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