MINUTES 
                                           
                   SENATE COMMITTEE ON HEALTH AND HUMAN SERVICES 
                              Tuesday, March 26, 2002 
                                     9:30 a.m. 
                         Texas Tech Medical Center, El Paso 
                                           
                                       ***** 
          
         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 Tuesday, March 26, 2002, at the Texas  
         Tech Medical Center, Misenhimer Auditorium, Health Sciences  
         Building, 2nd Floor, 4800 Alberta Avenue, in El Paso, Texas 
          
                                       ***** 
                                           
         MEMBERS PRESENT:                        MEMBERS ABSENT: 
         Senator Mike Moncrief, Chairman         Senator John Carona,  
                                                 Vice Chairman 
         Senator Mario Gallegos, Jr.             Senator David Bernsen 
         Senator Frank Madla                     Senator Chris Harris 
         Senator Jane Nelson 
         Senator Eliot Shapleigh 
                                           
                                       ***** 
                                           
         The chairman called the meeting to order at 9:41 a.m.  There  
         being a quorum present, the following business was transacted. 
          
         The chairman made opening remarks and announced that the purpose  
         of the hearing was to receive briefings from invited panelists  
         and to receive public testimony regarding select interim  
         committee charges and border health. 
          
         The chairman recognized the following persons, who made  
         welcoming remarks: 
          
                        Jose Manuel de la Rosa, Regional Dean, Texas Tech  
         Medical Center, 
                                       El Paso, Texas 
          
                        Jim Manley, Deputy Chief Administrator, El Paso  
         County Judge 
                                  Dolores Briones, El Paso, Texas. 
          
         The chairman laid out the October 11, 2001, and the February 6,  
         2002, minutes and called for revisions.  There being none,  
         Senator Shapleigh moved the adoption of both sets of minutes.   
         There being no objection, it was so ordered. 
          
         The chairman called invited panelists to present briefings  
         regarding border health and human services issues. The following  
         persons provided oral testimony: 
  
                   David Luna, Director of Border Affairs, Texas Health  
         and Human Services 
                                  Commission, Austin, Texas 
          
                   Kermit Black, Director, Center for Housing and Urban  
         Development, 
                        Texas A&M University, College Station, Texas. 
          
         The chairman called invited panelists to present briefings  
         regarding border health.  The following persons provided oral  
         testimony: 
          
                   Laurance N. Nickey, M.D., Member, U.S. - Mexico Border  
         Health 
                             Commission, El Paso, Texas 
          
                   Joseph B. McCormick, Assistant Dean, University of  
         Texas - Houston, 
                        School of Public Health, Brownsville Regional  
         Campus, 
                                  Brownsville, Texas 
          
                   Nuria Homedes, M.D., Ph.D., Associate Professor of  
         Management and 
                        Policy Sciences, University of Texas - Houston,  
         School of  
                             Public Health, El Paso, Texas 
          
                   Richard Fleager, Chairman, Team El Paso Healthcare  
         Council, 
                                  El Paso, Texas.   
          
          The chairman called invited panelists to present briefings  
         regarding immunizations.  The following persons provided oral  
         testimony: 
          
                   Eduardo Sanchez, Commissioner, Texas Department of  
         Health, 
                                  Austin, Texas 
          
                   Sharilyn Stanley, Associate Commissioner for Disease  
                        Control and Prevention, Texas Department of  
                        Health, Austin, Texas 
          
                   Jorge C. Magana, Local Pediatrician, El Paso Public  
         Health District, 
                                  El Paso, Texas 
          
                   Julie Boom, M.D., Director of the Immunizations  
                        Project, Texas Children's Hospital and the  
                        Children's Hospital Association of Texas, 
                                  Houston, Texas.  
          
         The chairman recessed the Senate Committee on Health and Human  
         Services at 12:55 p.m. 
          
         At 1:35 p.m., the chairman reconvened the Senate Committee on  
         Health and Human Services. 
          
         The chairman called invited panelists to present briefings  
         regarding border mental health. The following persons provided  
         oral testimony: 
          
                   Rick Ybarra, Director of Multi cultural Services,  
         Texas Department of  
                        Mental Health and Mental Retardation, Austin,  
         Texas 
          
                   Karen Hale, Commissioner, Texas Department of Mental  
         Health  
                        and Mental Retardation, Austin, Texas 
          
                   Gerry McKimmey, Deputy Commissioner, Community  
         Services,  
                        Texas Department of Mental Health and Mental 
                             Retardation, Austin, Texas 
          
                   Rosemary V. Neill, Board Chair, El Paso Mental Health  
         and Mental 
                        Retardation Center, El Paso, Texas 
          
                   Jose Rodriguez, County Attorney, El Paso County  
         Attorney's Office, 
                                  El Paso, Texas. 
          
         The chairman recognized the following person who made welcoming  
         remarks and provided testimony regarding border health and  
         border mental health issues: 
          
                   The Honorable Raymond C. Caballero, Mayor, City of El  
         Paso, 
                                   El Paso, Texas.    
          
         The chairman called persons who registered as public witnesses  
         to provide testimony on select interim committee charges and  
         border health (see attached witness list).  The chairman  
         recognized Henry Hinds,  Spanish/English interpreter, and  
         announced that he was available to provide interpreting  
         services, if needed.  The following public witnesses requested  
         interpreting  services during their oral presentations before  
         the committee: Maria Luisa Garcia and Marina Gardea.   
          
         Senator Shapleigh assumed presiding duties at 4:43 p.m. 
          
         Senator Moncrief resumed presiding duties at 5:42 p.m. 
          
         There being no other witnesses registered or responding to the  
         chairman's call for public testimony relating to the select  
  
         interim committee charges and border health, the chairman closed  
         public testimony. 
          
         The chairman recognized Sharon Butterworth of El Paso, Board  
         Member of the Texas Department of Mental Health and Mental  
         Retardation. 
          
         With no other business to come before the committee, the  
         chairman recessed the committee at 5:55 p.m., subject to the  
         call of the chairman.   
          
         ____________________________________ 
         Senator Mike Moncrief, Chairman 
          
         ____________________________________ 
         Scott Caffey, Committee Clerk