1-1     By:  Shapleigh                                        S.B. No. 1378
 1-2           (In the Senate - Filed March 11, 1999; March 15, 1999, read
 1-3     first time and referred to Special Committee on Border Affairs;
 1-4     April 12, 1999, reported adversely, with favorable Committee
 1-5     Substitute by the following vote:  Yeas 7, Nays 0; April 12, 1999,
 1-6     sent to printer.)
 1-7     COMMITTEE SUBSTITUTE FOR S.B. No. 1378               By:  Shapleigh
 1-8                            A BILL TO BE ENTITLED
 1-9                                   AN ACT
1-10     relating to the review of medical training needs for health care
1-11     professionals in the Texas-Mexico border region.
1-12           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1-13           SECTION 1.  (a)  In this Act, "border region" means the area
1-14     composed of the counties of Atascosa, Bandera, Bexar, Brewster,
1-15     Brooks, Cameron, Crockett, Culberson, Dimmit, Duval, Edwards, El
1-16     Paso, Frio, Hidalgo, Hudspeth, Jeff Davis, Jim Hogg, Jim Wells,
1-17     Kenedy, Kerr, Kimble, Kinney, Kleberg, La Salle, Live Oak,
1-18     Maverick, McMullen, Medina, Nueces, Pecos, Presidio, Real, Reeves,
1-19     San Patricio, Starr, Sutton, Terrell, Uvalde, Val Verde, Webb,
1-20     Willacy, Zapata, and Zavala.
1-21           (b)  The Texas Higher Education Coordinating Board, in
1-22     consultation with the Texas Department of Health, the Health
1-23     Education Training Centers Alliance of Texas, and the Area Health
1-24     Education Centers, shall conduct a review of medical training needs
1-25     of health care professionals in the border region.  In conducting
1-26     the review:
1-27                 (1)  the Texas Higher Education Coordinating Board
1-28     shall review current methods of medical training for health care
1-29     professionals in the border region; and
1-30                 (2)  the Texas Department of Health shall determine the
1-31     future medical services, health care services, and other needs
1-32     requirements of the border region.
1-33           (c)  The Texas Higher Education Coordinating Board and the
1-34     Texas Department of Health shall make recommendations on any action
1-35     needed to address the medical training needs of health care
1-36     professionals in the border region after considering the future
1-37     medical services, health care services, or other needs the border
1-38     region will require.
1-39           (d)  Not later than January 1, 2001, the Texas Higher
1-40     Education Coordinating Board shall report to the governor,
1-41     lieutenant governor, speaker of the house of representatives, and
1-42     77th Legislature the findings and recommendations for any necessary
1-43     legislation to address the medical training needs of health care
1-44     professionals in the border region after considering the future
1-45     medical services, health care services, or other needs the border
1-46     region will require.
1-47           SECTION 2.  This Act expires January 2, 2001.
1-48           SECTION 3.  The importance of this legislation and the
1-49     crowded condition of the calendars in both houses create an
1-50     emergency and an imperative public necessity that the
1-51     constitutional rule requiring bills to be read on three several
1-52     days in each house be suspended, and this rule is hereby suspended.
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