1-1 AN ACT
1-2 relating to the regulation of dentistry and the provision of dental
1-3 services.
1-4 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1-5 ARTICLE 1. DENTAL SERVICES UNDER THE MEDICAL
1-6 ASSISTANCE PROGRAM
1-7 SECTION 1.01. Subchapter B, Chapter 32, Human Resources Code,
1-8 is amended by adding Section 32.053 to read as follows:
1-9 Sec. 32.053. DENTAL SERVICES. (a) For purposes of this
1-10 section, the "dental necessity" for a dental service or product is
1-11 based on whether a prudent dentist, acting in accordance with
1-12 generally accepted practices of the professional dental community
1-13 and within the American Dental Association's Parameters of Care for
1-14 Dentistry and within the quality assurance criteria of the American
1-15 Academy of Pediatric Dentistry, as applicable, would provide the
1-16 service or product to a patient to diagnose, prevent, or treat
1-17 orofacial pain, infection, disease, dysfunction, or disfiguration.
1-18 (b) A dental service or product may not be provided under
1-19 the medical assistance program unless there is a dental necessity
1-20 for the service or product.
1-21 (c) In providing dental services under the medical
1-22 assistance program, the department shall:
1-23 (1) ensure that a stainless steel crown is not used as
1-24 a preventive measure;
2-1 (2) require a dentist participating in the medical
2-2 assistance program to document, through x-rays or other methods
2-3 established by department rule, the dental necessity for a
2-4 stainless steel crown before the crown is applied;
2-5 (3) require a dentist participating in the medical
2-6 assistance program to comply with a minimum standard of
2-7 documentation and recordkeeping for each of the dentist's patients,
2-8 regardless of whether the patient's costs are paid privately or
2-9 through the medical assistance program;
2-10 (4) replace the 15-point system used for determining
2-11 the dental necessity for hospitalization and general anesthesia
2-12 with a more objective and comprehensive system developed by the
2-13 department; and
2-14 (5) take all necessary action to eliminate unlawful
2-15 acts described by Section 36.002 in the provision of dental
2-16 services under the medical assistance program, including:
2-17 (A) aggressively investigating and prosecuting
2-18 any dentist who abuses the system for reimbursement under the
2-19 medical assistance program; and
2-20 (B) conducting targeted audits of dentists whose
2-21 billing activities under the medical assistance program are
2-22 excessive or otherwise inconsistent with the billing activities of
2-23 other similarly situated dentists.
2-24 (d) In setting reimbursement rates for dental services under
2-25 the medical assistance program, the department shall:
2-26 (1) reduce the amount of the hospitalization fee in
2-27 effect on December 1, 2000, and redistribute amounts made available
3-1 through reduction of that fee to other commonly billed dental
3-2 services for which adequate accountability measures exist;
3-3 (2) eliminate the nutritional consultation fee and
3-4 redistribute amounts made available through elimination of that fee
3-5 to other commonly billed dental services for which adequate
3-6 accountability measures exist;
3-7 (3) provide for reimbursement of a behavior management
3-8 fee only if:
3-9 (A) the patient receiving dental treatment has
3-10 been previously diagnosed with mental retardation or a mental
3-11 disability or disorder, and extraordinary behavior management
3-12 techniques are necessary for therapeutic dental treatment because
3-13 of the patient's uncooperative behavior; and
3-14 (B) the dentist includes in the patient's
3-15 records and on the claim form for reimbursement a narrative
3-16 description of:
3-17 (i) the specific behavior problem
3-18 demonstrated by the patient that required the use of behavior
3-19 management techniques;
3-20 (ii) the dentist's initial efforts to
3-21 manage the patient's behavior through routine behavior management
3-22 techniques; and
3-23 (iii) the dentist's extraordinary behavior
3-24 management techniques subsequently required to manage the patient's
3-25 behavior; and
3-26 (4) redistribute amounts made available through
3-27 limitation of the behavior management fee under Subdivision (3) to
4-1 other commonly billed dental services for which adequate
4-2 accountability measures exist.
4-3 (e) The department shall develop the minimum standard
4-4 described by Subsection (c)(3) in cooperation with the State Board
4-5 of Dental Examiners.
4-6 SECTION 1.02. If before implementing any provision of this
4-7 article a state agency determines that a waiver or authorization
4-8 from a federal agency is necessary for implementation of that
4-9 provision, the agency affected by the provision shall request the
4-10 waiver or authorization and may delay implementing that provision
4-11 until the waiver or authorization is granted.
4-12 ARTICLE 2. REGULATION OF TELEDENTISTRY
4-13 SECTION 2.01. For purposes of this article, a licensed
4-14 dentist may delegate orally, in writing, or through advanced audio
4-15 and video telecommunications services a service, task, or procedure
4-16 to a dental hygienist who is under the supervision and
4-17 responsibility of the dentist, if:
4-18 (1) the dental hygienist is licensed to perform the
4-19 service, task, or procedure;
4-20 (2) the supervising dentist examines the patient
4-21 either in person or through advanced audio and video
4-22 telecommunications services:
4-23 (A) at the time the service, task, or procedure
4-24 is performed by the dental hygienist; or
4-25 (B) during the 12 calendar months preceding the
4-26 date of performance of the service, task, or procedure by the
4-27 dental hygienist; and
5-1 (3) the dental hygienist does not:
5-2 (A) diagnose a dental disease or ailment;
5-3 (B) prescribe a treatment or a regimen;
5-4 (C) prescribe, order, or dispense medication; or
5-5 (D) perform any procedure that is irreversible
5-6 or involves the intentional cutting of soft or hard tissue by any
5-7 means.
5-8 SECTION 2.02. (a) In this section:
5-9 (1) "Dental professional" means:
5-10 (A) a dentist licensed under Subtitle D, Title
5-11 3, Occupations Code; or
5-12 (B) a dental hygienist licensed under Chapter
5-13 262, Occupations Code, practicing under the supervision of a
5-14 dentist.
5-15 (2) "Student" means a person who is under 19 years of
5-16 age, is enrolled in a public school, and receives dental services
5-17 under Chapter 32, Human Resources Code.
5-18 (3) "Teledentistry dental services" means a dental
5-19 service that utilizes, in whole or in part, advanced
5-20 telecommunications technology including:
5-21 (A) compressed digital interactive video, audio,
5-22 or data transmission;
5-23 (B) clinical data transmission via computer
5-24 imaging for teleradiology or telepathology; and
5-25 (C) other technology that facilitates access in
5-26 rural and underserved counties to dental services or dental
5-27 specialty expertise.
6-1 (b) The commissioner of health and human services shall
6-2 appoint a program administrator to administer a pilot program that
6-3 uses teledentistry and other methods of delivering dental services
6-4 to provide dental services to students in one public school
6-5 district in the state.
6-6 (c) The program administrator shall establish an advisory
6-7 committee to assist the program administrator in developing and
6-8 implementing the pilot program.
6-9 (d) In developing the pilot program, the program
6-10 administrator shall design the program in a manner that:
6-11 (1) increases access to dental services and enhances
6-12 the delivery of dental services to students;
6-13 (2) ensures the provision of oral health education
6-14 services;
6-15 (3) provides for effective and appropriate supervision
6-16 by a dentist of other dental professionals providing care under the
6-17 program; and
6-18 (4) enables the state to determine whether extension
6-19 of the use of teledentistry would improve the delivery of dental
6-20 services.
6-21 (e) The program administrator shall adopt procedures as
6-22 necessary to:
6-23 (1) ensure that appropriate care, including quality of
6-24 care, is provided to students who receive teledentistry dental
6-25 services;
6-26 (2) ensure adequate supervision of dental
6-27 professionals who are not dentists and who provide teledentistry
7-1 dental services;
7-2 (3) establish the maximum number of dental
7-3 professionals who are not dentists that a dentist may supervise;
7-4 and
7-5 (4) require a face-to-face consultation with a dentist
7-6 within a certain number of days following a teledentistry dental
7-7 service.
7-8 (f) Only a teledentistry dental service initiated or
7-9 provided by a licensed dentist in this state may be reimbursed
7-10 under the Medicaid program. Medicaid reimbursement for a
7-11 teledentistry dental service shall be at the same rate as the
7-12 Medicaid program reimburses for a comparable in-person dental
7-13 service. A request for reimbursement may not be denied solely
7-14 because an in-person consultation between a dentist or other dental
7-15 professional and a patient did not occur. Reimbursement for a
7-16 dental hygienist for service shall be made through the supervising
7-17 dentist.
7-18 (g) A dental hygienist must act under the remote supervision
7-19 of a local dentist. Both the dentist and the hygienist must be
7-20 located within the boundaries of the school district served by the
7-21 pilot program.
7-22 (h) Images and assessment information shall be sent by the
7-23 dental hygienist to a supervising dentist either live or by means
7-24 of store and forward technology. After a dentist has reviewed the
7-25 required information, the dentist may authorize the provision of
7-26 preventive services by the dental hygienist located at the school.
7-27 (i) A dental hygienist participating in the pilot program
8-1 may initiate screening and assessment services and, under the
8-2 supervision of a dentist, may perform any procedure the hygienist
8-3 is authorized to perform under law.
8-4 (j) A teledentistry dental service may not be provided if an
8-5 in-person consultation with a dentist is reasonably available to a
8-6 student. Dentists and other dental professionals participating in
8-7 the pilot program shall make a good faith effort to identify and
8-8 coordinate with existing providers to preserve and protect existing
8-9 dental care systems and dental relationships.
8-10 (k) The program administrator shall establish a control
8-11 group not to exceed 1,000 students to provide a benchmark for
8-12 measuring the performance of the pilot program. Each student in
8-13 the control group shall be examined by a dentist, in person, at the
8-14 end of the program to evaluate the effectiveness of teledentistry
8-15 dental services provided during the program. The examining dentist
8-16 must practice in a dental office located outside the boundaries of
8-17 the school district served by the pilot program.
8-18 (l) The program administrator shall use the results of the
8-19 pilot program to:
8-20 (1) determine the efficacy of teledentistry; and
8-21 (2) determine the effectiveness of teledentistry in
8-22 increasing access to dental services and improving oral health of
8-23 students.
8-24 (m) A dental professional who provides teledentistry dental
8-25 services shall ensure that the informed consent of the student or a
8-26 person authorized to provide consent for the student is obtained
8-27 before teledentistry dental services are provided.
9-1 (n) Students participating in the pilot program must be
9-2 referred to local dentists for restorative care and monitored to
9-3 ensure that restorative services are provided.
9-4 (o) Not later than December 31, 2002, the program
9-5 administrator shall submit a report to the legislature containing
9-6 the following:
9-7 (1) the number of students who received teledentistry
9-8 dental services;
9-9 (2) the types of teledentistry dental services
9-10 provided;
9-11 (3) the cost and level of utilization of teledentistry
9-12 dental services;
9-13 (4) the effect of the pilot program on school
9-14 absenteeism of students in the control group;
9-15 (5) a description of improvements in the oral health
9-16 of students in the pilot program; and
9-17 (6) recommendations for changes in or the expansion of
9-18 the pilot program.
9-19 (p) This article expires and the advisory committee is
9-20 abolished December 31, 2002.
9-21 SECTION 2.03. (a) The commissioner of health and human
9-22 services shall appoint a program administrator for the
9-23 teledentistry pilot program not later than the 30th day after the
9-24 effective date of this article.
9-25 (b) The program administrator shall appoint an advisory
9-26 committee and shall begin implementing the teledentistry pilot
9-27 program not later than the 30th day after the date the program
10-1 administrator is appointed.
10-2 ARTICLE 3. ALTERNATIVE TRAINING OF DENTAL HYGIENISTS
10-3 SECTION 3.01. Section 256.053, Occupations Code, is amended
10-4 to read as follows:
10-5 Sec. 256.053. ELIGIBILITY FOR LICENSE. To qualify for a
10-6 license, an applicant must be:
10-7 (1) at least 18 years of age;
10-8 (2) a graduate of an accredited high school or hold a
10-9 certificate of high school equivalency; and
10-10 (3) a graduate of a recognized school of dentistry or
10-11 dental hygiene accredited by the Commission on Dental Accreditation
10-12 of the American Dental Association and approved by the board or an
10-13 alternative dental hygiene training program.
10-14 SECTION 3.02. Subchapter B, Chapter 256, Occupations Code, is
10-15 amended by adding Section 256.0531 to read as follows:
10-16 Sec. 256.0531. ALTERNATIVE DENTAL HYGIENE TRAINING PROGRAMS.
10-17 (a) It is the intent of the legislature that programs approved by
10-18 the board under this section provide hygiene training that is
10-19 substantially equivalent to training provided under traditional
10-20 programs.
10-21 (b) An alternative dental hygiene training program must meet
10-22 the following requirements:
10-23 (1) the program must be determined to be eligible for
10-24 accreditation by the Commission on Dental Accreditation of the
10-25 American Dental Association before students can enroll in the
10-26 program;
10-27 (2) the program must require hygiene students to
11-1 complete four semesters of didactic education from a school of
11-2 dentistry, dental hygiene school, or other educational institution
11-3 approved by the board;
11-4 (3) didactic education shall be provided by
11-5 instruction in the classroom or by distance learning, remote
11-6 coursework, or similar modes of instruction offered by an
11-7 institution accredited by the Commission on Dental Accreditation of
11-8 the American Dental Association;
11-9 (4) didactic education shall include instruction in
11-10 anatomy, pharmacology, x-ray, ethics, jurisprudence, hygiene, and
11-11 any other subject regularly taught in reputable schools of
11-12 dentistry and dental hygiene that the board may require;
11-13 (5) the program must require hygiene students to
11-14 complete not less than 1,000 hours of clinical training under the
11-15 direct supervision of a dentist qualified under Subsection (d) or a
11-16 dental hygienist qualified under Subsection (f) during a 12-month
11-17 period. Students must satisfactorily complete 75 full-mouth
11-18 prophylaxes and demonstrate the ability to accurately record the
11-19 location and extent of dental restorations, chart mobility,
11-20 furcations, gingival recession, keratinized gingiva, and pocket
11-21 depth on six aspects of each tooth; and
11-22 (6) clinical training may occur simultaneously with
11-23 didactic education.
11-24 (c) Prior to commencing training, a hygiene student must
11-25 have completed no less than two years of full-time employment in a
11-26 position involving clinical duties with dental patients.
11-27 (d) To be qualified to train a hygiene student under this
12-1 section, a dentist must:
12-2 (1) be licensed in Texas and have practiced in Texas
12-3 for at least five years;
12-4 (2) have completed a certification or calibration
12-5 course approved by the board for purposes of this section;
12-6 (3) meet recertification requirements at intervals of
12-7 no more than three years;
12-8 (4) also practice in a dental office located outside a
12-9 standard metropolitan statistical area, as defined by the United
12-10 States Census Bureau, or practice in an area that the Texas
12-11 Department of Health has determined is underserved or an area that
12-12 has been designated by the United States as having a shortage of
12-13 dental professionals; and
12-14 (5) have posted a notice visible to patients stating:
12-15 "This practice has been approved as an alternative dental hygiene
12-16 training program. Students in the program may be performing
12-17 services."
12-18 (e) A hygiene student who completes the requirements of a
12-19 program under this section must satisfactorily pass the examination
12-20 required for all hygiene license applicants under this chapter.
12-21 (f) A dental hygienist may train hygiene students under this
12-22 section if:
12-23 (1) the dental hygienist is employed by a dentist who
12-24 provides training under this section and the hygienist works under
12-25 the direct supervision of the dentist in the same office as the
12-26 dentist;
12-27 (2) the dental hygienist has practiced full-time
13-1 dental hygiene for the five years immediately preceding the time
13-2 the training is provided; and
13-3 (3) the dental hygienist has completed a certification
13-4 or calibration course approved by the board and meets
13-5 recertification requirements at intervals of no more than five
13-6 years.
13-7 (g) A dentist who supervises a dental hygienist trained
13-8 under this section has the same liability for acts performed by the
13-9 hygienist as if the hygienist were trained in a different manner.
13-10 (h) The board shall adopt an alternative dental hygiene
13-11 training program no later than January 1, 2002.
13-12 (i) The board shall appoint an advisory committee to advise
13-13 the board in developing the alternative dental hygiene training
13-14 program. The advisory committee consists of the following members
13-15 appointed by the board:
13-16 (1) two dental hygienists nominated by a statewide
13-17 association of dental hygienists;
13-18 (2) two dentists nominated by a statewide association
13-19 of dentists;
13-20 (3) two dental educators nominated by the State Board
13-21 of Dental Examiners; and
13-22 (4) two dental hygienist educators nominated by the
13-23 Dental Hygiene Advisory Committee to the State Board of Dental
13-24 Examiners.
13-25 (j) In developing the program, the advisory committee shall
13-26 consider the standards adopted by the Commission on Dental
13-27 Accreditation.
14-1 (k) A student in an alternative dental hygiene training
14-2 program is not considered to be practicing dentistry as described
14-3 by Section 251.003.
14-4 (l) The board shall adopt rules requiring the dentist to
14-5 give written notice to patients, where applicable, that services
14-6 will be performed by a student in an alternative dental hygiene
14-7 training program, and requiring the dentist or the dentist's staff
14-8 to give oral notice to patients, where applicable, at the time the
14-9 patient's hygiene appointment is made or confirmed, that services
14-10 will be performed by a student in an alternative dental hygiene
14-11 training program.
14-12 (m) The board may adopt rules necessary to implement this
14-13 section. The board shall adopt a rule requiring notification to
14-14 dental hygiene students that accreditation of the alternative
14-15 dental hygiene training program is a requirement for obtaining a
14-16 license under this chapter.
14-17 SECTION 3.03. The program, including the clinical training
14-18 component, must be accredited by the Commission on Dental
14-19 Accreditation by December 31, 2004, or the program expires.
14-20 SECTION 3.04. The board may not issue a license to a
14-21 graduate of an alternative training program under Section 256.0531,
14-22 Occupations Code, unless the program is accredited by the
14-23 Commission on Dental Accreditation.
14-24 ARTICLE 4. DELEGATION OF CERTAIN ACTS BY DENTISTS
14-25 SECTION 4.01. Section 258.002, Occupations Code, is amended
14-26 by amending Subsection (b) and adding Subsection (c) to read as
14-27 follows:
15-1 (b) A licensed dentist may delegate, under Subsection (a),
15-2 the application of a pit and fissure sealant to a dental assistant
15-3 if the dentist is a Medicaid provider. Cleansing of the occlusal
15-4 and smooth surfaces of the teeth by a dental assistant is allowed
15-5 immediately prior to and for the sole purpose of preparing the
15-6 tooth area for the placement of pit and fissure sealants or
15-7 orthodontic bonding resin, and shall not be billed as a
15-8 prophylaxis.
15-9 (c) The board by rule shall establish guidelines regarding
15-10 the types of dental acts that may be properly or safely delegated
15-11 by a dentist, including a determination of which delegated dental
15-12 acts, if any, require competency testing before a person may
15-13 perform the act.
15-14 SECTION 4.02. Subchapter D, Chapter 262, Occupations Code, is
15-15 amended by adding Section 262.1515 to read as follows:
15-16 Sec. 262.1515. DELEGATION OF DUTIES TO DENTAL HYGIENIST
15-17 PRACTICING IN CERTAIN LONG-TERM CARE FACILITIES AND SCHOOL-BASED
15-18 HEALTH CENTERS. (a) A licensed dentist may delegate a service,
15-19 task, or procedure, pursuant to this section, to a dental
15-20 hygienist, without complying with Section 262.151(a)(2) if:
15-21 (1) the dental hygienist has at least two years'
15-22 experience in the practice of dental hygiene; and
15-23 (2) the service, task, or procedure is performed in
15-24 one of the following locations:
15-25 (A) a nursing facility as defined in Section
15-26 242.301, Health and Safety Code; or
15-27 (B) a school-based health center established
16-1 under Section 38.011, Education Code, as added by Chapter 1418,
16-2 Acts of the 76th Legislature, Regular Session, 1999.
16-3 (b) The patient must be referred to a licensed dentist after
16-4 the completion of a service, task, or procedure performed under
16-5 Subsection (a).
16-6 (c) A dental hygienist may not perform a second set of
16-7 delegated tasks or procedures until the patient has been examined
16-8 by a dentist in compliance with Section 262.151(a)(2).
16-9 (d) A dental hygienist may not perform any service, task, or
16-10 procedure under this section without the express authorization of a
16-11 dentist.
16-12 (e) The nursing facility or school-based health center shall
16-13 note each delegated service, task, or procedure performed by the
16-14 dental hygienist under this section in the patient's medical
16-15 records.
16-16 SECTION 4.03. Section 265.003, Occupations Code, is amended
16-17 to read as follows:
16-18 Sec. 265.003. PERMITTED DUTIES. (a) A dental assistant who
16-19 is not professionally licensed may:
16-20 (1) be employed by and work in the office of a
16-21 licensed and practicing dentist; and
16-22 (2) perform one or more delegated dental acts under
16-23 the direct supervision, direction, and responsibility of the
16-24 dentist, including the application of a pit and fissure sealant.
16-25 (b) A dental assistant may apply a pit and fissure sealant
16-26 under Subsection (a) only if:
16-27 (1) the assistant is certified to apply a pit and
17-1 fissure sealant under Section 265.004; and
17-2 (2) the dentist described by Subsection (a) is a
17-3 Medicaid provider.
17-4 SECTION 4.04. Chapter 265, Occupations Code, is amended by
17-5 adding Section 265.004 to read as follows:
17-6 Sec. 265.004. PIT AND FISSURE SEALANT CERTIFICATE. (a) The
17-7 board shall issue a pit and fissure sealant certificate to a dental
17-8 assistant who qualifies under this section.
17-9 (b) To qualify for a certificate, an applicant must:
17-10 (1) have at least two years' experience as a dental
17-11 assistant; and
17-12 (2) have successfully completed a minimum of 16 hours
17-13 of clinical and didactic education in pit and fissure sealants
17-14 taken through an accredited dental hygiene program approved by the
17-15 board.
17-16 (c) The educational program under Subsection (b) must
17-17 include courses on:
17-18 (1) infection control;
17-19 (2) cardiopulmonary resuscitation;
17-20 (3) treatment of medical emergencies;
17-21 (4) microbiology;
17-22 (5) chemistry;
17-23 (6) dental anatomy;
17-24 (7) ethics related to pit and fissure sealant
17-25 application;
17-26 (8) jurisprudence related to pit and fissure sealant
17-27 application; and
18-1 (9) the correct application of sealants, including the
18-2 actual clinical application of sealants.
18-3 (d) To maintain a certificate under this section, the dental
18-4 assistant must complete at least six hours of continuing education
18-5 in technical and scientific coursework each year.
18-6 (e) The board shall adopt rules as necessary to implement
18-7 this section, including rules regarding renewal requirements for a
18-8 certificate issued under this section.
18-9 SECTION 4.05. Not later than March 1, 2002, the State Board
18-10 of Dental Examiners shall adopt the rules required by Section
18-11 265.004, Occupations Code, as added by this Act.
18-12 ARTICLE 5. TEMPORARY LICENSE
18-13 SECTION 5.01. Subchapter C, Chapter 256, Occupations Code, is
18-14 amended by adding Section 256.1015 to read as follows:
18-15 Sec. 256.1015. TEMPORARY LICENSE. (a) The board, upon
18-16 payment by the applicant of a fee set by the board, shall grant a
18-17 temporary license to practice dentistry to any reputable dentist or
18-18 a temporary license to practice dental hygiene to any reputable
18-19 dental hygienist who:
18-20 (1) meets all requirements of Section 256.101 except
18-21 those of Subsection (a)(8); and
18-22 (2) is employed by a nonprofit corporation that
18-23 accepts Medicaid reimbursement.
18-24 (b) A license granted under this section expires immediately
18-25 when a licensee fails to meet the requirements of this section.
18-26 ARTICLE 6. REPAYMENT OF DENTAL LOANS
18-27 SECTION 6.01. Section 61.904(a), Education Code, is amended
19-1 to read as follows:
19-2 (a) The board may provide repayment assistance for the
19-3 repayment of any student loan for education at a public or private
19-4 institution of higher education [in this state], including loans
19-5 for undergraduate education, received by a dentist through any
19-6 lender.
19-7 SECTION 6.02. Section 61.903, Education Code, is repealed.
19-8 ARTICLE 7. EFFECTIVE DATE
19-9 SECTION 7.01. This Act takes effect September 1, 2001.
_______________________________ _______________________________
President of the Senate Speaker of the House
I certify that H.B. No. 3507 was passed by the House on May
3, 2001, by a non-record vote; that the House refused to concur in
Senate amendments to H.B. No. 3507 on May 24, 2001, and requested
the appointment of a conference committee to consider the
differences between the two houses; and that the House adopted the
conference committee report on H.B. No. 3507 on May 27, 2001, by a
non-record vote.
_______________________________
Chief Clerk of the House
I certify that H.B. No. 3507 was passed by the Senate, with
amendments, on May 21, 2001, by a viva-voce vote; at the request of
the House, the Senate appointed a conference committee to consider
the differences between the two houses; and that the Senate adopted
the conference committee report on H.B. No. 3507 on May 27, 2001,
by a viva-voce vote.
_______________________________
Secretary of the Senate
APPROVED: __________________________
Date
__________________________
Governor