85R3272 JG-D
	By: Davis of Harris	H.B. No. 1148

	A BILL TO BE ENTITLED
	AN ACT
	relating to emergency medical services and trauma care systems.
	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
	SECTION 1.  Subchapter B, Chapter 773, Health and Safety
	Code, is amended by adding Section 773.026 to read as follows:
	Sec. 773.026.  EMERGENCY MEDICAL SERVICES COORDINATION
	PLAN. (a) The administrative hubs designated under Section
	773.125, in consultation with each trauma service area regional
	advisory council and the advisory council established by Section
	773.012, shall collectively develop a written 25-year plan for
	coordinating emergency medical services throughout this state.
	(b)  The emergency medical services coordination plan must
	include strategies to provide services for:
	(1)  stroke;
	(2)  ST-elevation myocardial infarction;
	(3)  neonatal care;
	(4)  maternal care;
	(5)  mental health care; and
	(6)  any other area of care provided under the
	authority of a trauma service area regional advisory council.
	(c)  The administrative hubs shall develop and submit the
	emergency medical services coordination plan to the department not
	later than September 1, 2021.  This subsection expires September 1,
	2022.
	SECTION 2.  Section 773.112, Health and Safety Code, is
	amended by adding Subsection (d) to read as follows:
	(d)  The executive commissioner, in consultation with the
	department, shall conduct a comprehensive review of the rules
	adopted under this section every seven years.
	SECTION 3.  Subchapter E, Chapter 773, Health and Safety
	Code, is amended by adding Sections 773.125, 773.126, 773.127, and
	773.128 to read as follows:
	Sec. 773.125.  ADMINISTRATIVE HUBS: DESIGNATION. (a) The
	department shall designate eight administrative hubs to provide
	administrative functions for each trauma service area regional
	advisory council located in the public health region served by the
	hub.
	(b)  A health care entity, including a trauma service area
	regional advisory council, in a public health region may apply to
	the department in accordance with department rules to be designated
	as an administrative hub for the trauma service area regional
	advisory councils in the public health region.
	(c)  An applicant must demonstrate the applicant has the
	personnel, knowledge, skills, and resources necessary to provide
	the administrative functions for each trauma service area regional
	advisory council in the applicant's public health region.
	(c-1)  An applicant must submit an initial application under
	Subsection (b) not later than September 1, 2018.  The department
	shall designate a qualified applicant to serve as the
	administrative hub not later than September 1, 2019.  An applicant
	designated to serve as an administrative hub under this subsection
	shall carry out the duties imposed by Section 773.126 as soon as
	practicable after the selection and not later than September 1,
	2020.  This subsection expires September 1, 2021.
	(d)  If a health care entity eligible to serve as an
	administrative hub under this section has not applied for the
	designation in a public health region, the department shall
	designate the health care entity with the most appropriate
	qualifications in the public health region to serve as the
	administrative hub for that region.
	Sec. 773.126.  ADMINISTRATIVE HUBS: DUTIES. (a) Except as
	provided by Section 773.128, an administrative hub shall perform
	all administrative functions, including contract management, grant
	application management, and payroll, for each trauma service area
	regional advisory council under the hub's jurisdiction.
	(b)  The department shall directly contract with an
	administrative hub for administrative duties provided by the hub as
	required by this section.
	(c)  An administrative hub shall administer and distribute
	funds to each trauma service area regional advisory council under
	the hub's jurisdiction in accordance with department rules. In
	adopting rules under this subsection, the executive commissioner
	shall require that an administrative hub distribute funds according
	to a trauma service area regional advisory council's population,
	annual number of trauma care runs, geographic size, and annual
	number of deaths.
	(d)  An administrative hub shall enter into a centralized
	purchasing agreement with the trauma service area regional advisory
	councils under the hub's jurisdiction to consolidate purchases for
	the trauma service area regional advisory councils as appropriate.
	(e)  An administrative hub shall submit to the department in
	the manner required by the department an annual report on the amount
	of money spent by the administrative hub in providing consolidated
	administrative services for the trauma service area regional
	advisory councils under the hub's jurisdiction compared to the
	amount of money that would have been spent if each trauma service
	area regional advisory council had provided its own administrative
	services.
	Sec. 773.127.  ADMINISTRATIVE HUBS: TRANSFER OF TRAUMA
	SERVICE AREA REGIONAL ADVISORY COUNCILS. (a) A trauma service area
	regional advisory council may apply to the department in accordance
	with department rules for a transfer from the jurisdiction of the
	trauma service area regional advisory council's administrative hub
	to the jurisdiction of an administrative hub in an adjacent public
	health region.
	(b)  The executive commissioner shall develop criteria for
	determining whether an administrative hub has the personnel,
	knowledge, skills, and resources necessary to provide
	administrative support for a trauma service area regional advisory
	council applying for a transfer to that administrative hub's
	jurisdiction under this subsection.
	Sec. 773.128.  ADMINISTRATIVE HUBS: REQUEST BY TRAUMA
	SERVICE AREA REGIONAL ADVISORY COUNCIL TO RETAIN CERTAIN
	ADMINISTRATIVE FUNCTIONS. (a) A trauma service area regional
	advisory council may file a written request with the department to
	retain an administrative function that has been delegated to an
	administrative hub. The request must include evidence that the
	trauma service area regional advisory council has the personnel,
	knowledge, skills, and resources necessary to perform the
	administrative function in a more cost-effective manner than the
	function is being performed by the administrative hub.
	(b)  The department shall grant the request and notify the
	administrative hub of the department's decision if the request
	includes sufficient evidence for the department to determine
	whether the trauma service area regional advisory council has the
	personnel, knowledge, skills, and resources required by this
	section.
	SECTION 4.  The executive commissioner of the Health and
	Human Services Commission shall adopt all rules necessary to
	implement the change in law made by this Act not later than January
	1, 2018.
	SECTION 5.  The change in law made by this Act applies only
	to a contract executed on or after the effective date of this Act. A
	contract executed before the effective date of this Act is governed
	by the law applicable to the contract immediately before the
	effective date of this Act, and that law is continued in effect for
	that purpose.
	SECTION 6.  This Act takes effect September 1, 2017.