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