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.