SB 188 waiting on General Calendar

The Texas House of Representatives is delaying the debate and vote on Senate Bill 188 for reasons unrelated to the bill, and we are waiting every day to see if the bill will be heard before the Tuesday deadline.

Click here to see the bi-partisan list of authors and sponsors, and to learn more about what the legislation would allow if passed.

Click here to read the House Research Organization's updated bill analysis for SB 188.

HIV exploding in rural Texas but SB188 will not offer local options for rural areas

The Abeline Reporter News reported this week that the city has seen a drastic rise in HIV cases, which is partially due to an increase in injection of methamphetamine. According to Kevin Owens, director of medical services at AIDS Resources of Rural Texas:

"Intravenous methamphetamine abuse in rural areas, which exploded 10 to 12 years ago, can account for new cases, Owens said.

"'A lot of people are now coming in with HIV and hepatitis C,' he said, saying that in his earlier career in rural health in Ballinger he was surprised by the prevalence of such drugs in rural communities."

These increases in cases cost tax payers as well as private health insurance pools. Mr. Owens discussed the cost of these services to taxpayers:

"The gains that have come do come at a cost, he said, with treatments costing a minimum of $1,400 a month.

"But the majority of patients ARRT sees get their medications through the state- and federally-funded Texas HIV Medication Program, paying only a $5 co-pay."

The current version of SB188 only allows local options for disease prevention in Texas counties with over 300,000 residents. Abeline is in Taylor County, a county with 126,555 residents, so the bill will not allow Abeline to choose to prevent these diseases using proven syringe exchange programs.

In its current form, SB188 will only allow the local option in 12 Texas counties: Bexar, Cameron, Collin, Dallas, Denton, El Paso, Fort Bend, Harris, Hidalgo, Nueces, Tarrant and Travis.

Learn more about HIV in rural Texas here and here.

SB188 set on House Calendar for tomorrow

SB188, the bill that allows local options to set up publicly or privately-funded disease prevention programs including syringe exchange, has been set on the House Calendar for tomorrow, Thursday, May 21. If the House is unable to reach the bill tomorrow, they are likely to reach the bill on Friday.

SB188 doesn't mandate or fund any program - it simply gives local urban areas another option for life-saving disease prevention. The bill will save millions of state and local tax dollars, save first responders and other innocent victims' lives, and save lives within the main affected community. According to the Texas Department of State Health Services, the programs do not increase drug use but do increase the use of drug treatment.

SB188 will:

• allow local entities to authorize a privately-funded or local tax-funded program in their area,
• offer education and a path to treatment and recovery to every client of the program,
  
• require programs to exchange a dirty syringe for every safe and clean one they provide,
• require monitoring and reporting of each program so we know they are effective, and
  
• only apply to counties with over 300,000 residents.

Please be sure that your friends who are interested in this legislation are aware that the Texas House may debate the issue tomorrow. You can always find more information on this blog and this website. Thank you and stay tuned!

More legislators and organizations support SB188 as it moves to House Calendars Committee

With two weeks left in session, SB188 is on its way to the Calendars Committee. The new bill language, fiscal note and bill analysis is available here. The list of bill authors, sponsors and cosponsors has grown and now includes:

• Sponsor County Affairs Chair Garnet Coleman;
• Joint Sponsors Rules and Resolutions Chair Ruth Jones McClendon,
• Representative Solomon Ortiz, Jr.,
• Appropriations Health & Human Services Subcommittee Chair (and Doctor) John Zerwas,
• SB188 Public Health Subcommittee Chair Susan King; and
• Cosponsors Public Health Vice-Chair Elliott Naishtat, and
• Technology, Economic Development and Workforce Chair Mark Strama.

These House members join a strong list of authors in the Senate:

• Primary Authors Health & Human Services Vice-Chair and Senate Republican Caucus Chair (and Doctor) Robert "Bob" Deuell,
• Veterans Affairs & Military Installations Chair and Senate Democratic Caucus Chair Leticia Van de Putte; and
• Coauthors Finance Vice-Chair Juan "Chuy" Hinojosa,
• Jurisprudence Chair Jeff Wenworth,
• Intergovernmental Relations Chair Royce West, and
• Higher Education Chair Judith Zaffarini.

The official witness list for the House Public Health Committee hearing is available here. Organizations testifying or registering in favor of SB188 include:

• Texas Medical Association
• Texas Hospital Association
• Texas Nurses Association
• Texas Pediatric Society
• Texas Academy of Family Physicians
• Coalition for Nurses in Advanced Practice
• Scott & White Center for Healthcare Policy
• Harris County Healthcare Alliance
• Houston Area Immunization Partnership
• CHRISTUS Santa Rosa Health Care
• Legacy Community Health Services
• Bexar Area Harm Reduction Coalition
• South Texas Substance Abuse Recovery Services (STSARS)
• County Judges & Commissioners Association of Texas
• Bexar County Commissioners Court
• Trinity County
• League of Women Voters
• Texas IMPACT
• James A. Baker Institute for Public Policy, Rice University
• Texas Advocacy Project
• Retired Bexar County Constable
  
• St. Mark's Episcopal Church

Organizations that could not attend the hearing but submitted letters and resolutions in support include:

• Combined Law Enforcement Associations of Texas (CLEAT)
• Austin Police Chief
• Nueces County Sheriff
• Cameron County Sheriff
• Nueces County Constable Precinct 1
• Nueces County Constable Precinct 2
• Community Health Outreach Work to Prevent AIDS
• AIDS Services of Austin, Inc.
• American Civil Liberties Union of Texas
• Hepatitis C Advocate Network
• Latino HIV Task Force
• San Antonio AIDS Foundation
• Texas Academy of Internal Medicine

We will update you when the House Calendars Committee has acted. In the meantime, don't miss the excellent Grits for Breakfast coverage after the House hearing. Stay tuned!

Powerful coalition endorses federal syringe exchange legislation

Federal law authorizes syringe exchange programs - many organizations would like to see the federal government fund the programs also. In a letter to President Obama, the Hepatitis C Appropriations Partnership (HCAP) requested federal support for syringe exchange programs.

This impressive coalition of organizations all agree with the Texas Department of State Health Services that there is overwhelming scientific evidence that the transmission of HIV through injection drug use can be decreased significantly by needle exchange programs, and that they do not increase drug use. At this time, the group includes:

ACT UP Philadelphia
Agape Center, Woonsocket, RI
AIDS Action Baltimore
AIDS Action Committee of Massachusetts
AIDS Action Council, Washington, DC
AIDS Alabama, Birmingham, AL
AIDS Community Research Consortium (ACRC), Redwood City, CA
AIDS Community Research Initiative of America, New York, NY
The AIDS Institute, Washington, DC
AIDS Foundation of Chicago
AIDS Support Network, San Luis Obispo, CA
AIDS Treatment Data Network, New York, NY
Alert Health, Inc., North Miami, FL
Alliance for Saving Lives, San Francisco, CA
American Liver Foundation
Arizona Hepatitis C Coalition
Asian Health Coalition of Illinois
Asian Liver Center at Stanford University
Association of Asian Pacific Community Health Organizations
Bangor STD Clinic, Bangor, ME
CAB Health & Recovery Services, Lynn, MA
California Hepatitis Alliance (CalHEP)
Caring Ambassadors Program, Inc., Vancouver, WA
Cascade AIDS Project, Portland, OR
Chicago Recovery Alliance
Community Health Action of Staten Island
Community HIV/AIDS Mobilization Project
Discovery House: Bangor
Division of Gastroenterology and Hepatology, Weill Cornell Medical Center, NY
Drug Abuse Alternatives Center, Santa Rosa, CA
Florida Association of Public Health Nurses (FAPHN), Inc. Foundation for Healthy Living , Latham, NY
Georgia Doty Health Education Fund, IL
Greenview Hepatitis C Fund, Ann Arbor, MI
Harlem United Community AIDS Center
Harm Reduction Center of Southern Oregon
Harm Reduction Coalition
Hepatitis Support Network of Hawai’i
hepCmeditations project, Seattle, WA
Hep C Advocate Network, Inc. (HEPCAN), Longview, TX
HCV & HBV Support Group / O'Connor Hospital, Delhi, NY
H.E.A.L.S of the South, Hepatitis Education Awareness and Liver Support, Tallahassee, FL
Hep C Connection, Denver, CO
Hepatitis B Foundation
Hepatitis C Association, Scotch Plains, NJ
Hepatitis C Support Group – NYU Medical Center
Hepatitis C Support Project/HCV Advocate, San Francisco, CA
Hepatitis Education Project, Seattle, WA
Hepatitis Foundation International
Hepatitis Outbreaks’ National Organization for Reform (HONOReform)
HIV/AIDS Services for African Americans in Alaska, Anchorage, AK
HIVictorious, Inc., Madison, WI
HIV Alliance, Eugene, OR
Immunization Action Coalition
Latino Organization for Liver Awareness ( L.O.L.A.), New York, NY
Liver Health Today, Houston, TX
LiverHope, Minnetonka, MN
Los Angeles Gay & Lesbian Center
Lower East Side Harm Reduction Center, New York, NY
Maryland Hepatitis C Action, Annapolis, MD
Maryland Viral Hepatitis Task Force, Baltimore, MD
Maui AIDS Foundation
Mission Neighborhood Resource Center, San Francisco, CA
Mo Hepatitis C Alliance
National Alliance of State and Territorial AIDS Directors
National Association of People With AIDS (NAPWA)
National Coalition of STD Directors
National Task Force on Hepatitis B: Focus on Asian and Pacific Islander Americans
National Viral Hepatitis Roundtable
New York Harm Reduction Educators Inc.
New Mexico Hepatitis C Alliance
North Shore Health Project, Gloucester, MA
NYC AIDS Housing Network (NYCAHN)
Ohio Asian American Health Coalition
OraSure Technologies, Inc.
Piedmont HIV Health Care Consortium, Durham, NC
Point of Change, Inc., Detroit, MI
Positive Health Project, Inc., New York, NY
Project Inform, San Francisco, CA
PROYECTO SOL, Philadelphia, PA
San Mateo County AIDS Community Board, San Mateo, CA
Southern AIDS Coalition
St. Ann’s Corner of Harm Reduction, Bronx, NY
Status C Unknown, Inc., Medford, NY
Test Positive Aware Network (TPAN), Chicago, IL
Title II Community AIDS National Network, Washington, DC
Treatment Access Expansion Project
Treatment Action Group, New York, NY
The Virology Treatment Center, Maine Medical Center, Portland, ME
Upstate New York Hepatitis Awareness Project, Delancey, NY
Utah Department of Corrections
Vertex Pharmaceuticals Incorporated
Virginia Hepatitis Education and Training Center, Springfield, VA
Visionary Health Concepts
VOCAL-NY Users Union
Wabanaki Mental Health, Bangor, ME
Weill Cornell Medical Center
Western Maine Community Action Health Services, Lewiston, ME
Wilson Resource Center, Arnolds Park, IA
Wings for Life

SB188 headed to House floor with strong support

The Texas House Public Health Committee voted SB188 favorably out of committee this afternoon. The bill will be considered for the House floor schedule by the House Calendars Committee.

In the House committee process, the Senate bill and three similar House bills became one agreed piece of legislation with several strengthening amendments. During the formal meeting today, Chair Kolkhorst added language that strengthens the bill's monitoring and reporting requirements and Representative John Davis amended the preamble to clarify the legislation's purpose.

Voting in favor of the legislation were: Chairman Garnet Coleman, Representative John E. Davis, Chair Veronica Gonzales, Chair Susan King, Vice Chair Elliott Naishtat, Chair Vicki Truitt, and Chair (and Doctor) John Zerwas.

We will post updates regarding the witness list from Tuesday's hearing, the language of the committee substitute, and possible timing of a House floor decision as soon as we obtain these pieces of information.

House committee testimony overwhelmingly in favor of local control over disease prevention

The House Public Health Committee received testimony yesterday from several members of the clergy, the Texas Medical Association, a Senior Fellow for Religion and Public Policy, the Texas Department of State Health Services (resource witness), law enforcement, health providers and others - overwhelmingly in favor of giving local authorities the option to allow syringe exchange disease prevention programs. In addition, the Committee received letters and words of support from elected officials and organizations that could not attend the hearing including a Police Chief, Sheriffs, Constables, County Commissioners, the Combined Law Enforcement Associations of Texas and Scott & White hospital. We will post the letters and witness lists as they become available.

The hearing is available online for your viewing pleasure. It took place in three segments: morning can be seen here (forward to 1:00:45); lunch can be seen here; and the night time can be viewed here.

In addition, Grits for Breakfast covered the issue masterfully before and after the hearing. In the first piece, Grits provides links to all prior coverage which gives a rich history of the issue, and correctly points out:

"A majority of Public Health Committee members already voted for needle exchange once. The House had a vote in 2007 on an amendment by Rep. McLendon to allow a needle exchange pilot in Bexar County that tells us a lot about the bill's likely reception on committee. Here's how the committee members voted on that 2007 amendment:

Ayes: Naishtat; Coleman; Gonzales; Hopson; McReynolds, King, S;

Nays: Laubenberg, Truitt

Absent: Kolkhorst; Davis, J;

Present not voting: Zerwas"

In the second piece published after the morning hearing, Grits observed:

"Rep. Susan King, who chaired the subcommittee, was an especially knowledgeable and enthusiastic proponent for the legislation; I hope she'll repeat the performance when it comes up on the House floor because she did a great job arguing the merits of the program.

"Reacting to urging from the chair and committee member Dr. John Zerwas, King said the subcommittee added a strong counseling component to the bill, requiring syringe exchange programs to be "one stop shopping" information centers for helping drug addicts access treatment and medical services.

"The witnesses began with ministers from St. Mark's in San Antonio and another minister from Austin who gave a faith-based argument for the program. A minister from St. Mark's said Christ ate and sat with sinners, not to condone them but to redeem them. The Austin minister said healing was a central activity of Jesus' own ministry - 72% of Jesus' miraculous activity relates to healing those with physical or mental illness, he said."

Things are happening quickly now. Please stay tuned for more information about this life-saving legislation as it becomes available.

The evening portion of the hearing is beginning

Watch the live video feed here.

First videos of the House Public Health Committee hearings are posted

The House Public Health Committee began its hearing on SB188 at 9:15am today and continued until the House convened at 10am - watch the video here (forward to 1:00:45). The Committee continued the hearing during the lunch break - watch the video here.

The Committee heard testimony from experts and faith leaders from various Christian denominations. We'll discuss the hearing in later posts but there is no substitute for watching the videos yourself!

The Committee will continue to receive testimony on SB188 after the House adjourns today. As of this moment, they are still going strong on the House floor so we don't know what time that will be. Once they begin, you can watch this evening's hearing live here. ... Stay tuned.

Faith based panel will resume at the lunch break

The faith-based panel was not able to complete it's testimony this morning, so it will continue at the House lunch break. The remainder of the hearing on SB188 will continue after the House adjourns.

SB188 hearing schedule

Chair Kolkhorst announced the schedule for SB188 this morning. Testimony from the first panel will be received at 9am. The Committee will break to go to the House floor by 10am, and the remainder of the SB188 hearing will take place this afternoon a few minutes after the House adjourns for the day.

Watch the hearing live online here.

Bexar County Judge Nelson W. Wolff and Commissioners Court Support SB188

Bexar County Commissioners Court presiding officer Judge Nelson W. Wolff, who will be in a work session in San Antonio while the House Public Health Committee considers SB188 in Austin, sent the Commissioners Court's written support for SB188 for the legislature's consideration.

SB188 is a local options bill - it does not mandate any program. The legislation simply allows local governments to fund a local program, or authorize a privately-funded charity program, or simply do nothing. The Committee Substitute is expected to permit this disease prevention option in any Texas county with over 300,000 residents.

Soon after the Texas legislature authorized a pilot program in Bexar County in 2007, Judge Wolff (who has served the City of San Antonio as a city council member and as it's mayor and has served Bexar County as a member of the Texas House, the Texas Senate, and now serves as the head of Bexar County government) and his Commissioners Court unanimously authorized county funds to support the program. In his letter of support, he states:

"[W]e believe that a Sterile Needle Exchange program will stop the spread of blood borne diseases like HIV and various kinds of Hepititis. The cost of treatment to the taxpayers of Bexar County often runs into the hundreds of thousands of dollars for each infected person.

"Further, the history and experience of Sterile Needle Exchange programs in every other state in the nation has demonstrated that these programs promote access to drug treatment."

The hearing is expected to begin Tuesday, May 5, at 8:00 AM in Texas Capitol room E2.012. Watch the hearing live online here.