By: Nelson  S.B. No. 127
         (In the Senate - Filed November 27, 2012; January 29, 2013,
  read first time and referred to Committee on Health and Human
  Services; February 26, 2013, reported adversely, with favorable
  Committee Substitute by the following vote:  Yeas 8, Nays 0;
  February 26, 2013, sent to printer.)
 
  COMMITTEE SUBSTITUTE FOR S.B. No. 127 By:  Nelson
 
 
A BILL TO BE ENTITLED
 
AN ACT
 
  relating to the creation of certain funding formulas and policies
  and to certain public health evaluations by the Department of State
  Health Services.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subchapter D, Chapter 1001, Health and Safety
  Code, is amended by adding Sections 1001.078 and 1001.079 to read as
  follows:
         Sec. 1001.078.  FUNDING FORMULA; PUBLIC HEALTH EVALUATION.
  (a)  In this section:
               (1)  "Health service region" means a public health
  region designated under Section 121.007.
               (2)  "Local health department" means a local health
  department established under Subchapter D, Chapter 121.
               (3)  "Local health unit" has the meaning assigned by
  Section 121.004.
               (4)  "Public health district" means a health district
  established under Subchapter E, Chapter 121.
         (b)  The department, in collaboration with the Public Health
  Funding and Policy Committee established under Section 117.051,
  shall:
               (1)  develop funding formulas for federal and state
  funds appropriated to the department to be allocated to local
  health departments, local health units, public health districts,
  and health service regions' regional headquarters, based on
  population, population density, disease burden, social
  determinants of health, local efforts to prevent disease, and other
  relevant factors as determined by the department and committee;
               (2)  evaluate the feasibility and benefits of placing a
  cap on the percentage of public health funds that can be used on
  administrative costs at local health departments, local health
  units, public health districts, and health service regions'
  regional headquarters; and
               (3)  evaluate public health functions provided by the
  department, local health departments, local health units, public
  health districts, and health service regions' regional
  headquarters and determine if another entity, including a private
  entity, can provide those functions more effectively.
         Sec. 1001.079.  PUBLIC HEALTH THREAT POLICY. (a)  In this
  section, "local health department" means a local health department
  established under Subchapter D, Chapter 121.
         (b)  The department shall create a policy to allow a local
  health department flexibility, to the extent allowed under federal
  law, in the use of personnel and other resources during disaster
  response activities, outbreaks, and other appropriate public
  health threats.
         SECTION 2.  Not later than October 1, 2014, the Department of
  State Health Services shall:
               (1)  develop the funding formulas required by
  Subdivision (1), Subsection (b), Section 1001.078, Health and
  Safety Code, as added by this Act;
               (2)  submit to the governor, the lieutenant governor,
  the speaker of the house of representatives, and appropriate
  standing committees of the legislature a report on the findings
  required by Subdivisions (2) and (3), Subsection (b), Section
  1001.078, Health and Safety Code, as added by this Act; and
               (3)  create the policy required by Section 1001.079,
  Health and Safety Code, as added by this Act.
         SECTION 3.  This Act takes effect September 1, 2013.
 
  * * * * *