MINUTES 
          
                       SENATE COMMITTEE ON HEALTH SERVICES 
                              Tuesday, May 11, 1999 
                                    1:30 p.m. 
                         Capitol Extension, Room E1.016 
          
                                      ***** 
          
         Pursuant to a notice posted in accordance with Senate Rule  
         11.11, a public hearing of the Senate Committee on Health  
         Services was held on Tuesday, May 11, 1999, in the Capitol  
         Extension, Room E1.016, at Austin, Texas.   
          
                                      ***** 
          
         MEMBERS PRESENT:                        MEMBERS ABSENT: 
         Senator Jane Nelson                     None 
         Senator Mike Moncrief 
         Senator Jon Lindsay 
         Senator Frank Madla 
         Senator Drew Nixon 
          
                                      ***** 
          
         The Chair called the meeting to order at 1:30 p.m.  There  
         being a quorum present, the following business was transacted.   
          
         The following members arrived after the roll was called:   
         Senator Madla and Senator Lindsay. 
          
         The Chair laid out the May 4, 1999, and the May 7, 1999,  
         minutes and recognized Senator Moncrief who moved for their  
         approval.  There being no objection, the motion prevailed by  
         unanimous consent. 
          
         The Chair laid out HB 3504 and recognized the Senate sponsor,  
         Senator Lucio, Jr., to explain the bill.   
         Witnesses testifying and registering on the bill are shown on  
         the attached list.   
          
         Senator Moncrief sent up a committee substitute; the Chair  
         recognized Senator Lucio, Jr. to explain the difference  
         between the committee substitute and the bill as filed.   
         Senator Moncrief moved adoption of the committee substitute;  
         without objection, it was so ordered.   
          
         Senator Moncrief sent up Committee Amendment 1 and moved  
         adoption; without objection, the amendment was adopted.   
          
         Senator Moncrief moved that HB 3504 be reported back to the  
         Senate with the recommendation that it do pass and be printed.   
         The motion carried with a vote of 5 ayes, 0 nays, 0 present  
  
         not voting, and 0 absent.   
          
         Senator Moncrief moved that the bill be recommended for  
         placement on the Local & Uncontested Calendar; without  
         objection, it was so ordered.   
          
         The Chair laid out HB 2070 and recognized Senator Moncrief, in  
         the absence of the Senate sponsor, to explain the bill.   
          
         Witnesses testifying and registering on the bill are shown on  
         the attached list.   
          
         Senator Moncrief sent up Committee Amendment 1 and moved  
         adoption; without objection, the amendment was adopted.   
          
         Senator Moncrief sent up Committee Amendment 2 and moved  
         adoption; without objection, the amendment was adopted.   
          
         Senator Moncrief moved that HB 2070, as amended, be reported  
         back to the Senate with the recommendation that it do pass and  
         be printed.  The motion carried with a vote of 5 ayes, 0 nays,  
         0 present not voting, and 0 absent.   
          
         The Chair laid out HB 765 and recognized the Senate sponsor,  
         Senator Moncrief, to explain the bill.   
         Witnesses testifying and registering on the bill are shown on  
         the attached list.   
          
         Senator Moncrief moved that HB 765 be reported favorably to  
         the Senate with the recommendation that it do pass and be  
         printed.  The motion carried with a vote of 5 ayes, 0 nays, 0  
         present not voting, and 0 absent.   
          
         Senator Moncrief moved that the bill be recommended for  
         placement on the Local & Uncontested Calendar; without  
         objection, it was so ordered.   
          
         The Chair laid out HB 923 and recognized the Senate sponsor,  
         Senator Moncrief, to explain the bill.   
         Witnesses testifying and registering on the bill are shown on  
         the attached list.   
          
         Senator Moncrief moved that HB 923 be reported favorably to  
         the Senate with the recommendation that it do pass and be  
         printed.  The motion carried with a vote of 5 ayes, 0 nays, 0  
         present not voting, and 0 absent.   
         Senator Moncrief moved that the bill be recommended for  
         placement on the Local & Uncontested Calendar; without  
         objection, it was so ordered.   
          
         The Chair laid out HB 3216 and recognized the Senate sponsor,  
         Senator Cain, to explain the bill.   
          
         Senator Moncrief sent up a committee substitute; the Chair  
         recognized Senator Cain to explain the difference between the  
  
         committee substitute and the bill as filed.  Senator Moncrief  
         moved adoption of the committee substitute; without objection,  
         it was so ordered. 
          
         Witnesses testifying and registering on the bill are shown on  
         the attached list.   
          
         Senator Nixon sent up Committee Amendment 1 and moved  
         adoption; Senator Nixon then withdrew his amendment. 
          
         Senator Moncrief moved that HB 3216 do not pass, but that CSHB  
         3216 be reported back to the Senate with the recommendation  
         that it do pass and be printed.  The motion carried with a  
         vote of 5 ayes, 0 nays, 0 present not voting, and 0 absent.   
          
         The Chair laid out HB 2013 and recognized the Senate sponsor,  
         Senator Madla, to explain the bill.   
          
         Witnesses testifying and registering on the bill are shown on  
         the attached list.   
          
         Senator Madla moved that HB 2013 be reported favorably to the  
         Senate with the recommendation that it do pass and be printed.   
         The motion carried with a vote of 5 ayes, 0 nays, 0 present  
         not voting, and 0 absent.   
          
         Senator Madla moved that the bill be recommended for placement  
         on the Local & Uncontested Calendar; without objection, it was  
         so ordered.   
          
         The Chair laid out HB 1513 and recognized the Senate sponsor,  
         Senator Moncrief, to explain the bill.   
         Witnesses testifying and registering on the bill are shown on  
         the attached list.   
          
         Senator Moncrief sent up a committee substitute; the Chair  
         recognized Senator Moncrief to explain the difference between  
         the committee substitute and the bill as filed.  Senator  
         Moncrief moved adoption of the committee substitute; without  
         objection, it was so ordered. 
          
         Senator Moncrief sent up Committee Amendment 1 and moved  
         adoption; without objection, the amendment was adopted.   
          
         Senator Moncrief moved that HB 1513 be reported back to the  
         Senate with the recommendation that it do pass and be printed.   
         The motion carried with a vote of 5 ayes, 0 nays, 0 present  
         not voting, and 0 absent.   
          
         The Chair laid out HB 3083 and recognized the Senate sponsor,  
         Senator Duncan, to explain the bill.   
         Witnesses testifying and registering on the bill are shown on  
         the attached list.   
          
         Senator Nixon moved that HB 3083 be reported favorably to the  
  
         Senate with the recommendation that it do pass and be printed.   
         The motion carried with a vote of 5 ayes, 0 nays, 0 present  
         not voting, and 0 absent.   
          
         Senator Nixon moved that the bill be recommended for placement  
         on the Local & Uncontested Calendar; without objection, it was  
         so ordered.   
          
         The Chair laid out SB 1084 and recognized the author, Senator  
         Harris, to explain the bill.   
          
         Senator Madla sent up a committee substitute; the Chair  
         recognized Senator Harris to explain the difference between  
         the committee substitute and the bill as filed.  Senator Madla  
         moved adoption of the committee substitute; without objection,  
         it was so ordered. 
          
         Witnesses testifying and registering on the bill are shown on  
         the attached list.   
          
         Senator Madla moved that SB 1084 do not pass, but that CSSB  
         1084 be reported back to the Senate with the recommendation  
         that it do pass and be printed.  The motion carried with a  
         vote of 5 ayes, 0 nays, 0 present not voting, and 0 absent.   
          
         Senator Madla moved that the bill be recommended for placement  
         on the Local & Uncontested Calendar; without objection, it was  
         so ordered.   
          
         The Chair laid out HB 1504 and recognized the Senate sponsor,  
         Senator Harris, to explain the bill.   
          
         Senator Madla sent up a committee substitute; the Chair  
         recognized Senator Harris to explain the difference between  
         the committee substitute and the bill as filed.  Senator Madla  
         moved adoption of the committee substitute; without objection,  
         it was so ordered. 
          
         Witnesses testifying and registering on the bill are shown on  
         the attached list.   
          
         Senator Moncrief moved that HB 1504 do not pass, but that CSHB  
         1504 be reported back to the Senate with the recommendation  
         that it do pass and be printed.  The motion carried with a  
         vote of 5 ayes, 0 nays, 0 present not voting, and 0 absent.   
          
         Senator Moncrief moved that the bill be recommended for  
         placement on the Local & Uncontested Calendar; without  
         objection, it was so ordered.   
          
         The Chair laid out HB 110 and recognized the Senate sponsor,  
         Senator Moncrief, to explain the bill.   
         Senator Moncrief sent up Committee Amendment 1 and moved  
         adoption; without objection, the amendment was adopted.   
          
         Senator Moncrief moved that HB 110, as amended, be reported  
         back to the Senate with the recommendation that it do pass and  
         be printed.  The motion carried with a vote of 5 ayes, 0 nays,  
         0 present not voting, and 0 absent.   
          
         The Chair laid out HB 2037 and recognized Senator Nixon, in  
         the absence of the Senate sponsor, to explain the bill.   
          
         Senator Nixon sent up a committee substitute; the Chair  
         recognized Senator Nixon to explain the difference between the  
         committee substitute and the bill as filed.  Senator Nixon  
         moved adoption of the committee substitute; without objection,  
         it was so ordered. 
          
         Witnesses testifying and registering on the bill are shown on  
         the attached list.   
          
         Senator Moncrief moved that HB 2037 do not pass, but that CSHB  
         2037 be reported back to the Senate with the recommendation  
         that it do pass and be printed.  The motion carried with a  
         vote of 5 ayes, 0 nays, 0 present not voting, and 0 absent.   
          
         The Chair laid out HB 2636 and recognized Senator Nixon, in  
         the absence of the Senate sponsor, to explain the bill.   
          
         Witnesses testifying and registering on the bill are shown on  
         the attached list.   
          
         Senator Nixon moved that HB 2636 be reported favorably to the  
         Senate with the recommendation that it do pass and be printed.   
         The motion carried with a vote of 5 ayes, 0 nays, 0 present  
         not voting, and 0 absent.   
          
         Senator Nixon moved that the bill be recommended for placement  
         on the Local & Uncontested Calendar; without objection, it was  
         so ordered.   
          
         At 2:50 p.m., Senator Moncrief assumed the chair.   
          
         The Chair laid out HB 3423 and recognized the Senate sponsor,  
         Senator Nelson, to explain the bill.   
          
         Witnesses testifying and registering on the bill are shown on  
         the attached list.   
          
         Senator Nelson moved that HB 3423 be reported favorably to the  
         Senate with the recommendation that it do pass and be printed.   
         The motion carried with a vote of 5 ayes, 0 nays, 0 present  
         not voting, and 0 absent.   
          
         Senator Nelson moved that the bill be recommended for  
         placement on the Local & Uncontested Calendar; without  
         objection, it was so ordered.   
          
         The Chair laid out HB 811 and recognized the Senate sponsor,  
  
         Senator Nelson, to explain the bill.   
          
         Witnesses testifying and registering on the bill are shown on  
         the attached list.   
          
         Senator Nelson moved that HB 811 be reported favorably to the  
         Senate with the recommendation that it do pass and be printed.   
         The motion carried with a vote of 5 ayes, 0 nays, 0 present  
         not voting, and 0 absent.   
          
         Senator Nelson moved that the bill be recommended for  
         placement on the Local & Uncontested Calendar; without  
         objection, it was so ordered.   
          
         The Chair laid out HB 1285 and recognized the Senate sponsor,  
         Senator Nelson, to explain the bill.   
          
         Witnesses testifying and registering on the bill are shown on  
         the attached list.   
          
         Senator Nelson sent up Committee Amendment 1 and moved  
         adoption; without objection, the amendment was adopted.   
          
         Senator Nelson moved that HB 1285, as amended, be reported  
         back to the Senate with the recommendation that it do pass and  
         be printed.  The motion carried with a vote of 4 ayes, 0 nays,  
         1 present not voting, and 0 absent.   
          
         The Chair laid out HB 1652 and recognized the Senate sponsor,  
         Senator Nelson, to explain the bill.   
          
         Witnesses testifying and registering on the bill are shown on  
         the attached list.   
          
         Senator Nelson sent up Committee Amendment 1 and moved  
         adoption; without objection, the amendment was adopted.   
          
         Senator Nelson moved that HB 1652, as amended, be reported  
         back to the Senate with the recommendation that it do pass and  
         be printed.  The motion carried with a vote of 5 ayes, 0 nays,  
         0 present not voting, and 0 absent.   
          
         Senator Nelson moved that the bill be recommended for  
         placement on the Local & Uncontested Calendar; without  
         objection, it was so ordered.   
          
         The Chair laid out HB 2573 and recognized the Senate sponsor,  
         Senator Nelson, to explain the bill.   
          
         Senator Nelson sent up a committee substitute; the Chair  
         recognized Senator Nelson to explain the difference between  
         the committee substitute and the bill as filed.  Senator  
         Nelson moved adoption of the committee substitute; without  
         objection, it was so ordered. 
          
         Witnesses testifying and registering on the bill are shown on  
         the attached list.   
          
         Senator Nelson moved that HB 2573 do not pass, but that CSHB  
         2573 be reported back to the Senate with the recommendation  
         that it do pass and be printed.  The motion carried with a  
         vote of 5 ayes, 0 nays, 0 present not voting, and 0 absent.   
          
         Senator Nelson moved that the bill be recommended for  
         placement on the Local & Uncontested Calendar; without  
         objection, it was so ordered.   
          
         The Chair laid out HB 2175 and recognized Senator Nelson, in  
         the absence of the Senate sponsor, to explain the bill.   
          
         Witnesses testifying and registering on the bill are shown on  
         the attached list.   
          
         Senator Nelson sent up Committee Amendment 1 and moved  
         adoption; without objection, the amendment was adopted.   
          
         Senator Nelson moved that HB 2175 be left pending; without  
         objection, it was so ordered. 
          
         At 3:24 p.m., Senator Nelson resumed the chair.   
          
         The Chair laid out HB 2382 and recognized the Senate sponsor,  
         Senator Lindsay, to explain the bill.   
         Witnesses testifying and registering on the bill are shown on  
         the attached list.   
          
         Senator Lindsay moved that HB 2382 be reported favorably to  
         the Senate with the recommendation that it do pass and be  
         printed.  The motion carried with a vote of 5 ayes, 0 nays, 0  
         present not voting, and 0 absent.   
          
         Senator Lindsay moved that the bill be recommended for  
         placement on the Local & Uncontested Calendar; without  
         objection, it was so ordered.   
          
         The Chair laid out HB 2453 and recognized the Senate sponsor,  
         Senator Lindsay, to explain the bill.   
         Witnesses testifying and registering on the bill are shown on  
         the attached list.   
          
         Senator Lindsay moved that HB 2453 be reported favorably to  
         the Senate with the recommendation that it do pass and be  
         printed.  The motion carried with a vote of 4 ayes, 0 nays, 0  
         present not voting, and 1 absent.   
          
         Senator Lindsay moved that the bill be recommended for  
         placement on the Local & Uncontested Calendar; without  
         objection, it was so ordered.   
         The Chair laid out HB 2171 and recognized the Senate sponsor,  
         Senator Truan, to explain the bill.   
  
         Senator Moncrief sent up a committee substitute; the Chair  
         recognized Senator Truan to explain the difference between the  
         committee substitute and the bill as filed.  Senator Moncrief  
         moved adoption of the committee substitute; without objection,  
         it was so ordered. 
          
         Witnesses testifying and registering on the bill are shown on  
         the attached list.   
          
         Senator Moncrief moved that HB 2171 do not pass, but that CSHB  
         2171 be reported back to the Senate with the recommendation  
         that it do pass and be printed.  The motion carried with a  
         vote of 4 ayes, 0 nays, 0 present not voting, and 1 absent.   
          
         Senator Moncrief moved that the bill be recommended for  
         placement on the Local & Uncontested Calendar; without  
         objection, it was so ordered.   
          
         The Chair laid out HB 1420 and recognized the Senate sponsor,  
         Senator Truan, to explain the bill.   
          
         Senator Moncrief sent up Committee Amendment 1 and moved  
         adoption; without objection, the amendment was adopted.   
          
         Senator Moncrief moved that HB 1420, as amended, be reported  
         back to the Senate with the recommendation that it do pass and  
         be printed.  The motion carried with a vote of 4 ayes, 0 nays,  
         0 present not voting, and 0 absent.   
          
         Senator Moncrief moved that the bill be recommended for  
         placement on the Local & Uncontested Calendar; without  
         objection, it was so ordered.   
          
         At 3:50 p.m., Senator Moncrief assumed the chair.   
          
         The Chair laid out SB 1906 and recognized Senator Nelson, in  
         the absence of the author, to explain the bill.   
          
         Witnesses testifying and registering on the bill are shown on  
         the attached list.   
          
         Senator Nelson moved that SB 1906 be reported favorably to the  
         Senate with the recommendation that it do pass and be printed.   
         The motion carried with a vote of 4 ayes, 0 nays, 0 present  
         not voting, and 1 absent.   
          
         Senator Nelson moved that the bill be recommended for  
         placement on the Local & Uncontested Calendar; without  
         objection, it was so ordered.   
          
         At 3:55 p.m., Senator Nelson resumed the chair.   
          
         The Chair laid out SB 1400 and recognized the author, Senator  
         Nixon, to explain the bill.   
  
         Senator Nixon sent up a committee substitute; the Chair  
         recognized Senator Nixon to explain the difference between the  
         committee substitute and the bill as filed.  Senator Nixon  
         moved adoption of the committee substitute; without objection,  
         it was so ordered. 
          
         Witnesses testifying and registering on the bill are shown on  
         the attached list.   
          
         Senator Nixon moved that SB 1400 do not pass, but that CSSB  
         1400 be reported back to the Senate with the recommendation  
         that it do pass and be printed.  The motion carried with a  
         vote of 5 ayes, 0 nays, 0 present not voting, and 0 absent.   
          
         The Chair laid out HB 1051 and recognized the Senate sponsor,  
         Senator Madla, to explain the bill.   
          
         Witnesses testifying and registering on the bill are shown on  
         the attached list.   
          
         Senator Madla sent up Committee Amendment 1 and moved  
         adoption; without objection, the amendment was adopted.   
          
         Senator Moncrief sent up Committee Amendment 2 and moved  
         adoption; without objection, the amendment was adopted.   
          
         Senator Madla moved that HB 1051, as amended, be reported back  
         to the Senate with the recommendation that it do pass and be  
         printed.  The motion carried with a vote of 3 ayes, 1 nay, 1  
         present not voting, and 0 absent.   
          
         The Chair laid out SB 847 and recognized the Senate sponsor,  
         Senator Nixon, to explain the bill.   
          
         Witnesses testifying and registering on the bill are shown on  
         the attached list.   
         Senator Nixon moved that SB 847 be left pending; without  
         objection, it was so ordered. 
          
         The Chair laid out SB 2175 which had been left pending in  
         committee; the Chair noted that the bill had been amended  
         earlier in the meeting.  
          
         Senator Madla moved that SB 2175, as amended, be reported back  
         to the Senate with the recommendation that it do pass and be  
         printed.  The motion carried with a vote of 5 ayes, 0 nays, 0  
         present not voting, and 0 absent.   
          
         SB 390 was left pending. 
          
         There being no further business, at 4:36 p.m., Senator  
         Moncrief moved that the Committee stand recessed, subject to  
         the call of the Chair.  Without objection, it was so ordered.   
          
         ______________________ 
         Senator Jane Nelson, Chair 
          
         ______________________ 
         June Parr, Clerk