Amend CSHB 1831 (Senate committee printing) by adding the 
following appropriately numbered SECTION to the bill and 
renumbering subsequent SECTIONS of the bill accordingly:
	SECTION __.  Subtitle F, Title 2, Health and Safety Code, is 
amended by adding Chapter 123 to read as follows:

CHAPTER 123. PUBLIC HEALTH EXTENSION SERVICE

PILOT PROGRAM
	Sec. 123.001. DEFINITIONS. In this chapter:                             
		(1)  "Department" means the Department of State Health  
Services; and
		(2)  "Program" means the public health extension  
service pilot program established under this chapter.
	Sec. 123.002.  PROGRAM ESTABLISHED; PURPOSES.  (a) The 
department shall establish a public health extension service pilot 
program in Health Service Region 11, a region of the state that may 
be particularly vulnerable to biosecurity threats, disaster, and 
other emergencies.
	(b)  The purpose of the program is to support local public  
health and medical infrastructure, promote disease control and 
medical preparedness, and enhance biosecurity, including detection 
of dangerous biologic agents, availability of pathology services, 
and management of hazardous materials.
	Sec. 123.003.  RULES. The executive commissioner of the  
Health and Human Services Commission may adopt rules for the  
implementation and administration of the program.
	Sec. 123.004.  PROGRAM ADMINISTRATION. The department may  
contract with The Texas A&M University System or The University  of 
Texas System or both to implement or administer the program.
	Sec. 123.005.  PROGRAM OBJECTIVES. Through the program, the 
department may implement projects and systems to accomplish the 
purposes of the program described by Section 123.002, and may:
		(1)  provide support for regional disaster medical  
assistance teams and tactical medical operations incident  
management teams;
		(2)  establish a disaster training and exercise  
program;            
		(3)  establish and equip caches of necessary medical  
supplies and equipment for use in disasters and other  emergencies;
		(4)  establish a regionally based system of emergency  
medical logistics management to support state and federal  
emergency management authorities, including local patient triage 
sites and local emergency medical operations; and
		(5)  establish a regionally based system to provide  
technical assistance for disaster mitigation and recovery.
	Sec. 123.006.  REPORT.  Not later than December 1, 2010, the  
department shall report to the governor, lieutenant governor, and 
speaker of the house of representatives on the program,  including 
recommendations for continuing and expanding the program to other 
regions of the state.
	Sec. 123.007.  EXPIRATION. This chapter expires and the 
program is abolished September 2, 2011.