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6 Document(s) [ Subject: Physician%20shortages ]
| Committee: | Senate Health and Human Services | |
| Title: | Interim Report | |
| Subjects: | Child care | Coronavirus | Disease preparedness | Emergency management | Immunizations | Long-term care | Medical licensing | Mental health services | Nursing shortages | Physician shortages | Public health | State Health Services, Texas Department of | Vaccine mandates | | |
| Library Call Number: | L1836.87 H349 | |
| Session: | 87th R.S. (2021) | |
| Online version: | View report [38 pages File size: 1,285 kb] | |
| Charges: | This report should address the charges below. | |
| 1. | Public Health Data: Review the processes for public health data collection and coordination by local and state entities as well as regional trauma centers. Identify any continuing barriers to the real-time dissemination of data concerning health care facility capacity—including data that can expedite timely care—and mortality rates, as well as other information that can assist in public policy decisions. | |
| 2. | Health Care Workforce: Study the impact of the global pandemic on the health care workforce in acute and long-term care. Identify health care staffing challenges and examine how staffing services and payment models changed the economics of the health care workforce. Identify and recommend ways to increase the health care workforce pipeline. | |
| 3. | Pandemic Response: Examine the impact of state and federal pandemic policies—including agency guidance, licensing and regulatory actions, and health care industry policies—on patient care and treatment delivery. Examine how regulatory guidance impacts the patient-doctor relationship. Recommend any changes needed to ensure Texas can develop its own data-driven guidance during public health emergencies. | |
| 4. | Monitoring: Monitor the agencies and programs under the Committee's jurisdiction and oversee the implementation of relevant legislation passed by the 87th Legislature. Conduct active oversight of all associated rulemaking and other governmental actions taken to ensure intended legislative outcome of all legislation. | |
| Committee: | House Public Health | |
| Title: | Interim Report | |
| Subjects: | Border health | Drug overdoses | Drug-related deaths | Hospitals | Interstate compacts | Medical education | Medical licensing | Medical marijuana | Nursing shortages | Opioids | Physician shortages | Public health | Rural health care | Substance abuse | Telemedicine | | |
| Library Call Number: | L1836.87 H39h | |
| Session: | 87th R.S. (2021) | |
| Online version: | View report [108 pages File size: 2,369 kb] | |
| Charges: | This report should address the charges below. | |
| 1. | Consider issues involving access to health care along the Texas-Mexico border, including, but not limited to, the ability to access providers, hospital capacity, pharmaceutical adequacy and whether any particularized training or education is necessary or appropriate. | |
| 2. | Monitor the agencies and programs under the Committee’s jurisdiction and oversee the implementation of relevant legislation passed by the 87th Legislature. Conduct active oversight of all associated rulemaking and other governmental actions taken to ensure the intended legislative outcome of all legislation, including the following:
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| 3. | Study the impact of fentanyl-related overdoses and deaths in Texas. Evaluate existing data collection, dissemination, and mitigation strategies regarding opioid abuse in Texas. Make recommendations to improve coordinated prevention, education, treatment, and data-sharing. | |
| 4. | Study current telemedicine trends by assessing and making recommendations related to standardizing required documentation healthcare providers must obtain for consent for treatment, data collection, sharing and retention schedules, and providing telemedicine medical services to certain cancer patients receiving pain management services and supportive palliative care. | |
| 5. | Examine existing resources and available opportunities to strengthen the state’s nursing and other health professional workforce, including rural physicians and nurses. | |
| 6. | Assess ongoing challenges in the rural health care system and the impact of legislation and funding from the 87th regular and special sessions on strengthening rural health care and the sustainability of rural hospitals and health care providers. Evaluate federal regulations authorizing the creation of a Rural Emergency Hospital provider type and determine if promoting this type of facility could increase local access to care in rural areas of the state. | |
| Supporting documents | ||
| Committee: | House Public Health | |
| Title: | Committee meeting handouts and testimony, October 5, 2021 | |
| Library Call Number: | ||
| Session: | 87th R.S. (2021) | |
| Online version: | View document [129 pages File size: 20,653 kb] | |
| Committee: | House Public Health | |
| Title: | Interim Report | |
| Subjects: | Dental care | Dental Examiners, Texas State Board of | Farms and farming | Food safety | Food stamps | Health care costs | Hunger | Medicaid | Medical education | Medical records | Nurse practitioners | Patient Protection and Affordable Care Act | Physician assistants | Physician shortages | Property tax exemptions | Public health | School nutrition | Small farms | State hospitals | | |
| Library Call Number: | L1836.82 H349h | |
| Session: | 82nd R.S. (2011) | |
| Online version: | View report [66 pages] | |
| Charges: | This report should address the charges below. | |
| 1. | Examine the adequacy of the primary care workforce in Texas and assess the impact of an aging population, the passage of the Patient Protection and Affordable Care Act, and state and federal funding reductions to graduate medical education and physician loan repayment programs. Study the potential impact of medical school innovations, new practice models, alternative reimbursement strategies, expanded roles for physician extenders, and greater utilization of telemedicine. Make recommendations to increase patient access to primary care and address geographic disparities. | |
| 2. | Study the various health registries maintained by the state, including the similarities and differences in reporting, consent, security, and portability of data. Assess registry compliance with standards for the protection and transmission of registry data and identify any additional steps necessary to ensure security, efficiency, and utilization. | |
| 3. | Monitor implementation of the federal Patient Protection and Affordable Care Act, including any changes that may result from ongoing litigation or legislative modification or repeal. (Joint with the House Committee on Insurance) | |
| 4. | Identify policies to alleviate food insecurity, increase access to healthy foods, and incent good nutrition within existing food assistance programs. Consider initiatives in Texas and other states to eliminate food deserts and grocery gaps, encourage urban agriculture and farmers' markets, and increase participation in the Summer Food Program. Evaluate the desirability and feasibility of incorporating nutritional standards in the Supplemental Nutrition Assistance Program (SNAP). Monitor congressional activity on the 2012 Farm Bill and consider its impact on Texas. (Joint with the House Committee on Human Services) | |
| 5. | Monitor the agencies and programs under the committee's jurisdiction and the implementation of relevant legislation passed by the 82nd Legislature. | |
| Supporting documents | ||
| Committee: | House Public Health | |
| Title: | Committee meeting handouts and testimony, May 15, 2012 (1115 Health Transformation Waiver; Charge 1, Primary care workforce) | |
| Library Call Number: | ||
| Session: | 82nd R.S. (2011) | |
| Online version: | View document [196 pages File size: 9,926 kb] | |
| Committee: | Senate Intergovernmental Relations | |
| Title: | Interim Report | |
| Library Catalog Title: | Interim report to the 82nd Texas Legislature / Senate Committee on Intergovernmental Relations. | |
| Subjects: | Comptroller of Public Accounts campaigns and elections | County government | Emergency services districts | Extraterritorial jurisdiction | Homeowners' associations | Hospitals | Housing and Community Affairs, Texas Department of | Land use regulations | Local government consolidation | Municipal annexation | Municipal government | Municipal utility districts | Open government | Physician shortages | Physicians | Property rights | Public improvement districts | Real property | Zoning | | |
| Library Call Number: | L1836.81 L786 | |
| Session: | 81st R.S. (2009) | |
| Online version: | View report [437 pages File size: 17,266 kb] | |
| Charges: | This report should address the charges below. | |
| 1. | Study current law governing homeowners associations with respect to ensuring that homeowners are given adequate protections against unfair foreclosures and are given proper channels for redress in case of foreclosure. | |
| 2. | Monitor the proliferation of municipal utility districts (MUDs) outside the corporate limits or extraterritorial jurisdiction of municipalities and whether increased oversight of these districts by other political subdivisions is needed. Review the process for the creation of municipal utility districts (MUDs) through the template developed during the 81 st Legislative Session, including any changes needed to increase the efficiency and oversight over the creation of proposed districts. Review the process for creating special districts, including whether the creation of a template, similar to the one created for municipal utility districts (MUDs), is feasible and would enable the legislature to more effectively evaluate other proposed special districts during future Sessions. | |
| 3. | Review the process and costs for local governments to make government information available online. Consider ways to encourage local governments to provide more transparency, including the Comptroller's experience with transparency and her offer to assist local governments, and consider penalties for entities that fail to comply with the online requirement. | |
| 4. | Assess ways to facilitate property ownership registration to better enable individuals to participate in federal programs and make recommendations to improve processing times to provide improved access to funds. | |
| 5. | Study the reasons for and the impacts of hospitals directly hiring physicians. Examine practices in other states. Make recommendations, if needed, to permit hospitals to directly hire physicians. | |
| 6. | Review state and local policies related to development and growth in rural and unincorporated regions of the state with regard to annexation and zoning authority. Focus on impacts to private property rights. Determine the appropriateness of existing extraterritorial jurisdiction authority. Make recommendations regarding possible changes to this authority. | |
| 7. | Review the types of support state government can provide to assist local government consolidations with county governments. Evaluate budget implications for city and county government consolidations. Research the appropriateness and cost savings of eliminating duplicity between city and county governments in different regions of the state. | |
| 8. | Review the statutory authority granted to municipal management districts (MMDs) and to emergency service districts (ESDs), the authority of municipalities and counties to create public improvement districts (PIDs). Determine whether the authority granted for each entity is adequate to accomplish the goals of local governments. Assess whether the consolidation of ESDs under one statute would improve uniformity and provision of fire and emergency services through these districts. | |
| 9. | Monitor the implementation oflegislation addressed by the Senate Committee on Intergovernmental Relations, 81st Legislature, Regular and Called Sessions, and make recommendations for any legislation needed to improve, enhance, and/or complete implementation.
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