By Solis of Cameron                                   H.B. No. 3504
                                A BILL TO BE ENTITLED
 1-1                                   AN ACT
 1-2     relating to the long-range plan for the South Texas Hospital and
 1-3     the provision of tuberculosis and other health care services in the
 1-4     Lower Rio Grande Valley.
 1-5           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
 1-6           SECTION 1.  CONSTRUCTION OF NEW PHYSICAL FACILITY FOR
 1-7     OUTPATIENT HEALTH CARE SERVICES.  (a)  The Texas Department of
 1-8     Health shall contract for the construction of a new physical
 1-9     facility for outpatient health care services out of funds
1-10     appropriated to the department for that purpose.  The physical
1-11     facility must be:
1-12                 (1)  located at the site of the South Texas Hospital;
1-13     or
1-14                 (2)  colocated with the initial site of the Regional
1-15     Academic Health Center at a common site in Harlingen, Texas, and
1-16     adjacent to the center.
1-17           (b)  The contract under this section must specify that the
1-18     physical facility must be designed and constructed to allow for the
1-19     provision of all outpatient health care services, including
1-20     outpatient tuberculosis services, provided at the South Texas
1-21     Hospital on the effective date of this Act.  The facility may be
1-22     designed and constructed to allow for the provision of additional
1-23     outpatient health care services.
1-24           (c)  If the physical facility constructed under Subsection
 2-1     (a) of this section is colocated with the Regional Academic Health
 2-2     Center, the contract under this section must specify that, to the
 2-3     maximum extent possible, that facility and the Regional Academic
 2-4     Health Center must be designed and constructed together to realize
 2-5     potential savings in construction costs and long-term maintenance
 2-6     and operations costs by using common central utility plants,
 2-7     cafeterias, laundry facilities, maintenance facilities, and other
 2-8     support facilities.  The board of regents of The University of
 2-9     Texas System shall cooperate with the Texas Department of Health to
2-10     coordinate the structure and design of the physical facilities of
2-11     the facility constructed under Subsection (a) of this section and
2-12     the Regional Academic Health Center to achieve a maximally
2-13     efficient use of resources.
2-14           SECTION 2.  OUTPATIENT HEALTH CARE SERVICES.  (a)  On
2-15     completion of a new physical facility required by Section 1 of this
2-16     Act, the provision of all outpatient health care services,
2-17     including outpatient tuberculosis services, provided by the South
2-18     Texas Hospital on the effective date of this Act shall be
2-19     transferred to the new physical facility.
2-20           (b)  The Texas Department of Health may contract with any
2-21     public or private health care provider or entity for the management
2-22     and operation of the physical facility constructed under Section 1
2-23     of this Act and for the provision of outpatient health care
2-24     services at the facility.
2-25           SECTION 3.  INPATIENT HEALTH CARE AND RELATED LABORATORY
2-26     SERVICES.  Out of funds appropriated to the Texas Department of
2-27     Health to provide inpatient health care services, the department
 3-1     shall contract with one or more public or private health care
 3-2     providers or entities, including a political subdivision that is
 3-3     located in the Rio Grande Valley region and is responsible for
 3-4     providing health care services to its residents, for the provision
 3-5     of inpatient health care services, including inpatient tuberculosis
 3-6     services, and related laboratory services provided by the South
 3-7     Texas Hospital on the effective date of this Act.
 3-8           SECTION 4.  INTERIM RENOVATION OF PHYSICAL FACILITIES OF
 3-9     SOUTH TEXAS HOSPITAL.  Out of funds appropriated to the department
3-10     for the purpose of this section, the Texas Department of Health
3-11     shall contract for minimally necessary structural and design
3-12     renovations to the physical facilities of the South Texas Hospital
3-13     required for compliance with Texas Accessibility Standards and the
3-14     federal Americans with Disabilities Act of 1990 (42 U.S.C. Section
3-15     12101 et seq.), as amended, and for the continued operation of the
3-16     South Texas Hospital to provide outpatient health care services
3-17     until construction of a new physical facility for the provision of
3-18     those services is completed.
3-19           SECTION 5.  FUTURE OF SOUTH TEXAS HOSPITAL.  The Texas Board
3-20     of Health shall give the Texas Department of Mental Health and
3-21     Mental Retardation the first option to lease the current physical
3-22     facilities of the South Texas Hospital on completion of
3-23     construction of a new physical facility for outpatient health care
3-24     services and after contracting providers or entities under Section
3-25     3 of this Act have begun providing inpatient health care and
3-26     related laboratory services.  If the Texas Department of Mental
3-27     Health and Mental Retardation does not lease the facilities, the
 4-1     Texas Board of Health shall study and prepare leasing and other
 4-2     options for potential future uses of the facilities.
 4-3           SECTION 6.  CONTINUATION OF SUPPORT SERVICES.  (a)  If the
 4-4     new physical facility constructed as required by Section 1 of this
 4-5     Act is colocated with the Regional Academic Health Center, the
 4-6     Texas Department of Health and the Texas Department of Mental
 4-7     Health and Mental Retardation shall enter into an interagency
 4-8     contract to provide for the continuation of support services for
 4-9     the facility operated by the Texas Department of Mental Health and
4-10     Mental Retardation that is colocated with the South Texas Hospital.
4-11           (b)  The contract may include a provision requiring the Texas
4-12     Department of Health to continue providing employees for support
4-13     facilities at the site.
4-14           SECTION 7.  DISPLACED EMPLOYEES OF SOUTH TEXAS HOSPITAL.  (a)
4-15     Out of available funds appropriated to the Texas Department of
4-16     Health, the department shall reassign a member of the employee
4-17     class of the department who is employed at the South Texas Hospital
4-18     and whose position is displaced as a result of a contract entered
4-19     into by the Texas Department of Health under this Act or the
4-20     transfer of services from the South Texas Hospital to an open
4-21     position within the department in reasonable proximity to the South
4-22     Texas Hospital and for which the member is qualified. If
4-23     reassignment of a member of the employee class to another position
4-24     within the department is not possible, the department shall provide
4-25     job placement assistance to the member.
4-26           (b)  A contract awarded by the Texas Department of Health
4-27     under this Act must include a provision that the contracting entity
 5-1     shall offer an employee of the South Texas Hospital whose position
 5-2     is displaced as a result of the contract a similar employment
 5-3     position with the contracting entity before offering the position
 5-4     to any other person if the contracting entity determines that the
 5-5     displaced employee is qualified for the position.
 5-6           SECTION 8.  TIME FRAME.  Not later than September 1, 2000,
 5-7     the Texas Department of Health shall enter into the contracts
 5-8     required by this Act.
 5-9           SECTION 9.  AMENDMENTS.  (a)  Subchapter B, Chapter 814,
5-10     Government Code, is amended by adding Section 814.1043 to read as
5-11     follows:
5-12           Sec. 814.1043.  TEMPORARY SERVICE RETIREMENT OPTION FOR
5-13     MEMBERS EMPLOYED AT SOUTH TEXAS HOSPITAL.  (a)  This section
5-14     applies only to members of the employee class who are employed by
5-15     the Texas Department of Health at the South Texas Hospital on or
5-16     after the effective date of this section and on or before September
5-17     1, 2000, and who separate from state service during that time.
5-18           (b)  A member described by Subsection (a) is eligible to
5-19     retire and receive a service retirement annuity if the member's age
5-20     and service credit, each increased by three years, would meet age
5-21     and service requirements for service retirement under Section
5-22     814.104(a) at the time the member separates from state service as
5-23     described by Subsection (a).  The annuity of a person who retires
5-24     under this subsection is computed on the person's accrued service
5-25     credit increased by three years.
5-26           (c)  A member described by Subsection (a) becomes eligible to
5-27     retire and receive a service retirement annuity on the date on
 6-1     which the member would have met the age and service requirements
 6-2     for service retirement under Section 814.104(a) had the member
 6-3     remained employed by the state if, on the date of separation from
 6-4     state service, the member's age and service credit, each increased
 6-5     by five years, would meet age and service requirements for service
 6-6     retirement under Section 814.104(a).  The annuity of a person who
 6-7     retires under this subsection is computed on the person's accrued
 6-8     service credit.
 6-9           (d)  If a member described by Subsection (c) is reemployed by
6-10     the state before retirement, the time between the member's
6-11     separation from state service and reemployment may be used only to
6-12     compute eligibility for service retirement and may not be used to
6-13     compute the amount of any service retirement annuity.
6-14           (e)  A member who applies to retire under this section and
6-15     the Texas Department of Health shall provide documentation required
6-16     by the retirement system to establish eligibility to retire under
6-17     this section.
6-18           (b)  Section 13.003, Health and Safety Code, is amended to
6-19     read as follows:
6-20           Sec. 13.003.  SERVICES AT SOUTH TEXAS HOSPITAL.   (a)  The
6-21     primary purpose of the South Texas Hospital is to provide inpatient
6-22     and outpatient services, either directly or by contract with one or
6-23     more public or private health care providers or entities, to the
6-24     residents of the Lower Rio Grande Valley.
6-25           (b)  The board may establish at the South Texas Hospital:
6-26                 (1)  cancer screening;
6-27                 (2)  diagnostic services;
 7-1                 (3)  educational services;
 7-2                 (4)  obstetrical services;
 7-3                 (5)  gynecological services; [and]
 7-4                 (6)  other inpatient health care services; and
 7-5                 (7)  outpatient health care services, including
 7-6     diagnostic, treatment, disease management, and supportive care
 7-7     services.
 7-8           SECTION 10.  EMERGENCY.  The importance of this legislation
 7-9     and the crowded condition of the calendars in both houses create an
7-10     emergency and an imperative public necessity that the
7-11     constitutional rule requiring bills to be read on three several
7-12     days in each house be suspended, and this rule is hereby suspended,
7-13     and that this Act take effect and be in force from and after its
7-14     passage, and it is so enacted.