|
|
|
A BILL TO BE ENTITLED
|
|
AN ACT
|
|
relating to emergency medical services and trauma care systems. |
|
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
|
SECTION 1. Subchapter B, Chapter 773, Health and Safety |
|
Code, is amended by adding Section 773.026 to read as follows: |
|
Sec. 773.026. EMERGENCY MEDICAL SERVICES COORDINATION |
|
PLAN. (a) The administrative hubs designated under Section |
|
773.125, in consultation with each trauma service area regional |
|
advisory council and the advisory council established by Section |
|
773.012, shall collectively develop a written 25-year plan for |
|
coordinating emergency medical services throughout this state. |
|
(b) The emergency medical services coordination plan must |
|
include strategies to provide services for: |
|
(1) stroke; |
|
(2) ST-elevation myocardial infarction; |
|
(3) neonatal care; |
|
(4) maternal care; |
|
(5) mental health care; and |
|
(6) any other area of care provided under the |
|
authority of a trauma service area regional advisory council. |
|
(c) The administrative hubs shall develop and submit the |
|
emergency medical services coordination plan to the department not |
|
later than September 1, 2021. This subsection expires September 1, |
|
2022. |
|
SECTION 2. Section 773.112, Health and Safety Code, is |
|
amended by adding Subsection (d) to read as follows: |
|
(d) The executive commissioner, in consultation with the |
|
department, shall conduct a comprehensive review of the rules |
|
adopted under this section every seven years. |
|
SECTION 3. Subchapter E, Chapter 773, Health and Safety |
|
Code, is amended by adding Sections 773.125, 773.126, 773.127, and |
|
773.128 to read as follows: |
|
Sec. 773.125. ADMINISTRATIVE HUBS: DESIGNATION. (a) The |
|
department shall designate eight administrative hubs to provide |
|
administrative functions for each trauma service area regional |
|
advisory council located in the public health region served by the |
|
hub. |
|
(b) A health care entity, including a trauma service area |
|
regional advisory council, in a public health region may apply to |
|
the department in accordance with department rules to be designated |
|
as an administrative hub for the trauma service area regional |
|
advisory councils in the public health region. |
|
(c) An applicant must demonstrate the applicant has the |
|
personnel, knowledge, skills, and resources necessary to provide |
|
the administrative functions for each trauma service area regional |
|
advisory council in the applicant's public health region. |
|
(c-1) An applicant must submit an initial application under |
|
Subsection (b) not later than September 1, 2018. The department |
|
shall designate a qualified applicant to serve as the |
|
administrative hub not later than September 1, 2019. An applicant |
|
designated to serve as an administrative hub under this subsection |
|
shall carry out the duties imposed by Section 773.126 as soon as |
|
practicable after the selection and not later than September 1, |
|
2020. This subsection expires September 1, 2021. |
|
(d) If a health care entity eligible to serve as an |
|
administrative hub under this section has not applied for the |
|
designation in a public health region, the department shall |
|
designate the health care entity with the most appropriate |
|
qualifications in the public health region to serve as the |
|
administrative hub for that region. |
|
Sec. 773.126. ADMINISTRATIVE HUBS: DUTIES. (a) Except as |
|
provided by Section 773.128, an administrative hub shall perform |
|
all administrative functions, including contract management, grant |
|
application management, and payroll, for each trauma service area |
|
regional advisory council under the hub's jurisdiction. |
|
(b) The department shall directly contract with an |
|
administrative hub for administrative duties provided by the hub as |
|
required by this section. |
|
(c) An administrative hub shall administer and distribute |
|
funds to each trauma service area regional advisory council under |
|
the hub's jurisdiction in accordance with department rules. In |
|
adopting rules under this subsection, the executive commissioner |
|
shall require that an administrative hub distribute funds according |
|
to a trauma service area regional advisory council's population, |
|
annual number of trauma care runs, geographic size, and annual |
|
number of deaths. |
|
(d) An administrative hub shall enter into a centralized |
|
purchasing agreement with the trauma service area regional advisory |
|
councils under the hub's jurisdiction to consolidate purchases for |
|
the trauma service area regional advisory councils as appropriate. |
|
(e) An administrative hub shall submit to the department in |
|
the manner required by the department an annual report on the amount |
|
of money spent by the administrative hub in providing consolidated |
|
administrative services for the trauma service area regional |
|
advisory councils under the hub's jurisdiction compared to the |
|
amount of money that would have been spent if each trauma service |
|
area regional advisory council had provided its own administrative |
|
services. |
|
Sec. 773.127. ADMINISTRATIVE HUBS: TRANSFER OF TRAUMA |
|
SERVICE AREA REGIONAL ADVISORY COUNCILS. (a) A trauma service area |
|
regional advisory council may apply to the department in accordance |
|
with department rules for a transfer from the jurisdiction of the |
|
trauma service area regional advisory council's administrative hub |
|
to the jurisdiction of an administrative hub in an adjacent public |
|
health region. |
|
(b) The executive commissioner shall develop criteria for |
|
determining whether an administrative hub has the personnel, |
|
knowledge, skills, and resources necessary to provide |
|
administrative support for a trauma service area regional advisory |
|
council applying for a transfer to that administrative hub's |
|
jurisdiction under this subsection. |
|
Sec. 773.128. ADMINISTRATIVE HUBS: REQUEST BY TRAUMA |
|
SERVICE AREA REGIONAL ADVISORY COUNCIL TO RETAIN CERTAIN |
|
ADMINISTRATIVE FUNCTIONS. (a) A trauma service area regional |
|
advisory council may file a written request with the department to |
|
retain an administrative function that has been delegated to an |
|
administrative hub. The request must include evidence that the |
|
trauma service area regional advisory council has the personnel, |
|
knowledge, skills, and resources necessary to perform the |
|
administrative function in a more cost-effective manner than the |
|
function is being performed by the administrative hub. |
|
(b) The department shall grant the request and notify the |
|
administrative hub of the department's decision if the request |
|
includes sufficient evidence for the department to determine |
|
whether the trauma service area regional advisory council has the |
|
personnel, knowledge, skills, and resources required by this |
|
section. |
|
SECTION 4. The executive commissioner of the Health and |
|
Human Services Commission shall adopt all rules necessary to |
|
implement the change in law made by this Act not later than January |
|
1, 2018. |
|
SECTION 5. The change in law made by this Act applies only |
|
to a contract executed on or after the effective date of this Act. A |
|
contract executed before the effective date of this Act is governed |
|
by the law applicable to the contract immediately before the |
|
effective date of this Act, and that law is continued in effect for |
|
that purpose. |
|
SECTION 6. This Act takes effect September 1, 2017. |