MINUTES 
                                           
                   SENATE COMMITTEE ON HEALTH AND HUMAN SERVICES 
                               Monday, April 9, 2001 
                                       8 a.m. 
                           Capitol Extension, Room E1.028 
                                           
                                       ***** 
          
         Pursuant to a notice posted in accordance with Senate Rule  
         11.18, a public hearing of the Senate Committee on Health and  
         Human Services was held on Monday, April 9, 2001, in the Capitol  
         Extension, Room E1.028, at Austin, Texas. 
          
                                       ***** 
                                           
         MEMBERS PRESENT:                        MEMBERS ABSENT: 
         Senator Mike Moncrief, Chairman         Senator John Carona,  
                                                 Vice Chairman 
         Senator David Bernsen                   Senator Chris Harris 
         Senator Mario Gallegos, Jr. 
         Senator Frank Madla 
         Senator Jane Nelson 
         Senator Eliot Shapleigh 
         Senator David Sibley 
                                           
                                       ***** 
                                           
         The chairman called the meeting to order at 8:08 a.m.  The  
         following business was transacted. 
          
         At 8:08 a.m. Senator Sibley assumed presiding duties. 
          
         The chairman laid out SB 1046 by Senator Moncrief, relating to  
         the enforcement powers of the Texas Department of Health over  
         foods, drugs, devices and cosmetics, and recognized the author  
         to explain the bill. 
          
         Senator Moncrief sent up a committee substitute for SB 1046 and  
         explained the differences between it and the bill as filed. 
          
         No witnesses testified or registered on the committee substitute  
         for SB 1046.  There being no other witnesses responding to the  
         chairman's call for public testimony relating to the committee  
         substitute for SB 1046, the chairman closed public testimony. 
          
         The chairman left the committee substitute for SB 1046 pending  
         temporarily, to await the arrival of a quorum.  
          
         The chairman laid out SB 1080 by Senator Moncrief, relating to  
         certain distressed or reconditioned food, drugs, devices and  
         cosmetics and certain licensed persons, and recognized the  
         author to explain the bill. 
         Senator Moncrief sent up a committee substitute for SB 1080 and  
  
         explained the differences between it and the bill as filed. 
          
         At 8:19 a.m. a quorum was established. 
          
         Witnesses testifying and registering on the committee substitute  
         for SB 1080 are shown on the attached list.  There being no  
         other witnesses registered or responding to the chairman's call  
         for public testimony relating to the committee substitute for SB  
         1080, the chairman closed public testimony. 
          
         Senator Moncrief moved the adoption of the committee substitute  
         for SB 1080.  There being no objection, the motion prevailed by  
         unanimous consent. 
          
         Senator Gallegos asked unanimous consent to be shown voting "aye"  
         on the committee substitute for SB 1080.  There being no  
         objection, the motion prevailed by unanimous consent. 
          
         Senator Moncrief moved that SB 1080 be reported to the Senate  
         with the recommendation that it do not pass, but that the  
         committee substitute adopted in lieu thereof do pass and be  
         printed.  The motion prevailed by a vote of 7 ayes, 0 nays and 2  
         absent. 
          
         Senator Moncrief moved that the committee substitute for SB 1080  
         be recommended for certification on the local and uncontested  
         calendar.  There being no objection, the motion prevailed by  
         unanimous consent. 
          
         The chairman laid out anew, SB 1046 by Senator Moncrief,  
         relating to the enforcement powers of the Texas Department of  
         Health over foods, drugs, devices and cosmetics, which had been  
         left pending to await the arrival of a quorum. 
          
         Senator Moncrief moved the adoption of the committee substitute  
         for SB 1046.  There being no objection, the motion prevailed by  
         unanimous consent. 
          
         Senator Gallegos asked unanimous consent to be shown voting "aye"  
         on the committee substitute for SB 1046.  There being no  
         objection, the motion prevailed by unanimous consent. 
          
         Senator Moncrief moved that SB 1046 be reported to the Senate  
         with the recommendation that it do not pass, but that the  
         committee substitute adopted in lieu thereof do pass and be  
         printed.  The motion prevailed by a vote of 7 ayes, 0 nays and 2  
         absent. 
          
         Senator Moncrief moved that the committee substitute for SB 1046  
         be recommended for certification on the local and uncontested  
         calendar.  There being no objection, the motion prevailed by  
         unanimous consent. 
          
         The chairman laid out SB 1264 by Senator Haywood, relating to  
  
         the scope of practice a physician assistant acting in a  
         delegated practice, and recognized Senator Moncrief, in absence  
         of the author, to explain the bill. 
          
         Witnesses testifying and registering on SB 1264 are shown on the  
         attached list.  There being no other witnesses registered or  
         responding to the chairman's call for public testimony relating  
         to SB 1264, the chairman closed public testimony. 
          
         Senator Gallegos asked unanimous consent to be shown voting "aye"  
         on SB 1264.  There being no objection, the motion prevailed by  
         unanimous consent.   
          
         Senator Moncrief moved that SB 1264 be reported to the Senate  
         with the recommendation that it do pass and be printed.  The  
         motion prevailed by a vote of 7 ayes, 0 nays and 2 absent. 
          
         Senator Moncrief moved that SB 1264 be recommended for  
         certification on the local and uncontested calendar.  There  
         being no objection, the motion prevailed by unanimous consent. 
          
         At 8:41 a.m. Senator Moncrief resumed presiding duties. 
          
         The chairman laid out SB 1496 by Senator Barrientos, relating to  
         the reassignment of the responsibilities of the Child Care  
         Development Board, and recognized the author to explain the  
         bill. 
          
         Witnesses testifying and registering on SB 1496 are shown on  
         that attached list.  There being no other witnesses registered  
         or responding to the chairman's call for public testimony  
         relating to SB 1496, the chairman closed public testimony. 
          
         Senator Gallegos asked unanimous consent to be shown voting "aye"  
         on SB 1496.  There being no objection, the motion prevailed by  
         unanimous consent.  
          
         Senator Shapleigh moved that SB 1496 be reported to the Senate  
         with the recommendation that it do pass and be printed.  The  
         motion prevailed by a vote of 7 ayes, 0 nays and 2 absent. 
          
         Senator Shapleigh moved that SB 1496 be recommended for  
         certification on the local and uncontested calendar.  There  
         being no objection, the motion prevailed by unanimous consent. 
          
         The chairman laid out the April 2, 2001, minutes and called for  
         revisions.  There being none, Senator Nelson moved their  
         approval.  There being no objection, the motion prevailed by  
         unanimous consent. 
          
         At 8:44 a.m. Senator Sibley assumed presiding duties. 
          
         The chairman laid out SB 1373 by Senator Moncrief, relating to  
         education and training programs for food service workers, and  
  
         recognized the author to explain the bill. 
          
         Senator Moncrief sent up a committee substitute for SB 1373 and  
         explained the differences between it and the bill as filed. 
          
         Senator Moncrief moved that adoption of the committee substitute  
         for SB 1373.  There being no objection, the motion prevailed by  
         unanimous consent. 
          
         Witnesses testifying and registering on the committee substitute  
         for SB 1373 are shown on the attached list.  There being no  
         other witnesses registered or responding to the chairman's call  
         for public testimony relating to the committee substitute for SB  
         1373, the chairman closed public testimony. 
          
         Senator Gallegos asked unanimous consent to be shown voting "aye"  
         on the committee substitute for SB 1373.  There being no  
         objection, the motion prevailed by unanimous consent. 
          
         Senator Moncrief moved that SB 1373 be reported to the Senate  
         with the recommendation that it do not pass, but that the  
         committee substitute adopted in lieu thereof do pass and be  
         printed. The motion prevailed by a vote of 7 ayes, 0 nays and 2  
         absent. 
          
         Senator Moncrief moved that the committee substitute for SB 1373  
         be recommended for certification on the local and uncontested  
         calendar.  There being no objection, the motion prevailed by  
         unanimous consent. 
          
         The chairman laid out SB 1588 by Senator Moncrief, relating to a  
         preliminary examination for emergency detention because of  
         mental illness, and recognized the author to explain the bill. 
          
         Senator Moncrief sent up committee amendment 1 and explained it.   
         Senator Moncrief moved the adoption of the committee amendment  
         1.  There being no objection, the motion prevailed by unanimous  
         consent. 
           
         Witnesses testifying and registering on SB 1588, as amended, are  
         shown on the attached list.  There being no other witnesses  
         registered or responding to the chairman's call for public  
         testimony relating to SB 1588, as amended, the chairman closed  
         public testimony. 
          
         Senators Gallegos and Madla asked unanimous consent to be shown  
         voting "aye" on SB 1588, as amended.  There being no objection,  
         the motion prevailed by unanimous consent. 
          
         Senator Moncrief moved that SB 1588, as amended, be reported to  
         the Senate with the recommendation that it do pass and be  
         printed.  The motion prevailed by a vote of 7 ayes, 0 nays and 2  
         absent. 
          
         Senator Moncrief moved that SB 1588, as amended, be recommended  
         for certification on the local and uncontested calendar.  There  
         being no objection, the motion prevailed by unanimous consent.   
          
         The chairman laid out SB 1763 by Senator Moncrief, relating to  
         the provision of information about patient assistance programs  
         offered by pharmaceutical companies, and recognized the author  
         to explain the bill. 
          
         Witnesses testifying and registering on SB 1763 are shown on the  
         attached list.  There being no other witnesses registered or  
         responding to the chairman's call for public testimony relating  
         to SB 1763, the chairman closed public testimony. 
          
         The chairman left SB 1763 pending temporarily, to await the  
         arrival of a quorum. 
          
         The chairman laid out SB 527 by Senator Moncrief, relating to  
         imposition of administrative penalties against assisted living  
         facilities, and recognized the author to explain the bill. 
          
         Senator Moncrief sent up a committee substitute for SB 527 and  
         explained it. 
         Testimony on the committee substitute for SB 527 began. 
          
         At 9:18 a.m. Senator Nelson assumed presiding duties. 
          
         Upon unanimous consent, Senator Nelson recessed the committee at  
         9:47 a.m., until 30 minutes after the adjournment of the Texas  
         Senate. 
          
         Senator Moncrief reconvened the Senate Committee on Health and  
         Human Services at 12:12 p.m. 
          
         The chairman laid out SB 1246 by Senator Gallegos, relating to  
         the establishment of a community heath center revolving loan  
         fund program, and recognized the author to explain the bill. 
          
         Senator Gallegos sent up committee amendment 1 and explained it.   
         Senator Gallegos moved the adoption of committee amendment 1.   
         There being no objection, the motion prevailed by unanimous  
         consent. 
          
         Witnesses testifying and registering on SB 1246, as amended, are  
         shown on the attached list.  Testimony on SB 1246, as amended,  
         was left open. 
          
         At the chairman's request, SB 1246, as amended, was left  
         pending. 
          
         The chairman laid out SB 1386 by Senator Armbrister, relating to  
         the provision of mental health and mental retardation services,  
         and recognized the author to explain the bill. 
          
         Senator Gallegos sent up a committee substitute for SB 1386 and  
  
         Senator Armbrister explained the differences between it and the  
         bill as filed. 
          
         Senator Gallegos moved the adoption of the committee substitute  
         for SB 1386.  There being no objection, the motion prevailed by  
         unanimous consent. 
          
         Witnesses testifying and registering on the committee substitute  
         for SB 1386 are shown on the attached list.  There being no  
         other witnesses registered or responding to the chairman's call  
         for public testimony relating to the committee substitute for SB  
         1386, the chairman closed public testimony. 
          
         Senators Madla and Nelson asked unanimous consent to be shown  
         voting "aye" on the committee substitute for SB 1386.  There  
         being no objection, the motion prevailed by unanimous consent.  
          
         Senator Gallegos moved that SB 1386 be reported to the Senate  
         with the recommendation that it do not pass, but that the  
         committee substitute adopted in lieu thereof do pass and be  
         printed.  The motion prevailed by a vote of 6 ayes, 0 nays and 3  
         absent. 
          
         Senator Gallegos moved that the committee substitute for SB 1386  
         be recommended for certification on the local and uncontested  
         calendar.  There being no objection, the motion prevailed by  
         unanimous consent. 
          
         The chairman laid out anew SB 1763 by Senator Moncrief, relating  
         to the provision of information about patient assistance  
         programs offered by pharmaceutical companies, which had been  
         left pending to await the arrival of a quorum. 
          
         Senators Madla and Nelson asked unanimous consent to be shown  
         voting "aye" on SB 1763.  There being no objection, the motion  
         prevailed by unanimous consent. 
          
         Senator Gallegos moved that SB 1763 be reported to the Senate  
         with the recommendation that it do pass and be printed.  The  
         motion prevailed by a vote of 6 ayes, 0 nays and 3 absent. 
          
         Senator Gallegos moved that SB 1763 be recommended for  
         certification on the local and uncontested calendar.  There  
         being no objection, the motion prevailed by unanimous consent. 
          
         The chairman laid out SB 1483 by Senator Duncan, relating to  
         certain services provided through telemedicine, and recognized  
         the author to explain the bill. 
          
         Senator Gallegos sent up a committee substitute for SB 1483 and  
         Senator Duncan explained the differences between it and the bill  
         as filed.         
          
         Senator Gallegos moved the adoption of the committee substitute  
         for SB 1483.  There being no objection, the motion prevailed by  
  
         unanimous consent.   
          
         Witnesses testifying and registering on the committee substitute  
         for SB 1483 are shown on the attached list.  There being no  
         other witnesses registered or responding to the chairman's call  
         for public testimony relating to the committee substitute for SB  
         1483, the chairman closed public testimony. 
          
         Senator Madla asked unanimous consent to be shown voting "aye"  
         on the committee substitute for SB 1483.  There being no  
         objection, the motion prevailed by unanimous consent. 
          
         Senator Shapleigh moved that SB 1483 be reported to the Senate  
         with the recommendation that it do not pass, but that the  
         committee substitute adopted in lieu thereof do pass and be  
         printed.  The motion prevailed by a vote of 7 ayes, 0 nays and 2  
         absent. 
          
         Senator Shapleigh moved that the committee substitute for SB  
         1483 be recommended for certification on the local and  
         uncontested calendar.  There being no objection, the motion  
         prevailed by unanimous consent. 
          
         The chairman laid out SB 1269 by Senator Sibley, relating to the  
         licensing and regulation of clinical nutritionists; providing a  
         criminal penalty, and recognized the author to explain the bill. 
          
         Senator Sibley sent up a committee substitute for SB 1269 and  
         explained the differences between it and the bill as filed. 
          
         Senator Sibley moved the adoption of the committee substitute  
         for SB 1269.  There being no objection, the motion prevailed by  
         unanimous consent. 
          
         Witnesses testifying and registering on the committee substitute  
         for SB 1269 are shown on the attached list.  There being no  
         other witnesses registered or responding to the chairman's call  
         for public testimony relating to the committee substitute for SB  
         1269, the chairman closed public testimony. 
          
         At the author's request, the committee substitute for SB 1269  
         was left pending. 
          
         The chairman laid out anew SB 527 by Senator Moncrief, relating  
         to imposition of administrative penalties against assisted  
         living facilities. 
          
         Testimony on the committee substitute for SB 527 resumed.  There  
         being no other witnesses registered or responding to the  
         chairman's call for public testimony relating to the committee  
         substitute for SB 527, the chairman closed public testimony. 
          
         At the author's request, SB 527 was left pending. 
          
         The chairman laid out SB 1305 by Senator Harris, relating to  
         incorporating services for children with special health care  
         needs into the state child health plan for certain low-income  
         children. 
          
         Witnesses testifying and registering on SB 1305 are shown on the  
         attached list.  There being no other witnesses registered or  
         responding to the chairman's call for public testimony relating  
         to SB 1305, the chairman closed public testimony.    
          
         At the chairman's request, SB 1305 was left pending. 
          
         The chairman laid out SB 1041 by Senator Ellis, relating to  
         services provided through telemedicine for children with special  
         health care needs. 
          
         Witnesses testifying and registering on SB 1041 are shown on the  
         attached list.  There being no other witnesses registered or  
         responding to the chairman's call for public testimony relating  
         to SB 1041, the chairman closed public testimony. 
          
         The chairman left SB 1041 pending temporarily, to await the  
         arrival of a quorum. 
          
         The chairman laid out SB 1299 by Senator Lucio, relating to the  
         creation and duties of a task force on rate-setting  
         methodologies for the Medicaid and state child health plan  
         programs. 
          
         Witnesses testifying and registering on SB 1299 are shown on the  
         attached list.  There being no other witnesses registered or  
         responding to the chairman's call for public testimony relating  
         to SB 1299, the chairman closed public testimony. 
          
         The chairman left SB 1299 pending temporarily, to await the  
         arrival of a quorum. 
          
         At 3:31 p.m. Senator Gallegos assumed presiding duties. 
          
         The chairman laid out SB 333 by Senator Moncrief, relating to  
         federal authorization for the possible expansion of coverage  
         under the state child health plan for certain low-income  
         children, and recognized the author to explain the bill. 
          
         Senator Moncrief sent up committee amendment 1 and explained it.   
         Senator Moncrief moved the adoption of committee amendment 1.   
         There being no objection, the motion prevailed by unanimous  
         consent. 
         Senator Moncrief moved that the committee amendment be rolled  
         into a committee substitute for SB 333 and that the committee  
         substitute for SB 333 be adopted.  There being no objection, the  
         motion prevailed by unanimous consent. 
          
         Witnesses testifying and registering on the committee substitute  
         for SB 333 are shown on the attached list.  There being no other  
  
         witnesses registered or responding to the chairman's call for  
         public testimony relating to the committee substitute for SB  
         333, the chairman closed public testimony. 
          
         Senators Bernsen, Madla, Nelson and Shapleigh asked unanimous  
         consent to be shown voting "aye" on the committee substitute for  
         SB 333.  There being no objection, the motion prevailed by  
         unanimous consent. 
          
         Senator Moncrief moved that SB 333 be reported to the Senate  
         with the recommendation that it do not pass, but that the  
         committee substitute adopted in lieu thereof do pass and be  
         printed.  The motion prevailed by a vote of 6 ayes, 0 nays and 3  
         absent. 
          
         Senator Moncrief moved that the committee substitute for SB 333  
         be recommended for certification on the local and uncontested  
         calendar. There being no objection, the motion prevailed by  
         unanimous consent.  
          
         The chairman laid out anew SB 1041 by Senator Ellis, relating to  
         services provided through telemedicine for children with special  
         health care needs, which had been left to await the arrival of a  
         quorum. 
          
         Senator Moncrief sent up committee amendment 1 and explained it.  
         Senator Moncrief moved the adoption of committee amendment 1.   
         There being no objection, the motion prevailed by unanimous  
         consent. 
          
         Senator Moncrief moved that the committee amendment be rolled  
         into a committee substitute for SB 1041 and that the committee  
         substitute for SB 1041 be adopted.  There being no objection,  
         the motion prevailed by unanimous consent. 
          
         Senators Bernsen, Madla, Nelson and Shapleigh asked unanimous  
         consent to be shown voting "aye" on the committee substitute for  
         SB 1041.  There being no objection, the motion prevailed by  
         unanimous consent.  
          
         Senator Moncrief moved that SB 1041 be reported to the Senate  
         with the recommendation that it do not pass, but that the  
         committee substitute adopted in lieu thereof do pass and be  
         printed.  The motion prevailed by a vote of 6 ayes, 0 nays and 3  
         absent. 
          
         Senator Moncrief moved that the committee substitute for SB 1041  
         be recommended for certification on the local and uncontested  
         calendar.  There being no objection, the motion prevailed by  
         unanimous consent. 
          
         The chairman laid out anew SB 1299 by Senator Lucio, relating to  
  
         the creation and duties of a task force on rate-setting  
         methodologies for the Medicaid and state child health plan  
         programs, which had been left pending to await the arrival of a  
         quorum.   
          
         Senator Moncrief sent up a committee substitute for SB 1299 and  
         explained the differences between it and the bill as filed. 
          
         Senator Moncrief moved the adoption of the committee substitute  
         for SB 1299.  There being no objection, the motion prevailed by  
         unanimous consent. 
          
         Senator Moncrief sent up committee amendment 1 and explained it.   
         Senator Moncrief moved the adoption of committee amendment 1.   
         There being no objection, the motion prevailed by unanimous  
         consent.       
          
         Senator Moncrief moved that the committee amendment be rolled  
         into a new committee substitute for SB 1299 and that the new  
         committee substitute for SB 1299 be adopted.  There being no  
         objection, the motion prevailed by unanimous consent. 
          
         Senators Bernsen, Madla, Nelson and Shapleigh asked unanimous  
         consent to be shown voting "aye" on the committee substitute for  
         SB 1299.  There being no objection, the motion prevailed by  
         unanimous consent.  
          
         Senator Moncrief moved that SB 1299 be reported to the Senate  
         with the recommendation that it do not pass, but that the  
         committee substitute adopted in lieu thereof do pass and be  
         printed.  The motion prevailed by a vote of 6 ayes, 0 nays and 3  
         absent. 
          
         Senator Moncrief moved that the committee substitute for SB 1299  
         be recommended for certification on the local and uncontested  
         calendar.  There being no objection, the motion prevailed by  
         unanimous consent. 
          
         The chairman laid out anew SB 1411 by Senator Moncrief, relating  
         to dental services provided under the medical assistance  
         program, which had been left pending from a previous hearing. 
          
         Senator Moncrief moved to reconsider the vote by which the  
         committee substitute for SB 1411 was adopted during the April 2,  
         2001, hearing.  There being no objection, the motion prevailed  
         by unanimous consent. 
          
         Senator Moncrief moved to withdraw from consideration the  
         committee substitute for SB 1411 which was adopted during the  
         April 2, 2001, hearing.  There being no objection, the motion  
         prevailed by unanimous consent. 
          
         Senator Moncrief sent up a new version of the committee  
  
         substitute for SB 1411 and explained the differences between it  
         and the bill as filed. 
          
         Senator Moncrief moved the adoption of the new version of the  
         committee substitute for SB 1411.  There being no objection, the  
         motion prevailed by unanimous consent. 
          
         Witnesses testifying and registering on the committee substitute  
         for SB 1411 are shown on the attached list.  There being no  
         other witnesses registered or responding to the chairman's call  
         for public testimony relating to the committee substitute for SB  
         1411, the chairman closed public testimony. 
          
         Senators Bernsen, Nelson and Shapleigh asked unanimous consent  
         to be shown voting "aye" on the committee substitute for SB  
         1411.  There being no objection, the motion prevailed by  
         unanimous consent. 
          
         Senator Moncrief moved that SB 1411 be reported to the Senate  
         with the recommendation that it do not pass, but that the  
         committee substitute adopted in lieu thereof do pass and be  
         printed.  The motion prevailed by a vote of 5 ayes, 0 nays and 4  
         absent. 
          
         Senator Moncrief moved that the committee substitute for SB 1411  
         be recommended for certification on the local and uncontested  
         calendar.  There being no objection, the motion prevailed by  
         unanimous consent. 
          
         At 3:46 p.m. Senator Moncrief resumed presiding duties. 
          
         No action was taken on the following bills: 
          
         HB 102 by Maxey, relating to abolishing the electronic imaging  
         program of the Texas Department of Human Services; and,  
          
         SB 1265 by Haywood, relating to the delegation of prescription  
         drugs ordered to physician assistants and advanced practice  
         nurses who provide health care services at certain alternate  
         practice sites. 
          
         There being no other business to come before the committee, the  
         chairman recessed the committee by unanimous consent at 3:47  
         p.m., subject to the call of the chairman. 
          
         ___________________________________________ 
         Mike Moncrief, chairman 
          
         ___________________________________________ 
         Scott Caffey, committee clerk