Texas Department of Health, the 6-20 department shall reassign a member of the employee class of the 6-21 department who is employed at the Texas Center for Infectious 6-22 Disease to an open position within the department for which the 6-23 member is qualified if the member's employment position is 6-24 displaced as a result of: 6-25 (1) a contract entered into by the Texas Department of 6-26 Health under this Act; or 6-27 (2) the transfer of the mycobacterial-mycology 7-1 research laboratory from the Texas Center for Infectious Disease to 7-2 The University of Texas Health Science Center at San Antonio. 7-3 (b) A contract entered into by the Texas Department of 7-4 Health with the board of regents of The University of Texas System 7-5 or any other health care entity or provider under this Act must 7-6 include a requirement that, to the maximum extent possible as 7-7 determined by the contracting party, the contracting party offer an 7-8 employee of the Texas Center for Infectious Disease whose position 7-9 is displaced as a result of the contract a similar employment 7-10 position with the contracting party. 7-11 SECTION 7. FUTURE USE OF EXISTING FACILITIES. If the Texas 7-12 Board of Health contracts for the construction of new physical 7-13 facilities for the Texas Center for Infectious Disease under 7-14 Section 1 of this Act, the board and the General Services 7-15 Commission shall collaborate to prepare leasing and other options 7-16 for potential future uses of the existing physical facilities on 7-17 completion of construction of the new physical facilities. 7-18 SECTION 8. SCHEDULE. (a) Not later than September 1, 2000, 7-19 the Texas Board of Health shall enter into the contracts required 7-20 by this Act. 7-21 (b) Not later than September 1, 2000, The University of 7-22 Texas System shall enter into a contract for the construction of 7-23 physical facilities for a research laboratory required by Section 3 7-24 of this Act. 7-25 (c) Not later than September 1, 2000, the Texas Board of 7-26 Health and the board of regents of The University of Texas System 7-27 shall adopt the joint memorandum of understanding required by 8-1 Section 3 of this Act. 8-2 SECTION 9. AMENDMENT. Subchapter B, Chapter 814, Government 8-3 Code, is amended by adding Section 814.1042 to read as follows: 8-4 Sec. 814.1042. TEMPORARY SERVICE RETIREMENT OPTION FOR 8-5 MEMBERS AFFECTED BY CONTRACTS ENTERED INTO BY TEXAS DEPARTMENT OF 8-6 HEALTH. (a) This section applies only to members of the employee 8-7 class whose positions with the Texas Department of Health at the 8-8 Texas Center for Infectious Disease are eliminated and who separate 8-9 from state service as a result of: 8-10 (1) a contract with the board of regents of The 8-11 University of Texas System or any other health care entity or 8-12 provider entered into on or after the effective date of this 8-13 section and on or before September 1, 2000; or 8-14 (2) the transfer of the mycobacterial-mycology 8-15 research laboratory to The University of Texas Health Science 8-16 Center at San Antonio. 8-17 (b) A member described by Subsection (a) is eligible to 8-18 retire and receive a service retirement annuity if the member's age 8-19 and service credit, each increased by three years, would meet age 8-20 and service requirements for service retirement under Section 8-21 814.104(a) at the time the member separates from state service as 8-22 described by Subsection (a). The annuity of a person who retires 8-23 under this subsection is computed on the person's accrued service 8-24 credit increased by three years. 8-25 (c) A member described by Subsection (a) becomes eligible 8-26 to retire and receive a service retirement annuity on the date on 8-27 which the member would have met the age and service requirements 9-1 for service retirement under Section 814.104(a) had the member 9-2 remained employed by the state if, on the date of separation from 9-3 state service, the member's age and service credit, each increased 9-4 by five years, would meet age and service requirements for service 9-5 retirement under Section 814.104(a). The annuity of a person who 9-6 retires under this subsection is computed on the person's accrued 9-7 service credit. 9-8 (d) If a member described by Subsection (c) is reemployed by 9-9 the state before retirement, the time between the member's 9-10 separation from state service and reemployment may be used only to 9-11 compute eligibility for service retirement and may not be used to 9-12 compute the amount of any service retirement annuity. 9-13 (e) A member who applies to retire under this section and 9-14 the Texas Department of Health shall provide documentation required 9-15 by the retirement system to establish eligibility to retire under 9-16 this section. 9-17 (f) This section applies only to positions eliminated on or 9-18 after the effective date of this section. 9-19 SECTION 10. EMERGENCY. The importance of this legislation 9-20 and the crowded condition of the calendars in both houses create an 9-21 emergency and an imperative public necessity that the 9-22 constitutional rule requiring bills to be read on three several 9-23 days in each house be suspended, and this rule is hereby suspended, 9-24 and that this Act take effect and be in force from and after its 9-25 passage, and it is so enacted.