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.