1-1     By:  Carona                                           S.B. No. 1156
 1-2           (In the Senate - Filed March 10, 1999; March 11, 1999, read
 1-3     first time and referred to Committee on Health Services;
 1-4     May 6, 1999, reported adversely, with favorable Committee
 1-5     Substitute by the following vote:  Yeas 5, Nays 0; May 6, 1999,
 1-6     sent to printer.)
 1-7     COMMITTEE SUBSTITUTE FOR S.B. No. 1156                   By:  Madla
 1-8                            A BILL TO BE ENTITLED
 1-9                                   AN ACT
1-10     relating to regional injury prevention centers.
1-11           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1-12           SECTION 1.  Subtitle B, Title 9, Health and Safety Code, is
1-13     amended by adding Chapter 779 to read as follows:
1-14              CHAPTER 779.  REGIONAL INJURY PREVENTION CENTERS
1-15           Sec. 779.001.  DEFINITIONS.  In this chapter:
1-16                 (1)  "Board" means the Texas Board of Health.
1-17                 (2)  "Department" means the Texas Department of Health.
1-18           Sec. 779.002.  REGIONAL INJURY PREVENTION CENTERS.  (a)  The
1-19     department shall designate seven regional centers for injury
1-20     prevention for the state in the following localities:
1-21                 (1)  Dallas;
1-22                 (2)  Harris and Galveston counties;
1-23                 (3)  Bexar County;
1-24                 (4)  Lubbock;
1-25                 (5)  El Paso;
1-26                 (6)  Corpus Christi;
1-27                 (7)  Austin and Travis County; and
1-28                 (8)  Tyler.
1-29           (b)  The regional injury prevention centers shall coordinate
1-30     injury prevention control activities within the public health
1-31     regions for the state designated by the department by rule.  The
1-32     department may adopt rules permitting regional injury prevention
1-33     centers to provide services for regions served by other injury
1-34     prevention centers in this state as necessary to maximize efficient
1-35     use of resources and provide appropriate services in each region.
1-36           (c)  Each regional injury prevention center shall affiliate
1-37     with a level I, II, or III trauma center as defined by the American
1-38     College of Surgeons.
1-39           Sec. 779.003.  COMMUNITY PROGRAMS AND ASSISTANCE.  A regional
1-40     injury prevention center shall:
1-41                 (1)  work with communities and neighborhoods to help
1-42     establish their injury prevention priorities;
1-43                 (2)  help communities define and implement
1-44     interventions;
1-45                 (3)  develop links between electronic databases to
1-46     provide data to community entities;
1-47                 (4)  provide leadership by bringing community entities
1-48     together to address injury issues; and
1-49                 (5)  undertake a continuing epidemiologic evaluation of
1-50     the effectiveness of community based interventions in reducing the
1-51     number and extent of injuries and in reducing costs.
1-52           Sec. 779.004.  RESOURCE CENTER.  (a)  The department shall
1-53     designate one of the regional injury prevention centers  as the
1-54     statewide resource  center to provide to the other regional injury
1-55     prevention centers:
1-56                 (1)  assistance on how to develop and implement an
1-57     injury prevention program;
1-58                 (2)  assistance on how to develop effective coalitions;
1-59                 (3)  public awareness campaigns on injury reductions;
1-60     and
1-61                 (4)  technical assistance on how to develop and
1-62     implement an evaluation process to determine the effectiveness of
1-63     injury prevention interventions.
1-64           (b)  The department's designation of an injury prevention
 2-1     center as the statewide resource center is for a five-year period.
 2-2           Sec. 779.005.  RESEARCH PROGRAMS.  (a)  A regional injury
 2-3     prevention center may conduct a research program to improve
 2-4     treatments for trauma victims and to reduce the severity of
 2-5     injuries from trauma.
 2-6           (b)  A regional injury prevention center may accept gifts or
 2-7     grants from public or private sources to be used for research.
 2-8           Sec. 779.006.  PROVIDING INFORMATION AT BIRTH.  Because
 2-9     injury is a leading cause of death among children and adolescents,
2-10     the department shall assist the regional injury prevention centers
2-11     in providing informational packets on injury prevention to parents
2-12     shortly after a birth.
2-13           Sec. 779.007.  STATE LIABILITY.  A regional injury prevention
2-14     center and the Coordinating Committee on Injury Prevention are
2-15     governmental units for purposes of Chapter 101, Civil Practice and
2-16     Remedies Code, and are entitled to governmental immunity.  A tort
2-17     claim against a regional injury prevention center or the
2-18     Coordinating Committee on Injury Prevention must be made under
2-19     Chapter 101, Civil Practice and Remedies Code.
2-20           (b)  An employee, director, officer, volunteer, or member or
2-21     former employee, director, officer, volunteer, or member of a
2-22     regional injury prevention center or the Coordinating Committee on
2-23     Injury Prevention is entitled to the benefits conferred to a state
2-24     employee under Chapter 104, Civil Practice and Remedies Code.
2-25           (c)  An employee, director, officer, volunteer, or member or
2-26     a former employee, director, officer, volunteer, or member of a
2-27     regional injury prevention center or the Coordinating Committee on
2-28     Injury Prevention is a public servant for purposes of Chapter 108,
2-29     Civil Practice and Remedies Code.
2-30           Sec. 779.008.  COORDINATING COMMITTEE.  (a)  The Coordinating
2-31     Committee on Injury Prevention shall advise the board and the
2-32     Advisory Commission on State Emergency Communications.
2-33           (b)  The committee shall make recommendations to the board
2-34     regarding which entity shall operate each regional injury
2-35     prevention center.
2-36           (c)  The committee is composed of three members appointed by
2-37     the governor, three members appointed by the lieutenant governor,
2-38     and one member appointed by the board from each of the following
2-39     entities:
2-40                 (1)  a representative from each injury prevention
2-41     center or public health region;
2-42                 (2)  a representative from the Texas Council on Family
2-43     Violence;
2-44                 (3)  a representative from the Texas Transportation
2-45     Institute; and
2-46                 (4)  a representative from law enforcement.
2-47           (d)  Chapter 2110, Government Code, does not apply to the
2-48     size, composition, or duration of the advisory committee.
2-49           Sec. 779.009.  FUNDING; GIFTS AND GRANTS.  (a)  The
2-50     sponsoring entity of each regional injury prevention center shall
2-51     contribute 40 percent of the regional injury prevention center's
2-52     budget.  The state shall provide 60 percent of each regional injury
2-53     prevention center's budget.  It is the intent of the legislature
2-54     that to the extent possible, the  money provided by the state shall
2-55     come from tobacco litigation money the state receives under the
2-56     Comprehensive Settlement Agreement and Release filed in the case of
2-57     The State of Texas v. The American Tobacco Co., et al., No.
2-58     5-96CV-91, in the United States District Court, Eastern District of
2-59     Texas.
2-60           (b)  The state shall provide all funding for statewide
2-61     activities of the resource center.
2-62           (c)  The department shall establish a program to award grants
2-63     to fund the regional injury prevention centers.
2-64           (d)  The board shall adopt rules to establish criteria for
2-65     awarding the grants.  The rules must require the department to
2-66     consider:
2-67                 (1)  the need of a region, based on population served
2-68     for injury prevention services and the extent to which the grant
2-69     would meet the identified need;
 3-1                 (2)  assurances that the grant will be used to provide
 3-2     quality services; and
 3-3                 (3)  the availability of other funding sources.
 3-4           (e)  The department may approve grants according to adopted
 3-5     rules.  A grant awarded under this section is governed by Chapter
 3-6     783, Government Code, and the rules adopted under that chapter.
 3-7           (f)  The department may accept gifts or grants from any
 3-8     source for purposes related to this chapter.
 3-9           SECTION 2.  This Act takes effect September 1, 1999, but only
3-10     if a specific appropriation for the implementation of this Act is
3-11     made in H.B. No. 1, Acts of the 76th Legislature, Regular Session,
3-12     1999 (the General Appropriations Act).  If H.B. No. 1 does not make
3-13     a specific appropriation for the implementation of this Act, this
3-14     Act has no effect.
3-15           SECTION 3.  The importance of this legislation and the
3-16     crowded condition of the calendars in both houses create an
3-17     emergency and an imperative public necessity that the
3-18     constitutional rule requiring bills to be read on three several
3-19     days in each house be suspended, and this rule is hereby suspended.
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