MINUTES 
                                           
                    SENATE COMMITTEE ON HEALTH & HUMAN SERVICES 
                               Thursday, May 22, 2003 
                                     9:00 a.m. 
                           Capitol Extension, Room E1.016 
                                           
                                       ***** 
                                           
         Pursuant to a notice posted in accordance with Senate Rule  
         11.18, a public hearing of the Senate Committee on Health &  
         Human Services was held on Thursday, May 22, 2003, in the  
         Capitol Extension, Room E1.016, at Austin, Texas. 
          
                                       ***** 
                                           
         MEMBERS PRESENT:                        MEMBERS ABSENT: 
         Senator Jane Nelson                     Senator John Carona 
         Senator Kyle Janek                      Senator Bill Ratliff 
         Senator Bob Deuell 
         Senator Mario Gallegos, Jr. 
         Senator Jon Lindsay 
         Senator Royce West 
         Senator Judith Zaffirini 
                                           
                                       ***** 
                                           
         The Chair called the meeting to order at 9:08 a.m.  The  
         following business was transacted:   
          
         The Chair laid out House Bill 1350 and recognized its Senate  
         sponsor, Senator Shapleigh, to explain the bill. 
          
         Senator Shapleigh explained the bill. 
          
         The Chair opened the floor for public testimony.  Witnesses  
         testifying and registering on the bill are shown on the attached  
         list. 
          
         The Chair closed public testimony. 
          
         The Chair announced that the bill would be left pending. 
          
         The Chair laid out House Bill 3200 and recognized its Senate  
         sponsor, Senator Armbrister, to explain the bill. 
          
         Senator Armbrister explained the bill. 
          
         The Chair opened the floor for public testimony.  Witnesses  
         testifying and registering on the bill are shown on the attached  
         list. 
          
         The Chair closed public testimony. 
  
         The Chair announced that the bill would be left pending. 
          
         The Chair laid out House Bill 3174 and recognized its Senate  
         sponsor, Senator Averitt, to explain the bill. 
          
         Senator Averitt explained the bill. 
          
         The Chair opened the floor for public testimony.  Witnesses  
         testifying and registering on the bill are shown on the attached  
         list. 
          
         The Chair closed public testimony. 
          
         The Chair announced that the bill would be left pending. 
          
         The Chair laid out House Bill 3460 and recognized its Senate  
         sponsor, Senator Averitt, to explain the bill. 
          
         Senator Averitt explained the bill. 
          
         The Chair opened the floor for public testimony.  Witnesses  
         testifying and registering on the bill are shown on the attached  
         list. 
          
         The Chair closed public testimony. 
          
         The Chair announced that the bill would be left pending. 
          
         The Chair laid out House Bill 2692 and recognized its Senate  
         sponsor, Senator Zaffirini, to explain the bill. 
          
         Senator Zaffirini explained the bill. 
          
         The Chair opened the floor for public testimony.  Witnesses  
         testifying and registering on the bill are shown on the attached  
         list. 
          
         The Chair closed public testimony. 
         The Chair announced that the bill would be left pending.          
          
         The Chair laid out House Bill 2970 and recognized its Senate  
         sponsor, Senator Zaffirini, to explain the bill. 
          
         Senator Zaffirini explained the bill. 
          
         The Chair opened the floor for public testimony.  Witnesses  
         testifying and registering on the bill are shown on the attached  
         list. 
          
         The Chair closed public testimony. 
          
         The Chair announced that the bill would be left pending.          
          
         The Chair laid out House Bill 1920 and recognized its Senate  
  
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                                                       Monday, May 26, 2003 
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         sponsor, Senator Zaffirini, to explain the bill. 
          
         Senator Zaffirini explained the bill. 
          
         The Chair opened the floor for public testimony.  Witnesses  
         testifying and registering on the bill are shown on the attached  
         list. 
          
         The Chair closed public testimony. 
          
         The Chair announced that the bill would be left pending. 
          
         The Chair laid out House Bill 2721 and recognized its Senate  
         sponsor, Senator Van de Putte, to explain the bill. 
          
         Senator Van de Putte explained the bill. 
          
         The Chair opened the floor for public testimony.  Witnesses  
         testifying and registering on the bill are shown on the attached  
         list. 
          
         The Chair closed public testimony. 
          
         The Chair announced that the bill would be left pending. 
          
         The Chair laid out House Bill 1869, sponsored by Senator  
         Williams, and recognized Senator Deuell to explain the bill. 
          
         Senator Deuell explained the bill. 
          
         Senator Deuell sent up Committee Amendment 1 and moved adoption;  
         without objection, the amendment was adopted.   
          
         The Chair opened the floor for public testimony.  Witnesses  
         testifying and registering on the bill are shown on the attached  
         list. 
          
         The Chair closed public testimony. 
          
         The Chair announced that the bill would be left pending. 
          
         The Chair laid out House Concurrent Resolution 125, sponsored by  
         Senator Carona, and recognized Senator Deuell to explain the  
         resolution. 
          
         Senator Deuell explained the resolution. 
          
         The Chair opened the floor for public testimony.  Witnesses  
         testifying and registering on the resolution are shown on the  
         attached list. 
          
         The Chair closed public testimony. 
          
         The Chair announced that the resolution would be left pending. 
          
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                                                       Monday, May 26, 2003 
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         The Chair laid out House Bill 1686 and recognized its Senate  
         sponsor, Senator Deuell, to explain the bill. 
          
         Senator Deuell explained the bill. 
          
         The Chair opened the floor for public testimony.  Witnesses  
         testifying and registering on the bill are shown on the attached  
         list. 
          
         The Chair closed public testimony. 
          
         The Chair announced that the bill would be left pending. 
          
         The Chair laid out House Bill 3264 and recognized its Senate  
         sponsor, Senator Deuell, to explain the bill. 
         Senator Deuell explained the bill. 
          
         The Chair opened the floor for public testimony.  Witnesses  
         testifying and registering on the bill are shown on the attached  
         list. 
          
         The Chair closed public testimony. 
          
         The Chair announced that the bill would be left pending. 
          
         The Chair laid out House Concurrent Resolution 103 and  
         recognized its Senate sponsor, Senator Jackson, to explain the  
         resolution. 
          
         Senator Jackson explained the resolution. 
          
         Senator Deuell sent up a committee substitute. 
          
         The Chair opened the floor for public testimony.  Witnesses  
         testifying and registering on the resolution are shown on the  
         attached list. 
          
         The Chair closed public testimony. 
          
         The Chair announced that the resolution would be left pending. 
          
         The Chair laid out House Bill 3194, sponsored by Senator Janek,  
         and recognized Senator Lindsay to explain the bill. 
          
         Senator Lindsay explained the bill. 
          
         The Chair opened the floor for public testimony.  Witnesses  
         testifying and registering on the bill are shown on the attached  
         list. 
          
         The Chair closed public testimony. 
          
         The Chair announced that the bill would be left pending. 
          
         The Chair laid out House Bill 341 and recognized its Senate  
  
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         sponsor, Senator Lindsay, to explain the bill. 
          
         Senator Lindsay explained the bill. 
          
         Senator Lindsay sent up a committee substitute. 
         The Chair opened the floor for public testimony.  Witnesses  
         testifying and registering on the bill are shown on the attached  
         list. 
          
         The Chair closed public testimony. 
          
         The Chair announced that the bill would be left pending. 
          
         The Chair laid out House Bill 2075 and recognized its Senate  
         sponsor, Senator Fraser, to explain the bill. 
          
         Senator Fraser explained the bill. 
          
         Senator Fraser sent up a committee substitute. 
          
         The Chair opened the floor for public testimony.  Witnesses  
         testifying and registering on the bill are shown on the attached  
         list. 
          
         The Chair closed public testimony. 
          
         The Chair announced that the bill would be left pending. 
          
         At 10:15 a.m. Senator Lindsay assumed the chair.   
          
         The Chair laid out House Bill 1921, sponsored by Senator  
         Zaffirini, and recognized Senator Nelson to explain the bill. 
          
         Senator Nelson explained the bill. 
          
         The Chair opened the floor for public testimony.  Witnesses  
         testifying and registering on the bill are shown on the attached  
         list. 
          
         The Chair closed public testimony. 
          
         The Chair announced that the bill would be left pending. 
          
         At 10:30 a.m. Senator Nelson resumed the chair.   
          
         At 10:30 a.m. Senator Lindsay moved that the committee stand  
         recessed subject to the call of the Chair; without objection, it  
         was so ordered.   
          
         At 6:30 p.m. the Committee reconvened.   
          
         The Chair laid out House Bill 1090, and recognized its Senate  
         sponsor, Senator Averitt, to explain the bill. 
          
         Senator Averitt explained the bill. 
  
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                                                       Monday, May 26, 2003 
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         The Chair opened the floor for public testimony.  Witnesses  
         testifying and registering on the bill are shown on the attached  
         list. 
          
         The Chair closed public testimony. 
          
         The Chair announced that the bill would be left pending. 
          
         At 6:35 p.m. Senator Lindsay assumed the chair.   
          
         The Chair laid out House Bill 1859, sponsored by Senator  
         Whitmire, and recognized Senator Nelson to explain the bill. 
          
         Senator Nelson explained the bill. 
          
         The Chair opened the floor for public testimony.  Witnesses  
         testifying and registering on the bill are shown on the attached  
         list. 
          
         The Chair closed public testimony. 
          
         The Chair announced that the bill would be left pending.     
          
         At 6:40 p.m. Senator Nelson resumed the Chair.  
          
         The Chair recalled House Bill 3174 which had previously been  
         left pending. 
          
         Senator Gallegos moved that House Bill 3174 be reported  
         favorably to the Senate with the recommendation that it do pass  
         and be printed.  The motion carried with a record vote of 7  
         ayes, 0 nays, 0 present not voting, and 2 absent.  Senator  
         Zaffirini asked to be shown voting aye; without objection, it  
         was so ordered. 
          
         Senator Gallegos moved that the bill be recommended for  
         placement on the Local & Uncontested Calendar; without  
         objection, it was so ordered.   
          
         The Chair recalled House Bill 3460 which had previously been  
         left pending. 
          
         Senator Janek moved that House Bill 3460 be reported favorably  
         to the Senate with the recommendation that it do pass and be  
         printed.  The motion carried with a record vote of 7 ayes, 0  
         nays, 0 present not voting, and 2 absent.  Senator Zaffirini  
         asked to be shown voting aye; without objection, it was so  
         ordered. 
          
         Senator Janek moved that the bill be recommended for placement  
         on the Local & Uncontested Calendar; without objection, it was  
         so ordered.   
          
         The Chair recalled House Bill 1859 which had previously been  
  
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                                                       Monday, May 26, 2003 
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         left pending. 
          
         Senator Deuell moved that House Bill 1859 be reported favorably  
         to the Senate with the recommendation that it do pass and be  
         printed.  The motion carried with a record vote of 7 ayes, 0  
         nays, 0 present not voting, and 2 absent.  Senator Zaffirini  
         asked to be shown voting aye; without objection, it was so  
         ordered. 
          
         Senator Deuell moved that the bill be recommended for placement  
         on the Local & Uncontested Calendar; without objection, it was  
         so ordered.   
          
         The Chair recalled House Bill 1869 which had previously been  
         left pending. 
          
         The Chair moved adoption of Committee Amendment 1 which had  
         previously been laid out; without objection, the amendment was  
         adopted.   
          
         Senator West requested unanimous consent to roll the amendment  
         into a committee substitute; without objection, it was so  
         ordered.  Senator West then moved that the committee substitute  
         be adopted; without objection, it was so ordered.  Senator West  
         moved that House Bill 1869 do not pass but that CSHB 1869 be  
         reported back to the Senate with the recommendation that it do  
         pass and be printed.  The motion carried with a record vote of 7  
         ayes, 0 nays, 0 present not voting, and 2 absent.  Senator  
         Zaffirini asked to be shown voting aye; without objection, it  
         was so ordered. 
          
         Senator West moved that the bill be recommended for placement on  
         the Local & Uncontested Calendar; without objection, it was so  
         ordered.   
          
         The Chair recalled House Bill 2075 which had previously been  
         left pending. 
          
         The Chair pulled the bill down. 
          
         The Chair recalled House Bill 2721 which had previously been  
         left pending. 
          
         Senator Janek moved that House Bill 2721 be reported favorably  
         to the Senate with the recommendation that it do pass and be  
         printed.  The motion carried with a record vote of 6 ayes, 0  
         nays, 0 present not voting, and 3 absent.   
          
         Senator Janek moved that the bill be recommended for placement  
         on the Local & Uncontested Calendar; without objection, it was  
         so ordered.   
          
         The Chair recalled House Bill 3200 which had previously been  
         left pending. 
          
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                                                       Monday, May 26, 2003 
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         Senator Janek moved that House Bill 3200 be reported favorably  
         to the Senate with the recommendation that it do pass and be  
         printed.  The motion carried with a record vote of 7 ayes, 0  
         nays, 0 present not voting, and 2 absent.  Senator Zaffirini  
         asked to be shown voting aye; without objection, it was so  
         ordered. 
          
         Senator Janek moved that the bill be recommended for placement  
         on the Local & Uncontested Calendar; without objection, it was  
         so ordered.   
          
         The Chair recalled House Concurrent Resolution 103 which had  
         previously been left pending. 
          
         The Chair moved adoption of the committee substitute which had  
         previously been laid out; without objection, the substitute was  
         adopted. 
          
         Senator Janek moved that House Concurrent Resolution 103 do not  
         pass but that CSHCR 103 be reported back to the Senate with the  
         recommendation that it do pass and be printed.  The motion  
         carried with a record vote of 7 ayes, 0 nays, 0 present not  
         voting, and 2 absent.  Senator Zaffirini asked to be shown  
         voting aye; without objection, it was so ordered. 
          
         Senator Janek moved that the bill be recommended for placement  
         on the Local & Uncontested Calendar; without objection, it was  
         so ordered.   
          
         The Chair recalled House Bill 1920 which had previously been  
         left pending. 
          
         Senator Janek moved that House Bill 1920 be reported favorably  
         to the Senate with the recommendation that it do pass and be  
         printed.  The motion carried with a record vote of 7 ayes, 0  
         nays, 0 present not voting, and 2 absent.  Senator Zaffirini  
         asked to be shown voting aye; without objection, it was so  
         ordered. 
          
         Senator Janek moved that the bill be recommended for placement  
         on the Local & Uncontested Calendar; without objection, it was  
         so ordered.   
          
         The Chair recalled House Bill 1921 which had previously been  
         left pending. 
          
         Senator Janek moved that House Bill 1921 be reported favorably  
         to the Senate with the recommendation that it do pass and be  
         printed.  The motion carried with a record vote of 7 ayes, 0  
         nays, 0 present not voting, and 2 absent.   Senator Zaffirini  
         asked to be shown voting aye; without objection, it was so  
         ordered. 
          
         Senator Janek moved that the bill be recommended for placement  
         on the Local & Uncontested Calendar; without objection, it was  
  
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                                                       Monday, May 26, 2003 
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         so ordered.   
          
         The Chair recalled House Bill 2692 which had previously been  
         left pending. 
          
         Senator Lindsay moved that House Bill 2692 be reported favorably  
         to the Senate with the recommendation that it do pass and be  
         printed.  The motion carried with a record vote of 7 ayes, 0  
         nays, 0 present not voting, and 2 absent.  Senator Zaffirini  
         asked to be shown voting aye; without objection, it was so  
         ordered. 
          
         Senator Lindsay moved that the bill be recommended for placement  
         on the Local & Uncontested Calendar; without objection, it was  
         so ordered.   
          
         The Chair recalled House Bill 2970 which had previously been  
         left pending. 
          
         Senator West moved that House Bill 2970 be reported favorably to  
         the Senate with the recommendation that it do pass and be  
         printed.  The motion carried with a record vote of 7 ayes, 0  
         nays, 0 present not voting, and 2 absent.  Senator Zaffirini  
         asked to be shown voting aye; without objection, it was so  
         ordered. 
          
         Senator West moved that the bill be recommended for placement on  
         the Local & Uncontested Calendar; without objection, it was so  
         ordered.   
         The Chair recalled House Bill 1686 which had previously been  
         left pending. 
          
         Senator Deuell moved that House Bill 1686 be reported favorably  
         to the Senate with the recommendation that it do pass and be  
         printed.  The motion carried with a record vote of 7 ayes, 0  
         nays, 0 present not voting, and 2 absent.  Senator Zaffirini  
         asked to be shown voting aye; without objection, it was so  
         ordered. 
          
         Senator Deuell moved that the bill be recommended for placement  
         on the Local & Uncontested Calendar; without objection, it was  
         so ordered.   
          
         The Chair recalled House Bill 3264 which had previously been  
         left pending. 
          
         Senator Deuell moved that House Bill 3264 be reported favorably  
         to the Senate with the recommendation that it do pass and be  
         printed.  The motion carried with a record vote of 7 ayes, 0  
         nays, 0 present not voting, and 2 absent.  Senator Zaffirini  
         asked to be shown voting aye; without objection, it was so  
         ordered. 
          
         Senator Deuell moved that the bill be recommended for placement  
         on the Local & Uncontested Calendar; without objection, it was  
  
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                                                       Monday, May 26, 2003 
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         so ordered.   
          
         The Chair recalled House Bill 341 which had previously been left  
         pending. 
          
         Senator Lindsay moved adoption of the Committee Substitute which  
         had previously been laid out; without objection, the substitute  
         was adopted. 
          
         Senator Lindsay moved that House Bill 341 do not pass but that  
         CSHB 341 be reported back to the Senate with the recommendation  
         that it do pass and be printed.  The motion carried with a  
         record vote of 7 ayes, 0 nays, 0 present not voting, and 2  
         absent.  Senator Zaffirini asked to be shown voting aye; without  
         objection, it was so ordered. 
          
         Senator Lindsay moved that the bill be recommended for placement  
         on the Local & Uncontested Calendar; without objection, it was  
         so ordered.   
          
         The Chair recalled House Bill 3194 which had previously been  
         left pending. 
          
         Senator Janek moved that House Bill 3194 be reported favorably  
         to the Senate with the recommendation that it do pass and be  
         printed.  The motion carried with a record vote of 7 ayes, 0  
         nays, 0 present not voting, and 2 absent.  Senator Zaffirini  
         asked to be shown voting aye; without objection, it was so  
         ordered. 
         Senator Janek moved that the bill be recommended for placement  
         on the Local & Uncontested Calendar; without objection, it was  
         so ordered.   
          
         The Chair recalled House Concurrent Resolution 125 which had  
         previously been left pending. 
          
         Senator Gallegos moved that House Concurrent Resolution 125 be  
         reported favorably to the Senate with the recommendation that it  
         do pass and be printed.  The motion carried with a record vote  
         of 7 ayes, 0 nays, 0 present not voting, and 2 absent.  Senator  
         Zaffirini asked to be shown voting aye; without objection, it  
         was so ordered. 
          
         Senator Gallegos moved that the bill be recommended for  
         placement on the Local & Uncontested Calendar; without  
         objection, it was so ordered.   
          
         The Chair recalled House Bill 1090 which had previously been  
         left pending. 
          
         Senator West moved that House Bill 1090 be reported favorably to  
         the Senate with the recommendation that it do pass and be  
         printed.  The motion carried with a record vote of 6 ayes, 0  
         nays, 0 present not voting, and 3 absent.   
          
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                                                       Monday, May 26, 2003 
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         Senator West moved that the bill be recommended for placement on  
         the Local & Uncontested Calendar; without objection, it was so  
         ordered.   
          
         At 7:05 p.m. Senator Janek assumed the chair.   
          
         The Chair recalled House Bill 1515 which had previously been  
         left pending. 
          
         Senator Nelson moved that House Bill 1515 be reported favorably  
         to the Senate with the recommendation that it do pass and be  
         printed.  The motion failed with a record vote of 4 ayes, 2  
         nays, 0 present not voting, and 0 absent.   
          
         The Chair recalled House Bill 1971 which had previously been  
         left pending. 
          
         Senator West sent up a committee substitute; the Chair  
         recognized Senator West to explain the difference between the  
         committee substitute and the bill as filed.  Senator Deuell  
         moved adoption of the committee substitute; without objection,  
         it was so ordered.   
          
         Senator Nelson moved that House Bill 1971 do not pass but that  
         CSHB 1971 be reported back to the Senate with the recommendation  
         that it do pass and be printed.  The motion carried with a  
         record vote of 6 ayes, 0 nays, 0 present not voting, and 3  
         absent.   
         Senator Nelson moved that the bill be recommended for placement  
         on the Local & Uncontested Calendar; without objection, it was  
         so ordered.   
          
         The Chair recalled House Bill 1614 which had previously been  
         left pending and for which a committee substitute had previously  
         been adopted. 
          
         Senator Janek moved that House Bill 1614 do not pass but that  
         CSHB 1614 be reported back to the Senate with the recommendation  
         that it do pass and be printed.  The motion failed with a record  
         vote of 4 ayes, 2 nays, 0 present not voting, and 3 absent.   
          
         There being no further business, at 7:15 p.m. the Chair moved  
         that the Committee be adjourned. Without objection, it was so  
         ordered.   
          
         ______________________ 
         Senator Jane Nelson, Chair 
          
         ______________________ 
         Travis Broussard, Clerk 
  
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                                                       Monday, May 26, 2003 
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