The House Committee on Public Health 
         76th Legislature 
         April 25, 2000 
         10:00 a.m. 
         Capitol Extension, E2.030 
          
         Pursuant to a notice posted on April 6, 2000, the House  
         Committee on Public Health met in a public hearing and was  
         called to order by the chair, Representative Gray, at 10:00 a.m. 
          
         The roll was answered as follows: 
          
         Present:  Representatives Gray; Coleman; Capelo; Delisi; Glaze;  
                   Maxey (6). 
          
         Absent:   Representatives Hilderbran; McClendon; Uresti (3). 
          
         A quorum was present. 
          
         The chair made opening remarks and announced that the purpose of  
         the meeting was to address the increased use of new technologies  
         in the delivery of health care in Texas, as charged by Speaker  
         Laney. 
          
         The chair called upon witnesses who were invited to give the  
         committee an overview of the implementation status of the  
         Children's Health Insurance Program, and the status of the  
         Medicaid managed care program. 
          
         The following persons provided oral testimony: 
          
              Linda Wertz, State Medicaid Director, Health and Human  
              Services Commission 
              Jason Cooke, State CHIP Director, Health and Human Services  
              Commission 
          
         The chair thanked Rep. Maxey for his leadership on this charge,  
         and announced that Rep. Maxey would chair the remainder of the  
         meeting. 
          
         (Representative Maxey in chair.) 
          
         The chair called upon invited witnesses to provide briefings  
         regarding the use of new technologies in the delivery of health  
         care on-line. 
          
         The following persons provided oral testimony: 
          
              Dale Austin, BSN, MA, Deputy Executive Vice-President,  
              Federation of State Medical Boards 
              Tom Gallo, Executive Director, E-Health Care Association 
         The chair called upon invited witnesses to provide briefings  
         regarding privacy on-line. 
          
         The following persons provided oral testimony: 
  
              AG Breitenstein, Chief Privacy Officer, choosinghealth.com 
              Jack Smith, MD, PhD, Professor and Chair, Department of  
              Health Informatics, University of Texas Health Science  
              Center 
          
         The chair called upon invited witnesses to provide briefings  
         regarding purchasing on-line. 
          
         The following persons provided oral testimony: 
          
              Kathy Stewart, Vice President, Pharmacy Managed Care and  
              Administration, RX.com 
              Bill Letendre, Board member, Texas Pharmacy Association 
              Gay Dodson, Executive Director, Texas Board of Pharmacy 
              Glen Detweiler, License Program Director, Verified Internet  
              Pharmacy Practice Sites 
          
         The chair called upon invited witnesses to provide briefings  
         regarding prescribing on-line and accuracy of information  
         on-line. 
          
         The following persons provided oral testimony: 
          
              R. Russell Thomas, Jr, DO, Vice President, Texas Board of  
              Medical Examiners 
              Dennis L. Myers, MD, Director of Health Informatics, Scott  
              and White 
          
         The chair called upon the invited witness to provide a briefing  
         regarding state considerations. 
          
         The following person provided oral testimony: 
          
              Ron Scott, University of Houston Health Law and Policy  
              Institute 
                    
         The chair called upon the invited witness to provide a briefing  
         regarding the feasibility of expanding telemedicine to improve  
         care in underserved areas. 
          
         The following person provided oral testimony: 
          
              Jack Moncrief, Founding Member, American Telemedicine  
              Association 
          
         The chair called upon invited witnesses to provide briefings  
         regarding the state of the state. 
          
         The following persons provided oral testimony: 
              Linda Wertz, State Medicaid Director, Health and Human  
              Services Commission 
              Kay Ghahremani, Senior Policy Analyst, State Medicaid  
              Office, Health and Human Services Commission 
              Gary Grogan, Texas Infrastructure Board  
  
         The chair called upon invited witnesses to provide briefings  
         regarding current initiatives in telemedicine. 
          
         The following persons provided oral testimony: 
          
              Deborah Seale, Interim Director, Center for Telehealth and  
              Distance Education University of Texas Medical Branch at  
              Galveston 
              Patti Patterson, MD, Vice President for Rural and Community  
              Health and Medical Director for Telemedicine and  
              Telehealth, Texas Tech University Health Sciences Center 
              Sally Anderson, Director, Information Relations, Texas  
              Department of Mental Health and Mental Retardation 
              James "Red" Duke, MD, Professor of Surgery, University of  
              Texas Houston Medical School 
          
         The chair called upon the invited witness to provide a briefing  
         regarding current initiatives in teledenistry. 
          
         The following person provided oral testimony: 
          
              Lars Folke, DDS, Baylor University and Texas A&M University 
          
         The chair called upon invited witnesses to provide briefings  
         regarding various perspective of telemedicine and teledenistry. 
          
         The following persons provided oral testimony: 
          
              Roland Goertz, MD, Texas Academy of Family Physicians 
              Diana Prachyl, Texas Dental Hygenists' Association 
              Sam Tessen, Center for Rural Health Initiatives 
              Heather Vasek, Texas Association of Home Care 
               
         The committee considered public testimony. 
         (Representative Gray in chair.) 
          
         At 5:45 pm, on the motion of the chair and without objection,  
         the meeting was adjourned subject to the call of the chair. 
          
         _______________________________ 
         Rep. Patricia Gray, Chair 
          
         _______________________________ 
         Pam Crowley, Chief Clerk