1-1     By:  Zaffirini                                        S.B. No. 1291
 1-2           (In the Senate - Filed March 11, 1999; March 15, 1999, read
 1-3     first time and referred to Committee on Human Services;
 1-4     April 16, 1999, reported adversely, with favorable Committee
 1-5     Substitute by the following vote:  Yeas 5, Nays 0; April 16, 1999,
 1-6     sent to printer.)
 1-7     COMMITTEE SUBSTITUTE FOR S.B. No. 1291               By:  Zaffirini
 1-8                            A BILL TO BE ENTITLED
 1-9                                   AN ACT
1-10                   relating to tobacco use in this state.
1-11           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1-12           SECTION 1.  Subchapter O, Chapter 161, Health and Safety
1-13     Code, is amended to read as follows:
1-14            SUBCHAPTER O.  PREVENTION OF TOBACCO USE [BY MINORS]
1-15           Sec. 161.301.  DEFINITIONS.  In this subchapter:
1-16                 (1)  "Advisory committee" means the Tobacco Control
1-17     Program Advisory Committee established under Section 161.310.
1-18                 (2)  "Program" means the tobacco control program
1-19     established under Section 161.302.
1-20           Sec. 161.302.  TEXAS TOBACCO CONTROL PROGRAM.  (a)  The
1-21     department shall implement a tobacco control program in accordance
1-22     with this subchapter to:
1-23                 (1)  prevent tobacco use by minors;
1-24                 (2)  motivate adults and minors to stop using tobacco
1-25     and to use available treatments for nicotine addiction;
1-26                 (3)  protect the public from involuntary exposure to
1-27     tobacco smoke in the environment; and
1-28                 (4)  eliminate disparities in tobacco use among
1-29     population groups.
1-30           (b)  The department shall coordinate the program throughout
1-31     the state and shall provide training and assistance as necessary to
1-32     implement the program in communities throughout the state.
1-33           (c)  The department shall implement the program under this
1-34     subchapter subject to the availability of appropriated money.  It
1-35     is the intent of the legislature that, if one or more
1-36     interest-generating funds is established using money available to
1-37     the state under the Comprehensive Settlement Agreement and Release
1-38     filed in the case of The State of Texas v.  The American Tobacco
1-39     Co., et al., No. 5-96CV-91, in the United States District Court,
1-40     Eastern District of Texas, the money appropriated for the program
1-41     should come from interest earned from those interest-generating
1-42     funds.
1-43           Sec. 161.303.  PROGRAM COMPONENTS.  The tobacco control
1-44     program must include:
1-45                 (1)  grants for communities as described by Section
1-46     161.307;
1-47                 (2)  the public awareness campaign and media resource
1-48     center described by Section 161.305;
1-49                 (3)  nicotine addiction treatment and tobacco use
1-50     cessation, including efforts to target at-risk populations, as
1-51     described by Section 161.304;
1-52                 (4)  research and data collection to enable the
1-53     department to monitor tobacco use in this state;
1-54                 (5)  evaluation of the effectiveness of each component
1-55     of the tobacco control program, as described by Section 161.309;
1-56     and
1-57                 (6)  other similar program components implemented by
1-58     the department to accomplish the purposes of the program identified
1-59     by Section 161.302.
1-60           Sec. 161.304.  AT-RISK POPULATIONS.  The program must include
1-61     a component targeted to populations considered at risk for tobacco
1-62     use and tobacco related illness, including racial or ethnic
1-63     minorities with a high morbidity or mortality of tobacco related
1-64     illness, rural populations, and minors in nontraditional settings.
 2-1     The department shall ensure that each other program component is
 2-2     coordinated with the component targeted to at-risk populations and
 2-3     includes appropriate elements targeted to at-risk populations.
 2-4           Sec. 161.305.  TOBACCO USE PUBLIC AWARENESS CAMPAIGN; MEDIA
 2-5     RESOURCE CENTER.  (a)  The department [commissioner] shall develop
 2-6     and implement a public awareness campaign designed to reduce
 2-7     tobacco use [by minors] in this state.  The campaign may use
 2-8     advertisements or similar media to provide educational information
 2-9     about tobacco use.
2-10           (b)  The department shall establish a media resource center
2-11     to provide materials, training, and support for community programs
2-12     throughout the state.
2-13           Sec. 161.306.  CONTRACTS FOR IMPLEMENTATION.  (a)  The
2-14     department [commissioner] may contract with another person to:
2-15                 (1)  develop and implement the public awareness
2-16     campaign described by Section 161.305;
2-17                 (2)  provide nicotine addiction treatment and tobacco
2-18     use cessation;
2-19                 (3)  conduct research and collect data; and
2-20                 (4)  perform other specific functions under this
2-21     subchapter as considered appropriate by the department.
2-22           (b)  A [The] contract awarded under this subchapter must
2-23     [shall] be awarded on the basis of competitive bids.  Any request
2-24     for proposal used during the competitive bid process must include
2-25     specific requirements implementing Section 161.309.
2-26           (c)  A contract awarded to implement the public awareness
2-27     campaign described by Section 161.305 [under Subsection (b)] may be
2-28     awarded only to a business that has a proven background in
2-29     advertising and public relations campaigns.
2-30           (d)  The department [commissioner] may not award a contract
2-31     under this subchapter [Subsection (b)] to:
2-32                 (1)  a person or entity that is required to register
2-33     with the Texas Ethics Commission under Chapter 305, Government
2-34     Code;
2-35                 (2)  any partner, employee, employer, relative,
2-36     contractor, consultant, or related entity of a person or entity
2-37     described by Subdivision (1); or
2-38                 (3)  a person or entity who has been hired to represent
2-39     associations or other entities for the purpose of affecting the
2-40     outcome of legislation, agency rules, or other government policies
2-41     through grassroots or media campaigns.
2-42           (e)  The persons or entities described by Subsection (d) are
2-43     not eligible to receive the money or participate either directly or
2-44     indirectly in a program operated under a contract awarded under
2-45     this subchapter [the public awareness campaign].
2-46           Sec. 161.307.  GRANTS FOR COMMUNITIES.  (a)  The department,
2-47     as a component of the program, shall develop and implement a
2-48     competitive grant program to support efforts to reduce the use of
2-49     tobacco products in communities in this state. Grant recipients
2-50     under this section may include local government units,
2-51     community-based organizations, and schools.
2-52           (b)  The department shall solicit proposals for grants under
2-53     this section by publication of a request for proposals.  Any
2-54     request for proposal used during the competitive grant process must
2-55     include specific requirements implementing Section 161.309.
2-56           Sec. 161.308 [161.302].  GRANTS [GRANT PROGRAM] FOR YOUTH
2-57     GROUPS.  (a)  The department, as a component of the program,
2-58     [entity administering Section 161.301] shall also develop and
2-59     implement a competitive grant program to support youth groups that
2-60     include as a part of the group's program components related to
2-61     reduction of tobacco use by the group's members.
2-62           (b)  "Youth group" means a nonprofit organization that:
2-63                 (1)  is chartered as a national or statewide
2-64     organization;
2-65                 (2)  is organized and operated exclusively for youth
2-66     recreational or educational purposes and that includes, as part of
2-67     the group's program, in addition to the components described by
2-68     Subsection (a), components relating to:
2-69                       (A)  prevention of drug abuse;
 3-1                       (B)  character development;
 3-2                       (C)  citizenship training; and
 3-3                       (D)  physical and mental fitness;
 3-4                 (3)  has been in existence for at least 10 years; and
 3-5                 (4)  has a membership of which at least 65 percent is
 3-6     younger than 22 years of age.
 3-7           Sec. 161.309.  OUTCOME-BASED FUNDING AND EVALUATION OF
 3-8     PROGRAM COMPONENTS; EVALUATION OF PROGRAM.   (a)  The department
 3-9     shall fund and evaluate each program component, including a program
3-10     component operated by the department, a grant recipient, or a
3-11     person operating under contract to the department, based on whether
3-12     the program is effective in accomplishing a result identified under
3-13     Section 161.302.
3-14           (b)  The evaluation of program components under this section
3-15     must be:
3-16                 (1)  conducted continuously; and
3-17                 (2)  outcome-based and designed to permit the
3-18     department to identify, promote, and verify specific results that
3-19     benefit or change the behavior of persons who are served by the
3-20     program in accordance with the desired program results identified
3-21     by Section 161.302, through the establishment of performance
3-22     targets that define achievement for a specific program component or
3-23     other appropriate performance measures.
3-24           Sec. 161.310.  ADVISORY COMMITTEE.  (a)  The Tobacco Control
3-25     Program Advisory Committee is composed of 11 members as follows:
3-26                 (1)  one person who represents the department,
3-27     appointed by the board;
3-28                 (2)  one person who represents the Texas Cancer
3-29     Council, appointed by the council;
3-30                 (3)  one person who represents the Texas Commission on
3-31     Alcohol and Drug Abuse, appointed by the commission;
3-32                 (4)  one person who represents the comptroller,
3-33     appointed by the comptroller;
3-34                 (5)  one person who represents the Texas Education
3-35     Agency, appointed by the commissioner of education;
3-36                 (6)  one person who represents the Texas division of
3-37     the American Cancer Society, appointed by the governing body of
3-38     that entity;
3-39                 (7)  one person who represents the Texas affiliate of
3-40     the American Heart Association, appointed by the governing body of
3-41     that entity;
3-42                 (8)  one person who represents the American Lung
3-43     Association of Texas, appointed by the governing body of that
3-44     entity;
3-45                 (9)  one person who represents the Texas Academy of
3-46     Family Physicians, appointed by the governing body of that entity;
3-47                 (10)  one person who represents the Texas Medical
3-48     Association, appointed by the governing body of that entity; and
3-49                 (11)  one person who represents the Texas
3-50     Parent-Teacher Association, appointed by the governing body of that
3-51     entity.
3-52           (b)  The department may use staff resources of the department
3-53     to provide administrative and clerical support to assist the
3-54     committee in performing its duties under this subchapter or may
3-55     require each state agency with a representative serving on the
3-56     committee to share the cost of providing administrative and
3-57     clerical support to the committee.
3-58           (c)  The advisory committee is not subject to Chapter 2110,
3-59     Government Code.
3-60           Sec. 161.311.  DUTIES OF ADVISORY COMMITTEE.  The advisory
3-61     committee shall:
3-62                 (1)  seek input from the public, including input from
3-63     minors and populations considered at risk for tobacco use and
3-64     tobacco related illness;
3-65                 (2)  make recommendations to the department with
3-66     respect to the implementation of this subchapter;
3-67                 (3)  review proposals received by the department under
3-68     the grant program established under this subchapter and make
3-69     recommendations to the department with respect to which proposals
 4-1     should be funded;
 4-2                 (4)  review proposals submitted in connection with
 4-3     contracts to be awarded under this subchapter and make
 4-4     recommendations to the department with respect to which prospective
 4-5     contractor should be awarded the contract; and
 4-6                 (5)  review and comment on proposed rules to be adopted
 4-7     by the board under this subchapter.
 4-8           Sec. 161.312.  ADVISORY COMMITTEE REPORT.  (a)  Not later
 4-9     than November 15 of each even-numbered year, the advisory committee
4-10     shall submit a report to the governor, lieutenant governor, speaker
4-11     of the house of representatives, and Legislative Budget Board.
4-12           (b)  The report must include:
4-13                 (1)  the results of the evaluation of specific program
4-14     components under Section 161.309, including an analysis of the
4-15     extent to which a program component produced a benefit or change in
4-16     the behavior of persons who are served by the program component in
4-17     accordance with the desired program results identified by Section
4-18     161.302;
4-19                 (2)  recommended funding levels for the program,
4-20     including funding strategies that target the most successful
4-21     program components; and
4-22                 (3)  recommendations for legislation, if the advisory
4-23     committee determines that legislation is necessary or appropriate.
4-24           Sec. 161.313.  RULES.  The board may adopt rules to implement
4-25     this subchapter.
4-26           SECTION 2.  It is the intent of the legislature that to the
4-27     extent possible on implementation of this Act, the Texas Department
4-28     of Health shall use existing staff resources to provide
4-29     administrative and clerical support to the Tobacco Control Program
4-30     Advisory Committee established under Subchapter O, Chapter 161,
4-31     Health and Safety Code, as amended by this Act.
4-32           SECTION 3. The importance of this legislation and the crowded
4-33     condition of the calendars in both houses create an emergency and
4-34     an imperative public necessity that the constitutional rule
4-35     requiring bills to be read on three several days in each house be
4-36     suspended, and this rule is hereby suspended, and that this Act
4-37     take effect and be in force from and after its passage, and it is
4-38     so enacted.
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