The House Committee on Public Health 
         76th Legislature 
         June 28, 2000 
         10:00 a.m. 
         Capitol Extension, E2.030 
          
         Pursuant to a notice posted on June 1, 2000, the House Committee  
         on Public Health met in a public hearing and was called to order  
         by the chair, Representative Gray, at 10:15 a.m. 
          
         The roll was answered as follows: 
          
         Present:  Representatives Gray; Coleman; Delisi; Glaze; Maxey;  
                   McClendon; Uresti (7). 
          
         Absent:   Representatives Capelo; Hilderbran (2). 
          
         A quorum was present. 
          
         The chair made opening remarks and announced that the purpose of  
         the meeting was to review the charity care law, as well as have  
         an overview of issues arising from hospital system sales,  
         conversions, partnerships and mergers, including the impact on  
         health care in medically underserved and rural communities and  
         on the level of charity care provided; and to review current  
         requirements imposed on emergency medical services providers in  
         rural areas, and whether individual requirements encourage or  
         hinder the provision of services. 
          
         (Representative Glaze in chair.) 
          
         The chair called upon witnesses who were invited to give the  
         committee an overview of the charity care law. 
          
         The following persons provided oral testimony: 
          
              Mary Taylor Henderson, Charitable Trusts Section, Consumer  
              Protection Division, Office of the Attorney General 
              Anne Henry, Acting Director, Office of Policy and Planning,  
              Texas Department of Health 
              Shaku Desai, Supervisor, Hospital Data Collection, Texas  
              Department of Health 
              Sam Tessen, Executive Director, Texas Center for Rural  
         Health Initiatives 
               
         The chair called upon witnesses who were invited to give the  
         committee briefings regarding provider and consumer perspectives  
         of the charity care law, and the impact of hospital system  
         sales, conversions, partnerships and mergers on the level of  
         charity care provided in medically underserved and rural  
         communities. 
          
         The following persons provided oral testimony: 
          
              Brenita Crawford, Executive Vice President, The Methodist  
      
              Hospital 
              John A. Guest, President/CEO, Harris County Hospital  
         District 
              Richard S. Wayne, MD, CEO, Christus Santa Rosa Children's  
              Hospital 
              Mary Faith Sterk, Scott and White Memorial Hospital 
              Ashley Smith, President/CEO, TIRR Systems 
              Charles Bailey, General Counsel, Texas Hospital Association 
              Lisa McGiffert, Senior Policy Analyst, Consumers's Union 
          
         The chair called upon witnesses who were invited to give the  
         committee an overview regarding current requirements imposed on  
         emergency medical services providers in rural areas, and whether  
         individual requirements encourage or hinder the provision of  
         services. 
          
         (Representative Capelo now present.) 
          
         The following persons provided oral testimony: 
          
              Kathy Perkins, Acting Chief, Bureau of Emergency  
              Management, Texas Department of Health 
              Edward Racht, MD, GETAC Chair, Medical Director, Austin  
              Emergency Medical Services 
              Sam Tessen, Executive Director, Texas Center for Rural  
         Health Initiatives 
          
         The chair called upon witnesses who were invited to give the  
         committee an overview regarding various perspectives of current  
         and proposed requirements on emergency medical services  
         providers in rural areas, and whether individual requirements  
         encourage or hinder the provision of services. 
          
         The following persons provided oral testimony: 
          
              James Steska, East Texas Medical Center 
              David Persse, Medical Director, Houston Fire Department 
              John Story, Emergency Medical Technitian - P, Bandera  
              County 
              David Jung, Emergency Medical Technitian - I, Harper  
              Volunteer Fire Department 
              David Burden, Chief,  Atlanta Fire Department 
              F.E. Shaheen, EMT-P, Levelland Emergency Medical  
              Services Corporation 
          
         The committee considered public testimony. 
          
         (Representative Gray in chair) 
          
         At 3:30 pm, upon the motion of the chair and without objection,  
         the meeting was adjourned subject to the call of the chair. 
          
         __________________________________ 
         Rep. Patricia Gray, Chair 
          
         __________________________________ 
         Pam Crowley, Chief Clerk