MINUTES 
                                           
                        SENATE COMMITTEE ON HEALTH SERVICES 
                               Monday, April 10, 2000 
                                     10:00 a.m. 
                          San Antonio City Council Chamber 
                                           
                                       ***** 
                                           
         Pursuant to a notice posted in accordance with Senate Rule  
         11.18, a public hearing of the Senate Committee on Health  
         Services was held on Monday, April 10, 2000, in the City of San  
         Antonio. 
          
                                       ***** 
                                           
         MEMBERS PRESENT:                        MEMBERS ABSENT: 
         Senator Jane Nelson                     Senator Drew Nixon 
         Senator Mike Moncrief 
         Senator Jon Lindsay 
         Senator Frank Madla 
                                           
                                       ***** 
                                           
         The chair called the meeting to order at 10:00 a.m.  There being  
         a quorum present, the following business was transacted. 
          
         The chair made opening remarks thanking the City of San Antonio  
         for hosting the hearing and announced that the purpose of the  
         hearing was to solicit and consider public testimony on each of  
         the interim charges assigned to the committee by Lieutenant  
         Governor Rick Perry. 
          
         The chair laid out the February 7, 2000, minutes and called for  
         revisions.  There being none, Senator Moncrief moved approval.   
         There being no objection, the motion prevailed by unanimous  
         consent. 
          
         San Antonio Mayor Pro-tem, Enrique Barrera, welcomed the  
         committee to the City of San Antonio. 
          
         The chair announced that the committee would begin with a  
         bioterrorism presentation followed by public testimony on charge  
         #2 related to pharmaceutical, biotechnology, and genetic issues. 
          
         The chair welcomed Senator Jeff Wentworth to the hearing. 
          
         The following persons provided written and oral testimony: 
          
              Fernando Guerra, M.D., City of San Antonio 
          
              Max Burke, Vector Research Inc. 
  
              Dennis Perrotta, Ph.D, Texas Department of Health 
          
              Thomas R. Kowalski, Texas Healthcare & Bioscience Institute 
          
         The following persons provided oral testimony: 
          
              Casey Cunningham, M.D., Mary Crowley Medical Research  
              Clinic 
          
              John Howe, M.D., University of Texas Health Science Center  
              at San Antonio 
          
              John Nemunaitis, M.D., Mary Crowley Medical Research Clinic 
          
              Robert B. Price, University of Texas Health Science Center  
              at San Antonio 
          
              Ben Rodriguez, Self 
          
         The following person provided written testimony. 
          
              Connie L. Luthy, The Luthy Group 
          
         There being no further witnesses on this charge, the chair  
         called for the following witnesses to testify before the  
         committee on charge #1 related to Medicaid managed care. 
          
         The following persons provided oral and written testimony: 
          
              Josie Willams M.D., Texas Health Quality Alliance 
          
         The following persons provided oral testimony: 
          
              Ed Berger, Seton Healthcare Network 
          
              Anita Bradberry, Texas Association for Home Care 
          
              Lisa A. Campbell, Coalition for Nurses in Advanced Practice  
              / Texas Nurses Association 
          
              Autumn Dawn Galbreath, M.D., U.T. Health Science Center at  
              San Antonio 
          
              Don Gilbert, Texas Health and Human Services Commission 
          
              Anne Kanter, Methodist Healthcare System 
          
              Beverly Koops, M.D., Texas Department of Health 
          
              Steven W. Leslie, R.Ph., U.T. College of Pharmacy 
               
              William Steinhauer, Self 
          
              Richard S. Wayne, M.D., CHRISTUS Santa Rosa Children's  
      
              Hospital 
          
         The following person provided written testimony: 
          
              Michael N. Potter, Vector Research Inc. 
               
         There being no further witnesses on this charge, the chair  
         called the following witnesses to testify before the committee  
         on charge #3 related to medical privacy issues. 
          
         The following person provided oral testimony: 
          
              Deborah C. Peel, M.D., Texas Medical Association / Texas  
              Society of Psychiatric Physicians 
               
         There being no further witnesses on this charge, the chair  
         called for witnesses to testify before the committee on charge  
         #4 related to the Vaccines for Children Program. 
          
         The following persons provided oral testimony: 
          
              Teri Perryman, M.D., Self 
               
              Sharilyn K. Stanley, M.D., Texas Department of Health 
          
         There being no further witnesses on this charge, the chair  
         called the following witnesses to testify before the committee  
         on charge #5 related to health care workforce. 
          
         The following persons provided oral and written testimony: 
          
              Nancy Ackley, Texas Nurses Association   
          
              Dan Dugi, M.D., Texas Medical Association 
          
              Antonio Furino, U.T. Health Science Center at San Antonio 
          
              D. Andrew Sewell, D.D.S., Texas Dental Association 
          
         The following persons provided oral testimony: 
              Mitch Finnie, M.D., Texas Academy of Family Physicians 
               
              Rachel Harracksingh, Texas Ambulance Association 
          
              Steven Leslie, R.Ph., U.T. College of Pharmacy 
          
              Dianna Prachyl, Texas Dental Hygienists Association 
          
              William Steinhauer, M.D., Self                                 
                                               
         The following person registered but did not provide testimony: 
          
              Robert T. Tessen, Center for Rural Health Initiatives 
          
         There being no further witnesses on this charge, the chair  
  
         called the following witnesses to testify before the committee  
         on charge #6 related to the Children's Health Insurance Program. 
          
         The following persons provided oral testimony: 
          
              Vicki S. Perkins, Health Care for Every Child Coalition 
          
              Dianna Prachyl, Texas Dental Hygienists Association 
                                                  
         There being no further witnesses on this charge or any of the  
         others, the chair announced that the Committee will be holding a  
         joint hearing with the Senate Economic Development Committee on  
         Wednesday, May 10, 2000 in Austin. 
          
         There being no further business, at 4:05 p.m. Senator Nelson  
         announced that the Committee would stand in recess subject to  
         the call of the chair. 
          
         ______________________ 
         Senator Jane Nelson, Chair 
          
         ______________________ 
         Cheri Huddleston, Clerk