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                                                                  H.B. No. 2344




AN ACT
relating to the Council on Cardiovascular Disease and Stroke. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Section 93.002, Health and Safety Code, is amended to read as follows: Sec. 93.002. APPOINTMENT OF COUNCIL; TERMS OF MEMBERS. (a) The Council on Cardiovascular Disease and Stroke is composed of: (1) 11 public members appointed by the governor, with the advice and consent of the senate, as follows: (A) a licensed physician with a specialization in cardiology; (B) a licensed physician with a specialization in neurology to treat stroke; (C) a licensed physician employed in a primary care setting; (D) a registered nurse with a specialization in quality improvement practices for cardiovascular disease and stroke; (E) a registered and licensed dietitian; (F) two persons with experience and training in public health policy, research, or practice; (G) two consumer members, with special consideration given to persons actively participating in the Texas affiliates of the American Heart Association or American Stroke Association, managed care, or hospital or rehabilitation settings; and (H) two members from the general public that have or care for persons with cardiovascular disease or stroke; and (2) one nonvoting member representing each of the state agencies that oversee: (A) health services; (B) education; (C) assistive and rehabilitative services; and (D) aging and disability services [board]. (b) In appointing public members under Subsection (a)(1), the governor shall attempt to appoint female members and members of different minority groups, including African Americans, Hispanic Americans, Native Americans, and Asian Americans. (c) The head of each agency overseeing services listed in Subsection (a)(2) shall appoint the agency's representative nonvoting member. (d) Public members [Members] of the council serve staggered six-year terms, with the terms of three or four [approximately one-third] of the public members expiring February 1 of each odd-numbered year. A nonvoting member representing a state agency serves at the will of the appointing agency. SECTION 2. Section 93.003, Health and Safety Code, is amended to read as follows: Sec. 93.003. [COMPENSATION;] REIMBURSEMENT. (a) Except as provided by Subsection (b), a [A] member of the council may [not receive compensation for service on the council and, except as provided by Subsection (b), may not] be reimbursed for travel expenses incurred while conducting the business of the council at the same rate provided for state employees in the General Appropriations Act, provided funds are appropriated to the department for this purpose. (b) If funds are not appropriated to support reimbursement of travel expenses, the [The] commissioner may authorize reimbursement of the travel expenses incurred by a member while conducting the business of the council, as provided in the General Appropriations Act, if the commissioner finds on application of the member that travel for council business imposes a financial hardship on the member. SECTION 3. The heading to Section 93.006, Health and Safety Code, is amended to read as follows: Sec. 93.006. REPORT TO [BOARD AND] LEGISLATURE. SECTION 4. Section 93.006(b), Health and Safety Code, is amended to read as follows: (b) Not later than January 15 of each [odd-numbered] year, the council shall report to the governor, the lieutenant governor, and the speaker of the house of representatives on the activities of the council , accounting for all funds received and disbursed by or for the council during the preceding fiscal year [in the preceding two calendar years]. SECTION 5. Subchapter A, Chapter 93, Health and Safety Code, is amended by adding Sections 93.007-93.014 to read as follows: Sec. 93.007. RESTRICTIONS ON COUNCIL APPOINTMENT, MEMBERSHIP, OR EMPLOYMENT. (a) A person is not eligible to serve as a public member if the person or the person's spouse: (1) is employed by or participates in the management of a business entity or other organization receiving funds at the council's direction; (2) owns or controls directly or indirectly more than a 10 percent interest in a business entity or other organization receiving funds at the council's direction; or (3) uses or receives a substantial amount of tangible goods, services, or funds from the department at the council's direction, other than compensation or reimbursement authorized by law for council membership, attendance, or expenses. (b) A person who is required to register as a lobbyist under Chapter 305, Government Code, may not serve as a member of the council or act as the general counsel of the council. (c) An officer, employee, or paid consultant of a trade association in the field of health care may not be a member or employee of the council. A person who is the spouse of an officer, employee, or paid consultant of a trade association in the field of health care may not be a member of the council and may not be an employee, including an employee exempt from the state's position classification plan, who is compensated at or above the amount prescribed by the General Appropriations Act for step 1, salary group A17, of the position classification salary schedule. (d) For purposes of Subsection (c), a trade association is a nonprofit, cooperative, and voluntary association of business or professional competitors designed to assist its members and its industry or profession in dealing with mutual business or professional problems and in promoting their common interests. Sec. 93.008. REMOVAL OF COUNCIL MEMBER. (a) It is a ground for removal from the council if a member: (1) is not eligible for appointment to the council at the time of appointment as provided by Section 93.007(a); (2) is not eligible to serve on the council as provided by Section 93.007(a); (3) violates a prohibition established by Section 93.007(b) or (c); (4) cannot discharge the member's duties for a substantial part of the term for which the member is appointed because of illness or disability; or (5) is absent from more than half of the regularly scheduled council meetings that the member is eligible to attend during each calendar year, unless the absence is excused by a majority vote of the council. (b) The validity of an action of the council is not affected by the fact that it is taken when a ground for removal of a member of the council exists. (c) If the presiding officer of the council knows that a potential ground for removal exists, the presiding officer shall notify the governor of its existence. (d) The council shall inform its members as often as necessary of: (1) the qualifications for office prescribed by this chapter; and (2) the responsibilities under applicable laws relating to standards of conduct for state officers or employees. Sec. 93.009. PRESIDING OFFICER. The governor shall designate a member of the council as the presiding officer of the council to serve in that capacity at the will of the governor. Sec. 93.010. STAFF SUPPORT. Each agency represented on the council: (1) shall provide the council with staff support of specialists as needed; and (2) may provide staff support to an advisory committee. Sec. 93.011. DIVISION OF POLICY AND MANAGEMENT RESPONSIBILITIES. The council shall develop and implement policies that clearly separate the policy-making responsibilities of the council and the management responsibilities of the commissioner and staff of the department. Sec. 93.012. MEETINGS. (a) The council shall meet at least quarterly and shall adopt rules for the conduct of its meetings. (b) An action taken by the council must be approved by a majority of the voting members present. Sec. 93.013. GIFTS AND GRANTS. (a) The council may receive gifts and grants from any public or private source to perform its duties under this chapter. The department shall accept the gifts on behalf of the council and shall deposit any funds accepted under this section to the credit of a special account in the general revenue fund as required by Section 93.014. (b) The department may retain five percent of any monetary gifts accepted on behalf of the council to cover its costs in administering this section. Sec. 93.014. HEART DISEASE AND STROKE RESOURCE FUND. (a) The heart disease and stroke resource fund is an account of the general revenue fund. (b) The legislature may appropriate money deposited to the credit of the heart disease and stroke resource fund only to the council for: (1) heart disease and stroke prevention, research, and medical care for heart attack and stroke victims; and (2) grants to nonprofit heart disease and stroke organizations. (c) The council shall develop a policy governing the award of funds for clinical research that follows scientific peer review guidelines for primary and secondary prevention of heart disease or stroke or that follows other review procedures that are designed to distribute those funds on the basis of scientific merit. (d) Interest earned from the investment of the heart disease and stroke resource fund shall be deposited to the credit of the fund. SECTION 6. Section 93.051, Health and Safety Code, is amended to read as follows: Sec. 93.051. CARDIOVASCULAR DISEASE AND STROKE PREVENTION PLAN; DUTIES OF COUNCIL. (a) The council shall develop an effective and resource-efficient plan to reduce the morbidity, mortality, and economic burden of cardiovascular disease and stroke in this state. The council shall: (1) conduct health education, public awareness, and community outreach activities that relate to primary and secondary prevention of cardiovascular disease and stroke; (2) promote, enhance, and coordinate health education, public awareness, and community outreach activities that relate to primary and secondary prevention of cardiovascular disease and stroke and that are provided by private and other public organizations; (3) coordinate activities with other entities that are concerned with medical conditions that are similar to cardiovascular disease and stroke or that have similar risk factors; (4) identify to health care providers, employers, schools, community health centers, and other groups the benefits of encouraging treatment, primary and secondary prevention, and public awareness of cardiovascular disease and stroke and recognize innovative and effective programs that achieve the objectives of improved treatment, prevention, and public awareness; (5) provide guidance regarding the roles and responsibilities of government agencies, health care providers, employers, third-party payers, patients, and families of patients in the treatment, primary and secondary prevention, and public awareness of cardiovascular disease and stroke; (6) improve access to treatment for and primary and secondary prevention of cardiovascular disease and stroke through public awareness programs, including access for uninsured individuals and individuals living in rural or underserved areas; (7) assist communities to develop comprehensive local cardiovascular disease and stroke prevention programs; (8) assist the Texas Education Agency and local school districts to promote a public school curriculum that includes physical, nutritional, and health education relating to cardiovascular disease and stroke prevention; (9) establish appropriate forums, programs, or initiatives designed to educate the public regarding the impact of heart disease and stroke on women's health, with an emphasis on preventive health and healthy lifestyles; and (10) [(9)] evaluate and enhance the implementation and effectiveness of the program developed under this chapter. (b) The council shall make written recommendations for performing its duties under this chapter to the department and the legislature. (c) The council shall advise the legislature on legislation that is needed to develop further and maintain a statewide system of quality education services for all persons with cardiovascular disease or stroke. The council may develop and submit legislation to the legislature or comment on pending legislation that affects persons with cardiovascular disease and stroke. (d) The council shall collaborate with the Governor's EMS and Trauma Advisory Council, the American Stroke Association, and other stroke experts to make recommendations to the department for rules on the recognition and rapid transportation of stroke patients to health care facilities capable of treating strokes 24 hours a day and recording stroke patient outcomes. SECTION 7. Section 93.006(a), Health and Safety Code, is repealed. SECTION 8. The changes in law made by Section 93.002, Health and Safety Code, as amended by this Act, do not affect the entitlement of a member of the Council on Cardiovascular Disease and Stroke serving on the council immediately before the effective date of this Act to continue to carry out the council's functions for the remainder of the member's term. SECTION 9. This Act takes effect September 1, 2005. ______________________________ ______________________________ President of the Senate Speaker of the House I certify that H.B. No. 2344 was passed by the House on May 9, 2005, by a non-record vote; and that the House concurred in Senate amendments to H.B. No. 2344 on May 27, 2005, by a non-record vote. ______________________________ Chief Clerk of the House I certify that H.B. No. 2344 was passed by the Senate, with amendments, on May 25, 2005, by the following vote: Yeas 31, Nays 0. ______________________________ Secretary of the Senate APPROVED: __________________ Date __________________ Governor