87S20580 MCF-D
 
  By: Dominguez H.B. No. 199
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the composition and duties of the Public Health Funding
  and Policy Committee.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Section 117.052, Health and Safety Code, is
  amended to read as follows:
         Sec. 117.052.  APPOINTMENT OF MEMBERS. (a) The commissioner
  shall appoint 10 [nine] members to the committee as follows:
               (1)  two regional health directors, each of whom is
  serving as a health authority in a municipality or county;
               (2)  one local health entity representative of a
  municipality or county with a population of 50,000 or less;
               (3)  one local health entity representative from a
  municipality or county with a population greater than 50,000 but
  less than 250,000;
               (4)  one local health entity representative from a
  municipality or county with a population of at least 250,000;
               (5)  two local health entity representatives, each of
  whom serves in a municipality or county as the health authority;
  [and]
               (6)  two representatives of schools or programs of
  public health at institutions of higher education in this state;
  and
               (7)  one representative from the Task Force of Border
  Health Officials established under Chapter 120.
         (a-1)  The committee members appointed under Subsection
  (a)(1) are ex officio nonvoting members.
         (b)  In making appointments under Subsections (a)(2), (3),
  (4), [and] (5), (6), and (7), the commissioner shall select the
  members from nominations submitted by the entity, institution, or
  task force of which the nominated member is an employee or member
  [associations representing local health departments, county
  governments, and municipal governments].
         SECTION 2.  Section 117.053(a), Health and Safety Code, is
  amended to read as follows:
         (a)  Committee members serve staggered six-year terms, with
  the terms of three or four members expiring on February 1 of each
  odd-numbered year.
         SECTION 3.  Section 117.055, Health and Safety Code, is
  amended to read as follows:
         Sec. 117.055.  PRESIDING OFFICER. The presiding officer is
  elected by a majority vote of all the committee members and serves
  for a term of two years.
         SECTION 4.  Section 117.056, Health and Safety Code, is
  amended by adding Subsection (c) to read as follows:
         (c)  The committee shall meet with the Task Force of Border
  Health Officials established under Chapter 120 at least annually
  and at the call of the presiding officers of the committee and the
  task force.
         SECTION 5.  Section 117.101, Health and Safety Code, is
  amended to read as follows:
         Sec. 117.101.  GENERAL DUTIES OF COMMITTEE. (a) The
  committee shall:
               (1)  summarize the scope and type of [define the core]
  public health services provided by [a] local health entities, with
  a focus on differences in the availability of services in urban,
  rural, and border areas of this state [entity should provide in a
  county or municipality];
               (2)  monitor the availability of [evaluate] public
  health services in this state, [and] identify the disparity between
  services and funding for those services, and develop
  recommendations to address the disparity [initiatives for areas
  that need improvement];
               (3)  recommend [identify all funding sources available
  for use by local health entities to perform core public health
  functions;
               [(4)  establish public] health issue [policy]
  priorities for this state and coordinate efforts to address the
  priorities with the department; and
               (4) [(5)]  at least biennially [annually], make formal
  recommendations to the department regarding:
                     (A)  the use and allocation of funds available
  exclusively to local health entities to perform core public health
  functions;
                     (B)  ways to improve the overall public health of
  citizens in this state;
                     (C)  methods for transitioning from a contractual
  relationship between the department and the local health entities
  to a cooperative-agreement relationship between the department and
  the local health entities; and
                     (D)  methods for fostering a continuous
  collaborative relationship between the department and the local
  health entities.
         (b)  Recommendations made under Subsection (a)(4)(A) 
  [(a)(5)(A)] must be in accordance with:
               (1)  prevailing epidemiological evidence, variations
  in geographic and population needs, best practices, and
  evidence-based interventions related to the populations to be
  served;
               (2)  state and federal law; and
               (3)  federal funding requirements.
         SECTION 6.  The heading to Section 117.151, Health and
  Safety Code, is amended to read as follows:
         Sec. 117.151.  BIENNIAL [ANNUAL] REPORT.
         SECTION 7.  Section 117.151(a), Health and Safety Code, is
  amended to read as follows:
         (a)  Not [Beginning in 2012, not] later than November 30 of
  each even-numbered year the department shall file a biennial [an
  annual] report with the governor, the lieutenant governor, and the
  speaker of the house of representatives detailing:
               (1)  the implementation of the committee's
  recommendations described in Section 117.101(a)(4) 
  [117.101(a)(5)]; and
               (2)  an explanation of the department's reasons for not
  implementing a recommendation.
         SECTION 8.  Section 120.054, Health and Safety Code, is
  amended by adding Subsection (c) to read as follows:
         (c)  The task force shall meet with the Public Health Funding
  and Policy Committee established under Chapter 117 at least
  annually and at the call of the presiding officers of the task force
  and the committee. 
         SECTION 9.  As soon as practicable after the effective date
  of this Act, the commissioner of public health of the Department of
  State Health Services shall make the appointment required by
  Section 117.052(a)(7), Health and Safety Code, as added by this
  Act.
         SECTION 10.  This Act takes effect on the 91st day after the
  last day of the legislative session.