MINUTES 
                                           
                   SENATE COMMITTEE ON HEALTH AND HUMAN SERVICES 
                              Thursday, April 19, 2001 
                                       8 a.m. 
                                   Senate Chamber 
                                           
                                       ***** 
          
         Pursuant to a notice posted in accordance with Senate Rule  
         11.18, a public hearing of the Senate Committee on Health and  
         Human Services was held on Thursday, April 19, 2001, in the  
         Senate Chamber at Austin, Texas. 
          
                                       ***** 
                                           
         MEMBERS PRESENT:                        MEMBERS ABSENT: 
         Senator Mike Moncrief, Chairman         Senator David Bernsen 
         Senator John Carona, Vice Chairman      Senator David Sibley 
         Senator Mario Gallegos, Jr. 
         Senator Chris Harris 
         Senator Frank Madla 
         Senator Jane Nelson 
         Senator Eliot Shapleigh 
                                           
                                       ***** 
                                           
         The chairman called the meeting to order at 8:16 a.m.  The  
         following business was transacted. 
          
         The chairman laid out SB 1536 by Senator Madla, relating to the  
         creation of pilot projects for demonstrating the application of  
         technology to the provision of long-term care, community care,  
         and certain other medical assistance, and recognized the author  
         to explain the bill. 
          
         Senator Madla sent up a committee substitute for SB 1536 and  
         explained the differences between  
         it and the bill as filed. 
          
         Witnesses testifying and registering on the committee substitute  
         for SB 1536 are shown on the attached list.  There being no  
         other witnesses registered or responding to the chairman's call  
         for  
         public testimony relating to the committee substitute for SB  
         1536, the chairman closed public testimony. 
          
         The chairman left the committee substitute for SB 1536 pending  
         temporarily, to await the arrival of a quorum. 
          
         At 8:18 a.m. Senator Madla assumed presiding duties. 
          
         The chairman laid out SB 962 by Senator Moncrief, relating to a  
         pilot program to address the need for more child protective  
         service workers in certain regions of the state, and recognized  
  
         the author to explain the bill. 
          
         Senator Moncrief sent up a committee substitute for SB 962 and  
         explained the differences between it and the bill as filed. 
          
         No witnesses testified or  registered on the committee  
         substitute for SB 962.   
          
         The chairman left the committee substitute for SB 962 pending  
         temporarily, to await the arrival of a quorum.   
          
         At 8:21 a.m. Senator Moncrief resumed presiding duties. 
          
         The chairman laid out anew SB 1053 by Senator Shapleigh,  
         relating to rates and expenditures under the medicaid and state  
         child health plan program in the Texas-Mexico border region,  
         which had been left pending from a previous hearing, and  
         recognized the author. 
          
         Senator Shapleigh sent up a committee substitute for SB 1053 and  
         explained the differences between it and the bill as filed. 
          
         There being no other witnesses registered or responding to the  
         chairman's call for public testimony relating to the committee  
         substitute for SB 1053, the chairman closed public testimony. 
          
         The chairman left the committee substitute for SB 1053 pending  
         temporarily, to await the arrival of a quorum. 
          
         The chairman laid out SB 283 by Senator Nelson, relating to  
         special disease management programs for certain recipients of  
         medical assistance under the Medicaid managed care program, and  
         recognized the author to explain the bill. 
          
         Witnesses testifying and registering on SB 283 are shown on the  
         attached list.  There being no other witnesses registered or  
         responding to the chairman's call for public testimony relating  
         to SB 283, the chairman closed public testimony. 
          
         The chairman left SB 283 pending temporarily, to await the  
         arrival of a quorum. 
          
         The chairman laid out SB 284 by Senator Nelson, relating to  
         streamlining reporting requirements and inspection procedures  
         under the Medicaid managed care program, and recognized the  
         author to explain the bill. 
          
         Witnesses testifying and registering on SB 284 are shown on the  
         attached list.  There being no other witnesses registered or  
         responding to the chairman's call for public testimony relating  
         to SB 284, the chairman closed public testimony.     
          
         The chairman left SB 284 pending temporarily, to await the  
  
         arrival of a quorum. 
          
         The chairman laid out SB 535 by Senator Carona, relating to the  
         continuation of the Texas Department on Aging, and recognized  
         Senator Madla, in absence of the author, to explain the bill. 
          
         Senator Madla sent up a committee substitute for SB 535 and  
         explained the differences between it and the bill as filed. 
          
         Testimony on the committee substitute for SB 535 began. 
          
         At 9:23 a.m. Senator Nelson assumed presiding duties. 
          
         At 9:46 a.m. Senator Moncrief resumed presiding duties. 
          
         The chairman laid out anew SB 283 by Senator Nelson, relating to  
         special disease management programs for certain recipients of  
         medical assistance under the Medicaid managed care program,  
         which had been left pending to await the arrival of a quorum. 
          
         Senators Gallegos, Nelson and Shapleigh asked unanimous consent  
         to be shown voting "aye" on SB 283.  There being no objection,  
         the motion prevailed by unanimous consent. 
          
         Senator Madla moved that SB 283 be reported to the Senate with  
         the recommendation that it do pass and be printed.  The motion  
         prevailed by a vote of 7 ayes, 0 nays and 2 absent. 
          
         Senator Madla moved that SB 283 be recommended for certification  
         on the local and uncontested calendar. There being no objection,  
         the motion prevailed by unanimous consent. 
          
         At 9:47 a.m. a quorum was established. 
          
         The chairman laid out anew SB 284 by Senator Nelson, relating to  
         streamlining reporting requirements and inspection procedures  
         under the Medicaid managed care program, which had been left  
         pending to await the arrival of a quorum. 
          
         Senator Carona sent up committee amendment 1 and explained it.   
         Senator Carona moved the adoption of committee amendment 1.   
         There being no objection, the motion prevailed by unanimous  
         consent. 
          
         Senator Carona moved that committee amendment 1 be rolled into a  
         committee substitute for SB 284 and the committee substitute for  
         SB 284 be adopted.  There being no objection, the motion  
         prevailed by unanimous consent. 
          
         Senators Gallegos and Nelson asked unanimous consent to be shown  
         voting "aye" on the committee substitute for SB 284.  There  
         being no objection, the motion prevailed by unanimous consent. 
          
         Senator Carona moved that SB 284 be reported to the Senate with  
         the recommendation that it do not pass, but that the committee  
         substitute adopted in lieu thereof do pass and be printed.  The  
         motion prevailed by a vote of 7 ayes, 0 nays and 2 absent. 
          
         Senator Carona moved that the committee substitute for SB 284 be  
         recommended for certification on the local and uncontested  
         calendar.  There being no objection, the motion prevailed by  
         unanimous consent. 
          
         At 9:50 a.m. Senator Carona assumed presiding duties. 
          
         The chairman laid out anew, SB 962 by Senator Moncrief, relating  
         to a pilot project to address the need of more child protective  
         service workers in certain regions of the state, which had been  
         left pending to await the arrival of a quorum. 
          
         Senator Moncrief moved the adoption of the committee substitute  
         for SB 962.  There being no objection, the motion prevailed by  
         unanimous consent. 
          
         Senators Gallegos and Nelson asked unanimous consent to be shown  
         voting "aye" on the committee substitute for SB 962.  There  
         being no objection, the motion prevailed by unanimous consent. 
          
         Senator Moncrief moved that SB 962 be reported to the Senate  
         with the recommendation that it do not pass, but that the  
         committee substitute adopted in lieu thereof do pass and be  
         printed.  The motion prevailed by a vote of 7 ayes, 0 nays and 2  
         absent. 
         The chairman laid out anew SB 1053 by Senator Shapleigh,  
         relating to rates and expenditures under the medicaid and state  
         child health plan program in the Texas-Mexico border region,  
         which had been left pending to await the arrival of a quorum. 
          
         Senator Shapleigh moved the adoption of the committee substitute  
         for SB 1053.  There being no objection, the motion prevailed by  
         unanimous consent. 
          
         Senator Gallegos asked unanimous consent to be shown voting "aye"  
         on the committee substitute for SB 1053.  There being no  
         objection, the motion prevailed by unanimous consent. 
          
         Senator Nelson asked unanimous consent to be shown voting "nay"  
         on the committee substitute for SB 1053. There being no  
         objection, the motion prevailed by unanimous consent. 
          
         Senator Shapleigh moved that SB 1053 be reported to the Senate  
         with the recommendation that it do not pass, but that the  
         committee substitute adopted in lieu thereof do pass and be  
         printed.  The motion prevailed by a vote of 6 ayes, 1 nay and 2  
         absent. 
          
         At 9:52 a.m. Senator Moncrief resumed presiding duties. 
          
         The chairman laid out anew SB 1246 by Senator Gallegos, relating  
         to the establishment of a community health center revolving loan  
         fund program, which had been left pending from a previous  
         hearing. 
          
         Senator Shapleigh moved to roll the adopted amendment into a  
         committee substitute for SB 1246 and that the committee  
         substitute for SB 1246 be adopted.  There being no objection,  
         the motion prevailed by unanimous consent. 
          
         Senators Gallegos and Nelson asked unanimous consent to be shown  
         voting "aye" on the committee substitute for SB 1246.  There  
         being no objection, the motion prevailed by unanimous consent. 
          
         Senator Shapleigh moved that SB 1246 be reported to the Senate  
         with the recommendation that it do not pass, but that the  
         committee substitute adopted in lieu thereof do pass and be  
         printed.  The motion prevailed by a vote of 7 ayes, 0 nays and 2  
         absent. 
          
         Upon unanimous consent, the chairman recessed the committee at  
         9:53 a.m., until 30 minutes after the adjournment of the Texas  
         Senate. 
          
         The chairman reconvened the Senate Committee on Health and Human  
         Services at 3:31 p.m. 
          
         Testimony on the committee substitute for SB 535 resumed.   
         Witnesses testifying and registering on the committee substitute  
         for SB 535 are shown on the attached list.  There being no other  
         witnesses registered or responding to the chairman's call for  
         public testimony relating to the committee substitute for SB  
         535, the chairman closed public testimony. 
          
         Senator Carona moved the adoption of the committee substitute  
         for SB 535.  There being no objection, the motion prevailed by  
         unanimous consent. 
          
         Senators Harris, Madla, Nelson and Shapleigh asked unanimous  
         consent to be shown voting "aye" on the committee substitute for  
         SB 535.  There being no objection, the motion prevailed by  
         unanimous consent. 
          
         Senator Carona moved that SB 535 be reported to the Senate with  
         the recommendation that it do not pass, but that the committee  
         substitute adopted in lieu thereof do pass and be printed.  The  
         motion prevailed by a vote of 7 ayes, 0 nays and 2 absent. 
          
         Senator Carona moved that the committee substitute for SB 535 be  
         recommended for certification on the local and uncontested  
         calendar.  There being no objection, the motion prevailed by  
         unanimous consent. 
          
         Senator Gallegos moved that the committee substitute for SB 1246  
         be recommended for certification on the local and uncontested  
         calendar. There being no objection, the motion prevailed by  
         unanimous consent. 
          
         The chairman laid out anew SB 1536 by Senator Madla, relating to  
         the creation of pilot projects for demonstrating the application  
         of technology to the provision of long-term care, community  
         care, and certain other medical assistance, which had been left  
         pending to await the arrival of a quorum.   
          
         Senator Carona moved the adoption of the committee substitute  
         for SB 1536.  There being no objection, the motion prevailed by  
         unanimous consent. 
          
         Senators Harris, Madla, Nelson and Shapleigh asked unanimous  
         consent to be shown voting "aye" on the committee substitute for  
         SB 1536.  There being no objection, the motion prevailed by  
         unanimous consent. 
          
         Senator Carona moved that SB 1536 be reported to the Senate with  
         the recommendation that it do not pass, but that the committee  
         substitute adopted in lieu thereof do pass and be printed.  The  
         motion prevailed by a vote of 7 ayes, 0 nays and 2 absent.  
          
         Senator Carona moved that the committee substitute for SB 1536  
         be recommended for certification on the local and uncontested  
         calendar.  There being no objection, the motion prevailed by  
         unanimous consent. 
          
         The chairman laid out the April 5 and 9, 2001, minutes and  
         called for revisions.  There being none, Senator Carona moved  
         their adoption.  There being no objection, the motion prevailed  
         by unanimous consent. 
          
         No action was taken on the following bills: 
          
         HB 102 by Maxey, relating to abolishing the electronic imaging  
         program of the Texas Department of Human Services; and,  
          
         SB 527 by Senator Moncrief, relating to imposition of  
         administrative penalties against assisted living facilities. 
          
         There being no other business to come before the committee and  
         upon a motion by Senator Gallegos, the chairman recessed the  
         committee by unanimous consent at 3:59 p.m., subject to the call  
         of the chairman. 
          
         _______________________________________ 
         Senator Mike Moncrief, chairman 
          
         _______________________________________ 
  
         Scott Caffey, committee clerk