88R21910 KKR-D
 
  By: A. Johnson of Harris, et al. H.B. No. 2356
 
  Substitute the following for H.B. No. 2356:
 
  By:  Klick C.S.H.B. No. 2356
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to a mobile stroke unit grant program.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Chapter 773, Health and Safety Code, is amended
  by adding Subchapter H-1 to read as follows:
  SUBCHAPTER H-1. MOBILE STROKE UNIT GRANT PROGRAM
         Sec. 773.221.  DEFINITIONS. In this subchapter:
               (1)  "Commission" means the Health and Human Services
  Commission.
               (2)  "Department" means the Department of State Health
  Services.
               (3)  "Executive commissioner" means the executive
  commissioner of the commission.
               (4)  "Grant program" means the mobile stroke unit grant
  program established under this subchapter.
               (5)  "Mobile stroke unit" means a specialized emergency
  medical services vehicle that:
                     (A)  is equipped with a mobile computed tomography
  scanner and other necessary medical equipment and medications for
  diagnosing and treating an individual who suffers a stroke;
                     (B)  is staffed with personnel trained to diagnose
  and provide acute stroke treatment to an individual outside of a
  hospital setting; and
                     (C)  has a neurologist on board the vehicle or
  available for consultation with the vehicle's personnel through a
  telemedicine medical service, as defined by Section 111.001,
  Occupations Code.
               (6)  "Stroke facility" has the meaning assigned by
  Section 773.202.
         Sec. 773.222.  ESTABLISHMENT AND ADMINISTRATION OF GRANT
  PROGRAM. The executive commissioner by rule shall establish and
  the commission shall administer a mobile stroke unit grant program
  to improve health care outcomes for individuals who suffer a stroke
  by providing financial assistance to stroke facilities and increase
  the availability of mobile stroke units in this state.
         Sec. 773.223.  APPLICATION. The following entities may
  apply to the commission to receive money under the grant program:
               (1)  a local health department established under
  Subchapter D, Chapter 121, or a public health district established
  under Subchapter E, Chapter 121;
               (2)  an emergency medical services department of a
  municipality or county;
               (3)  a fire department of a municipality or county that
  provides emergency medical services;
               (4)  an emergency services district created under
  Chapter 775; and
               (5)  a stroke facility.
         Sec. 773.224.  AWARD OF GRANTS. (a) The executive
  commissioner by rule shall establish eligibility criteria and a
  scoring system for the commission to award grants under the grant
  program.
         (b)  The commission may award grants under the grant program
  to eligible applicants.
         Sec. 773.225.  USE OF GRANT MONEY; REQUIRED COORDINATION.
  (a) Subject to Subsection (b), a grant recipient may use money
  awarded under the grant program only for the recipient's capital
  costs associated with procuring equipment necessary to operate a
  mobile stroke unit, including:
               (1)  a specialized emergency medical services vehicle;
               (2)  a mobile computed tomography scanner;
               (3)  medical equipment used in diagnosing or treating
  an individual who suffers a stroke; and
               (4)  any other equipment the commission considers
  necessary or appropriate.
         (b)  A grant recipient must coordinate the use of money
  awarded under the grant program with a facility designated by the
  department as a comprehensive Level I stroke facility.
         Sec. 773.226.  GRANT RECIPIENT REPORTING REQUIREMENT. A
  grant recipient shall annually submit to the commission a report on
  the recipient's use of grant money, including:
               (1)  the health outcomes of individuals treated by the
  recipient's mobile stroke units; and
               (2)  the recipient's operating expenses associated with
  operating mobile stroke units.
         Sec. 773.227.  FUNDING. The commission shall award grants
  as provided by this subchapter from available money and any
  additional money appropriated for purposes of this subchapter.
         Sec. 773.228.  GIFTS, GRANTS, AND DONATIONS. The commission
  may accept gifts, grants, and donations from any source for
  purposes of the grant program.
         SECTION 2.  Not later than January 1, 2024, the executive
  commissioner of the Health and Human Services Commission shall
  adopt the rules necessary to implement Subchapter H-1, Chapter 773,
  Health and Safety Code, as added by this Act.  
         SECTION 3.  This Act takes effect September 1, 2023.