MINUTES 
                                           
                        SENATE COMMITTEE ON HEALTH SERVICES 
                             Tuesday, January 11, 2000 
                                     10:00 a.m. 
                                       Dallas 
                                           
                                       ***** 
                                           
         Pursuant to a notice posted in accordance with Senate Rule  
         11.18, a public hearing of the Senate Committee on Health  
         Services was held on Tuesday, January 11, 2000, in Dallas 
          
                                       ***** 
                                           
         MEMBERS PRESENT:                        MEMBERS ABSENT: 
         Senator Jane Nelson                     Senator Frank Madla 
         Senator Mike Moncrief                   Senator Drew Nixon 
         Senator Jon Lindsay 
                                           
                                       ***** 
                                           
         The chair called the meeting to order at 10:00 a.m.  There being  
         a quorum present, the following business was transacted. 
          
         The chair made opening remarks thanking the University of Texas  
         Southwestern Medical School for hosting the hearing and  
         announced that the purpose of the hearing was to solicit and  
         consider public testimony on each of the interim charges  
         assigned to the committee by Lieutenant Governor Rick Perry. 
          
         The chair announced that the committee would first take up  
         discussion on charge #2 relating to pharmaceutical,  
         biotechnology, and genetic issues.  The chair called witnesses  
         who had signed up to testify on the charge. 
          
         The following persons provided written and oral testimony: 
          
              Stephen Fluckigen, representing Jones, Day, Reavis, & Pogue 
          
              Connie Luthy, representing Luthy Group / Drug R&D  
              Consultants 
          
              David Vanderpool, M.D., representing Dallas County Medical  
              Society / Texas Medical Association 
          
              Karen Walz, representing The Dallas Plan 
          
         The following persons provided oral testimony: 
          
              Carol Daniels, representing Texas Department of Health 
          
              Brenda Russell, representing Baylor Research Institute 
  
              Warren Webb, representing Fort Worth Med Tech Center 
          
         There being no further witnesses on this charge, the chair  
         called the following witnesses to testify before the committee  
         on charge #3 regarding medical privacy issues. 
          
         The following persons provided written and oral testimony:   
          
              Jennifer Low, representing Express Scripts, Inc 
          
              Leslie Secrest, M.D., representing Texas Society of  
              Psychiatric Physicians / Texas Medical Association 
          
         The following persons provided oral testimony: 
          
              Kim Caldwell, representing Advance Pardigm, Inc. 
          
              Robert Horner, representing Advance Pardigm, Inc. 
          
              Joe Lovelace, representing National Alliance for the  
              Mentally Ill of Texas 
          
         The following person registered as a resourse witness but did  
         not testify: 
          
              Gay Dodson, representing Texas State Board of Pharmacy 
          
         There being no further witnesses on this charge, the chair  
         called the following witnesses to testify before the committee  
         on charge #4 regarding the Vaccines For Children Program. 
          
         The following persons provided oral testimony: 
          
              Karine Lancaster, representing Dallas County HHS / PAIIC 
          
              Rob Squires, M.D., representing Texas Pediatric Society 
          
         There being no further witnesses on this charge, the chair  
         called the following witnesses to testify before the committee  
         members on charge #5 regarding health care workforce. 
          
         The following persons provided oral and written testimony: 
          
              Robert J. Sam Tessen, representing Center for Rural Health  
              Initiatives 
          
         The following persons provided oral testimony: 
          
              Nancy Ackley, representing Texas Nurses Foundation / Texas  
              Nurses Association 
          
              Roland Goertz, M.D., representing Texas Academy of Family  
              Physicians / Texas Medical Association 
  
              Patti Patterson, representing Texas Tech University Health  
              Science Center 
          
              Judith Redd, representing JPS Health Network / Tarrant  
              County Hospital District 
          
              Paulette Standefer, representing Dallas Fort Worth Hospital  
              Council 
          
              Nora Cox Taylor, representing Center for Rural Health  
              Initiatives 
          
              Craig Walker, representing Texas Ambulance Association 
          
         The following person registered as a resourse witness but did  
         not testify: 
          
              Keith Malon Wilson, representing Texas Dental Association 
          
              Glen Provost, representing Texas Tech University Health  
              Science Center 
          
         There being no further witnesses on this charge, the chair  
         called the following witnesses to testify before the committee  
         on charge #1 regarding medicaid managed care. 
          
         The following persons provided written and oral testimony. 
          
              Ron Anderson, M.D., representing Parkland Hospital / Texas  
              Hospital Association 
          
              Ellen Cozart, representing Children's Medical Center of  
              Dallas 
          
              Julia Easley, representing Coalition for North Texas  
              Children 
          
              George D. Farr, M.D., representing Children's Hospital  
              Association of Texas 
          
              Saundra Gilifillan, representing Dallas Service Area  
              Psychiatrists 
          
              Lilli C. Hallam, representing Mental Health Association of  
              Greater Dallas 
          
              Eric Yoder, M.D., representing Americaid Community Care 
          
         The following persons presented oral testimony: 
          
              Don Gilbert, representing Health & Human Services  
                   Commission      
          
              Joe Lovelace, representing National Alliance for the  
      
              Mentally Ill of Texas 
          
              Edwin McClusky, M.D., representing Texas Medical  
              Association 
          
              Sara Carey, representing Family Health Care Inc. 
          
              Robert Gunby, M.D., representing Texas Medical Association 
          
              Lois Olson, representing DANSA 
          
         The following persons registered but did not testify: 
          
              Lauralee Harris, representing Mental Health Association of  
              Tarrant County 
          
              James M. Atkins, M.D., representing self 
          
              Craig Nuckles, representing Texas Hospital Association 
          
         There being no further witnesses on this charge, the chair  
         called the following witnesses to testify before the committee  
         on charge #6 regarding the Children's Health Insurance Program. 
          
         The following persons presented oral testimony: 
          
              Ellen Cozart, representing Children's Medical Center of  
              Dallas 
          
              Julia Easley, representing Coalition for North Texas  
              Children 
              George D. Farr, representing Children's Hospital  
              Association of Texas 
          
              Robert Gunby, M.D., representing Texas Medical Association 
          
              Rob Squires, representing Texas Pediatric Society 
          
         The following person registered but did not testify: 
          
              Jay Dhingra, representing Columbia North Texas Division 
          
         There being no further witnesses on any other the charges, the  
         chair moved to adopt the minutes from the hearing held on  
         November 4, 1999.  Senator Moncrief motioned the adoption.   
         There being unanimous consent, the minutes were adopted. 
          
         The chair discussed the committee schedule; the Committee will  
         meet on Monday, February 7, 2000 at 10:00 a.m in Houston.  The  
         Committe staff will coordinate with each office to provide the  
         location for the next hearing. 
          
         With no other business to come before the committee and upon  
         motion by Senator Moncrief, the chair recesses the committee by  
         unanimous consent at 3:56 p.m., subject to the call of the  
  
         chair. 
          
         ______________________ 
         Senator Jane Nelson, Chair 
          
         ______________________ 
         Cheri Huddleston, Clerk