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4 Document(s) [ Subject: Medical licensing ]

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: HB 4, 87th R.S., relating to the provision and delivery of telemedicine and telehealth services; and HB 1616, 87th R.S., relating to the Interstate Medical Licensure Compact.
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.
Committee:	Joint Medical Peer Review Process, Interim
Title:	Interim Report
Library Catalog Title:	Joint Select Committee to Study the Medical Peer Review Process interim report 2007 : a report to the Texas Legislature, 80th Legislature
Subjects:	Liability \| Medical Board, Texas \| Medical licensing \| Medical malpractice \| Physicians \|
Library Call Number:	L1836.79 M468
Session:	79th R.S. (2005)
Online version:	View report [23 pages File size: 230 kb]
Charges:	This report should address the charges below.
1.	Study the medical peer review process in hospitals and other health care entities in this state. The study shall include an examination of: (1) the use of medical peer review in identifying and reporting to the Texas Medical Board the conduct of or the quality of care provided by physicians who are members of the medical staffs of hospitals and other health care entities; (2) the use of medical peer review in disciplining a physician based on the conduct or quality of care provided by the physician as a member of the medical staff of a hospital or other health care entity; (3) the appropriate level of immunity protections for hospitals and other health care entities, medical peer review committees, and individuals who participate on those committees in health care liability claims brought by patients alleging bad faith physician credentialing; and (4) whether there are adequate mechanisms in state law to ensure appropriate regulatory supervision of the appropriateness and effectiveness of medical peer review in hospitals and other health care entities.
2.	As part of the joint interim committee's study, the committee shall investigate: (1) the adequacy of the Texas Medical Board's oversight and investigation of physician claims that the medical peer review process is misused, including whether the board's oversight and investigation powers should be strengthened and how other states investigate claims of misuse of the medical peer review process; (2) the state regulatory reporting mechanisms relating to the appropriateness and effectiveness of medical peer review in hospitals and other health care entities and the oversight and authority of the state to ensure good faith medical peer review in hospitals and other health care entities in this state; (3) the potentially negative impact on medical peer review in this state that could result from potential changes to: (A) immunity protections; or (B) the oversight and investigation of physician claims of misuse of the medical peer review process; (4) how the laws of other states address immunity protections for medical peer review; and (5) any other matter relevant to the medical peer review process, including how state and federal law identifies physician conduct that is considered to be unprofessional or unsafe by a medical peer review committee.
Committee:	House Public Health
Title:	Interim Report
Library Catalog Title:	House Committee on Public Health, Texas House of Representatives interim report, 2002 : a report to the House of Representatives, 78th Texas Legislature.
Subjects:	Alternative medicine \| Biological weapons \| Drug rehabilitation programs \| Health, Texas Department of \| Homeland security \| Hospital districts \| Immunizations \| Medical licensing \| Medical reimbursements \| Mental health services \| Prescription drug costs \| Public health \| Substance abuse \| Terrorism \| Undocumented immigrants \|
Library Call Number:	L1836.77 h349h
Session:	77th R.S. (2001)
Online version:	View report [119 pages File size: 429 kb]
Charges:	This report should address the charges below.
1.	Assess the state of the healthcare infrastructure in Texas in light of hospital closures, rising costs, constrained reimbursement rates, workforce issues and any other pertinent factors. Consider differences in regions or localities that might adversely affect healthcare delivery to specific groups of Texans.
2.	Conduct an extensive review of access to programs and treatment options for mental illness and substance abuse. Identify barriers to access and any gaps in existing programs.
3.	Examine the costs and benefits of allowing state and local governments to provide health and preventive care without regard to the immigration status of the patient.
4.	Gather information about the production, distribution, use and disposal of biological agents that could be used in terrorist actions, as well as vaccines that would be used to respond to biological attacks. Review hospital plans for responding to large-scale emergencies. Review government regulations and business practices to determine whether legislation is needed to protect life and property and to detect, interdict and respond to acts of terrorism.
5.	Study the use of complementary and alternative medicines in Texas. Is there a need for the state to develop a regulatory framework for their use?
6.	Assess the procedures of health-related licensing agencies regarding the intake of complaints, investigation procedures and timetables, and enforcement of laws and rules. Comment on any factors involving the use or abuse of patient information by healthcare agencies or institutions.
7.	Actively monitor agencies and programs under the committee's oversight jurisdiction. Pay particular attention to implementation of recommendations to restructure the Department of Health including the childhood immunization program; and implementation of pharmaceutical legislation passed by the 77th Legislature.

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