Amend SB 2080 by adding the following appropriately numbered 
SECTIONS to the bill and renumbering subsequent SECTIONS of the 
bill as appropriate:
	SECTION ____. Chapter 1001, Health and Safety Code, is 
amended by adding Subchapter F to read as follows:

SUBCHAPTER F. TEXAS MEDICAL CHILD ABUSE RESOURCES AND EDUCATION 
SYSTEM (MEDCARES)
	Sec. 1001.151. TEXAS MEDICAL CHILD ABUSE RESOURCES AND 
EDUCATION SYSTEM GRANT PROGRAM. (a) The department shall establish 
the Texas Medical Child Abuse Resources and Education System 
(MEDCARES) grant program to award grants for the purpose of 
developing and supporting regional programs to improve the 
assessment, diagnosis, and treatment of child abuse and neglect as 
described by the report submitted to the 80th Legislature by the 
committee on pediatric centers of excellence relating to abuse and 
neglect in accordance with Section 266.0031, Family Code, as added 
by Chapter 1406 (SB 758), Acts of the 80th Legislature, Regular 
Session, 2007.
	(b) The department may award grants to hospitals or academic 
health centers with expertise in pediatric health care and a 
demonstrated commitment to developing basic and advanced programs 
and centers of excellence for the assessment, diagnosis, and 
treatment of child abuse and neglect.
	(c) The department shall encourage collaboration among grant 
recipients in the development of program services and activities.
	Sec. 1001.152. USE OF GRANT. A grant awarded under this 
subchapter may be used to support:
		(1) comprehensive medical evaluations, psychosocial 
assessments, treatment services, and written and photographic 
documentation of abuse;
		(2) education and training for health professionals, 
including physicians, medical students, resident physicians, child 
abuse fellows, and nurses, relating to the assessment, diagnosis, 
and treatment of child abuse and neglect;
		(3) education and training for community agencies 
involved with child abuse and neglect, law enforcement officials, 
child protective services staff, and children's advocacy centers 
involved with child abuse and neglect;
		(4) medical case reviews and consultations and 
testimony regarding those reviews and consultations;
		(5) research, data collection, and quality assurance 
activities, including the development of evidence-based guidelines 
and protocols for the prevention, evaluation, and treatment of 
child abuse and neglect;
		(6) the use of telemedicine and other means to extend 
services from regional programs into underserved areas; and
		(7) other necessary activities, services, supplies, 
facilities, and equipment as determined by the department.
	Sec. 1001.153. MEDCARES ADVISORY COMMITTEE. The executive 
commissioner shall establish an advisory committee to advise the 
department and the executive commissioner in establishing rules and 
priorities for the use of grant funds awarded through the program.  
The advisory committee is composed of the following nine members:
		(1) the state Medicaid director or the state Medicaid 
director's designee;
		(2) the medical director for the Department of Family 
and Protective Services or the medical director's designee; and
		(3) as appointed by the executive commissioner:                        
			(A) two pediatricians with expertise in child 
abuse or neglect;     
			(B) a nurse with expertise in child abuse or 
neglect;               
			(C) a representative of a pediatric residency 
training program;     
			(D) a representative of a children's hospital;                        
			(E) a representative of a children's advocacy 
center; and           
			(F) a member of the Governor's EMS and Trauma 
Advisory Council.     
	Sec. 1001.154. GIFTS AND GRANTS.  The department may solicit 
and accept gifts, grants, and donations from any public or private 
source for the purposes of this subchapter.
	Sec. 1001.155. REQUIRED REPORT.  Not later than December 1 of 
each even-numbered year, the department, with the assistance of the 
advisory committee established under this subchapter, shall submit 
a report to the governor and the legislature regarding the grant 
activities of the program and grant recipients, including the 
results and outcomes of grants provided under this subchapter.
	Sec. 1001.156. RULES.  The executive commissioner may adopt 
rules as necessary to implement this subchapter.
	Sec. 1001.157. APPROPRIATION REQUIRED.  The department is not 
required to award a grant under this subchapter unless the 
department is specifically appropriated money for purposes of this 
subchapter.
	SECTION ____. (a) Not later than November 1, 2009, the 
executive commissioner of the Health and Human Services Commission 
shall appoint the members of the advisory committee as required by 
Section 1001.153, Health and Safety Code, as added by this Act. 
	(b) Not later than January 1, 2010, the Department of State 
Health Services shall establish and implement a grant program as 
described by Subchapter F, Chapter 1001, Health and Safety Code, as 
added by this Act.
	(c) Not later than December 1, 2010, the Department of State 
Health Services shall provide the initial report to the governor 
and the legislature as required by Section 1001.155, Health and 
Safety Code, as added by this Act.
	SECTION ____. If before implementing any provision of this 
Act a state agency determines that a waiver or authorization from a 
federal agency is necessary for implementation of that provision, 
the agency affected by the provision shall request the waiver or 
authorization and may delay implementing that provision until the 
waiver or authorization is granted.
	SECTION ____. This Act does not make an appropriation.  This 
Act takes effect only if a specific appropriation for the 
implementation of the Act is provided in a general appropriations 
act of the 81st Legislature.