TITLE 25.HEALTH SERVICES

Part 11. TEXAS CANCER COUNCIL

Chapter 704. TEXANS CONQUER CANCER PROGRAM

25 TAC §§704.1, 704.3, 704.5, 704.7, 704.9, 704.11, 704.13

The Texas Cancer Council proposes new §§704.1, 704.3, 704.5, 704.7, 704.9, 704.11, and 704.13, concerning the implementation of the Texans Conquer Cancer Program (TCCP). The new rules define the Texans Conquer Cancer Advisory Committee, the Texans Conquer Cancer Account, and set guidelines for expenditures, grant awards, and termination of contracts. The new rules are proposed because they set forth the procedure and practice requirements to implement, interpret and/or prescribe the intent of the law that created the Texans Conquer Cancer License Plate Program.

Section 704.1 is proposed to define the Texans Conquer Cancer Advisory Committee and its purpose and tasks, the terms of the committee members, and the guidelines for committee meetings. This section sets the parameters for the committee to do its work.

Section 704.3 is proposed to define the Texas Conquer Cancer Account that exists in the Dedicated General Revenue Fund, what may be deposited into the Account, and how the Council may spend these funds. The requirements of this section are statutory.

Section 704.5 is proposed to define how the Texas Cancer Council will establish guidelines for awarding funds in the Texans Conquer Cancer Account.

Section 704.7 is proposed to describe the format and the content of applications submitted to the Council. This rule explains the proper format and clarifies the considerations and exceptions that are followed when submitting applications. This rule is necessary to assist the committee in carrying out its duties and maintain a consistent approach to accepting proposals.

This rule also describes the process which the committee follows when reviewing proposals. The rule explains the steps that followed by the committee for their review. These steps ensure a fair, impartial and objective review of each proposal, and ensure that proposals are linked to the goals of the Texas Cancer Plan.

This rule also describes the process that the committee follows when reviewing and making recommendations on projects. Included in this rule are steps identifying the process to be followed after a proposal has been awarded funds.

Section 704.9 is proposed to describe the committee powers when managing the termination process. This rule applies to grantees and describes expiration, notification, and reconsideration of contracts. The rule is necessary to ensure that contractual obligations are met and to protect the Council's interests and the interests of the Texans Conquer Cancer Account when such obligations are not met.

Section 704.11 is proposed to describe confidentiality of records and the guidelines that grantees must follow. This rule is necessary to ensure that these guidelines regarding confidentially are adopted, and that confidentiality is protected at the local level. Grantees often are exposed to confidential information about patients and clients. State and federal laws require that certain health information be kept confidential. These rules apply those confidentiality provisions to the grantees.

Section 704.13 is proposed to ensure that the requirements concerning the submission, approval and cancellation of grants are followed and are consistent among grantees.

Mickey Jacobs, the Executive Director of the Texas Cancer Council, has determined that for the first five-year period the rules are in effect there will be no foreseeable implications relating to costs or revenues for state or local government as a result of enforcing or administering the new rules.

Ms. Jacobs also has determined that for each year of the first five years the rules are in effect the public benefit anticipated as a result of enforcing the rules will be clarification of the policies and procedures the Council will follow to implement the Texans Conquer Cancer Program. There are no anticipated economic costs to persons who are required to comply with the rules as proposed.

Ms. Jacobs has determined that the new rules shall not have an effect on small businesses or on micro businesses.

Comments on the proposed rules may be submitted to Mickey Jacobs, Executive Director, Texas Cancer Council, P.O. Box 12097, Austin, Texas 78711.

The rules are proposed under the Texas Health and Safety Code Annotated, §102.010 which directs the Council to adopt rules governing the submission and approval of grant requests and the cancellation of grants, and §102.017(c) which directs the Council to establish guidelines for spending the money in the Texans Conquer Cancer Account.

The proposed rules implement Texas Health and Safety Code, §102.017 and §102.018 which create and govern the Texans Conquer Cancer program, account, and advisory committee.

There is no other statute, article or code that is affected by the proposed rules.

§704.1.Texans Conquer Cancer Advisory Committee.

(a) Advisory Committee

(1) The advisory committee shall be appointed under and governed by this section.

(2) The name of the advisory committee is Texans Conquer Cancer Advisory Committee (TCCAC).

(3) The council is authorized by Health and Safety Code, §102.018 to appoint a seven-member advisory committee.

(b) Purpose. The purpose of the TCCAC is to assist and advise the council regarding the Texans Conquer Cancer program.

(c) Tasks. The TCCAC shall:

(1) assist the council in establishing guidelines for spending money credited to the Texas Conquer Cancer Account (TCCA); and

(2) review and make recommendations to the council on applications submitted to the council for grants funded with money credited to the TCCA.

(d) Terms of TCCAC members

(1) The terms of office for each member shall be four years, with the terms of three or four members expiring on January 31st of each odd-numbered year. The term of office of one group made up of three of the original members expires on January 31, 2007. The term of office of the second group, consisting of the remaining four original members, will expire on January 31, 2009. Thereafter, the terms of the three-member group (Group A) and the terms of the four-member group (Group B) will expire on alternate odd-numbered years, beginning with Group A resulting in a four-year term for each group.

(2) Members serve without compensation and are not entitled to reimbursement for expenses.

(3) If a vacancy occurs, the council shall appoint a person to serve the unexpired portion of that term.

(4) The TCCAC shall select from among its members a presiding officer every odd-numbered year at the first committee meeting held during that calendar year.

(e) Meetings

(1) The TCCAC shall meet at least 30 days prior to a council board meeting or when directed by the council or Executive Director to conduct TCCAC business.

(2) Members shall attend meetings as scheduled. A TCCAC member who is unable to attend a meeting shall inform the presiding officer prior to the date of the meeting. Meetings may be held via tele-conference.

(3) Meeting arrangements shall be made by the presiding officer in consultation with council staff.

(4) The TCCAC is not a governmental body as defined in the Open Meetings Act; therefore, meetings need not comply with the requirements of the Open Meetings Act.

(5) Four members of the TCCAC shall constitute a quorum.

(6) The TCCAC shall report to council staff and a committee of the council regarding its reviews of applications submitted. The report should include a description of the review process and recommendations for awards. The recommendation shall be determined by a simple majority vote of the TCCAC.

§704.3.Texans Conquer Cancer Account.

(a) The TCCA is an account in the Dedicated General Revenue Fund as authorized by the Health and Safety Code §102.017.

(b) Money, gifts, grants and donations may be deposited in the TCCA from any source for the benefit of the TCCA.

(c) The council may spend these funds only

(1) to make grants to non-profit organizations that provide support services for cancer patients and their families, and

(2) to defray the cost of administering the TCCA.

§704.5.Guidelines for Expenditures.

The council, with advice from the TCCAC, shall establish guidelines for awarding the funds in the TCCA. The guidelines shall be referred to as the "Guidelines for Awarding Support Services Funds."

§704.7.Texans Conquer Cancer Grant Awards.

(a) This section governs the submission and review of grant applications, and the award, amendment, and termination of grants.

(b) The intent of these grants is to provide support services to cancer patients and their families.

(c) Funds from the TCCA will be used to award grants to non-profit organizations that provide a range of support services needed by cancer patients and their families.

(d) When the amount of funds in the TCCA becomes substantial, a notification of available funds will be published in the Texas Register , and the council will issue a Request For Applications (RFA).

(1) Funds may be used to provide the following allowable services, which include but are not limited to:

(A) Transportation

(B) Childcare

(C) Medical equipment

(D) Consumable supplies for cancer care

(E) Lodging for patients and/or family during active treatment

(F) Medications and equipment required for symptom control

(G) Rent assistance during active treatment

(H) Food assistance during active treatment

(2) Because other resources may cover these costs, funds may not be used to provide the following disallowable services, which include but are not limited to:

(A) Expenses associated with cancer treatment such as:

(i) Hospitalization

(ii) Surgery

(iii) Outpatient care, including laboratory tests and physician visits

(iv) Chemotherapy

(v) Radiation

(vi) Health insurance deductibles

(B) Operating expenses for the grantee such as utilities, salaries, office equipment, entertainment

(3) Items not listed in this subsection are not necessarily allowable.

(e) Scope. The council will award grants taking into consideration recommendations from the TCCAC.

(f) Application Requirements. Applications that are incomplete, are not in the proper format, or are marked as received by the council after the posted deadline shall be automatically disqualified and shall not be forwarded to the TCCAC for review or recommendation for award.

(g) Application Submission

(1) The grant application must be submitted to the council staff in accordance with instructions contained in the applicable RFA.

(2) Upon receipt, staff will review the proposals for completeness.

(3) All questions regarding submission and review process may be directed to council staff. The council staff shall not answer questions or provide advice to applicants regarding the merits of any application during the application process.

(h) Review Process

(1) Applications will be collected by the council staff and forwarded to the TCCAC. Council staff will be available to the TCCAC to answer questions concerning applicable statutes, council rules, requirements, and procedures.

(2) The TCCAC will review and evaluate each eligible proposal using appropriate selection criteria established in the RFA.

(3) All proposals that the TCCAC reviews will be submitted to a committee of the council for additional technical review.

(4) The TCCAC shall make recommendations to the council committee regarding the applications.

(5) A report from the council committee will be submitted to the full council before a final funding decision is made. The report shall include the TCCAC recommendation, the committee recommendation, and the basis for the committee's recommendation. The council will review recommendations from TCCAC at the next scheduled meeting of the council.

(6) Council members may review a proposal in its entirety prior to making a funding decision.

(7) Council approval is based on the requirements identified in the RFA.

(8) The council will set funding caps for all awards.

(i) Approval

(1) The council staff will notify applicants of the final decision.

(2) If an applicant's proposal is approved by the council, grant money will not be disbursed until the grantee signs a contract with the council.

(3) All council funding decisions are final and are not subject to reconsideration, appeal, or administrative or judicial review.

(j) Reporting. Grantees must submit reports to the council as described in the Guidelines for Awarding Support Services Funds.

§704.9.Termination of Contract with Grantee.

Termination

(1) The council may terminate the contract of any grantee prior to the expiration of the contract term upon finding that the grantee has defaulted or has not substantially performed under the contract. The council shall notify the grantee in writing of its intent to terminate at least 30 days before the intended termination date. The written notice shall state the reasons for the termination and the procedure for requesting reconsideration.

(2) The grantee shall have the opportunity to request that the council's contract management committee reconsider the proposed termination. The grantee must file a written request for reconsideration with the Executive Director, Texas Cancer Council, P.O. Box 12097, Austin, Texas 78711-2097, prior to the termination date; otherwise, the grantee will be deemed to have waived the review, and the contract will be terminated.

(3) During the time between the notice of the proposed termination and the final decision of the council contract management committee, the council may withhold further funding. In the event the contract management committee's decision is favorable to the grantee, the funds shall be promptly distributed to the grantee.

(4) The council hereby delegates to the contract management committee full authority to terminate grant contracts awarded under this chapter for reasons the committee deems appropriate. Any such decision of the council contract management committee shall be final and shall not be subject to reconsideration, appeal, or administrative or judicial review.

(5) The contract shall be subject to automatic termination if the council's funds are reduced or upon mutual agreement of the grantee and the council.

§704.11.Confidentiality of Records.

Confidentiality of records

(1) A grantee who provides direct services must have a system to protect client and patient records from inappropriate disclosure. Disclosure of confidential information must be in accordance with applicable law.

(2) As required by Section 5.04 of the Human Immunodeficiency Virus Services Act, Article 4419b-4, Texas Revised Civil Statutes, a grantee who receives funds for residential or direct client services or programs shall develop and implement guidelines regarding confidentiality of medical information regarding Acquired Immune Deficiency Syndrome (AIDS) and Human Immunodeficiency Virus (HIV) infection.

(A) The guidelines shall apply to all employees of the grantee and clients, patients, and residents served by the grantee.

(B) The guidelines shall be consistent with guidelines published by the Texas Department of Health and with state and federal regulations.

(C) A grantee that does not adopt confidentiality guidelines as required by this section is not eligible to receive state funds until the guidelines are adopted and implemented.

§704.13.Grantee Performance.

The grantee shall perform in accordance with the terms of the contract signed with the council.

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Filed with the Office of the Secretary of State on March 14, 2003.

TRD-200301766

Mickey L. Jacobs

Executive Director

Texas Cancer Council

Earliest possible date of adoption: April 27, 2003

For further information, please call: (512) 463-3190