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4 Document(s) [ Subject: Medical records ]

Committee: House Public Health
Title: Interim Report
Subjects: Border crossings | Border issues | Border security | Dental Examiners, Texas State Board of | Dentists | Ebola | Food and Drug Administration, U.S. | Foster care | Immunizations | Medical records | Pharmaceutical industry | Pharmacies | Pregnancy | Prenatal care | Prescription drugs | Psychoactive drugs | Substance abuse | Unaccompanied minors | Undocumented immigrants | Workers' compensation | Workforce Commission, Texas |
Library Call Number: L1836.83 H349h
Session: 83rd R.S. (2013)
Online version: View report [82 pages]
Charges: This report should address the charges below.
1. Assess the prevalence of nonmedical prescription drug use in the state (including opioid analgesics, stimulants, tranquilizers, and sedatives). Identify adverse health impacts. Recommend strategies to curb emerging substance abuse trends among children, pregnant women, and adults, as well as to reduce health care costs and mortality.
2. Study and make recommendations for improvements to the licensing, regulation, and monitoring of compounding pharmacies, including a review of the joint cooperative efforts between the Texas State Board of Pharmacy, Department of State Health Services, and U.S. Food and Drug Administration. Consider the impact of the passage of SB 1100 (83R), additional appropriations made by the 83rd Legislature to strengthen inspections, and any relevant federal legislation.
3. Identify strategies to support the efficient exchange of electronic health information with Texas Health and Human Services enterprise agencies. Examine legal and technical issues around the accessibility of information held in registries maintained by state agencies to authorized health care providers. Identify issues related to health information exchange and providers' liability, as well as concerns related to transitioning patient data in cases where a provider selects a new electronic health record vendor.
4. Examine the current practice for dispensation of biologic and follow-on biologic (biosimilar) pharmaceutical products in our state. Review any practices for interchangeability of drugs that might pertain to these particular medicines. Review and make recommendations regarding the substitution of biosimilar and biologic medicines.
5. Monitor transition of the state's immunization registry to a new system. Determine whether the registry can be better utilized to prevent and/or respond to communicable disease outbreaks, including pertussis. Identify potential factors contributing to the rise in the number of pertussis cases and strategies to prevent future outbreaks.
6. Conduct legislative oversight and monitoring of the agencies and programs under the committee’s jurisdiction and the implementation of relevant legislation passed by the 83rd Legislature, including HB 15 (83R). In conducting this oversight, the committee should: a. consider any reforms to state agencies to make them more responsive to Texas taxpayers and citizens; b. identify issues regarding the agency or its governance that may be appropriate to investigate, improve, remedy, or eliminate; c. determine whether an agency is operating in a transparent and efficient manner; and d. identify opportunities to streamline programs and services while maintaining the mission of the agency and its programs.
Committee: House Public Health
Title: Interim Report
Subjects: Dental care | Dental Examiners, Texas State Board of | Farmers | Food safety | Health care costs | Hunger | Medicaid | Medical education | Medical records | Nurse practitioners | Patient Protection and Affordable Care Act | Physician assistants | Physician shortages | Property tax exemptions | Public health | School nutrition | Small farms | State hospitals | Supplemental Nutrition Assistance Program |
Library Call Number: L1836.82 H349h
Session: 82nd R.S. (2011)
Online version: View report [66 pages]
Charges: This report should address the charges below.
1. Examine the adequacy of the primary care workforce in Texas and assess the impact of an aging population, the passage of the Patient Protection and Affordable Care Act, and state and federal funding reductions to graduate medical education and physician loan repayment programs. Study the potential impact of medical school innovations, new practice models, alternative reimbursement strategies, expanded roles for physician extenders, and greater utilization of telemedicine. Make recommendations to increase patient access to primary care and address geographic disparities.
2. Study the various health registries maintained by the state, including the similarities and differences in reporting, consent, security, and portability of data. Assess registry compliance with standards for the protection and transmission of registry data and identify any additional steps necessary to ensure security, efficiency, and utilization.
3. Monitor implementation of the federal Patient Protection and Affordable Care Act, including any changes that may result from ongoing litigation or legislative modification or repeal. (Joint with the House Committee on Insurance)
4. Identify policies to alleviate food insecurity, increase access to healthy foods, and incent good nutrition within existing food assistance programs. Consider initiatives in Texas and other states to eliminate food deserts and grocery gaps, encourage urban agriculture and farmers' markets, and increase participation in the Summer Food Program. Evaluate the desirability and feasibility of incorporating nutritional standards in the Supplemental Nutrition Assistance Program (SNAP). Monitor congressional activity on the 2012 Farm Bill and consider its impact on Texas. (Joint with the House Committee on Human Services)
5. Monitor the agencies and programs under the committee's jurisdiction and the implementation of relevant legislation passed by the 82nd Legislature.
Committee: Senate Jurisprudence
Title: Interim Report
Library Catalog Title: Senate Committee on Jurisprudence interim report
Subjects: Adoption | Air pollution control technology | Child abuse | Child custody | Children's Advocacy Centers | Extraterritorial jurisdiction | Grandparents | Houston, Texas | Judges | Juries | Medical records | Occupational licenses | Parents | Private investigators | Probate courts | Records management | Rules of evidence | Texas Code of Criminal Procedure | Visitation rights |
Library Call Number: L1836.80 J979
Session: 80th R.S. (2007)
Online version: View report [161 pages  File size: 5,386 kb]
Charges: This report should address the charges below.
1. Study the laws governing suits affecting the parent-child relationship involving non-parents, including suits for possession of or access to a child by a grandparent, and make recommendations for providing the best care and protection for the children involved. Provide an assessment of the constitutional issues involved with these suits.
2. Study the management and storage of adoption records, including the costs and benefits of converting records into digital format. Study ways to increase access by adopted persons and their children and spouses to important family medical history information and ensure that medical history information is updated, while maintaining privacy and anonymity of records.
3. Examine the role of heir finders in Texas and make recommendations regarding professional standards and fees for heir finders.
4. Identify and study best practices for representation of children in child abuse and neglect cases and determine whether to implement further training, oversight, or other requirements for judges, attorneys, and others responsible for child abuse and neglect cases, including child sexual abuse cases. Develop and implement tools for children’s advocacy centers (CACs) and prosecutors to successfully investigate and prosecute child abusers. Include the following:
  • Explore changes to the rules of evidence that could facilitate the presentation of child testimony in court;
  • Explore making prior extraneous sex offenses admissible during determination of guilt, as has been adopted in the federal court system; and
  • Explore possible expansion of the rules regarding how cases are consolidated and punishments are stacked in a single trial involving a crime committed against a child.
5. Study practices intended to enhance the jury experience and increase jury participation, including:
  • allowing jurors to ask questions of witnesses by submitting them to the judge in writing;
  • allowing lawyers to periodically summarize testimony for the jury;
  • allowing jurors to take notes during trial; and
  • allowing jurors to discuss evidence among themselves during trial.
6. Study and make recommendations relating to the jurisdiction, authority, power and discretion of probate judges in Texas, including the authority of a probate judge to intervene in a non-probate case.
7. Study administrative and legal procedures used by municipalities to exert regulatory authority beyond city limits and extraterritorial jurisdiction. Determine whether conflicts exist with agencies' regulatory authority and regulatory authority delegated to home-rule municipalities, and make recommendations for appropriate delegation and clarification of respective authorities.
8. Monitor the implementation of legislation addressed by the Jurisprudence Committee, 80th Legislature, Regular Session, and make recommendations for any legislation needed to improve, enhance, and/or complete implementation.
Committee: Senate Health Services
Title: Interim Report
Library Catalog Title: Report to the 77th Legislature / Texas Senate Health Committee.
Subjects: Biological weapons | Biotechnology industry | Children's Health Insurance Program | Cloning | Dentists | Ethics | Genetic research and testing | Health care providers | Immunizations | Managed care | Medicaid | Medical privacy | Medical records | Nurses | Nursing shortages | Pharmaceutical industry | Pharmacists | Physicians | Privacy | State employee turnover | Telemedicine |
Library Call Number: L1836.76 h35
Session: 76th R.S. (1999)
Online version: View report [356 pages  File size: 6,500 kb]
Charges: This report should address the charges below.
1. Evaluate the changes in the Medicaid system since the beginning of Medicaid reform. The Committee shall assess reform efforts in light of the original goals for implementation of Medicaid managed care, as well as the impact of Medicaid managed care on patient outcomes, cost implications to the state, and the impact on traditional providers of indigent care. The Committee shall also specifically evaluate the ability of Medicaid managed care organizations and the state to manage chronic illnesses and develop specific strategies for disease management for certain populations.
2. Inventory and analyze the amount and type of research related to pharmaceuticals, biotechnology and genetics currently occurring in Texas to maximize the benefits to Texans in these fields. The Committee shall also examine the ethical implications associated with pharmaceuticals, genetic and biotechnology research.
3. Review the type, amount, availability, and use of patient-specific medical information, including prescription data, and current statutory and regulatory provisions governing its availability. The report shall explore if statutory and regulatory provisions are consistent and adequately enforced.
4. Study impacts of the degree of choice granted physicians to administer immunizations to children under the Vaccinations For Children (VFC) Program. The Committee shall focus on the health and fiscal implications to the public and private sectors of granting choices to physicians where more than one manufacturer produces the same vaccine at an equivalent price.
5. Assess the preparedness of the Texas health care workforce to meet the health care needs of Texans beyond the year 2000, including methods to retain Texas-trained medical personnel. The Committee shall evaluate the availability of health care providers in rural and urban areas. The Committee shall also review the oversight of medical procedures performed by medical residents and disclosure provided to patients prior to treatment.
6. Monitor the implementation of SB 445, 76th Legislature, Regular Session relating to the Children's Health Insurance Program.

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