By Lewis of Orange                                   H.C.R. No. 287
         77R15624 MKS-D                           
                             HOUSE CONCURRENT RESOLUTION
 1-1           WHEREAS, Asthma is a chronic inflammatory lung disease
 1-2     characterized by recurrent episodes of breathlessness, wheezing,
 1-3     coughing, and chest tightness, all of which can be triggered by a
 1-4     wide range of environmental and personal health factors; and
 1-5           WHEREAS, The symptoms of asthma range from mild to
 1-6     life-threatening and often result in hospitalization, visits to the
 1-7     emergency room, and even death; and
 1-8           WHEREAS, Asthma is a major public health problem and a source
 1-9     of growing concern among health professionals, who have seen a
1-10     doubling in the cases of asthma in the last 15 years, with more
1-11     than 15 million people suffering from the disease in the United
1-12     States alone; and
1-13           WHEREAS, Asthma affects Americans of all ages, races, and
1-14     ethnic groups, but low-income and minority populations are
1-15     especially hard hit with substantially higher rates of fatalities,
1-16     hospital admissions, and emergency room visits as a result of
1-17     asthma; and
1-18           WHEREAS, This disease is one of the the leading causes of
1-19     childhood illness, the most common chronic childhood disease, and
1-20     the leading  cause of school absenteeism for children younger than
1-21     16 years of age; studies indicate that children with asthma miss
1-22     twice as many school days as children without the illness,
1-23     accounting for a total of more than 10 million missed school days
1-24     annually; and
 2-1           WHEREAS, The National Institutes of Health estimates that the
 2-2     cost of asthma in the year 2000 was $12.7 billion, with direct
 2-3     costs amounting to $8.1 billion and lost earnings due to illness or
 2-4     death totaling $4.6 billion; and
 2-5           WHEREAS, Asthma has become an increasingly important public
 2-6     health issue for Texas as the state has witnessed the death rates
 2-7     due to asthma nearly double between 1980 and 1998; and
 2-8           WHEREAS, To address this growing problem, the State of Texas
 2-9     needs to focus on the prevalence of asthma, the quality of care
2-10     given to those suffering with asthma, and the prevention and
2-11     education efforts the state offers to combat this disease; now
2-12     therefore, be it
2-13           RESOLVED, That the 77th Legislature of the State of Texas
2-14     hereby request the lieutenant governor and the speaker of the house
2-15     of representatives to create a joint interim committee to develop a
2-16     Texas asthma and allergy plan and to study issues including, but
2-17     not limited to, the state's current efforts in disease management
2-18     and asthma education, as well as the cost of asthma to the state,
2-19     the impact of missed days of school, and environmental factors
2-20     associated with asthma; and, be it further
2-21           RESOLVED, That, in addition to legislative members, the
2-22     committee include a primary care physician caring for asthma
2-23     patients, a pediatrician, an emergency room physician, and a rural
2-24     physician; a physician office nurse, an emergency room nurse, a
2-25     school nurse, and an advanced nurse practitioner; a pharmacist
2-26     representing a retail chain pharmacy and a pharmacist representing
2-27     a rural privately owned pharmacy; a member of the Asthma Coalition
 3-1     of Texas; a member of the American Lung Association; a member of
 3-2     the Texas Education Agency; the commissioner of insurance; and a
 3-3     parent of an asthma patient; and, be it further
 3-4           RESOLVED, That the committee's proceedings and operations be
 3-5     governed by such general rules and policies for joint interim
 3-6     committees as the 77th Legislature may adopt and that such rules
 3-7     and policies supersede the provisions of this resolution to the
 3-8     extent of any conflict; and, be it further
 3-9           RESOLVED, That the committee submit a full report, including
3-10     findings and recommendations, to the 78th Texas Legislature when it
3-11     convenes in January 2003.