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23 Document(s) [ Subject: Assisted living facilities ]

Committee:	House Human Services
Title:	Interim Report
Subjects:	Adoption | Assisted living facilities | Child abuse | Child abuse prevention | Child Protective Services | Early childhood intervention | Emergency management | Family preservation | Foster care | Hurricane Harvey | Long-term care | Managed care | Medicaid | Medicaid program management | Mentally ill persons | Natural disasters | Nursing homes | Pharmaceutical industry | Prescription drugs | State supported living centers | Substance abuse | Tropical storms |
Library Call Number:	L1836.85 H88
Session:	85th R.S. (2017)
Online version:	View report [50 pages]
Charges:	This report should address the charges below.
1.	Study the impact of Hurricane Harvey and the response to the storm on individuals living in long-term care facilities, assisted living facilities, state supported living centers, licensed community group homes, and children in the foster care system. Identify and recommend necessary solutions to ensure appropriate disaster-related protocols are in place to keep vulnerable Texans protected. Also, identify any challenges state agencies experienced in responding to the storm or during recovery efforts.
2.	Review the history and any future roll-out of Medicaid Managed Care in Texas. Determine the impact managed care has had on the quality and cost of care. In the review, determine: initiatives that managed care organizations (MCOs) have implemented to improve quality of care; whether access to care and network adequacy contractual requirements are sufficient; and whether MCOs have improved the coordination of care. Also determine provider and Medicaid participants’ satisfaction within STAR, STAR Health, Star Kids, and STAR+Plus managed care programs. In addition, review the Health and Human Services Commission's (HHSC) oversight of managed care organizations, and make recommendations for any needed improvement.
3.	Examine the survey process for nursing facilities to determine any duplication of government regulations. Consider recommendations to reduce duplication while ensuring patient safety is preserved.
4.	Review the availability of prevention and early intervention programs and determine their effectiveness in reducing maltreatment of children. In addition, review services available to children emancipating out of foster care, as well as services available to families post-adoption. Determine if current services are adequately providing for children's needs and meeting the objectives of the programs. While reviewing possible system improvements for children, follow the work of the Supreme Court of Texas Children's Commissions' Statewide Collaborative of Trauma-Informed Care to determine how trauma-informed care impacts outcomes for children.
5.	Analyze the prevalence of children involved with Child Protective Services (CPS) who have a mental illness and/or a substance use disorder. In addition, analyze the prevalence of children involved with CPS due to their guardian's substance abuse or because of an untreated mental illness. Identify methods to strengthen CPS processes and services, including efforts for family preservation; increasing the number of appropriate placements designed for children with high needs; and ensuring Texas Medicaid is providing access to appropriate and effective behavioral health services. (Joint charge with the House Committee on Public Health)
6.	Monitor the HHSC's implementation of Rider 219 in Article II of the General Appropriations Act related to prescription drug benefit administration in Medicaid. Analyze the role of pharmacy benefit managers in Texas Medicaid.
7.	Monitor the agencies and programs under the Committee’s jurisdiction and oversee the implementation of relevant legislation passed by the 85th Legislature. In conducting this oversight, the committee will also closely monitor the implementation of H.B. 4 (85R), H.B. 5 (85R), H.B. 7 (85R), and S.B. 11 (85R).
Committee:	Senate Health and Human Services
Title:	Interim Report
Subjects:	Abortion | Adoption | Adult day care | Assisted living facilities | Birth defects | Child abuse | Child abuse prevention | Child Protective Services | Family and Protective Services, Texas Department of | Foster care | Liability | Long-term care | Managed care | Medicaid | Mental health services | Mentally ill inmates | Nursing homes | Office of Inspector General, Health and Human Services Commission, Texas | Organ and tissue donations | Planned Parenthood | Pregnancy | Refugees and asylees | Senior citizens | Services for persons with disabilities | State employee turnover | Sunset review process | Telemedicine | Women's health |
Library Call Number:	L1836.84 H349
Session:	84th R.S. (2015)
Online version:	View report [152 pages]
Charges:	This report should address the charges below.
1.	Examine the business practices and regulatory structure of Planned Parenthood affiliates in Texas, and investigate whether state or federal laws are being broken by Planned Parenthood and/or its affiliates in Texas in regards to the donation and/or sale of fetal tissue. Consider recommendations to strengthen regulations on abortion providers, including further restrictions on the sale of fetal tissue by these entities. *
2.	Protecting the Unborn: Part I: Examine and make recommendations on the use of fetal tissue provided for research purposes and how related laws governing abortion procedures are interpreted and enforced. Part II: Examine the cause of action known as “wrongful birth.” The study should examine (1) its history in Texas, (2) its effect on the practice of medicine, and (3) its effect on children with disabilities and their families. Examine related measures proposed or passed in other states.
3.	Protection of Children Part I: Reducing Recurrence of Child Abuse and Neglect: Examine the current process that Child Protective Services uses to track recurrence of child abuse and neglect, and make recommendations to improve data tracking and the use of that data to assist in preventing recurrence. The study should examine the differences in recurrence among families who received services, families who received no services and had their cases closed, and families who had their children removed from the home. Part II: Addressing High-Acuity Needs of Foster Care Children: Study the increase in higher acuity children with trauma and mental illness in the state foster care system, and recommend ways to ensure children have timely access to appropriate treatment and placement options. Part III: Strengthening Adoptions: Examine the frequency, causes, and effects of disrupted foster care adoptions and make recommendations to improve the long-term success of adoptive placements. Study and make recommendations on ways to ensure a smooth transition for foster care children who are exiting the system.
4.	Healthy Aging: Part I: Study and make recommendations on innovative methods and best practices to promote healthy aging for the state’s population and reduce chronic medical and behavioral health conditions. Identify opportunities for improved collaboration to promote healthy aging in the health and human services system at the state, regional and local levels. Part II: Examine and recommend ways to improve quality and oversight in long-term care settings, including nursing homes and ICF/HCS programs. Monitor the implementation of legislation addressed by the Senate Committee on Health and Human Services during the 84th Regular Session related to the revocation of nursing home licenses for repeated serious violations.
5.	Medicaid Reform and State Innovation: Study the impact of the Section 1115 Texas Healthcare Transformation and Quality Improvement Program Waiver on improving health outcomes, reducing costs, and providing access to health care for the uninsured, and monitor the renewal process of the waiver. Explore other mechanisms and make recommendations to control costs and increase quality and efficiency in the Medicaid program, including the pursuit of a block grant or a Section 1332 Medicaid State Innovation Waiver for the existing Medicaid program.
6.	Inpatient Mental Health System Reform: Study and make recommendations on establishing collaborative partnerships between state-owned mental health hospitals and university health science centers to improve inpatient state mental health services, maximize the state mental health workforce, and reduce healthcare costs.
7.	Mental Health Diversion and Forensic Capacity: Study the impact of recent efforts by the legislature to divert individuals with serious mental illness from criminal justice settings and prevent recidivism. Study and make recommendations to address the state's ongoing need for inpatient forensic capacity, including the impact of expanding community inpatient psychiatric beds.
8.	Improving Access to Care through TeleHealth: Study and make recommendations on the appropriate use, scope and application of tele-monitoring and telemedicine services to improve management and outcomes for adults and children with complex medical needs and for persons confined in correctional facilities. Examine barriers to implementation of these services and any impact on access to health care services in rural areas of the state.
9.	Review of Refugee Resettlement Program: Study the impact to the state of the increasing number of refugees relocating to Texas, including the range of health and human services provided. Examine the authority of the state to reduce its burden under the Refugee Resettlement Program, and any state-funded services.
10.	Monitoring Charge: Monitor the implementation of legislation and riders related to health and human services that were considered by the 84th R.S. and make recommendations for any legislation needed to improve, enhance, and/or complete implementation, including but not limited to: ? The impact of changes made by the Department of Family and Protective Services, Child Protective Services on child safety, workforce retention, prevention, and permanency; ? Initiatives to reduce Medicaid fraud, waste and abuse, and other cost containment strategies, including examining the processes and procedures used by managed care organizations to address Medicaid fraud, waste and abuse; and The consolidation and expansion of women's health programs at the Health and Human Services Commission.
Committee:	House Insurance
Title:	Interim Report
Subjects:	Assisted living facilities | Fraud | Health care provider networks | Health insurance | Insurance industry | Insurance, Texas Department of | Medical bill balance billing | Prompt payment of insurance claims | Property insurance | Texas Mutual Insurance | Texas Windstorm Insurance Association | Windstorm insurance | Workers Compensation Commission, Texas | Workers' compensation |
Library Call Number:	L1836.84 In7
Session:	84th R.S. (2015)
Online version:	View report [87 pages]
Charges:	This report should address the charges below.
1.	Examine available data on the cost of weather-related property insurance claims and the incidence of litigation of these claims. Study whether these data reveal trends or patterns over time and what the drivers of these trends might be. Identify impacts on the property insurance market and on consumers from claims litigation.
2.	Examine the effectiveness of previous legislative efforts to encourage transparency and adequacy of health care networks, and of legislation to protect consumers from the negative impacts of disputes over out-of-network services. Study whether enhancements in transparency or regulation are necessary.
3.	Evaluate the statutory penalty calculations under Texas's prompt payment laws regarding health care claims. Include an analysis of whether the proper benchmarks are used to establish penalties commensurate with an improper payment and the effect of the abolition of the Texas Health Insurance Pool on the use of funds collected under the statute.
4.	Study the Texas credit for reinsurance statutes and how they affect market capacity, the cost of regulatory compliance, and the prospect of federal preemption of the state's ability to regulate reinsurance. Examine how alternative credit for reinsurance statutes in other jurisdictions function, including in the regulatory and legal systems of those jurisdictions.
5.	Monitor the implementation of SB 900 (84R), including the rulemaking process by the Texas Department of Insurance and the adoption of an updated plan of operation by the Texas Windstorm Insurance Association.
6.	Examine the effectiveness of residual market programs in the insurance industry in Texas, as well as approaches used in other states.
7.	Review the implementation of HB 2929, 83rd R.S.. Examine the bill's impact and compliance among affected health plans. Examine the costs incurred by the Employees Retirement System, Teacher Retirement System, and any other affected state health plans as a result of the legislation.
8.	Review current statutory provisions regarding the prosecution of workers' compensation insurance fraud. Examine ways to maintain or enhance fraud prosecution while ensuring a fair process for all parties involved.
9.	Conduct legislative oversight and monitoring of the agencies and programs under the committee’s jurisdiction and the implementation of relevant legislation passed by the 84th Legislature. In conducting this oversight, the committee should: a. consider any reforms to state agencies to make them more responsive to Texas taxpayers and citizens; b. identify issues regarding the agency or its governance that may be appropriate to investigate, improve, remedy, or eliminate; c. determine whether an agency is operating in a transparent and efficient manner; and d. identify opportunities to streamline programs and services while maintaining the mission of the agency and its programs.
Supporting documents
Committee:	House Insurance
Title:	Committee meeting handouts and testimony, March 30, 2016 (Prompt pay, post-acute brain injury care, workers' compensation fraud)
Library Call Number:
Session:	84th R.S. (2015)
Online version:	View document [168 pages  File size: 17,722 kb]
Committee:	Senate Home Health and Assisted Living Facilities, Interim
Title:	Interim report
Library Catalog Title:	Report to the Seventy-Sixth Legislature.
Subjects:	Assisted living facilities | Home health agencies | Home health aides | Home health care services | Long-term care |
Library Call Number:	L1836.75 h75
Session:	75th R.S. (1997)
Online version:	View report [203 pages  File size: 9,780 kb]
Charges:	This report should address the charges below.
1.	Evaluate the state's regulatory framework for personal care homes and assisted living facilities. Recommend any necessary legislation to ensure quality of care and protection of Texans in personal care homes and assisted living facilities, including appropriate regulatory oversight.
2.	Evaluate the state's regulatory framework, including licensing, rates and methodology, for home health care and rehabilitation service industries, and determine whether changes are needed to assist and protect Texans in accessing these services.
Committee:	Joint Future of Long Term Health Care, Special Task Force
Title:	Interim report
Library Catalog Title:	Report to the 71st Legislature / the Special Task Force on the Future of Long Term Health Care.
Subjects:	Assisted living facilities | Community care | Health, Texas Department of | Home health care services | Human Services, Texas Department of | Long-term care | Medicaid | Medical reimbursements | Nursing homes | Nursing shortages | Quality of care | Senior citizens | Services for persons with disabilities |
Library Call Number:	L1836.70 l859
Session:	70th R.S. (1987)
Online version:	View report [99 pages  File size: 3,408 kb]
Charge:	This report should address the charge below.
1.	Study the current and future status of long term health care in Texas and to analyze all current laws and regulations that affect long term health care, with the goal of providing quality care for residents in the most efficient manner. The study should include: (1) a cost-efficient, simple and completely integrated regulatory system between the Texas Department of Health and the Texas Department of Human Services; (2) a regulatory system that focuses on enhancing quality care through an incentive program with sanctions and penalties carefully defined; (3) a long-term care reimbursement process designed to foster cost containment, good patient access and quality of care; and (4) defining and streamlining the certification process, as well as Medicaid eligibility.
Supporting documents
Committee:	Joint Future of Long Term Health Care, Special Task Force
Title:	HCR 213, 70th Leg.
Library Call Number:	HCR 213, 70th Leg.
Session:	70th R.S. (1987)
Online version:	View document [2 pages  File size: 181 kb]
Committee:	House Human Services
Title:	Interim Report
Library Catalog Title:	Interim report of the Committee on Human Services, Texas House of Representatives to the Seventieth Legislative Session, 1986.
Subjects:	Assisted living facilities | Child care | Child Protective Services | Criminal records | Long-term care | Medicaid | Medical reimbursements | Medicare | Mental health services | Nursing homes | Poverty | Preferred provider organizations | Privatization | Senior citizens | State employee turnover | Teenage pregnancy | Welfare | Welfare-to-work |
Library Call Number:	L1836.69 h88
Session:	69th R.S. (1985)
Online version:	View report [178 pages  File size: 9,803 kb]
Charges:	This report should address the charges below.
1.	To study the Aid to Families with Dependent Children Program (AFDC), including the problems of needy children and their families, the various employment, training and education programs, and other options designed to help Texas families become self-supporting.
2.	To study the problems encountered by the elderly in gaining access to appropriate post-hospital health care services, including skilled nursing and custodial services.
3.	To study the Child Protective Services Program of the Department of Human Services regarding case workloads and staffing requirements.
4.	To study the implementation of criminal background check legislation for child-care workers including the use of federal funds for caregiver training.
5.	To study continuing care communities and other options for the well-elderly.
6.	To study the problems of preventing unwanted teenage pregnancy, preventing poor parenting by teenagers, and preventing unemployment and poverty in teen-headed families.
7.	To study the advantages and disadvantages of the preferred provider insurance plan, with particular emphasis on consideration of quality of services, access to services, cost of care rendered, the effect on existing physician-patient relationships, and a proposed legislative/regulatory structure for such medical care delivery and financing arrangements; in conjunction with Insurance and Public Health Committees.
8.	To study the utilization of and potential for further development of privatization of care for the mentally ill and mentally retarded in the State, in conjunction with Appropriations and Law Enforcement committees.
9.	To study the impact on Medicare-Medicaid and associated state health and welfare costs of the elimination of the certificate of need process in Texas.
Committee:	House Nursing Home Reform, House Joint, Interim
Title:	Interim report
Library Catalog Title:	Interim report to the 69th Texas Legislature / House Joint Interim Study Committee on Nursing Home Reform.
Subjects:	Assisted living facilities | Long-term care | Nursing homes | Senior citizens |
Library Call Number:	L1836.68 n938
Session:	68th R.S. (1983)
Online version:	View report [66 pages  File size: 2,129 kb]
Charges:	This report should address the charges below.
1.	Conduct a thorough examination of the nursing home industry in the state.
2.	Study of recent legislation passed by other states concerning the industry.
3.	Monitor the working relationship of the industry with the Texas Dept. of Health, Human Resources and Attorney General.
4.	Examine provisions or previous legislation concerning the industry passed by previous sessions of the legislature
5.	Study alternative care services for the elderly and their cost effectiveness.
6.	Determine whether or not the Intermediate Care Facility II nursing care program should be restored to a full or modified degree.
7.	Examine the screening process for entry in a long term care facility as to comprehensiveness and equity.
Committee:	Joint Long-term Care Alternatives
Title:	Interim Report
Library Catalog Title:	Final report / Joint Committee on Long-Term Care Alternatives.
Subjects:	Assisted living facilities | Long-term care | Nursing homes | Quality of care | Senior citizens |
Library Call Number:	L1836.65 L854
Session:	65th R.S. (1977)
Online version:	View report [43 pages  File size: 3,751 kb]
Charge:	This report should address the charge below.
1.	Report to the legislature on the alternative care program. The report must include a complete evaluation of the effectiveness of the program and its effect on the number of persons receiving and the quality of care given under nursing home care programs. The report must also contain recommendations relating to whether or not alternate care is a suitable substitute for some kinds of nursing home care and whether there is a continuing need for minimum level nursing care programs, such as Intermediate Care Facility II programs.
Supporting documents
Committee:	Joint Long-term Care Alternatives
Title:	Joint Committee on Long-Term Care Alternatives Status Report
Library Catalog Title:	Joint Committee on Long-Term Care Alternatives.
Library Call Number:	L1836.65 L854 1977
Session:	65th R.S. (1977)
Committee:	Joint Long-term Care Alternatives
Title:	A longitudinal study of elderly SSI and community care clients, 1976-1978 : selected findings
Library Catalog Title:	A longitudinal study of elderly SSI and community care clients, 1976-1978 : selected findings / presented by Joint Committee on Long-Term Care Alternatives.
Library Call Number:	L1836.65 L854T 1
Session:	65th R.S. (1977)
Online version:	View document [83 pages  File size: 14,237 kb]
Committee:	Joint Long-term Care Alternatives
Title:	Admission to a nursing home : an exploratory study of the decision-making process
Library Catalog Title:	Admission to a nursing home : an exploratory study of the decision-making process / presented by Joint Committee on Long-Term Care Alternatives.
Library Call Number:	L1836.65 L854T 3
Session:	65th R.S. (1977)
Online version:	View document [44 pages  File size: 7,543 kb]
Committee:	Joint Long-term Care Alternatives
Title:	Agency providers survey : working paper
Library Catalog Title:	Agency providers survey : working paper / presented by Joint Committee on Long-Term Care Alternatives.
Library Call Number:	L1836.65 L854A
Session:	65th R.S. (1977)
Online version:	View document [71 pages  File size: 12,207 kb]
Committee:	Joint Long-term Care Alternatives
Title:	Nursing home survey and analysis
Library Catalog Title:	Nursing home survey and analysis / presented by Joint Committee on Long-Term Care Alternatives.
Library Call Number:	L1836.65 L854T 2
Session:	65th R.S. (1977)
Online version:	View document [129 pages  File size: 17,264 kb]
Committee:	Joint Long-term Care Alternatives
Title:	Physicians survey : working paper
Library Catalog Title:	Physicians survey : working paper / presented by Joint Committee on Long-Term Care Alternatives.
Library Call Number:	L1836.65 L854W
Session:	65th R.S. (1977)
Online version:	View document [23 pages  File size: 4,254 kb]
Committee:	Joint Long-term Care Alternatives
Title:	Report on statewide hearings : a public response to long-term care
Library Catalog Title:	Report on statewide hearings : a public response to long-term care / presented by Joint Committee on Long-Term Care Alternatives
Library Call Number:	L1836.65 L854T 5
Session:	65th R.S. (1977)
Online version:	View document [71 pages  File size: 16,065 kb]
Committee:	Joint Long-term Care Alternatives
Title:	The elderly in Texas : population projections, 1970-2000
Library Catalog Title:	The elderly in Texas : population projections, 1970-2000 / presented by Joint Committee on Long-Term Care Alternatives.
Library Call Number:	L1836.65 L854T 6
Session:	65th R.S. (1977)
Online version:	View document [61 pages  File size: 11,609 kb]
Committee:	Joint Long-term Care Alternatives
Title:	Well-being in old age : essential services
Library Catalog Title:	Well-being in old age : essential services / presented by Joint Committee on Long-Term Care Alternatives.
Library Call Number:	L1836.65 L854T 4
Session:	65th R.S. (1977)
Online version:	View document [107 pages  File size: 28,319 kb]
Committee:	Joint Long-term Care Alternatives
Title:	Community care program staff survey : working paper
Library Catalog Title:	Community care program staff survey : working paper / presented by Joint Committee on Long-Term Care Alternatives.
Library Call Number:	L1836.65 L854C
Session:	65th R.S. (1977)
Online version:	View document [28 pages  File size: 5,738 kb]
Committee:	Joint Long-term Care Alternatives
Title:	Legislative initiatives = protuesta accion legislativa
Library Catalog Title:	Legislative initiatives = protuesta accion legislativa / Joint Committee on Long-Term Care Alternatives.
Library Call Number:	L1836.65 L854I
Session:	65th R.S. (1977)
Online version:	View document [16 pages  File size: 2,475 kb]
Committee:	Joint Long-term Care Alternatives
Title:	Projections of the general and elderly population of Texas, 1970-2000 : by representative districts
Library Catalog Title:	Projections of the general and elderly population of Texas, 1970-2000 : by representative districts / presented by Joint Committee on Long-Term Care Alternatives.
Library Call Number:	L1836.65 L854PH
Session:	65th R.S. (1977)
Online version:	View document [157 pages  File size: 21,458 kb]
Committee:	Joint Long-term Care Alternatives
Title:	Projections of the general and elderly population of Texas, 1970-2000 : by senatorial districts
Library Catalog Title:	Projections of the general and elderly population of Texas, 1970-2000 : by senatorial districts / presented by Joint Committee on Long-Term Care Alternatives.
Library Call Number:	L1836.65 L854PS
Session:	65th R.S. (1977)
Online version:	View document [37 pages  File size: 5,467 kb]

* This represents an abstract of the report contents. Charge text is incomplete or unavailable.

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