Texas 2009 - 81st Regular

Texas House Bill HB4423 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	By: Gonzales H.B. No. 4423
2	2
3	3
4	4	A BILL TO BE ENTITLED
5	5	AN ACT
6	6	relating to physician shortage residency programs.
7	7	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
8	8	SECTION 1. Chapter 61, Education Code, is amended by adding
9	9	Subchapter II to read as follows:
10	10	SUBCHAPTER II. CONTRACTS FOR PHYSICIAN SHORTAGE RESIDENCY
11	11	PROGRAMS
12	12	Sec. 61.511. DEFINITIONS. As used in this subchapter:
13	13	(1) "Medical school" means a medical school that is
14	14	part of The University of Texas System, the Texas Tech University
15	15	System, the Texas A&M University System, the University of North
16	16	Texas System, or the Baylor College of Medicine.
17	17	(2) "Approved physician shortage residency training
18	18	program" means a graduate medical education program that is
19	19	operated by a medical school, licensed hospital, or nonprofit
20	20	corporation and that has been approved for training physicians in a
21	21	shortage area identified by the Physician Shortage Residency
22	22	Advisory Committee.
23	23	Sec. 61.512. CONTRACTS. The board may contract with a
24	24	medical school, licensed hospital, or nonprofit corporation for the
25	25	purpose of establishing and operating an approved physician
26	26	shortage residency training program and may compensate the medical
27	27	school, licensed hospital, or nonprofit corporation on a formula
28	28	approved by the board based upon the number of resident physicians
29	29	in the training program.
30	30	Sec. 61.513. RULES. The board shall adopt rules to implement
31	31	this subchapter.
32	32	Sec. 61.514. DISBURSEMENTS. (a) Pursuant to a contract,
33	33	the board may disburse through the designated project director to a
34	34	medical school, licensed hospital, or nonprofit corporation funds
35	35	for the purpose of the graduate training of physicians in an
36	36	approved physician shortage residency training program. The
37	37	project director of the residency program shall, in accordance with
38	38	such rules as the board may adopt, make timely reports directly to
39	39	the board concerning the development and progress of the residency
40	40	training program.
41	41	(b) The board may establish by contract the method or manner
42	42	of the disbursement to the project director.
43	43	Sec. 61.515. ADVISORY COMMITTEE. (a) The Physician
44	44	Shortage Residency Advisory Committee is created and shall consist
45	45	of nine members, as follows:
46	46	(1) one member shall be a licensed physician appointed by
47	47	the Texas Osteopathic Medical Association;
48	48	(2) two members shall be administrators of hospitals and
49	49	shall be appointed by the Texas Hospital Association;
50	50	(3) two members shall be a licensed physician appointed by
51	51	the Texas Medical Association;
52	52	(4) three members of the public shall be appointed to the
53	53	committee by the governor; and
54	54	(5) one member representing the Statewide Health
55	55	Coordinating Council as determining by the chair of the Council.
56	56	(b) The terms of office of each member shall be for three
57	57	years. Each member shall serve until a replacement has been
58	58	appointed to the committee.
59	59	(c) The members of the committee serve without
60	60	compensation, but shall be reimbursed by the board for actual
61	61	expenses incurred in the performance of duties as members of the
62	62	committee.
63	63	(d) The committee shall meet at least annually and so often
64	64	as requested by the board or called into meeting by the chairman.
65	65	(e) The chairman shall be elected by the members of the
66	66	committee for one year.
67	67	(f) The committee shall:
68	68	(1) review data from the Statewide Health Coordinating
69	69	Council and other resources to determine the physician shortages in
70	70	Texas;
71	71	(2) review for the board applications for approval and
72	72	funding of residency training programs and related support
73	73	programs;
74	74	(3) make recommendations to the board relating to the
75	75	disbursement of funds under this subchapter based on the following
76	76	criteria:
77	77	(A) residency programs which would expand
78	78	training opportunities in medical specialty areas in which there is
79	79	a shortage in Texas;
80	80	(B) residency programs which would located in
81	81	medically underserved communities in Texas;
82	82	(C) residency programs in specialty areas in
83	83	which a substantial number of graduates of Texas medical schools
84	84	have left the state of Texas to pursue such training; or
85	85	(D) residency programs which would undertake
86	86	innovative approaches to residency training, include extensive use
87	87	of ambulatory facilities or the creation of medical homes for
88	88	patients; and
89	89	(4) perform such other duties as may be directed by the
90	90	board.
91	91	Sec. 61.516. FUNDING. The board may:
92	92	(1) receive and expend appropriations for purposes of
93	93	this subchapter, including funds generated by fees under Chapter
94	94	153, Occupations Code, in excess of the funds needed for the
95	95	purposes authorized by Section 153.052, Occupations Code; and
96	96	(2) accept gifts, grants, and donations of real or
97	97	personal property from any entity, subject to limitations or
98	98	conditions set by law, for the purposes of this subchapter.
99	99	SECTION 2. The heading to Subchapter I, Chapter 61,
100	100	Education Code, is amended to read as follows:
101	101	SUBCHAPTER I. CONTRACTS FOR FAMILY PRACTICE [MEDICAL]
102	102	RESIDENCY PROGRAMS.
103	103	SECTION 3. The Texas Higher Education Coordinating Board
104	104	shall adopt rules to implement Subchapter II, Chapter 61, Education
105	105	Code, as added by this Act, not later than January 1, 2010.
106	106	SECTION 4. This Act takes effect immediately if it receives
107	107	a vote of two-thirds of all the members elected to each house, as
108	108	provided by Section 39, Article III, Texas Constitution. If this
109	109	Act does not receive the vote necessary for immediate effect, this
110	110	Act takes effect September 1, 2009.