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59 Document(s) [ Subject: ]

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 | Community support 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 | Senior citizens | 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 Legislature, Regular Session 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: Joint Aging
Title: Interim Report
Subjects: Long-term care | Senior citizens | Transportation |
Library Call Number: L1836.82 Ag47
Session: 82nd R.S. (2011)
Online version: View report [70 pages]
Charge: This report should address the charge below.
1. Study issues relating to the aging population of Texas, including issues related to the health care, income, transportation, housing, education, and employment needs of that population and make recommendations to address those issues.
Committee: Senate Health and Human Services
Title: Interim Report
Subjects: Cancer Prevention and Research Institute of Texas | Caseworkers | Child Protective Services | Children's Health Insurance Program | Dental care | Foster care | Health care | Health care costs | Health insurance | Immunizations | Long-term care | Managed care | Medicaid | Medicaid eligibility | Medical research | Mental health services | Nursing homes | Patient Protection and Affordable Care Act | Public health | State Health Services, Texas Department of | State supported living centers |
Library Call Number: L1836.82 H349
Session: 82nd R.S. (2011)
Online version: View report [186 pages]
Charges: This report should address the charges below.
1. Monitor the potential impact of the Patient Protection and Affordable Care Act (PPACA) on insurance regulations, Medicaid and CHIP, health care outcomes and overall health of all Texans, and the state budget in Texas. Additionally, monitor the current constitutional challenges to PPACA and other court cases associated with PPACA, and ensure that the state does not expend any resources until judicial direction is clear. (Joint charge with Senate State Affairs Committee)
2. Monitor the potential impact of the Patient Protection and Affordable Care Act (PPACA) on insurance regulations, Medicaid and Children's Health Insurance Program (CHIP), health care outcomes, health care workforce, overall health of all Texans, and the state budget in Texas. Additionally, monitor the current constitutional challenges to PPACA, and other court cases associated with PPACA, and ensure that the state does not expend any resources until judicial direction is clear. (Joint charge with Senate State Affairs Committee)
3. Evaluate the implementation of cost-containment strategies across the Health and Human Services Enterprise to determine if and how each strategy can be expanded upon to achieve additional savings next biennium. The evaluation should include but is not limited to: the expansion of managed care, co-­pays in Medicaid, electronic visit verification, and independent assessments for long-­? term care services. The evaluation should also consider new cost-containment strategies that will increase efficiencies and reduce costs. This evaluation should include but not be limited to: Medicaid, Early Childhood Intervention Services, and immunizations.
4. Review the state's current investment in health care innovation, including translational research and the Cancer Prevention Research Institute, which focuses on rapid transfer of new technology experimentation directly into the clinical environment. Make recommendations to improve the health of Texans and encourage continued medical research in the most cost-effective manner possible.
5. Review existing policies for prior authorization and medical necessity review across the Medicaid Program, including nursing homes and orthodontic services. Make recommendations on how these policies could be improved to save money by reducing unnecessary utilization and fraud.
6. Review the Medicaid Home and Community Based Services Waivers to identify strategies to lower costs, improve quality, and increase access to services. Areas of the review should include, but are not limited to:
  • Functional eligibility determinations to ensure services are only being delivered to individuals that qualify;
  • Financial eligibility determinations to ensure parental income and resources are considered when the client is a minor;
  • Coordination of acute and long-term care services;
  • Development and use of lower-cost community care waiver options;
  • Coordination with the Department of Family and Protective Services (DFPS) for waiver services for children in conservatorships;
  • Reinvesting savings into accessibility of community care for individuals waiting for services.
7. Evaluate the management structure and supervision of CPS caseworkers with an emphasis on rural areas. Identify any legislative changes that could assist DFPS in maximizing efficiency, improving quality casework and supervision, and increasing caseworker retention. Identify any legislative changes that could improve the quality of care children receive while in Child Protective Services custody, including improving permanency outcomes.
8. Examine the delivery and financing of public health services in our state, including how federal funds are distributed by the state to local health departments and whether the work done by Regional Health Departments operated by the Department of State Health Services overlap unnecessarily with local health departments.
9. Review the state's public mental health system and make recommendations to improve access, service utilization, patient outcomes and system efficiencies. Study current service delivery models for outpatient and inpatient care, funding levels, financing methodologies, services provided, and available community-based alternatives to hospitalization. The review should look to other states for best practices or models that may be successful in Texas. The study shall also review and recommend "best value" practices that the state's public mental health system may implement to maximize the use of federal, state, and local funds.
10. Monitor the implementation of legislation addressed by the Senate Committee on Health and Human Services and make recommendations for any legislation needed to improve, enhance, and/or complete implementation, including but not limited to:
  • Health Care Quality and Efficiency - Monitor implementation of initiatives aimed at improving health care quality and efficiency in Texas, including: the transition of Medicaid and the CHIP to quality-based payments, establishment of the Texas Institute of Health Care Quality and Efficiency, implementation of the Health Care Collaborative certificate, patient-centered medical home for high-cost populations, development and use of potentially preventable event outcome measures, and reduction of health care-associated infections. Include recommendations on how to improve and build upon these initiatives, including improving birth outcomes and reducing infant and maternal mortality;
  • Federal Flexibility - Monitor implementation of initiatives to increase state flexibility, including the Health Care Compact and the Medicaid Demonstration Waiver;
  • Foster Care Redesign - Monitor implementation of the initiative to redesign the foster care system;
  • Implementation of DOJ Settlement agreement to address State Supported Living Center concerns.
Committee: House Human Services
Title: Interim Report
Subjects: Child nutrition programs | Diet and nutrition | Food banks | Foster care | Health maintenance organizations | Hunger | Long-term care | Medicaid | Medical reimbursements | Senior citizens | Supplemental Nutrition Assistance Program |
Library Call Number: L1836.82 H88
Session: 82nd R.S. (2011)
Online version: View report [57 pages]
Charges: This report should address the charges below.
1. Monitor the implementation of Foster Care Redesign. Evaluate the mechanisms for monitoring and oversight, including rates, contracts, and client outcomes.
2. 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 Public Health)
3. Explore strategies, including those in other states, to support the needs of aging Texans, including best practices in nursing home diversion, expedited access to community services, and programs to assist seniors and their families in navigating the long-term care system, with the goal of helping seniors remain in the community. Assess the feasibility of leveraging volunteer-supported initiatives using existing infrastructure to enhance the ability of seniors to remain active and involved.
4. Monitor the agencies and programs under the committee's jurisdiction and the implementation of relevant legislation passed by the 82nd Legislature, including the implementation of managed care in South Texas.
5. Study and make recommendations for significantly improving the state's manufacturing capability.
6. Find ways to increase transparency, accountability and efficiency in state government.
Committee: Senate Health and Human Services
Title: Interim Report
Library Catalog Title: Interim report to the 82nd Legislature
Subjects: Adult Protective Services | Aging and Disability Services, Texas Department of | At-risk youth | Child abuse | Children's Health Insurance Program | Cloning | Community support services | Crime prevention | Diet and nutrition | Emergency management | Families | Family and Protective Services, Texas Department of | Family violence | Federal government | Foster care | H1N1 virus | Health care | Health care providers | Health insurance | Human services | Long-term care | Medicaid | Medicaid eligibility | Medical Board, Texas | Medical errors | Medical research | Mental health services | Mentally ill persons | Nurses | Obesity | Physicians | Quality of care | Senior citizens | State budgets | Stem cell research | Texas Integrated Eligibility Redesign System |
Library Call Number: L1836.81 H349
Session: 81st R.S. (2009)
Online version: View report [272 pages  File size: 6,511 kb]
Charges: This report should address the charges below.
1. Upon passage of federal legislation relating to reform of the health care industry and health insurance industry that the Texas Health and Human Services Commission estimates will costs the State of Texas $2 to 2.5 billion per year in General Revenue beginning as early as 2013, study the implications of such legislation on Texas, the health care industry, and public and private insurance. Study and monitor the implementation of the insurance regulatory changes, changes to high risk pool, and any other insurance mandates. Study the health care policy changes and the impact to the Medicaid and CHIP programs and the state budget. Assess the impact to all state uninsured and uncompensated care programs and county programs for the uninsured, including county property tax programs to pay for the uninsured. Make recommendations for the efficient implementation of programs. (Joint charge with Senate State Affairs Committee)
2. Study the benefits, efficiencies and costs, and effectiveness of the social service related prevention and early intervention programs at the health and human services agencies, the juvenile and adult criminal justice agencies and other government agencies that have programs that address mental illness, substance abuse, child abuse and neglect, domestic violence, single-parent families, absentee fathers, early pregnancy, and unemployment. Study other states' prevention programs and efforts to administer these programs through a merged prevention department. Make recommendations to improve the efficiency and effectiveness of these programs.
3. Review the timeliness and efficiency of the Health and Human Service Commission's eligibility system. Include a review of staffing levels and staffing distribution; implementation of Rider 61; and the increased demand on the system. Make recommendations to improve the efficiency and effectiveness of the system, focusing on policy changes that will not create a large financial burden for the state.
4. Study and make recommendations on the state's role for facilitating the exchange of health care information in the future, including using the Medicaid exchange as a framework for the statewide exchange of health information between health care providers to improve quality of care; what information the state should provide; how to use this information to improve care management, prevent medical errors, and reduce unnecessary services; and policies and statutory changes needed to ensure that privacy is protected. Study the feasibility of developing multiple regional health information technology exchanges in Texas.
5. Study the state's current and long-range need for physicians, nurses, dentists and other allied health and long-term care professionals. Provide recommendations for ensuring sufficient numbers of health care professionals, focusing on medically underserved and rural areas of the state as well as the Border region. Consider health care delivered by Advanced Practice Nurses in terms of access, cost and patient safety and include an assessment of independent prescriptive authority with those states in which prescriptive authority is delegated by a physician. Make recommendations to enhance the efficient use of Advanced Practice Nurses in Texas.
6. Explore strategies to support the needs of aging Texans, including best practices in nursing home diversion, expediting access to community services, and programs to assist seniors and their families in navigating the long-term care system with the goal of helping seniors remain in the community. Study the guardianship program implemented by the Department of Aging and Disabilities and the Department of Adult Protective Services, including the efficiency and effectiveness of the program, the relationship between the two agencies, the appropriate rights for parents, and whether clients and their assets are adequately protected to ensure the state is appropriately identifying seniors in need of protection.
7. Examine how the state could enact policies to improve the overall health of Texans, focusing on programs that compliment individually-based prevention with community­based prevention to reduce obesity rates by increasing physical activity, improving nutrition, and improving self-management of chronic diseases such as diabetes. Examine obesity-related health disparities between different ethnic groups and ways to narrow these gaps. Consider the fiscal and health impact of second-hand smoke on businesses and service sector employees. Study state-level initiatives to incorporate these individual and community-based prevention strategies, including initiatives pursued in other states.
8. Study the state's ability to appropriately respond to the H1N1 influenza pandemic by examining issues related to vaccine distribution and capacity. Consider the benefit of providing the state's independent school districts and various health authorities with standardized protocols for issues including, but not limited to, vaccine administration, absenteeism and the cancellation of school and other school-related events. Assess the state's ability to track and record H1N1 vaccinations through the ImmTrac registry, and review statutes governing ImmTrac to increase the effectiveness and efficiency of immunization information systems.
9. Study current state health care quality improvement initiatives in Texas, including statewide health care-associated infection and adverse event reporting, reimbursement reductions in the Texas Medicaid program for preventable adverse events, potentially preventable readmissions identification, health information technology implementation, pay-far-performance programs, and other initiatives aimed at improving the efficiency, safety, and quality of health care in Texas. Identify statutory changes that may build upon efforts to improve quality of care and contain health care costs in Texas. Study policies that encourage and facilitate the use of best practices by health care providers including the best way to report and distribute information on quality of care and the use of best practices to the public and to promote health care provider and payment incentives that will encourage the use of best practices. The study/recommendations could also include assessing the best way to bring provider groups together to increase quality of care, the use of best practices, and reduce unnecessary services.
10. Study current practices of the Texas Medical Board relating to disclosure of complaints.
11. Review the types of human stem cell and human cloning research being conducted, funded, or supported by state agencies, including institutions of higher education. Make recommendations for appropriate data collection and funding protocols.
12. Review the Medicaid HCBS waivers (CBA, STAR Plus, CLASS, MDCP, DBMT, TxHmL) and develop recommendations to assure that people with significant disabilities, regardless of disability label or age, receive needed services to remain in or transition to the community. Review should look at the delivery system, eligibility, service packages, rate structures, workforce issues and funding caps. Examine options for the provision of services for children aging out of the Medicaid system. Make recommendations for streamlining/combining these waivers, ensuring that these waivers are cost effective or create cost savings, and developing policies that contain costs in an effort to increase access to these services. The review should examine other states' community care waivers and provide recommendations relating to efforts that have been successful in other states.
13. Study the type, duration, frequency and effectiveness of mental health services available to and accessed by abused and neglected Texas children. Recommend strategies to address the impact of the trauma, and enhance therapeutic services available to this population in an effort to eliminate the cycle of abuse and neglect.
14. Monitor the implementation of legislation addressed by the Senate Committee on Health & Human Services, 81st Legislature, Regular and Called Sessions, and make recommendations for any legislation needed to improve, enhance, and/or complete implementation.
  • Monitor Department of Family and Protective Services' implementation of the U.S. Fostering Connections Act, including the new Kinship Care program. Include recommendations on how to optimize the use of monetary assistance to qualified relative caregivers.
  • Monitor the Department of Aging and Disability Services (DADS) implementation of SB 643, relating to Texas' state-supported living centers (SSLCs), implementation of Special Provisions relating to All Health and Human Services Agencies, Section 48. Contingency Appropriation for the Reshaping of the System for Providing Services to Individuals with Developmental Disabilities, and implementation of the United States Department of Justice (DOJ) Settlement Agreement terms.
Committee: House Human Services
Title: Interim Report
Library Catalog Title: House Committee on Human Services, Texas House of Representatives interim report, 2010 : a report to the House of Representatives, 82nd Texas Legislature
Subjects: Child custody | Child Protective Services | Foster care | Long-term care | Mentally disabled persons | Supplemental Nutrition Assistance Program | Texas Integrated Eligibility Redesign System |
Library Call Number: L1836.81 H88
Session: 81st R.S. (2009)
Online version: View report [173 pages  File size: 3,666 kb]
Charges: This report should address the charges below.
1. Monitor the implementation of the Department of Justice settlement agreement, SB 643, 81st Legislature, Regular Session, and other reforms to services for persons with intellectual and developmental disabilities.
2. Monitor the implementation of provisions in SB 2080, 81st Legislature, Regular Session, relating to the creation of a permanency assistance program. Evaluate and make recommendations about the foster care licensing process for relatives, the payment structure for a relative who becomes a child's permanent managing conservator, and any factors that should be considered in evaluating program performance and sustainability in the future.
3. Determine the feasibility of instituting a comprehensive, single point of entry system to simplify and expedite the process of accessing long-term care services for the elderly and individuals with physical disabilities.
4. Monitor the Health and Human Services Commission's progress toward improving the timeliness of Supplemental Nutrition Assistance Program eligibility determinations. Evaluate the impact of corrective measures already taken by the commission.
5. Analyze the practice of using informal or voluntary caregivers ("parental child safety placements") during a Child Protective Services investigation. Study and make recommendations regarding: a) efforts to track data related to parental child safety placements; b) incorporation of the power of attorney process authorized by SB 1598, 81st Legislature, Regular Session; c) appropriateness of voluntary placement; d) review of caregiver qualifications; and e) potential improvements to the voluntary placement process.
6. Monitor the agencies and programs under the committee's jurisdiction.
Committee: House Human Services
Title: Interim Report
Library Catalog Title: House Committee on Human Services, Texas House of Representatives interim report, 2008 : a report to the House of Representatives, 81st Texas Legislat
Subjects: Adoption | Child abuse | Child abuse prevention | Child Protective Services | Community support services | Family and Protective Services, Texas Department of | Foster care | Long-term care | Nursing homes | Senior citizens | Terminal care |
Library Call Number: L1836.80 H88
Session: 80th R.S. (2007)
Online version: View report [186 pages  File size: 21,784 kb]
Charges: This report should address the charges below.
1. Research strategies to promote permanency and stability for children and families involved with Child Protective Services. Identify any priorities that would approve the adoption process.
2. Explore strategies to support the needs of aging Texans effectively and efficiently. This investigation should include best practices in delaying or avoiding the need for institutionalized care as well as promoting high-quality services for those who are best served in nursing homes.
3. Evaluate Prevention and Early Intervention programs at the Department of Family and Protective Services that have been funded by the Texas Legislature for the prevention of child abuse and neglect. Consider if higher priority for selection should be given to child or family mentoring or other support services, such as foster grandparents and efforts to assist mothers.
4. Evaluate existing and part efforts by the state for Youth Transitions in Independent Living. Recommend improvements to educational, occupational, health, and life skills components of preparation of foster children for adult living.
5. Investigate the need and potential of respite care programs to delay or avoit institutional placements, thereby resulting in cost savings for the state.
6. Examine compliance issues and concerns of hospices with certification surveys and ability to meet federal standards.
7. Monitor the agencies and programs under the committee's jurisdiction.
Committee: House Services for Individuals Eligible for Intermediate Care Facility Services, Select
Title: Interim Report
Library Catalog Title: House Select Committee on Services for Individuals Eligible for Intermediate Care Facility Services, Texas House of Representatives interim report, 2008 : a report to the House of Representatives, 81st Texas Legislature
Subjects: Community support services | Long-term care | Mentally disabled persons | State supported living centers |
Library Call Number: L1836.80 In8
Session: 80th R.S. (2007)
Online version: View report [100 pages  File size: 2,570 kb]
Charge: This report should address the charge below.
1. The Select Committee on Services for Individuals Eligible for Intermediate Care Facility Services has jurisdiction over all matters pertinent to systems in this state for the care of persons with cognitive and developmental disabilities who are eligible for the services of intermediate care facilities. The select committee's jurisdiction includes: (1)investigating and recommending strategies to improve the quality of and availability of appropriate services for persons with cognitive and developmental disabilities who are eligible for the services of intermediate care facilities, while ensuring the safety and well-being of individuals being served in community settings and institutional settings; (2)reviewing functional assessment tools used to assess persons with cognitive and developmental disabilities who are eligible for the services of intermediate care facilities; (3)evaluating this state's ability to comply with federal regulations and directives regarding services for persons with cognitive and developmental disabilities who are eligible for the services of intermediate care facilities and this state's ability to implement generally accepted practices for those services; (4)assessing the adequacy of the "community safety net" in this state's mental retardation authority system after considering the increased longevity of persons with cognitive and developmental disabilities and their aging parents and other caregivers; (5)reviewing the waiting lists for Medicaid home and community waiver services; and (6)assessing the risks to the health and well-being of persons with cognitive and developmental disabilities who are eligible for intermediate care facility services that are not currently being addressed by this state's current system of supports.
Committee: Senate Health and Human Services
Title: Interim Report - Joint with Committee on State Affairs
Library Catalog Title: Joint interim report to the 80th Legislature
Subjects: Competency to stand trial | Criminally insane | End of life issues | Long-term care | Long-term care insurance | Medicaid | Medical savings accounts | Mental health services | Mentally ill inmates | Prescription drug costs | Prescription drugs | Reverse mortgages | State hospitals |
Library Call Number: L1836.79 H349sa
Session: 79th R.S. (2005)
Online version: View report [82 pages  File size: 3,061 kb]
Charges: This report should address the charges below.
1. Examine and make recommendations, if necessary, regarding the state's role in regulating pharmacy benefit managers in the interest of consumer protection. Examine alternative methods of dispensing maintenance drugs, including mail service and retail pharmacies, and provide an analysis of the state's role in protecting consumers. Joint Charge with State Affairs Committee.
2. Study how to reduce dependence on Medicaid for the provision of long term care by increasing use of long-term care insurance and health savings accounts. Include a study of options for increasing the use of advance planning tools, such as health care power of attorney and living wills, to ensure more effective decision-making regarding critical end-of-life and other health care decisions. Finally, study the feasibility of implementing innovative models of nursing facility services that encourage autonomy, choice and dignity of residents. Joint Charge with State Affairs Committee.
3. Study the current laws/policies relating to forensic patients in our State Hospitals and Community Mental Health Organizations. Include analysis of and recommendations relating to pre- and post-trial forensic patients, competency laws and procedures, current treatment policies and guidelines, cost and placement considerations for creating specialty units for forensic patients, judicial discretion and medical best practices. Joint Charge with State Affairs Committee.
Committee: Senate State Affairs
Title: Interim Report - Joint with Committee on Health and Human Services
Library Catalog Title: Joint interim report to the 80th Legislature
Subjects: Competency to stand trial | Criminally insane | End of life issues | Long-term care | Long-term care insurance | Medicaid | Mental health services | Mentally ill inmates | Nursing homes | Prescription drug costs | State hospitals |
Library Call Number: L1836.79 H349sa
Session: 79th R.S. (2005)
Online version: View report [82 pages  File size: 3,061 kb]
Charges: This report should address the charges below.
1. Examine and make recommendations, if necessary, regarding the state's role in regulating pharmacy benefit managers in the interest of consumer protection. Examine alternative methods of dispensing maintenance drugs, including mail service and retail pharmacies, and provide an analysis of the state's role in protecting consumers. Joint Charge with Health and Human Services Committee
2. Study how to reduce dependence on Medicaid for the provision of long term care by increasing use of long-term care insurance and health savings accounts. Include a study of options for increasing the use of advance planning tools, such as health care power of attorney and living wills, to ensure more effective decision-making regarding critical end-of-life and other health care decisions. Finally, study the feasibility of implementing innovative models of nursing facility services that encourage autonomy, choice and dignity of residents. Joint Charge with Health and Human Services Committee.
3. Study the current laws/policies relating to forensic patients in our State Hospitals and Community Mental Health Organizations. Include analysis of and recommendations relating to pre- and post-trial forensic patients, competency laws and procedures, current treatment policies and guidelines, cost and placement considerations for creating specialty units for forensic patients, judicial discretion and medical best practices. Joint Charge with Health and Human Services Committee.
Committee: Senate Health and Human Services
Title: Interim Report
Library Catalog Title: Interim report to the 79th Legislature
Subjects: Adult Protective Services | Call centers | Child Protective Services | Children's Health Insurance Program | Databases | Family and Protective Services, Texas Department of | Health care | Hospitals | Immunizations | Indigent health care | Long-term care | Medicaid | Medicaid fraud | Medical Board, Texas | Medicare | Prompt payment of insurance claims | Social service agencies | State government reorganization | Welfare |
Library Call Number: L1936.78 H349
Session: 78th R.S. (2003)
Online version: View report [247 pages  File size: 1,485 kb]
Charges: This report should address the charges below.
1. Study and make recommendations on structural reform, efficiency improvements, and cost savings in the state Medicaid and CHIP programs, with a goal of changing the method and delivery of service to reduce costs while providing the intended services. The Committee should examine and make recommendations to: lower institutional costs; subsidize private insurance in lieu of Medicaid and CHIP where possible; use consumer-directed care models; reimburse health care providers based upon outcomes where feasible; match currently unmatched local funds with federal funds; alter Texas' current method of finance and distribution of DSH; develop possible HIFA waiver options that incorporate premium subsidization; develop accountability and incentive measures for outcomes within Medicaid managed care and CHIP; seek flexibility from federal government to allow options and waivers and enhance federal funds; examine local models for delivery of Medicaid while maintaining best practices; and expand access to mental health services through expansion of behavioral health organization model. The Committee will coordinate these studies with the Health and Human Services Transition Legislative Oversight Committee review of mental health and mental retardation services.
2. Monitor implementation and make recommendations to improve HB 2292, 78th Legislature, Regular Session. Include reviews of implementation of the preferred drug list and prior authorization and the new call center for determination of program and service eligibility. The Committee will coordinate activities with the Health and Human Services Transition Legislative Oversight Committee.
3. Study and make recommendations on improving Texas's county and local indigent health care system. Consider whether the system should be regionalized to reflect usage and gain efficiencies, so that one or more counties are not paying for regional health care.
4. Monitor the implementation and make recommendations to enhance the effectiveness of legislation relating to the Board of Medical Examiners, legislation relating to childhood immunizations, legislation relating to the pilot front end Medicaid fraud reduction systems, federal developments related to TANF reauthorization and related programs, expansion and new construction of Federally Qualified Health Centers, federal developments related to prescription drugs in Medicare and the effect on Medicaid. Also, monitor and report on the use of new federal Medicare funds allocated for Texas
5. Study and make recommendations on increasing electronic transactions in health care. Review the use and make recommendations on improving technology in health care administration, including expediting pre-authorizations and increasing the efficiency of claims processing so that medical providers are paid once procedures are pre-authorized and performed, and administrative costs lowered, benefitting both the consumer and the managed health care organizations.
6. Study health facility regulation in Texas and make recommendations that facilitate innovation and patient safety. Concentrate studies on hospitals, including niche hospitals, Federally Qualified Health Centers and long term care facilities, and make recommendations for improving patient choice, facility competition, indigent health care, and for maintaining a competitive, patient-oriented health care industry.
7. Study and make recommendations on improving the Protective and Regulatory Services service levels payment system and tiered adoption subsidy program. Study and make recommendations on improving the recruitment and retention of foster care families.
Committee: Joint Long-Term Care, Legislative Oversight
Title: Interim Report
Library Catalog Title: Interim report, 2004, 79th Texas Legislature
Subjects: Liability insurance | Long-term care | Long-term care insurance | Medical liability insurance | Nursing homes | Quality of care | Senior citizens | STAR+PLUS program | Tort reform |
Library Call Number: L1836.78 L854r
Session: 78th R.S. (2003)
Online version: View report [123 pages  File size: 3,823 kb]
Charge: This report should address the charge below.
1. The committee examined the pressing issues related to long-term care, including quality of care, quality assurance, Medicaid reimbursement rates, liability insurance, the effects of tort reform, and possible funding funding methods such as a quality assurance fee and private long-term care insurance. *
Committee: Joint Long Term Care Legislative Oversight
Title: Interim Report
Library Catalog Title: Interim report / Long Term Care Legislative Oversight Committee.
Subjects: Liability insurance | Long-term care | Long-term care insurance | Nursing homes |
Library Call Number: L1836.77 l854r
Session: 77th R.S. (2001)
Online version: View report [148 pages  File size: 1,938 kb]
Charges: This report should address the charges below.
1. Monitor implementation of SB 1839, 77th Legislature, Regular Session, SB 415, 77th Legislature, Regular Session, HB 154, 77th Legislature, Regular Session, and SB 1, 77th Legislature, Regular Session, provisions regarding nursing homes, including activities related to quality of care, nursing home regulation, nursing home rate methodologies, liability insurance, and any other relevant issues and legislation.
2. Make recommendations to the 78th Legislature on any changes needed to improve the quality of nursing home care, assure effective use of public funds for resident care, and improve the affordability of nursing home liability insurance.
Committee: Senate Veteran Affairs and Military Installations
Title: Interim Report
Subjects: Base realignment and closure | Cemeteries | Long-term care | Military bases | Military families | Military personnel | Nursing homes | Texas Air National Guard | Texas Army National Guard | Veterans | Veterans Land Board | Veterans' health care |
Library Call Number: L1836.77 v641
Session: 77th R.S. (2001)
Online version: View report [215 pages  File size: 2,154 kb]
Charges: This report should address the charges below.
1. Monitor developments at the federal level regarding the Federal Base Realignment and Base Closure (BRAC) process, and the implementation of SB 1815, 77th Legislature, Regular Session, relating to loan assistance for communities affected by BRAC.
2. Evaluate the effects of the increased bonding authority granted to the Veteran's Land Board in HB 2453, 77th Legislature, Regular Session.
3. Evaluate veteran land and housing fund programs, including veteran nursing homes. The Committee shall determine if the demand for veterans nursing home beds is exceeding the available supply.
4. Monitor the implementation of the following legislation from the 77th Session: HB 310, 77th Legislature, Regular Session, relating to veterans cemeteries; HB 2125, 77th Legislature, Regular Session, relating to public school admission for military personnel and dependents; and SB 1159, 77th Legislature, Regular Session, relating to providing state veteran services. The Committee shall also evaluate the cost-effectiveness of programs and benefits provided to veterans and their families by state agencies. The Committee should consider veterans programs administered by the U.S. Department of Veterans Administration.
5. Assess the impact of the current military mobilization on persons called to active duty and their families. The Committee should examine state and federal statutes concerning active reservists and guardsmen and make recommendations, if necessary.
6. Monitor the current mobilization of Texas military forces and the role of the National Guard Armories to determine if increased assistance from the state is necessary for an efficient and timely response.
Committee: House Human Services
Title: Interim report
Library Catalog Title: House Committee on Human Services, Texas House of Representatives interim report, 2000 : a report to the House of Representatives, 77th Texas Legislature.
Subjects: Americans with Disabilities Act | Bankruptcy | Community care | Community support services | Disability benefits | Human Services, Texas Department of | Liability insurance | Long-term care | Medicaid | Medicaid eligibility | Medical liability insurance | Medical reimbursements | Medicare | Nursing homes | Persons with disabilities | Supplemental Nutrition Assistance Program | Welfare | Welfare reform |
Library Call Number: L1836.76 h88
Session: 76th R.S. (1999)
Online version: View report [98 pages  File size: 765 kb]
Charges: This report should address the charges below.
1. Study issues created by the transition of the TANF program to federal law when the state's waiver expires in 2002. Include a review of the final TANF regulations and how other states use TANF funds outside the traditional cash assistance program. Consider policies to improve outcomes for people leaving welfare.
2. Study issues surrounding the financial difficulties experienced by some nursing home companies, including the reasons for bankruptcies and closures, state policies and resources for dealing with them, and impacts on residents.
3. Assess the state's responsibilities and policies regarding supports for individuals with disabilities in community-based settings.
4. Study the current public assistance eligibility, application and review processes, and other Department of Human Services' client communications to ensure that clients are getting the supports necessary to make a successful transition to self-sufficiency.
Committee: Senate Human Services
Title: Interim Report
Library Catalog Title: Senate Committee on Human Services interim report.
Subjects: Abortion | Aging and Disability Services, Texas Department of | Americans with Disabilities Act | Children with disabilities | Community care | Community support services | Health and Human Services Commission, Texas | Human Services, Texas Department of | Long-term care | Long-term care insurance | Medicaid | Nursing homes | Parental notification of abortion | Persons with disabilities | Protective and Regulatory Services, Texas Department of | Senior citizens | Supreme Court, U.S. | Welfare | Welfare reform | Welfare-to-work |
Library Call Number: L1836.76 h89
Session: 76th R.S. (1999)
Online version: View report [303 pages  File size: 882 kb]
Charges: This report should address the charges below.
1. Examine the continuum of care and support options available to Texans in need of long-term care. The Committee shall evaluate the effectiveness of state regulatory efforts to ensure quality services as well as analyze the long-term care business climate.
2. Evaluate services provided to hardest-to-serve adult welfare recipients and services provided to children receiving welfare. The Committee shall assess the state's ability to avoid long-term dependency on welfare for both of these populations and develop additional strategies to encourage self-sufficiency and movement from welfare to work.
3. Monitor federal developments related to long-term care and welfare issues. In the event that significant developments occur, the Committee shall evaluate their impact on Texas.
4. Monitor the implementation of the following bills enacted during the 76th Legislature, Regular Session: SB 30, 76th Legislature, Regular Session, relating to parental notification before an abortion may be performed on certain minors; SB 374, 76th Legislature, Regular Session, relating to the provision of certain long-term care services, to the continuation and functions of the Texas Department on Aging, and to the eventual consolidation of the Texas Department of Human Services and the Texas Department on Aging into a new agency on aging and disability services; and HB 2641, 76th Legislature, Regular Session, relating to the continuation and functions of the Health and Human Services Commission. The Committee shall also monitor the effects of the additional resources provided to the Texas Department of Protective and Regulatory Services.
Supporting documents
Committee: Senate Human Services
Title: Interim Committee Rules
Library Catalog Title: Minutes
Library Call Number: L1803.9 H89 76
Session: 76th R.S. (1999)
Online version: View document [5 pages  File size: 169 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: House Human Services
Title: Interim report
Library Catalog Title: House Committee on Human Services, Texas House of Representatives interim report, 1998 : a report to the House of Representatives, 76th Texas Legislature.
Subjects: Long-term care | Managed care | Medicaid | Nursing homes | Quality of care |
Library Call Number: L1836.76 h88
Session: 75th R.S. (1997)
Online version: View report [22 pages  File size: 1,154 kb]
Charges: This report should address the charges below.
1. Conduct active oversight of the agencies under the committee's jurisdiction.
2. Actively monitor implementation of the STAR-Plus Medicaid managed care project for long-term care in Harris County. This is a national pilot project and many constituencies will be interested in its deployment and results.
3. Study the opportunities and problems associated with use of an index to measure quality of long-term care in Medicaid-certified nursing homes.
Committee: Joint Long-Term Care Legislative Oversight
Title: Interim report
Library Catalog Title: Long Term Care Legislative Oversight Committee interim report.
Subjects: Attorney General of Texas | Human Services, Texas Department of | Long-term care | Long-term care insurance | Medicaid | Medical reimbursements | Nursing homes | Quality of care |
Library Call Number: L1836.75 l854r
Session: 75th R.S. (1997)
Online version: View report [81 pages  File size: 3,789 kb]
Charges: This report should address the charges below.
1. Identify significant problems in the nursing facility regulatory system and make recommendations for legislation action.
2. Analyze and monitor the effectiveness and efficiency of the nursing facility regulatory system of Texas and make recommendations for any necessary research or legislative action.
3. Review specific recommendations for legislation proposed by the Department of Human Services or the attorney General relating to nursing facility rules and regulations and other long-term care issues.
4. Analyze the continuum of care of long term services available to Texans and make recommendations for legislative action.
Committee: House Pensions and Investments
Title: Interim report
Library Catalog Title: House Committee on Pensions and Investments, Texas House of Representatives interim report, 1998 : a report to the House of Representatives, 76th Texas Legislature.
Subjects: Employees Retirement System of Texas | Long-term care | Long-term care insurance | State employees | Stock investments |
Library Call Number: L1836.75 p387
Session: 75th R.S. (1997)
Online version: View report [54 pages  File size: 2,366 kb]
Charges: This report should address the charges below.
1. Review the laws governing investments and investment practices to identify differences among them. Determine the value, if any, of making the laws more consistent with one another.
2. Examine the advantages and disadvantages of offering long-term care programs for state employees and teachers. The programs should be financed entirely by members and should create no additional cost to the state or political subdivisions.
3. Examine the impacts, if any, on the major funds subject to investment restrictions contained in Article IX, section 174 of HB 1, 75th Legislature, Regular Session.
4. Examine the projected funding deficit facing the Employees Retirement System Insurance Program.
Committee: House Human Services
Title: Interim report
Library Catalog Title: Committee on Human Services, Texas House of Representatives interim report, 1996 : a report to the House of Representatives, 75th Texas Legislature.
Subjects: Community care | Community support services | Long-term care | Long-term care insurance | Medicaid | Nursing homes | Persons with disabilities | Quality of care | Senior citizens | Welfare reform |
Library Call Number: L1836.74 h88
Session: 74th R.S. (1995)
Online version: View report [106 pages  File size: 5,114 kb]
Charges: This report should address the charges below.
1. Monitor the implementation of HB 1836, 74th Legislature, Regular Session, passed by the 74th Legislature.
2. Study long-term care for Texans, including possible managed care approaches involving community-based providers, the efficient use and geographic distribution of Medicaid facilities, the effects of the revised enforcement rules for Medicaid facilities, issues related to management contracts and services relating to abuse, neglect and exploitation of the elderly.
Committee: House Public Health
Title: Interim report
Library Catalog Title: House Committee on Public Health, Texas House of Representatives interim report, 1996 : a report to the House of Representatives, 75th Texas Legislature.
Subjects: Children's health care | Children's health insurance | Long-term care | Medical education | Medically uninsured | Nursing homes | Occupational licenses | Quality of care | Texas Healthy Kids Corporation |
Library Call Number: L1836.74 h349h
Session: 74th R.S. (1995)
Online version: View report [115 pages  File size: 5,368 kb]
Charges: This report should address the charges below.
1. Review the benefits, costs and possibility of mandating a specific ratio of certified nurse aids to nursing home residents.
2. Review the ways in which medical schools use funds generated by their family practice programs.
3. Study whether public protection or public services could be enhanced by the registration or licensing of clinical laboratory scientists.
4. Study options to improve access to healthcare for children who do not qualify for expanded medicaid eligibility.
Committee: Senate Health and Human Services
Title: Interim report - Medically fragile children
Library Catalog Title: Medically fragile children in Texas : interim report.
Subjects: Children with disabilities | Long-term care | Nursing homes | Persons with disabilities |
Library Call Number: L1836.73 h349f
Session: 73rd R.S. (1993)
Online version: View report [123 pages  File size: 6,296 kb]
Charge: This report should address the charge below.
1. Investigate conditions reported in "Nobody's Priority", an Austin American Statesman series on children with severe disbilities living in Texas nursing homes.
Supporting documents
Committee: Senate Health and Human Services
Title: Committee documentation: daily minutes record, draft minutes, testimony of Richard C. Ladd, HHSC Commissioner (HHSC accomplishments, reorganization, LBB budget recommendations, DHS summary of impact of legislative budget estimates), guardianship
Library Catalog Title: Minutes
Library Call Number: L1803.9 H88 73
Session: 73rd R.S. (1993)
Online version: View document [30 pages  File size: 529 kb]
Committee: House Public Health
Title: Interim report
Library Catalog Title: Committee on Public Health, Texas House of Representatives interim report, 1992 : a report to the House of Representatives, 73rd Legislature.
Subjects: Border health | Border issues | Child nutrition programs | Dental care | Health care | Indigent health care | Lead contamination | Lead-based paint | Long-term care | Medical reimbursements | Nursing homes | Prescription drugs | Senior citizens | Solid waste disposal | Tuberculosis | Undocumented immigrants |
Library Call Number: L1836.72 h349
Session: 72nd R.S. (1991)
Online version: View report [62 pages  File size: 2,694 kb]
Charges: This report should address the charges below.
1. Study medical waste disposal in coordination with Committee on Environmental Affairs.
2. Study health care reimbursement, and coordinate with and monitor the Texas Health Policy Task Force as it relates to this issue.
3. Study the administration of medication in hospitals, nursing homes and extended care facilities.
4. Study the problems associated with indigent health care provided to the citizens of Mexico in the border regions of Texas.
5. Study tuberculosis testing, treatment, and control.
6. Study the reporting of childhood lead poisoning.
7. Study the adoption of an enforceable lead ban.
8. Study oral health in long term care facilities.
9. Study chronic disease prevention by instituting dietary changes in publicly-funded food services.
Committee: House Human Services
Title: Interim report
Library Catalog Title: Interim report to the 72nd Texas Legislature / Committee on Human Services.
Subjects: At-risk youth | Child abuse | Child care | Child welfare | Elder abuse | Long-term care | Medical education | Nurses | Nursing education | Nursing homes | Nursing shortages | Obesity | Public health | Quality of care | Runaway children | Senior citizens |
Library Call Number: L1836.71 h88
Session: 71st R.S. (1989)
Online version: View report [310 pages  File size: 11,175 kb]
Charges: This report should address the charges below.
1. To monitor all activities and to have budget oversight responsibilities for those agencies, boards and commissions as listed in Rule 3, Section 17.
2. To study the extent of the problem of "throwaway children" that have been abandoned by their parents.
3. To study feasibility of obesity prevention programs and the potential impact on reduction of indigent health care costs.
4. To study the impact of the shortage of nursing personnel on health care delivery providers, including an examination of the regulation and permit requirements of nursing pools.
5. To study the provision of day care services to families with low to moderate income, including the licensing and regulation of providers, the effects of federal welfare and day care reforms on day care services and the potential for expanded public-private partnerships in the area of day care.
6. To study current public and private policies relating to child day care and to make recommendations to improve child day care services in Texas.
7. To study the development of state policy and strategy for long term care, including a review of policies regarding penalties and sanctions for long term care providers, and to examine unlicensed and unregulated boarding terms.
Committee: Joint Nursing Home Rate Reimbursement, Interim
Title: Interim report
Library Catalog Title: Interim report of the Joint Interim Committee on Nursing Home Rate Reimbursement : to the 72nd Legislature.
Subjects: Long-term care | Medicaid | Medical reimbursements | Nursing homes |
Library Call Number: L1836.71 n938
Session: 71st R.S. (1989)
Online version: View report [27 pages  File size: 1,021 kb]
Charge: This report should address the charge below.
1. Examine the rate-setting methodology for nursing homes to determine what changes are needed to improve patient care, manage growth, and provide reasonable and adequate rates. Also review any unresolved issues contained in the compromise agreement and determine which items it must address.
Supporting documents
Committee: Joint Nursing Home Rate Reimbursement, Interim
Title: Proclamation
Library Catalog Title: Proclamation
Library Call Number: L1800.1 p926
Session: 71st R.S. (1989)
Online version: View document [1 pages  File size: 64 kb]
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 | Community support services | 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 |
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: Senate Health and Human Resources
Title: Interim Report
Library Catalog Title: Long-term care needs of persons with Alzheimer's disease and related disorders : report to the 70th Legislature.
Subjects: Alzheimer's disease | Long-term care | Senior citizens |
Library Call Number: L1836.69 al99
Session: 69th R.S. (1985)
Online version: View report [48 pages  File size: 1,883 kb]
Charge: This report should address the charge below.
1. Study the long-term care needs of people with Alzheimer's disease and related disorders. *
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: House Retirement and Aging
Title: Interim report
Library Catalog Title: To the Speaker and members of the Texas House of Representatives, 69th Legislature ; interim report / of the House Committee on Retirement and Aging.
Subjects: Community care | Long-term care | Medicaid | Nursing homes | Senior citizens |
Library Call Number: L1836.68 r314
Session: 68th R.S. (1983)
Online version: View report [42 pages  File size: 1,382 kb]
Charges: This report should address the charges below.
1. To study alternative care services for the elderly, the scope of these services, and their cost effectiveness.
2. To determine whether or not there is a need to restore the Intermediate Care Facility II nursing care program to a full or modified degree.
3. To study the health care status of persons who have been denied entry into a long-term care facility and whether or not the screening process is comprehensive and equitable.
Committee: Senate Human Resources
Title: Interim Report - Alternate care and family violence issues
Library Catalog Title: Response to Senate resolution 692 : review of alternative care, coordination of services, and family violence issues : 1980 report and recommendations / Senate Committee on Human Resources.
Subjects: Community support services | Family violence | Guardianship | Long-term care | Persons with disabilities | Protective orders | Senior citizens |
Library Call Number: L1836.66 l854
Session: 66th R.S. (1979)
Online version: View report [25 pages  File size: 1,061 kb]
Charges: This report should address the charges below.
1. Study the following areas in furtherance of recommendations made by the Joint Committee on Long-Term Care Alternatives; (1) coordination of all services and programs for the aging through the appropriate agency or commission; (2) development of the means to protect the rights of the elderly in the area of self-determination; (3) monitoring the development of a single pre-admission assesment instrument and procedure for all applicants for community or institutional care administered by the Texas Department of Human Resources who are eligible for Medicaid and MAO; (4)further investigation of the transfer of assets by patients upon entry into long-term care facilities; (5) investigation of the difficulties encountered by the elderly and handicapped in obtaining adequate insurance coverage; and (6) monitoring the implementation of the various alternate care programs mandated by the 66th Legislature in an effort to ensure that the needs of all recipients are met.
2. Conduct a study which includes monitoring the the contract system mandated by HB 1075, 65th Legislature, Regular Session, between the Texas Department of Human Resources and certain family violence shelters in Texas, and also includes assessment of the services and needs of the shelters.
Supporting documents
Committee: Senate Human Resources
Title: SR 692
Library Call Number: SR 692
Session: 66th R.S. (1979)
Online version: View document [3 pages  File size: 1,718 kb]
Committee: Senate Human Resources Subcommittee on Consumer Affairs
Title: Interim Report - Rights of the elderly and disabled
Library Catalog Title: Final staff recommendations, Senate Subcommittee on Consumer Affairs : report on the protection of the rights of the elderly and/or disabled in Texas.
Subjects: Community support services | Guardianship | Long-term care | Persons with disabilities | Senior citizens |
Library Call Number: L1836.66 c765re
Session: 66th R.S. (1979)
Online version: View report [81 pages  File size: 2,947 kb]
Charge: This report should address the charge below.
1. Study the following areas in furtherance of recommendations made by the Joint Committee on Long-Term Care Alternatives; (1) coordination of all services and programs for the aging through the appropriate agency or commission; (2) development of the means to protect the rights of the elderly in the area of self-determination; (3) monitoring the development of a single pre-admission assesment instrument and procedure for all applicants for community or institutional care administered by the Texas Department of Human Resources who are eligible for Medicaid and MAO; (4)further investigation of the transfer of assets by patients upon entry into long-term care facilities; (5) investigation of the difficulties encountered by the elderly and handicapped in obtaining adequate insurance coverage; and (6) monitoring the implementation of the various alternate care programs mandated by the 66th Legislature in an effort to ensure that the needs of all recipients are met.
Supporting documents
Committee: Senate Human Resources Subcommittee on Consumer Affairs
Title: SR 692
Library Call Number: SR 692
Session: 66th R.S. (1979)
Online version: View document [3 pages  File size: 1,718 kb]
Committee: Senate Human Resources Subcommittee on Consumer Affairs
Title: Press Releases
Library Catalog Title: Minutes
Library Call Number: L1836.66 C765PR
Session: 66th R.S. (1979)
Online version: View document [155 pages]
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)
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)
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)
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)
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)
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)
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)
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)
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)
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)
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)
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)
Committee: House Social Services
Title: Interim Report
Library Catalog Title: Report of the House Committee on Social Services to the Texas Legislature.
Subjects: Alcohol and Drug Abuse, Texas Commission on | Blind, Texas Commission for the | Corrections, Texas Department of | Deaf and Hard of Hearing, Texas Commission for the | Deafness and hearing impairments | Early childhood intervention | Juvenile justice system | Long-term care | Medical screening | Pardons and Paroles, Texas Board of | Prison population | Rehabilitation Commission, Texas | Senior citizens | Visually impaired persons |
Library Call Number: L1836.64 so13
Session: 64th R.S. (1975)
Online version: View report [69 pages  File size: 2,443 kb]
Charges: This report should address the charges below.
1. Evaluate the delivery of social services to the elderly, the hearing impaired, and to young children. *
2. Oversee the operations of the Texas Rehabilitation Commission, the Commission for the Blind, and the Commission on Alcoholism. *
3. Oversee the operations of the Texas Youth Council. *
4. Review potential responses to increasing prison populations. *
Committee: Senate Human Resources Subcommittee on Public Health and Welfare
Title: Interim Report - Nursing homes
Library Catalog Title: Interim study on nursing homes / Subcommittee on Public Health and Welfare, Texas Senate.
Subjects: Long-term care | Medical reimbursements | Nursing homes | Quality of care |
Library Call Number: L1836.63 n937
Session: 63rd R.S. (1973)
Online version: View report [91 pages  File size: 3,091 kb]
Charge: This report should address the charge below.
1. Conduct a study of long-term care in Texas. Study government regulation of nursing homes and Medicaid reimbursement to nursing homes. Review complaints regarding nursing home operations and quality of care. *
Supporting documents
Committee: Senate Human Resources Subcommittee on Public Health and Welfare
Title: Nursing home hearing
Library Catalog Title: Nursing home hearing
Library Call Number: L1836.63 n937h
Session: 63rd R.S. (1973)
Online version: View document [0 pages]
Committee: Joint Aged Citizens
Title: Interim Report
Library Catalog Title: Interim report of Legislative Committee to Study Problems of the Aged
Subjects: Long-term care | Senior citizens |
Library Call Number: L1836.55 AG32
Session: 55th R.S. (1957)
Online version: View report [32 pages  File size: 1,166 kb]
Charge: This report should address the charge below.
1. Appointed for the purpose of studying, drafting and recommending to the next Legislature legislation to be enacted for the aid of the state's aged citizens, which should include recommendations on the special problems of the aged in matters of, but not limited to , health, both physical and mental; rehabilitation, both vocational and health; family relations; employment and income; housing; and any other related fields in which the committee may feel action is necessary and proper for the well-being of the aged.

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

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