HEALTH & SAFETY CODE
SUBTITLE F. LOCAL REGULATION OF PUBLIC HEALTH
CHAPTER 121. LOCAL PUBLIC HEALTH REORGANIZATION ACT
SUBCHAPTER A. GENERAL PROVISIONS
§ 121.001. SHORT TITLE. This chapter may be cited as
the Local Public Health Reorganization Act.
Acts 1989, 71st Leg., ch. 678, § 1, eff. Sept. 1, 1989.
§ 121.002. DEFINITIONS. In this chapter:
(1) "Essential public health services" means services
to:
(A) monitor the health status of individuals in
the community to identify community health problems;
(B) diagnose and investigate community health
problems and community health hazards;
(C) inform, educate, and empower the community
with respect to health issues;
(D) mobilize community partnerships in
identifying and solving community health problems;
(E) develop policies and plans that support
individual and community efforts to improve health;
(F) enforce laws and rules that protect the
public health and ensure safety in accordance with those laws and
rules;
(G) link individuals who have a need for
community and personal health services to appropriate community and
private providers;
(H) ensure a competent workforce for the
provision of essential public health services;
(I) research new insights and innovative
solutions to community health problems; and
(J) evaluate the effectiveness, accessibility,
and quality of personal and population-based health services in a
community.
(2) "Physician" means a person licensed to practice
medicine by the Texas State Board of Medical Examiners.
Acts 1989, 71st Leg., ch. 678, § 1, eff. Sept. 1, 1989. Amended
by Acts 1999, 76th Leg., ch. 1378, § 1, eff. June 19, 1999.
§ 121.003. POWERS OF MUNICIPALITIES AND
COUNTIES. (a) The governing body of a municipality or the
commissioners court of a county may enforce any law that is
reasonably necessary to protect the public health.
(b) The governing bodies of municipalities and the
commissioners courts of counties may cooperate with one another in
making necessary improvements and providing services to promote the
public health in accordance with The Interlocal Cooperation Act
(Article 4413(32c), Vernon's Texas Civil Statutes).
(c) The commissioners court of a county may grant authority
under this subsection to a county employee who is trained by a
health authority appointed by the county under Section 121.021, by
a local health department established under Section 121.031, or by
a public health district established under Section 121.041 and who
is not a peace officer. The court may grant to the employee the
power to issue a citation in an unincorporated area of the county to
enforce any law or order of the commissioners court that is
reasonably necessary to protect the public health. A citation
issued under this subsection must state the name of the person
cited, the violation charged, and the time and place the person is
required to appear in court. If a person who receives a citation
under this subsection fails to appear on the return date of the
citation, the court may issue a warrant for the person's arrest for
the violation described in the citation.
Acts 1989, 71st Leg., ch. 678, § 1, eff. Sept. 1, 1989. Amended
by Acts 1991, 72nd Leg., ch. 562, § 1, eff. Aug. 26, 1991.
§ 121.004. LOCAL HEALTH UNITS. A local health unit is a
division of municipal or county government that provides public
health services but does not provide each service required of a
local health department under Section 121.032(a) or of a public
health district under Section 121.043(a).
Acts 1989, 71st Leg., ch. 678, § 1, eff. Sept. 1, 1989.
§ 121.005. STATE AND LOCAL AFFILIATION;
CONTRACTS. (a) A local health unit, local health department, or
public health district may become affiliated with the department to
facilitate the exchange of information and the coordination of
public health services.
(b) To be affiliated with the department, a local health
unit, local health department, or public health district must
annually provide to the department information relating to:
(1) services provided;
(2) staffing patterns; and
(3) funding sources and budget.
(c) The department may contract with a local health unit,
local health department, or public health district for the
provision of public health services.
(d) The board may adopt rules necessary to implement this
section.
Acts 1989, 71st Leg., ch. 678, § 1, eff. Sept. 1, 1989.
§ 121.006. PUBLIC HEALTH SERVICES FEES; STATE
SUPPORT. (a) The governing body of a municipality, the
commissioners court of a county, or the administrative board of a
public health district may adopt ordinances or rules to charge fees
for public health services.
(b) A municipality, county, or public health district may
not deny public health services to an individual because of
inability to pay for the services. A municipality, county, or
public health district shall provide for the reduction or waiver of
a fee for an individual who cannot pay for services in whole or in
part.
(c) The Uniform Grant and Contract Management Act of 1981
(Article 4413(32g), Vernon's Texas Civil Statutes) and standards
adopted under that Act control, if applicable, if the local health
unit, local health department, or public health district receives
state support for the provision of public health services.
(d) In this section, "public health services" means:
(1) personal health promotion and maintenance
services;
(2) infectious disease control and prevention
services;
(3) environmental and consumer health programs;
(4) public health education and information services;
(5) laboratory services; and
(6) administrative services.
Acts 1989, 71st Leg., ch. 678, § 1, eff. Sept. 1, 1989.
§ 121.0065. GRANTS FOR ESSENTIAL PUBLIC HEALTH
SERVICES. (a) Subject to the availability of funds, the
department shall administer a program under which appropriated
money may be granted to counties, municipalities, public health
districts, and other political subdivisions for use by the
counties, municipalities, public health districts, and other
political subdivisions to provide or pay for essential public
health services.
(b) The grants authorized by Subsection (a) shall be
distributed equally between urban and rural areas of the state.
(c) The board shall adopt rules governing:
(1) the allocation formula for grants awarded under
this section;
(2) the manner in which a municipality, county, public
health district, or other political subdivision applies for a
grant;
(3) the procedures for awarding grants; and
(4) the minimum essential public health services to be
provided under the grant and other standards applicable to the
services to be provided under the grant.
(d) A municipality, county, public health district, or
other political subdivision that receives a grant under this
section, in consultation with the department, shall develop a plan
to evaluate the effectiveness, accessibility, and quality of the
essential public health services that are provided under the grant.
The plan must:
(1) identify the outcomes that are intended to result
from the use of the grant money and establish a mechanism to measure
those outcomes; and
(2) establish performance standards for the delivery
of essential public health services and a mechanism to measure
compliance with those standards.
(e) The governing body of the municipality, the
commissioners court of the county, or the members of a public health
district may appoint a local health board to monitor the use of the
money received under this section.
(f) A public health board established under Section 121.034
or 121.046 may serve as the local health board authorized under
Subsection (e).
(g) The governing body of the municipality or the
commissioners court of a county may serve as the local health board
authorized under Subsection (e). If the governing body of the
municipality or the commissioners court of the county elects to
serve as the local health board, the governing body or
commissioners court may appoint an advisory committee to advise the
governing body or commissioners court with respect to the use of the
money granted under this section.
(h) Chapter 783, Government Code, and standards adopted
under that chapter control if applicable to a grant made under this
section.
Added by Acts 1999, 76th Leg., ch. 1378, § 2, eff. June 19, 1999.
§ 121.0066. ESSENTIAL PUBLIC HEALTH SERVICES PROVIDED BY
DEPARTMENT. (a) Subject to the availability of funds, the
department may provide essential public health services for a
population for which a municipality, county, public health
district, or other political subdivision is not receiving a grant
to provide those services under Section 121.0065.
(b) Subject to the availability of funds, the department
shall develop a plan that complies with Section 121.0065(d) to
evaluate the effectiveness, accessibility, and quality of
essential public health services provided under this section.
Added by Acts 1999, 76th Leg., ch. 1378, § 2, eff. June 19, 1999.
§ 121.0067. EVALUATION AND REPORT OF DELIVERY OF
ESSENTIAL PUBLIC HEALTH SERVICES. (a) The department, in
cooperation with municipalities, counties, public health
districts, and other political subdivisions that receive grants
under Section 121.0065, and the consortium established under
Subchapter F, shall evaluate:
(1) the effectiveness, accessibility, and quality of
essential public health services provided under the grant program
established by Section 121.0065 and under Section 121.0066; and
(2) the adequacy of funding for those services.
(b) Not later than January 1 of each odd-numbered year, the
department shall file with the governor and the presiding officer
of each house of the legislature a report detailing the results of
the evaluation conducted under Subsection (a). The report must
include recommendations relating to:
(1) legislation to improve the effectiveness,
accessibility, and quality of essential public health services;
and
(2) appropriate funding for those services.
Added by Acts 1999, 76th Leg., ch. 1378, § 2, eff. June 19, 1999.
§ 121.007. PUBLIC HEALTH REGIONS. (a) The board may
designate geographic areas of the state as public health regions to
provide public health services.
(b) The board shall appoint a physician to serve as regional
director for each public health region. The regional director is
the chief administrative officer of the region. The board shall
establish the qualifications and terms of employment of a regional
director.
(c) The board or its designee may require a regional
director to perform the duties of a health authority. The regional
director may perform those duties, as authorized by the board or
commissioner, in a jurisdiction in the region in which the health
authority fails to perform duties prescribed by the board under
Section 121.024. The regional director shall perform the duties of
a health authority in a jurisdiction in the region in which there is
not a health authority.
(d), (e) Repealed by Acts 1999, 76th Leg., ch. 1378, § 8,
eff. June 19, 1999.
Acts 1989, 71st Leg., ch. 678, § 1, eff. Sept. 1, 1989. Amended
by Acts 1991, 72nd Leg., ch. 118, § 1, eff. Sept. 1, 1991; Acts
1999, 76th Leg., ch. 1378, § 3, 8, eff. June 19, 1999.
§ 121.008. ANNUAL CONFERENCE. (a) The board shall
hold an annual conference for health authorities and for directors
of local health departments and public health districts. The
commissioner or the commissioner's designee shall preside over the
conference.
(b) A county or municipality may pay necessary expenses
incurred by its health authority or director in attending the
conference.
Acts 1989, 71st Leg., ch. 678, § 1, eff. Sept. 1, 1989.
SUBCHAPTER B. HEALTH AUTHORITIES
§ 121.021. HEALTH AUTHORITY. A health authority is a
physician appointed under the provisions of this chapter to
administer state and local laws relating to public health within
the appointing body's jurisdiction.
Acts 1989, 71st Leg., ch. 678, § 1, eff. Sept. 1, 1989. Amended
by Acts 1991, 72nd Leg., ch. 118, § 2, eff. Sept. 1, 1991.
§ 121.022. QUALIFICATIONS. (a) A health authority
must be:
(1) a competent physician with a reputable
professional standing who is legally qualified to practice medicine
in this state; and
(2) a resident of this state.
(b) To be qualified to serve as a health authority, the
appointee must:
(1) take and subscribe to the official oath; and
(2) file a copy of the oath and appointment with the
board.
Acts 1989, 71st Leg., ch. 678, § 1, eff. Sept. 1, 1989.
§ 121.023. TERM OF OFFICE. A health authority serves
for a term of two years and may be appointed to successive terms.
Acts 1989, 71st Leg., ch. 678, § 1, eff. Sept. 1, 1989.
§ 121.024. DUTIES. (a) A health authority is a state
officer when performing duties prescribed by state law.
(b) A health authority shall perform each duty that is:
(1) necessary to implement and enforce a law to
protect the public health; or
(2) prescribed by the board.
(c) The duties of a health authority include:
(1) establishing, maintaining, and enforcing
quarantine in the health authority's jurisdiction;
(2) aiding the board in relation to local quarantine,
inspection, disease prevention and suppression, birth and death
statistics, and general sanitation in the health authority's
jurisdiction;
(3) reporting the presence of contagious, infectious,
and dangerous epidemic diseases in the health authority's
jurisdiction to the board in the manner and at the times prescribed
by the board;
(4) reporting to the board on any subject on which it
is proper for the board to direct that a report be made; and
(5) aiding the board in the enforcement of the
following in the health authority's jurisdiction:
(A) proper rules, requirements, and ordinances;
(B) sanitation laws;
(C) quarantine rules; and
(D) vital statistics collections.
Acts 1989, 71st Leg., ch. 678, § 1, eff. Sept. 1, 1989.
§ 121.025. REMOVAL FROM OFFICE. A health authority may
be removed from office for cause under the personnel procedures
applicable to the heads of departments of the local government that
the health authority serves.
Acts 1989, 71st Leg., ch. 678, § 1, eff. Sept. 1, 1989.
SUBCHAPTER C. MUNICIPALITIES AND COUNTIES WITHOUT ORGANIZED LOCAL
PUBLIC HEALTH DEPARTMENTS OR DISTRICTS
§ 121.028. APPOINTMENT OF HEALTH AUTHORITY. (a) The
governing body of a municipality or the commissioners court of a
county that has not established a local health department or a
public health district may appoint a physician as health authority
to administer state and local laws relating to public health in the
municipality's or county's jurisdiction.
(b) The governing body of a municipality or the
commissioners court of a county described by Subsection (a) that is
receiving a grant under Section 121.0065 shall appoint a physician
as health authority.
(c) An individual appointed to serve as health authority for
a county or municipality may serve as the health authority for one
or more other jurisdictions under an interlocal contract made in
accordance with Chapter 791, Government Code.
Added by Acts 1991, 72nd Leg., ch. 118, § 3, eff. Sept. 1, 1991.
Amended by Acts 1999, 76th Leg., ch. 1378, § 4, eff. June 19,
1999.
§ 121.029. DELEGATION OF AUTHORITY. (a) A health
authority, unless otherwise restricted by law, may delegate a power
or duty imposed on the health authority by the board, or by this or
any other law, to a properly qualified physician to act while the
health authority is absent or incapacitated.
(b) The physician designated by the health authority must:
(1) meet the qualifications set out in Section
121.022(a);
(2) be appointed as a designee in the same manner as
the appointment of the health authority;
(3) take, subscribe, and file the official oath and
appointment with the board as required by Section 121.022(b); and
(4) file a certified copy of the written delegation
with the board.
(c) The delegation is effective during the term of the
health authority who made the delegation; however, the health
authority may limit the time to a shorter duration in the written
delegation of authority.
(d) The health authority is responsible for the acts of the
physician to whom the health authority has delegated the power or
duty.
(e) The entity that appoints the health authority and the
designee health authority must adopt procedures for the service of
the designee as health authority under this section. The
procedures shall prevent duplication of authority between the
health authority and the designee and provide notice to the
department when authority is transferred.
Added by Acts 1991, 72nd Leg., ch. 118, § 3, eff. Sept. 1, 1991.
SUBCHAPTER D. LOCAL HEALTH DEPARTMENTS
§ 121.031. ESTABLISHMENT. The governing body of a
municipality or the commissioners court of a county may establish a
local health department by majority vote.
Acts 1989, 71st Leg., ch. 678, § 1, eff. Sept. 1, 1989.
§ 121.032. POWERS AND DUTIES. A local health department
may perform all public health functions that the municipality or
county that establishes the local health department may perform.
Acts 1989, 71st Leg., ch. 678, § 1, eff. Sept. 1, 1989. Amended
by Acts 1999, 76th Leg., ch. 1378, § 5, eff. June 19, 1999.
§ 121.033. DEPARTMENT DIRECTOR. (a) The governing
body of a municipality or the commissioners court of a county shall
appoint the director of the municipality's or county's local health
department.
(b) The director is the chief administrative officer of the
local health department, and if the director is a physician, the
director is the health authority in the local health department's
jurisdiction.
(c) The governing body of a municipality or the
commissioners court of a county may designate a person to perform
its appointment duties under this section.
(d) A director of a local health department who is not a
physician shall appoint a physician as the health authority in the
local health department's jurisdiction, subject to the approval of
the governing body or the commissioners court, as appropriate, and
the board.
(e) The governing body or the commissioners court, as
appropriate, shall set the compensation of the director and the
health authority in its jurisdiction, except that the compensation,
including a salary, may be allowed only for services actually
rendered.
Acts 1989, 71st Leg., ch. 678, § 1, eff. Sept. 1, 1989. Amended
by Acts 1989, 71st Leg., ch. 1100, § 5.07(a), eff. Sept. 1, 1989.
§ 121.0331. DELEGATION OF AUTHORITY. (a) A health
authority, unless otherwise restricted by law, may delegate a power
or duty imposed on the health authority by the board, or by this or
any other law, to a properly qualified physician who is employed by
the municipality's or county's local health department to act while
the health authority is absent or incapacitated.
(b) The physician designated by the health authority must:
(1) meet the qualifications set out in Section
121.022(a);
(2) be appointed as a designee in the same manner as
the appointment of the health authority;
(3) take, subscribe, and file the official oath and
appointment with the board as required by Section 121.022(b); and
(4) file a certified copy of the written delegation
with the board.
(c) The delegation is effective during the term of the
health authority who made the delegation; however, the health
authority may limit the delegation to a shorter duration in the
written delegation of authority.
(d) The health authority is responsible for the acts of the
physician to whom the health authority has delegated the power or
duty.
(e) The entity or entities that appoint the health authority
and the designee health authority must adopt procedures for the
service of the designee as health authority under this section. The
procedures shall prevent duplication of authority between the
health authority and the designee and provide notice to the
department when authority is transferred.
Added by Acts 1991, 72nd Leg., ch. 118, § 7, eff. Sept. 1, 1991.
§ 121.034. PUBLIC HEALTH BOARD. (a) The governing
body of a municipality that establishes a local health department
may provide for the creation of an administrative or advisory
public health board and the appointment of representatives to that
board.
(b) The commissioners court of a county that establishes a
local health department may provide for the creation of an advisory
public health board and the appointment of representatives to that
board.
(c) The director of the local health department is an ex
officio, nonvoting member of any public health board established
for the local health department.
Acts 1989, 71st Leg., ch. 678, § 1, eff. Sept. 1, 1989.
SUBCHAPTER E. PUBLIC HEALTH DISTRICTS
§ 121.041. ESTABLISHMENT. By a majority vote of each
governing body, a public health district may be established by:
(1) two or more counties;
(2) two or more municipalities;
(3) a county and one or more municipalities in the
county; or
(4) two or more counties and one or more
municipalities in those counties.
Acts 1989, 71st Leg., ch. 678, § 1, eff. Sept. 1, 1989.
§ 121.042. ADMISSION TO DISTRICT. (a) Any
governmental entity, including a school district, may apply to
become a member of a public health district.
(b) The governing body of each member shall review the
application.
(c) The governmental entity may be admitted to membership on
terms acceptable to the applicant and the members if a majority of
the governing body of each member approves the application.
Acts 1989, 71st Leg., ch. 678, § 1, eff. Sept. 1, 1989.
§ 121.043. POWERS AND DUTIES. (a) A public health
district may perform any public health function that any of its
members may perform unless otherwise restricted by law.
(b) For purposes of Section 121.005, a public health
district shall be identified by its program of public health
services and shall, at a minimum, provide the services listed for a
local health department under Section 121.032(b).
(c) A public health district may sue and be sued.
Acts 1989, 71st Leg., ch. 678, § 1, eff. Sept. 1, 1989. Amended
by Acts 1991, 72nd Leg., ch. 476, § 3, eff. Aug. 26, 1991.
§ 121.044. COOPERATIVE AGREEMENT. (a) The members of
a public health district shall prepare a written cooperative
agreement that sets out fully the terms of operation of the
district.
(b) The terms in a cooperative agreement must include:
(1) organizational structure;
(2) financial administration; and
(3) procedures for:
(A) modification of the cooperative agreement;
(B) admission, withdrawal, and expulsion of
members;
(C) dissolution of the district; and
(D) selection and removal of a director.
(c) A cooperative agreement must be:
(1) approved by the governing body of each member; and
(2) signed by the appropriate officers of each
governing body.
(d) A modification of a cooperative agreement must be in
writing. A modification is effective on approval by the governing
body of each member.
(e) A copy of a cooperative agreement and of each
modification shall be:
(1) included in the minutes of the governing body of
each member; and
(2) filed with the clerk of each county and
municipality in the district and with the department.
Acts 1989, 71st Leg., ch. 678, § 1, eff. Sept. 1, 1989.
§ 121.045. DISTRICT DIRECTOR. (a) The members of a
public health district shall appoint the director of the district.
(b) The director is the chief administrative officer of the
public health district, and if the director is a physician, the
director is the health authority in the district's jurisdiction.
(c) A member may designate a person to perform its
appointment duties under this section.
(d) A director of a public health district who is not a
physician shall appoint a physician as the health authority for the
district, subject to the approval of the members and the board.
Acts 1989, 71st Leg., ch. 678, § 1, eff. Sept. 1, 1989. Amended
by Acts 1989, 71st Leg., ch. 1100, § 5.07(a), eff. Sept. 1, 1989.
§ 121.0451. DELEGATION OF AUTHORITY. (a) A health
authority, unless otherwise restricted by law, may delegate a power
or duty imposed on the health authority by the board, or by this or
any other law, to a properly qualified physician who is employed by
the public health district to act while the health authority is
absent or incapacitated.
(b) The physician designated by the health authority must:
(1) meet the qualifications set out in Section
121.022(a);
(2) be appointed as a designee in the same manner as
the appointment of the health authority;
(3) take, subscribe, and file the official oath and
appointment with the board as required by Section 121.022(b); and
(4) file a certified copy of the written delegation
with the board.
(c) The delegation is effective during the term of the
health authority who made the delegation; however, the health
authority may limit the delegation to a shorter duration in the
written delegation of authority.
(d) The health authority is responsible for the acts of the
physician to whom the health authority has delegated the power or
duty.
(e) The entity or entities that appoint the health authority
and the designee health authority must adopt procedures for the
service of the designee as health authority under this section. The
procedures shall prevent duplication of authority between the
health authority and the designee and provide notice to the
department when authority is transferred.
Added by Acts 1991, 72nd Leg., ch. 118, § 7, eff. Sept. 1, 1991.
§ 121.046. PUBLIC HEALTH BOARD. (a) The cooperative
agreement of a public health district may provide for the creation
of an advisory or administrative public health board.
(b) An advisory public health board shall advise the members
and director on matters of public health.
(c) An administrative public health board may adopt
substantive and procedural rules that are necessary and appropriate
to promote and preserve the health and safety of the public.
However, an administrative board may not adopt a rule that is not
specifically authorized by state law, conflicts with a law of this
state, or conflicts with an ordinance of a municipality or county in
the district.
(d) A public health board may perform any function relating
to the operation of the public health district that is required
under the cooperative agreement.
(e) The terms of a cooperative agreement that provides for a
public health board must include:
(1) the composition and number of the representatives
that compose the public health board;
(2) a method for appointing representatives to the
public health board;
(3) the length of the representatives' terms, which
must be staggered;
(4) a requirement that a representative must have
resided in the district for at least three years before the date of
the representative's appointment;
(5) a requirement that each representative serve
without compensation;
(6) the manner in which a vacancy is filled for an
unexpired term;
(7) the procedure and substantive criteria for the
removal of a representative; and
(8) a description of the relationship between the
director and the public health board.
(f) The director is an ex officio, nonvoting member of a
public health board established by the cooperative agreement.
Acts 1989, 71st Leg., ch. 678, § 1, eff. Sept. 1, 1989.
§ 121.047. FINANCES. The members of a public health
district shall pay the costs necessary to operate the district,
including costs for:
(1) staff salaries;
(2) supplies;
(3) suitable offices;
(4) health and clinic centers;
(5) health services and facilities; and
(6) maintenance.
Acts 1989, 71st Leg., ch. 678, § 1, eff. Sept. 1, 1989.
SUBCHAPTER F. PUBLIC HEALTH CONSORTIUM
§ 121.101. DEFINITION. In this chapter, "consortium"
means the public health consortium established under this
subchapter.
Added by Acts 1999, 76th Leg., ch. 1378, § 6, eff. June 19, 1999.
§ 121.102. CONSORTIUM ESTABLISHED. Subject to
availability of funds, the department shall establish a public
health consortium composed of:
(1) The University of Texas Health Science Center at
San Antonio;
(2) The University of Texas M. D. Anderson Cancer
Center;
(3) The University of Texas Southwestern Medical
Center at Dallas;
(4) The University of Texas Medical Branch at
Galveston;
(5) The University of Texas Health Science Center at
Houston;
(6) The University of Texas Health Science Center at
Tyler;
(7) the Texas Tech University Health Sciences Center;
(8) The Texas A&M University Health Science Center;
(9) the University of North Texas Health Science
Center at Fort Worth; and
(10) any other public institution of higher education
that elects to participate in the consortium.
Added by Acts 1999, 76th Leg., ch. 1378, § 6, eff. June 19, 1999.
§ 121.103. GENERAL DUTIES. (a) Subject to the
availability of funds, the department, in consultation with the
consortium and local health units, local health departments, and
public health districts, shall:
(1) develop curricula to provide training to public
health workers;
(2) conduct research on improving health status
outcomes and methods of monitoring those outcomes;
(3) develop performance standards for local health
units, local health departments, and public health districts;
(4) develop competency certification standards for
public health workers; and
(5) study the technology infrastructure available to
local health units, local health departments, and public health
districts and improve the use of this infrastructure to permit:
(A) statewide communication relating to disease
surveillance and reporting of public health information; and
(B) immediate access to public health
information and collaboration among public health professionals.
(b) The training curricula described by Subsection (a)(1)
may include training for local health authorities.
Added by Acts 1999, 76th Leg., ch. 1378, § 6, eff. June 19, 1999.
