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87TH LEGISLATIVE                                                                                                                                                                                                      87TH LEGISLATIVE
          SESSION                                                                                                                                                                                                               SESSION






                                                                                                                                 seat formerly held by Senator Pete Flores.             visits at the Capitol.  Since the start of the pandemic over a year ago,
                                                                                                                                   Rules adopted by the Senate introduced COVID-19 protocols to   Zoom meetings became the norm and replaced all in-person meetings.
                                                                                                                                 be implemented for everyone during the first 60 days of the session.    During the interim, TMA and BCMS joined forces with the TMA
                                                                                                                                 As stated, any person, including members of the Senate, entering the   Alliance to participate in First Tuesdays in the District.  These were
                                                                                                                                 Senate Chamber, the Senate gallery or attending a Senate committee   visits with our state representatives from Bexar County, in their district
                                                                                                                                 hearing, must first test negative for COVID-19. Members of the pub-  offices.  We were fortunate to visit with a couple of our legislators in
                                                                                                                                 lic are not required to take a COVID-19 test prior to entering the   person just before the pandemic hit.  After that, BCMS and TMA
                                                                                                                                 Capitol.  Free testing is available, however, and individuals who test   held several visits with our legislators last Fall in preparation for the
                                                                                                                                 negative are given a wristband in order to enter the Senate gallery or   start of the 87th Legislative Session.  Presently, we are actively partic-
                                                                                                                                 Senate committee hearing.  Additionally, wristbands will be given to   ipating in virtual meetings with our legislators and their staffs to advise
                                                                                                                                 individuals showing proof of vaccination. Adjustments to these rules   them of medicine’s issues.  Another change this Session is that the First
                                                                                                                                 could be considered in March.                          Tuesdays visits are scheduled anytime and not held strictly on the ac-
                                                                                                                                   The adopted rules of the House of Representatives do not call for   tual First Tuesday of each month between February and May.
                                                                                                                                 strict testing protocols as outlined in the Senate.  Basically, discretion   As with each legislative session, TMA prepares a legislative agenda
                                                                                                                                 on testing is left to the individual House members and to the public.    which highlights key items of importance to medicine (the full agenda
                                                                                                                                 All visitors to the Capitol may get tested, if they wish, at no expense   is available in this issue of San Antonio Medicine).  Among the key
                                                                                                                                 to them.  The state representatives have the right to require testing of   items on TMA’s radar are: coverage expansion for the uninsured and
                                                                                                                                 anyone that comes into their personal office.          underinsured; improve access to telemedicine services for patients;
                                                                                                                                   As with every legislative session, the only bill that must pass is the   support of telemedicine payment parity; reduce health insurance prior
                                                                                                                                 state budget.  At the time of this writing, both the Senate and House   authorization red tape; strengthen the state’s public health infrastruc-
                                                                                                                                 have filed budget bills and committee hearings are underway.     ture; preserve health care funding in the state budget; ensure patient
                                                                                                                                   A number of issues are being tackled this session. One committee   safety through team-based care (scope of practice); prevent taxation
                                                                                                                                 that started working right out of the gate is the Committee on Redis-  of medical billing services; preserve funding for medical residency and
           The 87th Session of the Texas Legislature:                                                                            tricting.  Normally, the work of this committee is conducted during   rural loan repayment programs; increase the Texas tobacco tax and
                                                                                                                                 the interim, but due to the COVID-19 pandemic, earlier in-person
                                                                                                                                                                                        create a tax for vape products; and retain Texas’ landmark medical li-
                      How the COVID-19 Pandemic Has Affected                                                                     hearings around the state had to be postponed.  The Committee on   ability reforms.
                                                                                                                                                                                         As your lobbyist and representative with our elected officials, I also
                                                                                                                                 Redistricting has been holding regional, public hearings virtually via
                                    The 2021 Legislative Session                                                                 videoconference.  In addition, members of this Committee await the   work with the TMA lobby team, led by Dan Finch, VP of Advocacy,
                                                                                                                                 data from the 2020 Census, also delayed by the COVID-19 pandemic,   along with associate directors of advocacy, Troy Alexander, Michelle
                                   By Mary E. Nava, MBA, BCMS Chief Government Affairs Officer                                   which is critical to the work of the Redistricting Committee.  The   Romero and Clayton Stewart to keep our physicians informed on the
                                                                                                                                 Census data will show how the population of Texas has changed over   status of medicine’s issues as key legislation on these items moves
                                                                                                                                 the last decade.  This information identifies changes in the number of   through the legislative process.  In addition, as staff liaison to the
                                                                                                                                 congressional seats for the state, thereby providing key data for law-  BCMS Legislative and Socioeconomics Committee, I assist the physi-
          Never before experienced in the Texas Legislature’s 175-year history,   as state representative for House District 21.  Congratulations to   makers to assess as they work to redraw house, senate and congres-  cian members of the committee to track and monitor important leg-
        the 87th Legislative Session is the first ever to require social distancing   Speaker Phelan, who becomes the 76th Speaker of the Texas House.     sional district lines.       islation, coordinate visits with legislators and provide key details and
        protocols, the wearing of masks and in some cases, a negative test result   We also congratulate a new State Representative from San Antonio,   Among the issues prioritized as emergency items by Governor Ab-  alerts as information becomes available.  Members of this committee
        for COVID-19.                                          Rep. Elizabeth “Liz” Campos, representing Bexar County’s House Dis-  bott for the 87th Legislative Session, as presented during his State of   are active participants in visits with our legislators.
          This Session kicked off at noon on Tuesday, January 12 with the   trict 119, the seat formerly held by now Senator Roland Gutierrez.   the State address last month, are:  1) the expansion of broadband ac-
        Texas House and Senate chambers conducting the swearing-in of the   On the Senate-side, senate members elected Senator Brian Birdwell   cess; 2) funding police; 3) fixing our flawed bail system; 4) election   Mary Nava is the Chief Government Affairs Officer at
        elected members of both chambers.  During previous sessions of the   of Granbury as Senate president pro tempore.  The president pro tem-  integrity; and 5) civil liability protections for businesses, individuals   BCMS. To learn more about how you can participate in the
        Legislature, both Chamber floors and galleries were packed with fam-  pore will act as acting governor when Governor Greg Abbott and Lt.   and healthcare providers during a pandemic.  Emergency items are   First Tuesdays visits with our legislators, register at
        ily and visitors to mark the occasion, but for this session, only a limited   Governor Dan Patrick are out of the state at the same time.  Congrat-  fast-tracked during the first 60 days of the Session.   www.texmed.org/firsttuesdays and consider joining the
        number of guests joined in the ceremonies. In addition, as is custom-  ulations to Senator Birdwell as well as to a new member of the Senate   At the time of this writing, the February 2 First Tuesdays visits with   BCMS Legislative and Socioeconomics Committee by contacting Mary
        ary, members of the House of Representatives elected a new speaker,   from San Antonio, former Rep. Roland Gutierrez, now Senator   our legislators are behind us and what has been different this session   Nava at mary.nava@bcms.org.
        Rep. Dade Phelan from Beaumont, currently serving his fourth term   Gutierrez, who represents the sprawling area of Senate District 19, the   is that there are no trips planned to Austin for in-person First Tuesdays



         12     SAN ANTONIO MEDICINE  • March 2021                                                                                                                                                                   Visit us at www.bcms.org     13
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