TMA Legislative News Hotline
Monday, March 28, 2011
TMA Board of Trustees member Doug, Curran, MD, a family medicine physician from Athens, testified before the Senate State Affairs Committee this morning. He testified in support of Senate Bill 894 by Sen. Robert Duncan (R-Lubbock). The bill would allow critical access hospitals, sole community hospitals, and hospitals in counties of 50,000 or fewer to employ physicians. The bill also contains many features that protect the physician’s clinical autonomy against the corporate practice of medicine. It:
- Places the responsibility for all clinical matters — bylaws, credentialing, utilization review, and peer review — under the medical staff;
- Guarantees physicians’ independent medical judgment;
- States that all physicians — employed or independent — are subject to the same rights and responsibilities;
- Allows employed physicians to participate in the selection of their liability insurance and have the right to consent to settle in a liability action; and
- Requires the medical staff to designate a chief medical officer (CMO) who must be approved by the hospital board. The CMO has the duty to report to the Texas Medical Board (TMB) that the hospital is hiring physicians under this bill and that the CMO is the contact for TMB. The CMO has a duty to report instances of interference to TMB.
|Senate State Affairs Committee Chair |
Robert Duncan (R-Lubbock), left, and
Vice Chair Robert Deuell, MD (R-
Greenville) listen to testimony
- HB 1568 by Rep. Garnett Coleman (D-Houston) would allow the Harris County Hospital District to employ physicians with a structure of physician control over all aspects of medical care delivered by physicians — independent or employed — caring for patients in the district’s facilities. The legislation is result of local consensus-building that brought agreement on the bill by the hospital district, Baylor College of Medicine, The University of Texas Medical School at Houston, and the Harris County Medical Society.
- HB 840 by Rep. Naomi Gonzalez (D-El Paso) would allow the El Paso Hospital District to employ physicians. It is based on the Harris County model, with minor changes to reflect the existing structure of a medical executive committee under the leadership of physicians. Again, this bill came together from local consensus-building among the district, the El Paso County Medical Society, and the medical school.
- HB 2351 by Rep. Ruth Jones McClendon (D-San Antonio) would allow the Bexar County Hospital District to employ physicians. It is based not on the Harris County model but on a model utilizing a nonprofit healthcare corporation. It is an alternative that best meets the needs of Bexar County. More importantly, again, it is based on a consensus among the district, the Bexar County Medical Society, and the medical school.
Progress on the state budget: The Texas House will vote Thursday on whether to use $3.1 billion to cover part of the state’s current (2010-11) budget shortfall of $4 billion. Then on Friday, House members will begin debate on HB 1 — the House version of the state budget. The House Appropriations Committee approved the measure last week. Here is a copy of the 2012-13 budget proposal. The Senate Finance Committee is on schedule to finalize its budget bill, SB 1, next week.
Redistricting: The House Redistricting Committee will meet again this week to hear testimony on potential State Board of Education districts in light of the 2010 census data. Here are the redistricting maps and Census Bureau demographics. Stay tuned.
WHAT YOU CAN DO
It’s not too late. Register today for First Tuesdays at the Capitol on April 5.
Tell us your story. TMA wants to capture your story on video. Tell us why you decided to become a physician. What day did you leave your office or hospital and say to yourself, “Now, that’s why I became a physician”? Tell us what your profession means to you. Check out “physician moments” from some of your colleagues.
WHAT WE'RE READING
Senate Committee Endorses Rural Hospital Hiring Doctors (Texas Tribune)
Texas Medicaid Costs Vary Widely by Hospital, Area (Texas Tribune)
The Battle for Better Pay Continues (AAFP Online)
Health care cuts could have dramatic effects on hospitals, nursing homes (Corpus Christi Caller-Times)