CHAPTER 121. LOCAL PUBLIC HEALTH REORGANIZATION ACT

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HEALTH AND SAFETY CODE

TITLE 2. HEALTH

SUBTITLE F. LOCAL REGULATION OF PUBLIC HEALTH

CHAPTER 121. LOCAL PUBLIC HEALTH REORGANIZATION ACT

SUBCHAPTER A. GENERAL PROVISIONS

Sec. 121.001. SHORT TITLE. This chapter may be cited as the

Local Public Health Reorganization Act.

Acts 1989, 71st Leg., ch. 678, Sec. 1, eff. Sept. 1, 1989.

Sec. 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;

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, Sec. 1, eff. Sept. 1, 1989.

Amended by Acts 1999, 76th Leg., ch. 1378, Sec. 1, eff. June 19,

1999.

Sec. 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).

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, Sec. 1, eff. Sept. 1, 1989.

Amended by Acts 1991, 72nd Leg., ch. 562, Sec. 1, eff. Aug. 26,

1991.

Sec. 121.0035. REGULATION OF MOBILE FOOD UNITS AND ROADSIDE FOOD

VENDORS IN CERTAIN POPULOUS AREAS. (a) In this section, "mobile

food unit" and "roadside food vendor" have the meanings assigned

under Section 437.001.

(b) A municipality with a population of 1.5 million or more and

a county with a population of 3.4 million or more shall enforce

state law and rules adopted under state law concerning mobile

food units and roadside food vendors in the same manner that the

county or municipality enforces other health and safety

regulations relating to food service.

Added by Acts 2005, 79th Leg., Ch.

1288, Sec. 1, eff. September 1, 2005.

Sec. 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, Sec. 1, eff. Sept. 1, 1989.

Sec. 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.

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, Sec. 1, eff. Sept. 1, 1989.

Sec. 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.

(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.

(c-1) A fee for a public health service charged in the

jurisdiction of a public health district may be uniform

throughout the district regardless of which governmental entity

member of the district charges the fee. The fee may be set at an

amount up to the highest amount charged by any governmental

entity member of the district.

(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, Sec. 1, eff. Sept. 1, 1989.

Amended by:

Acts 2007, 80th Leg., R.S., Ch.

810, Sec. 1, eff. September 1, 2007.

Sec. 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.

(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, Sec. 2, eff. June 19,

1999.

Sec. 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, Sec. 2, eff. June 19,

1999.

Sec. 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, Sec. 2, eff. June 19,

1999.

Sec. 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.

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, Sec. 8, eff.

June 19, 1999.

Acts 1989, 71st Leg., ch. 678, Sec. 1, eff. Sept. 1, 1989.

Amended by Acts 1991, 72nd Leg., ch. 118, Sec. 1, eff. Sept. 1,

1991; Acts 1999, 76th Leg., ch. 1378, Sec. 3, 8, eff. June 19,

1999.

Sec. 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, Sec. 1, eff. Sept. 1, 1989.

SUBCHAPTER B. HEALTH AUTHORITIES

Sec. 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, Sec. 1, eff. Sept. 1, 1989.

Amended by Acts 1991, 72nd Leg., ch. 118, Sec. 2, eff. Sept. 1,

1991.

Sec. 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, Sec. 1, eff. Sept. 1, 1989.

Sec. 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, Sec. 1, eff. Sept. 1, 1989.

Sec. 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.

(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;

(D) vital statistics collections.

Acts 1989, 71st Leg., ch. 678, Sec. 1, eff. Sept. 1, 1989.

Sec. 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, Sec. 1, eff. Sept. 1, 1989.

SUBCHAPTER C. MUNICIPALITIES AND COUNTIES WITHOUT ORGANIZED LOCAL

PUBLIC HEALTH DEPARTMENTS OR DISTRICTS

Sec. 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.

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, Sec. 3, eff. Sept. 1,

1991. Amended by Acts 1999, 76th Leg., ch. 1378, Sec. 4, eff.

June 19, 1999.

Sec. 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.

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, Sec. 3, eff. Sept. 1,

1991.

SUBCHAPTER D. LOCAL HEALTH DEPARTMENTS

Sec. 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, Sec. 1, eff. Sept. 1, 1989.

Sec. 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, Sec. 1, eff. Sept. 1, 1989.

Amended by Acts 1999, 76th Leg., ch. 1378, Sec. 5, eff. June 19,

1999.

Sec. 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.

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, Sec. 1, eff. Sept. 1, 1989.

Amended by Acts 1989, 71st Leg., ch. 1100, Sec. 5.07(a), eff.

Sept. 1, 1989.

Sec. 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.

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, Sec. 7, eff. Sept. 1,

1991.

Sec. 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.

officio, nonvoting member of any public health board established

for the local health department.

Acts 1989, 71st Leg., ch. 678, Sec. 1, eff. Sept. 1, 1989.

SUBCHAPTER E. PUBLIC HEALTH DISTRICTS

Sec. 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, Sec. 1, eff. Sept. 1, 1989.

Sec. 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.

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, Sec. 1, eff. Sept. 1, 1989.

Sec. 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).

Acts 1989, 71st Leg., ch. 678, Sec. 1, eff. Sept. 1, 1989.

Amended by Acts 1991, 72nd Leg., ch. 476, Sec. 3, eff. Aug. 26,

1991.

Sec. 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;

(D) selection and removal of a director.

(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, Sec. 1, eff. Sept. 1, 1989.

Sec. 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.

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, Sec. 1, eff. Sept. 1, 1989.

Amended by Acts 1989, 71st Leg., ch. 1100, Sec. 5.07(a), eff.

Sept. 1, 1989.

Sec. 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.

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, Sec. 7, eff. Sept. 1,

1991.

Sec. 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.

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, Sec. 1, eff. Sept. 1, 1989.

Sec. 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, Sec. 1, eff. Sept. 1, 1989.

SUBCHAPTER F. PUBLIC HEALTH CONSORTIUM

Sec. 121.101. DEFINITION. In this chapter, "consortium" means

the public health consortium established under this subchapter.

Added by Acts 1999, 76th Leg., ch. 1378, Sec. 6, eff. June 19,

1999.

Sec. 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, Sec. 6, eff. June 19,

1999.

Sec. 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, Sec. 6, eff. June 19,

1999.

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