MINUTES 
                                           
                        SENATE COMMITTEE ON HEALTH SERVICES 
                             Thursday, November 4, 1999 
                                     9:00 a.m. 
                                   Senate Chamber 
                                           
                                       ***** 
                                           
         Pursuant to a notice posted in accordance with Senate Rule  
         11.18, an organizational meeting and briefing of the Senate  
         Committee on Health Services was held on Thursday, November 4,  
         1999, in the Senate Chamber at Austin, Texas. 
          
                                       ***** 
                                           
         MEMBERS PRESENT:                        MEMBERS ABSENT: 
         Senator Jane Nelson                     None 
         Senator Mike Moncrief 
         Senator Jon Lindsay 
         Senator Frank Madla 
         Senator Drew Nixon 
                                           
                                       ***** 
                                           
         The chair called the meeting to order at 9:02 a.m.  There being  
         a quorum present, the following business was transacted. 
          
         The following member arrived after the roll was called:  Senator  
         Jon Lindsay 
          
         The chair made opening remarks and announced that the purpose of  
         the meeting was to consider the organization, rules, and  
         proposed schedule for the Senate Committee on Health Services  
         and to receive briefings regarding interim charges issued by Lt.  
         Governor Rick Perry. 
          
         The chair introduced the Committee staff, namely, John Oates,  
         committee director; David Reynolds, policy analyst; Camille  
         Welborn, policy analyst; and Cheri Huddleston, committee clerk.   
         The chair also introduced the staffs of the committee members,  
         Lt. Governor Perry, and Governor Bush. 
          
         The chair laid out the interim rules for the Senate Committee on  
         Health Services and called for revisions.  There being none,  
         Senator Moncrief moved their approval; Senator Madla seconded  
         the motion.  There being no objection, the rules were adopted by  
         unanimous consent. 
          
         The chair discussed the committee schedule; the Committee will  
         meet on Tuesday, January 11, 2000.  The Committee staff will  
         coordinate with each office to provide the location and time for  
         the next hearing. 
  
         The chair called invited panelists to brief committee members on  
         the status of  Medicaid managed care in Texas and discuss the  
         concept of disease management 
          
         The following persons provided oral testimony: 
          
              Commissioner Don Gilbert, representing the Texas Health &  
         Human Services Commission 
          
              Commissioner William "Reyn" Archer III, M.D. representing  
              the Texas Department of Health 
          
              Linda K. Wertz, representing the Texas Health & Human  
         Services Commission 
          
         The following person registered but did not provide oral or  
         written testimony: 
          
              Leah Rummel, representing the Texas Department of Health 
          
         The chair called invited panelists to brief committee members on  
         biotechnology issues currently facing Texas. 
          
         The following persons provided oral testimony: 
          
              Tom Kowalski, representing the Texas Healthcare and  
         Bioscience Institute 
          
              William B. Neaves Ph.D., representing the University of  
              Texas Southwestern Medical Center 
          
         The chair called invited panelists to brief committee members on  
         the current status of medical privacy rules and regulations and  
         how effective they are protecting consumers. 
          
         The following persons provided oral testimony: 
          
              Gay Dodson R.Ph., representing the Texas State Board of  
              Pharmacy 
          
               Rhonda Myron, representing the Texas Department of  
         Insurance 
          
              Commissioner William "Reyn" Archer III, M.D., representing  
              the Texas Department of Health 
         The following person registered but did not provide oral  
         testimony: 
          
              Kim A. Caldwell, representing the Texas State Board of  
         Pharmacy   
          
         The chair called invited panelists to brief committee members  
         and give the current assessment of Texas healthcare workforce's  
         preparedness to meet the healthcare needs of Texans. 
  
         The following person provided oral testimony: 
          
              Ben Raimer, M.D.,  representing the Statewide Health  
         Coordinating Council 
          
         The chair called invited panelists to brief committee members on  
         the Vaccines for Children program and to discuss the health and  
         financial benefits of granting physicians a wider choice of  
         vaccines. 
          
         The following persons provided oral testimony: 
          
              Commissioner William "Reyn" Archer III, M.D., representing  
              the Texas Department of Health 
          
              Sharilyn Stanley, M.D., representing the Texas Department  
         of Health 
           
         The Chair called invited panelists to brief committee members on  
         the current status of the Children's Health Insurance Program. 
          
              Commissioner Don Gilbert, representing the Texas Health &  
         Human Services Commission 
          
              Jason Cooke, representing the Texas Health & Human Services  
         Commission 
          
         With no other business to come before the committee and upon a  
         motion by Senator Moncrief, the chair recessed the committee by  
         unanimous consent at 12:35 p.m., subject to the call of the  
         chair. 
          
         ______________________ 
         Senator Jane Nelson, Chair 
          
         ______________________ 
         Cheri Huddleston, Clerk