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7 Document(s) [ Subject: ]

Committee: House Public Health
Title: Interim Report
Subjects: Affordable housing | Alzheimer's disease | Child Protective Services | Children's mental health | Dementia | Family preservation | Homelessness | Housing | Maternal mortality | Medicaid | Mental health services | Mentally ill persons | Organ and tissue donations | Rural areas | Rural health care | Substance abuse | Telemedicine | Transitional housing | Women's health |
Library Call Number: L1836.85 H349h
Session: 85th R.S. (2017)
Online version: View report [125 pages]
Charges: This report should address the charges below.
1. Review state programs that provide women’s health services and recommend solutions to increase access to effective and timely care. During the review, identify services provided in each program, the number of providers and clients participating in the programs, and the enrollment and transition process between programs. Monitor the work of the Maternal Mortality and Morbidity Task Force and recommend solutions to reduce maternal deaths and morbidity. In addition, review the correlation between pre-term and low birth weight births and the use of alcohol and tobacco. Consider options to increase treatment options and deter usage of these substances.
2. Study treatment of traumatic brain injury, Alzheimer's, and dementia, and recommend opportunities for advancing treatment and cures.
3. Study and make recommendations to improve services available for identifying and treating children with mental illness, including the application of trauma- and grief-informed practices. Identify strategies to assist in understanding the impact and recognizing the signs of trauma in children and providing school-based or community-based mental health services to children who need them. Analyze the role of the Texas Education Agency and of the regional Education Service Centers regarding mental health. In addition, review programs that treat early psychosis among youth and young adults.
4. Study the overlays among housing instability, homelessness, and mental illness. Review the availability of supportive housing opportunities for individuals with mental illness. Consider options to address housing stability and homelessness among people with mental illness. (Joint charge with the House Committee on Urban Affairs)
5. Review opportunities to improve population health and health care delivery in rural and urban medically underserved areas. Identify potential opportunities to improve access to care, including the role of telemedicine. In the review, identify the challenges facing rural hospitals and the impact of rural hospital closures.
6. 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 Human Services)
7. Evaluate the process of organ and bone marrow donations. Consider opportunities to improve organ and bone marrow donation awareness in order to increase the number of willing donors.
8. 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 specifically closely monitor the implementation of H.B. 10 (85R), H.B. 13 (85R), and S.B. 292 (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: House State Affairs
Title: Interim Report
Subjects: Banks and banking | Economy | Electric meters | Electric utility rates and charges | Electronic security | Emergency management | Fetal rights | Medical ethics | Natural disasters | Organ and tissue donations | Organized labor | Public Utility Commission of Texas | State employees | State government contracts | State purchasing | Telephone service | Undocumented immigrants | Universal Service Fund | Utility service | Water and sewer utilities |
Library Call Number: L1836.84 St29h
Session: 84th R.S. (2015)
Online version: View report [78 pages]
Charges: This report should address the charges below.
1. Study if the state's infrastructure is adequately prepared for disasters, whether man-made or natural. Include preparedness assessments of the maintenance and recovery of vital infrastructure such as transportation and utility systems.
2. Examine procedures regarding contract monitoring, compliance, performance evaluation and notification requirements for state contracting procedures. Include recommendations to determine a "best value" for the state and prevent conflicts of interests. Evaluate guidelines regarding the state's participation in contracts funded by grants and suggest methods to ensure the best use of taxpayer funds.
3. Determine if the state has sufficient authority and the tools to ensure continued operation of the state's government and economy under existing budgetary and statutory authority. Make contingency recommendations to prevent collapse in the event of an economic disaster.
4. Study the policies used by research and medical entities to adhere to the highest ethical standards for acquiring human fetal tissue for medical and scientific purposes. Specifically, review compliance to ensure informed consent and that all state and federal laws sufficiently respect the dignity of the human body. Study criteria for which persons have standing when giving consent for the use of fetal remains and to investigate potential violations of state laws regulating organ/tissue donation. Determine whether additional disclosure and reporting requirements are necessary to ensure moral and ethical research practices. Review practices and statutes in other states regarding fetal tissue harvesting.
5. Study support mechanisms for the Small and Rural Incumbent Local Exchange Carrier - Universal Service Fund. Consider alternative funding mechanisms as well as necessary statutory changes to ensure reasonable cost of basic local phone service in high cost, rural areas without expanding the size of the Texas Universal Service Fund.
6. Evaluate the administrative process used to determine utility rates. Consider if sufficient opportunities exist to ensure customer representation. Also determine if additional legislative guidance is needed to ensure public notification and participation.
7. Examine how the Public Utility Commission of Texas, when applicable, and utility providers, whether vertically integrated, privately owned, or municipally owned, can ensure consumer protection regarding metering devices for water, gas, and electricity service. Review recent examples of inaccurate or confusing billings and offer recommendations on appropriate consumer recourse and appeal. In addition, assess utility procedures regarding meter installation.
8. Examine state and local laws applicable to undocumented immigrants throughout the State of Texas and analyze the effects of those laws in conjunction with federal immigration laws and the policies and practices followed by U.S. Immigration and Customs Enforcement.
9. Examine payroll deductions from state or political subdivision employees for the purpose of labor organization membership dues or fees as well as charitable organization and nonprofit contributions. Determine if this process is an appropriate use of public funds.
10. Monitor the impact of major State Affairs legislation passed by the 84th Legislature, including updates regarding recent contracting reforms. Conduct legislative oversight and monitoring of the agencies and programs under the committee's jurisdiction and the implementing of relevant legislation passed by the 84th Legislature. In conducting this oversight, the committee should: a. consider any reforms to state agencies to make them more responsive to Texas taxpayers and citizens; b. identify issues regarding the agency or its governance that may be appropriate to investigate, improve, remedy, or eliminate; c. determine whether an agency is operating in a transparent and efficient manner; and d. identify opportunities to streamline programs and services while maintaining the mission of the agency and its programs.
Committee: House Public Health
Title: Interim Report
Library Catalog Title: Interim report to the 81st Legislature
Subjects: Anatomical Board, Texas | Anatomical gifts | Asthma | Disease prevention | Driver Responsibility Program | Emergency management | Emergency medical services | Health care providers | Indigent health care | Medical Board, Texas | Organ and tissue donations | Prescription drugs | State employees | Trauma Facilty/EMS account |
Library Call Number: L1836.80 H349h
Session: 80th R.S. (2007)
Online version: View report [74 pages  File size: 8,191 kb]
Charges: This report should address the charges below.
1. Monitor and evaluate the full array of wellness initiatives undertaken by the State of Texas to include the newly adopted state employee wellness and prevention legislation (HB 1297, 80th Legislature, Regular Session) and a pilot program to encourage health lifestyles, such as smoking cessation within the Medicaid program (SB 10, 80th Legislature, Regular Session) and for state employees. Develop strategies for maximizing potential health benefits and optimizing the return on the State of Texas' investments in wellness. Include a review of other state and private sector programs for employee wellness that result in prevention cost savings.
2. Research issues relating to the Indigent Health Care and Treatment Act (Chapter 61, Health and Safety Code) and related local health care initiatives (Chapter 534, Government Code), and make recommendations to address any imbalance between counties for the provision of health care.
3. Review issues related to federal changes for tamper-resistant prescription pad requirements, and monitor the activity of the Texas Department of Public Safety Controlled Substances Advisory Committee in response to SB 1879, 80th Legislature, Regular Session.
4. Examine issues related to the Texas Anatomical Gift Act (Chapter 692, Health and Safety Code.)
5. Examine the status of asthma in Texas, and make recommendations to prevent asthma and to assist children and adults with asthma to more effectively manage their disease. Develop strategies for decreasing the direct medical and indirect related costs associated with asthma.
6. Examine activities at the Texas Medical Board as they relate to the protection of public health and the practice of medicine, and the status of implementation requirements established by HB 1973, 80th Legislature, Regular Session. The committees should consider any findings by the Texas Sunset Commission. (Joint Interim Charge with the House Committee on Appropriations.)
7. Examine the State of Texas' preparedness level to handle a public health emergency. (Joint Interim Charge with the House Committees on Defense Affairs and State-Federal Relations.)
8. Review the effectiveness of the Driver Responsibility Programs, and provide recommendations for increasing the collection rate of assessed penalties. Provide recommendations for amnesty and incentive programs established by the passage of SB 1723, 80th Legislature, Regular Session. Examine the status of Texas' current statewide trauma system infrastructure and how the system may be optimized to meet future trauma care needs in a rapidly growing state with overburdened emergency rooms. (Joint Interim Charge with the House Committee on Transportation.)
9. Study the state's current and long-range need for physicians, dentists, nurses and other allied health and long-term care professionals. Make recommendations regarding strategies related to geographic distribution and barriers to recruitment of high-need professions, especially for primary care providers and long-term care professionals. (Joint Interim Charge with the House Committees on Border and International Affairs and Appropriations.)
10. Monitor the agencies and programs under the committee's jurisdiction.
Committee: House Public Health
Title: Interim Report
Library Catalog Title: House Committee on Public Health, Texas House of Representatives interim report, 2004 : a report to the House of Representatives, 79th Texas Legislature
Subjects: Children's health | Diabetes | Fetal rights | Immunizations | Medicaid Vendor Drug Program | Organ and tissue donations | Pregnancy | Prenatal care |
Library Call Number: L1836.78 H349h
Session: 78th R.S. (2003)
Online version: View report [80 pages  File size: 309 kb]
Charges: This report should address the charges below.
1. Examine the demographics and costs of diabetes in Texas. Assess the impact diabetes will have on Texas' population, budget and health care system in the future and recommend appropriate policy changes.
2. Investigate the practice of allowing corneal tissue to be taken and used for transplantation without prior consent. Recommend appropriate state policy changes.
3. Collect, review and report on the statistics and statewide impact of drug and alcohol abuse by pregnant women on the unborn.
4. Review the current operations of the Texas Immunization and Kidney Health Care programs. The review should determine if the operational and administrative changes made to the Medicaid Vendor Drug Program will continue to meet the needs of Texans who do not qualify for Medicaid, Children's Health Insurance Program or private insurance and recommend any necessary changes.
5. Monitor the agencies and programs under the committee's jurisdiction.
Committee: Senate Health and Human Services
Title: Interim Report
Library Catalog Title: Report to the 78th Legislature / Senate Committee on Health and Human Services.
Subjects: Biological weapons | Child care | Children's health | Disability benefits | Immunizations | Mental Health and Mental Retardation, Texas Department of | Mental health services | Mentally disabled persons | Mentally ill persons | Organ and tissue donations | Patient restraints | Public health | Rehabilitation Commission, Texas | Terrorism | Welfare | Welfare reform | Welfare-to-work |
Library Call Number: L1836.77 h349
Session: 77th R.S. (2001)
Online version: View report [714 pages  File size: 8,454 kb]
Charges: This report should address the charges below.
1. Review, evaluate, and make recommendations on the following mental health and mental retardation issues: a. Availability and adequacy of mental health services for children and adolescents and their families, including services funded through the mental health system, Medicaid, and the Children's Health Insurance Program, and other funding sources the Committee considers relevant. b. Community mental health services delivery structure, including evaluating the efficacy of continuation or expansion of the NorthStar managed care pilot and the role of local community MHMR centers as mental health authorities. c. Texas Department of Mental Health and Mental Retardation's allocation formulas for distributing mental health and mental retardation funds to local communities.
2. Review, evaluate and make recommendations to improve the effectiveness of the state's Temporary Assistance to Needy Families (TANF), Welfare-to-work, child care and related programs in moving families out of poverty to self-sufficiency, with special focus on expiration of the state's federal waiver in FY 2002. Monitor federal reauthorization activities on these programs.
3. Review, evaluate and make recommendations to improve Texas' Supplemental Security Income disability determination procedures. The Committee should compare Texas' denial rate with other states' rates, analyze any changes in Texas' rate, and examine the impact of Texas' system on Medicaid coverage for the uninsured.
4. Evaluate and make recommendations to improve the effectiveness of the state's public health response to bioterrorism.
5. Make recommendations for improving the state's organ donatation and allocation system.
6. Study and make recommendations for increasing Texas' rates of immunization against childhood communicable diseases.
7. Study and make recommendations for improving reporting and training regarding the use of restraints and seclusions in facilities.
Committee: House Organ Transplantation
Title: Interim Report
Library Catalog Title: A report to the 61st Legislature / Interim Committee on Organ Transplantation.
Subjects: Organ and tissue donations |
Library Call Number: L1836.60 or14
Session: 60th R.S. (1967)
Online version: View report [25 pages  File size: 940 kb]
Charge: This report should address the charge below.
1. Study the need for new and changed laws to keep abreast of the developments in the field of medicine related to organ transplantations.

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

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