MINUTES 
                                           
                        SENATE COMMITTEE ON HEALTH SERVICES 
                              Monday, February 7, 2000 
                                     10:00 a.m. 
                                      Houston 
                                           
                                       ***** 
          
         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 Monday, February 7, 2000, in Houston,  
         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 10:00 a.m.  There being  
         a quorum present, the following business was transacted. 
          
         The chair made opening remarks thanking the University of Texas  
         MD Anderson Cancer Center 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 laid out the January 11, 2000, minutes and called for  
         revisions.  There being none, Senator Moncrief moved approval.   
         There being no objection, the motion prevailed by unanimous  
         consent. 
          
         The chair welcomed Representative Kyle Janek to the hearing. 
          
         The chair announced that the committee would begin with a  
         Telemedicine demonstration followed by testimony on charge #5  
         regarding health care workforce. 
          
         The chair welcomed Senator Mario Gallegos to the hearing. 
          
         The following persons provided written and oral testimony: 
          
              Axelrad, A. David, M.D., representing Texas Society of  
         Psychiatric Physicians 
          
              Cagle, Anthony, representing Vidimedix Corporation 
          
              Coleridge, Tim, D.O., representing Texas Academy of Family  
              Physicians 
          
         The following persons provided oral testimony: 
          
              Baumgartner, Jim, M.D., representing University of Texas  
              Houston Pediatric Neurosurgery 
          
              Berg, Bobbye, R.N., M.S.N., P.N.P., representing University  
              of Texas Medical Branch 
          
              Boultinghouse, Oscar, representing University of Texas  
              Medical Branch 
          
              Gilbert, Don, representing Health and Human Services  
              Commission 
          
              Raimer, Ben G., M.D., representing University of Texas  
              Medical Branch 
          
              Robinson, Sally S., M.D., representing University of Texas  
              Medical Branch 
          
              Seale, Deborah E., representing University of Texas Medical  
              Branch 
          
              Smith, Catherine E., representing Baylor College of  
              Medicine 
          
              Stone, T. Howard, representing University of Texas Medical  
              Branch 
          
         The following person registered but did not testify: 
          
              Montaine, John, representing Harris County Hospital  
              District 
          
         There being no further witnesses on this charge, the chair  
         called for the following witnesses to testify before the  
         committee on charge #1 regarding Medicaid managed care. 
          
         The following persons provided oral and written testimony: 
          
              Born, Christopher M., representing Texas Children's  
              Hospital, Texas Hospital Association, Children's Hospital  
              Association of Texas 
               
              Ellington, Owen B., M.D., representing Americaid Community  
              Care 
          
              Foxhall, Lewis, M.D., representing Harris County Medical  
              Society 
          
              Graves, Tim, representing Texas Health Care Association 
          
         The following persons provided oral testimony: 
          
              Clarkson, Douglas, representing Columbia HCA 
          
              Gilbert, Don, representing Health and Human Services  
              Commission 
          
              Ingham, Denise, M.D., representing Americaid, Mental Health  
              Mental Retardation Association 
          
              Schnee, Steven B., representing Mental Health Mental  
              Retardation of Harris County 
          
              Schwartz, Betsy, representing Mental Health Association of  
              Greater Houston 
          
              Williston, H.N., representing self 
          
         The following persons registered but did not provide testimony: 
          
              Baumgartner, Jim, M.D., representing University of Texas  
              Houston Pediatric Neurosurgery 
          
              Kajander, John, representing TIRR Systems 
          
              Montaine, John, representing Harris County Hospital  
              District 
          
              Rummel, Leah, representing Texas Association of Health  
              Plans 
          
         The chair welcomed Senator Buster Brown to the hearing. 
          
         There being no further witnesses on this charge, the chair  
         called the following witnesses to testify before the committee  
         on charge #2 regarding pharmaceutical, biotechnology, and  
         genetic issues. 
          
         The following persons provided written and oral testimony: 
          
              Luthy, Connie L., representing The Luthy Group 
          
              Patrick, James W., representing Baylor College of Medicine 
          
              Young, Terry A., representing Texas A&M University System 
          
         The following persons provided oral testimony: 
          
              Bazer, Fuller, representing Texas A&M University System  
              Health Science Center 
          
              Carson, Ronald, representing University of Texas Medical  
              Branch and self 
  
              Kennedy, Robert A., representing Texas A&M University  
              System 
          
              Rothstein, Mark A., representing Health Law and Policy  
              Institute, University of Houston 
          
         The following person registered but did not provide testimony: 
          
              Daniels, Carol, representing Texas Department of Health 
          
         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 person provided written and oral testimony: 
          
              Low, Jennifer, representing Express Scripts, Inc. 
          
         The following person provided oral testimony: 
          
              Rothstein, Mark A., representing Health Law and Policy  
              Institute, University of Houston 
          
         There being no further witnesses on this charge, the chair  
         called for witnesses to testify before the committee on charge  
         #4 regarding the Vaccines for Children Program. 
          
         The following person registered but did not provide testimony: 
          
              Stanley, Sharilyn K., M.D., representing Texas Department  
              of Health 
          
         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 person provided oral testimony: 
          
              Gilbert, Don, representing Health and Human Services  
              Commission 
          
         The following person registered but did not provide testimony: 
          
              Rummel, Leah, representing Texas Association of Health  
              Plans 
          
         There being no further witnesses on this charge or any of the  
         others, the chair discussed the committee schedule; the  
         Committee will meet on Monday, April 10, 2000 at 10:00 a.m. in  
         San Antonio.  The Committee 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 recessed the committee by  
  
         unanimous consent at 3:10 p.m., subject to the call of the  
         chair. 
          
         ______________________ 
         Senator Jane Nelson, Chair 
          
         ______________________ 
         Cheri Huddleston, Clerk