S.B. No. 1588
  relating to variances from Department of State Health Services
  rules governing the provision of emergency medical services.
         SECTION 1.  Sections 773.052(a), (c), (d), and (f), Health
  and Safety Code, are amended to read as follows:
         (a)  An emergency medical services provider with a specific
  hardship may apply to the department for a variance from a rule
  adopted under this chapter.  [The executive commissioner by rule
  may adopt a fee of not more than $30 for filing an application for a
         (c)  The department shall grant to an emergency medical
  services provider who is the [a] sole provider for a service area a
  variance from the minimum staffing standards [for staffing and
  equipment] for the provision of [basic life-support] emergency
  medical services in that service area [if the provider is an
  emergency medical services provider exempt from the payment of fees
  under Section 773.0581].
         (d)  An applicant for a variance under Subsection (c) must
  submit a letter to the department from the commissioners court of
  the county or the governing body of the municipality in which the
  provider intends to operate an emergency medical services vehicle
  in the provision of emergency medical services in a service area of
  the county or municipality.  [The letter must state that there is no
  other emergency medical services provider in the service area.]
         (f)  The department shall issue an emergency medical
  services license to a provider granted a variance under this
  section.  The license is subject to annual review by the department.  
  A provider is encouraged to upgrade staffing [and equipment] to
  meet the minimum standards set by the rules adopted under this
         SECTION 2.  Section 773.052, Health and Safety Code, as
  amended by this Act, applies only to a variance application
  submitted on or after the effective date of this Act.  A variance
  application submitted before the effective date of this Act is
  governed by the law applicable to the application on the date the
  application was submitted, and that law is continued in effect for
  that purpose.
         SECTION 3.  This Act takes effect September 1, 2023.
  ______________________________ ______________________________
     President of the Senate Speaker of the House     
         I hereby certify that S.B. No. 1588 passed the Senate on
  April 12, 2023, by the following vote:  Yeas 31, Nays 0.
  Secretary of the Senate    
         I hereby certify that S.B. No. 1588 passed the House on
  May 6, 2023, by the following vote:  Yeas 125, Nays 9,
  two present not voting.
  Chief Clerk of the House