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9 Document(s) [ Subject: Telemedicine ]

Committee: Senate Criminal Justice
Title: Interim Report
Subjects: Human trafficking | Inmate health | Mental health services | Mentally ill inmates | Prisoner re-entry | Recidivism | State jail system | Telemedicine |
Library Call Number: L1836.85 C868
Session: 85th R.S. (2017)
Online version: View report [148 pages]
Charges: This report should address the charges below.
1. Identify Successful Re-Entry Programs: Study current reentry programs and procedures across Texas' adult criminal justice system and identify which are most effective. Review best practices and make recommendations to ensure that incarcerated individuals who are released from a county or city jail, state jail, or the Texas Department of Criminal Justice have adequate supervision and access to employment, housing, treatment, and other support programs to allow for successful reentry and integration into the community and to prevent recidivism.
2. State Jail Review to Improve Outcomes: Perform a comprehensive analysis and study of the Texas state jail system. Examine the access to and use of rehabilitation, vocation, and education programs. Determine whether current programs are effective and if there are efficiencies that can be found to reduce recidivism and improve outcomes.
3. Telemedicine in Correctional Facilities: Review current availability and best practices in the state regarding the use of telemedicine for inmates in city or county jail, state jail, or the Texas Department of Criminal Justice. Examine and make recommendations on whether access to care and outcomes can be improved through the expanded use of telemedicine for medical and mental health services, and whether expansion would create efficiencies. Examine barriers to implementation and expansion of telemedicine in correctional facilities.
4. Human Trafficking Awareness and Prevention: Study opportunities to increase awareness of human trafficking through public awareness campaigns, among local officials, and within public school districts including the identification of potential human trafficking and stash houses as well as how and where to report. Examine the Human Trafficking Prevention Business Partnership Program at the Office of the Secretary of State and provide recommendations for increasing participation of Texas businesses in the fight against human trafficking.
5. Monitoring: Monitor the implementation of legislation addressed by the Senate Criminal Justice Committee during the 85th Legislature and make recommendations for any legislation needed to improve, enhance, and/ or complete implementation of the following: • Senate Bill 12, Relating to the creation of a grant program to assist law enforcement agencies with the purchase of bulletproof vests and body armor; • Senate Bill 30, Relating to the inclusion of instruction regarding interaction with peace officers in the required curriculu m for certain public school students and in driver education courses and to civilian interaction training for peace officers; and • Senate Bill 1326, Relating to procedures regarding criminal defendants who are or may be persons with a mental illness or an intellectual disability and to certain duties of the Office of Court Administration of the Texas Judicial System related to persons with mental illness.
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 Public Health
Title: Interim Report
Subjects: Cancer | Communicable diseases | Contraceptives | Diabetes | Disease management | Disease prevention | Emergency communications | Emergency management | Employees Retirement System of Texas | Family planning | Healthy Texas Women | Heart disease | Infant mortality | Kidney disease | Lung diseases | Obesity | Pregnancy | Premature infants | Prenatal care | Public health | Respiratory diseases | Teacher Retirement System of Texas | Telemedicine |
Library Call Number: L1836.84 H349h
Session: 84th R.S. (2015)
Online version: View report [45 pages]
Charges: This report should address the charges below.
1. Study and assess the state’s preparedness for public health threats and emergencies including responding to natural disasters and highly infectious diseases. Review current protocols and examine public health resources to determine if they are sufficient. Identify weaknesses within the public health response framework and make recommendations for improvements.
2. Study the impact of chronic disease in Texas and identify the major regional chronic health challenges. Review the types of health data collected by the state related to chronic disease and how the data is utilized to improve health care. Study state programs targeting chronic disease, including the Texas Health Improvement Network, and identify the direct and indirect costs associated with obesity, tobacco, and other related chronic health conditions including impacts to Medicaid, Employees Retirement System, Teacher Retirement System, University of Texas System, and Texas A&M University System. Identify public health interventions for chronic disease and preventative healthcare services that improve health outcomes and reduce cost.
3. Examine the history of telemedicine in Texas and the adequacy of the technological infrastructure for use between Texas healthcare providers. Review the benefits of using telemedicine in rural and underserved areas and current reimbursement practices. Explore opportunities to expand and improve the delivery of healthcare and identify methods to increase awareness by provider groups, including institutions of higher education, and payers of telemedicine activities being reimbursed in Texas.
4. Review programs focused on improving birth outcomes including evaluating the effectiveness and identifying any cost avoidance associated with them. Study barriers pregnant women face enrolling in services and receiving regular prenatal care. Identify factors, including substance abuse, associated with preterm birth and review services available for mothers postpartum.
5. Study the trauma system in the State of Texas including financing, service delivery, planning, and coordination between Emergency Medical Services providers, Trauma Services Area Regional Advisory Councils, The Emergency Medical Task Force, and hospitals. Determine strengths and weaknesses including challenges for rural areas of the state. Make recommendations to reduce any duplicated services, improve the coordination of services, and advance the delivery of trauma services in Texas. (Joint charge with the House Committee on Appropriations)
6. 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: Senate Health and Human Services
Title: Interim Report
Library Catalog Title: Interim report to the 80th Legislature
Subjects: 211 telephone system | Adult Protective Services | Caseworkers | Child nutrition programs | Child Protective Services | Children's Health Insurance Program enrollment and eligibility | Children's mental health | Community support services | Diet and nutrition | Family and Protective Services, Texas Department of | Federally qualified health centers | Guardianship | Health care | Immunizations | Influenza | Medicaid | Medical assistants | Mental health services | Mentally ill inmates | Mentally ill persons | Nurses | Nursing shortages | Obesity | Pharmacists | Physical fitness | Physicians | Social service agencies | Stem cell research | Telemedicine | Texas Emerging Technology Fund |
Library Call Number: L1836.79 H349
Session: 79th R.S. (2005)
Online version: View report [201 pages  File size: 3,167 kb]
Charges: This report should address the charges below.
1. Study and make recommendations for improving delivery of Texas' mental health services; consider local and regional delivery systems including access to care, cost effectiveness, choice and competition, and quality of care.
2. Monitor state and federal Medicaid reform proposals, including their impact on the Medicaid program in Texas, as well as cost-containment measures in other states, and make recommendations for legislative action, as appropriate.
3. Study and make recommendations relating to filling shortages in the health care workforce and improving medical educational services. Evaluate the state's use of the National Health Service Corps and Federally Qualified Health Centers (FQHCs) to address the needs of the Medicaid/Medicare and underinsured populations
4. Examine the strategies used by other states that have had success with FQHCs and make recommendations for increasing the number of FQHCs in Texas.
5. Study and make recommendations relating to policy issues surrounding the use of emerging skin cell research, and other technologies.
6. Study and make recommendations for improving vaccination rates and ensuring an adequate vaccination supply in the state. Include an analysis of vaccine manufacturing and purchasing policies.
7. Evaluate and make recommendations relating to the creation of a comprehensive and statewide nutrition and physical activity plan to address obesity and chronic diseases. Examine options for funding components of such a plan.
8. Monitor the implementation of SB 6, 79th Legislature, Regular Session, relating to Child and Adult Protective Services. Study and make recommendations for development and enhancements to protocols for joint investigations by child protective service workers and law enforcement and for interviews with children for disclosure of abuse.
9. Study the current use of the 2-1-1 network to provide access to information on federal, state, and local resources. Examine and make recommendations on strategies that improve the coordination of service information and expand the availability of information on services currently provided by community and faith-based organizations.
10. Monitor the implementation of HB 2292, 78th Legislature, Regular Session, relating to health and human services. Focus on implementation of service coordination and consolidation efforts to assess the impact on service quality, while reducing costs.
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.
Committee: House Public Health
Title: Interim Report
Library Catalog Title: House Committee on Public Health, Texas House of Representatives interim report, 2000 : a report to the House of Representatives, 77th Texas Legislature.
Subjects: Children's health insurance | Children's Health Insurance Program | e-commerce | Emergency medical services | Health care | Hospitals | Indigent health care | Internet | Managed care | Medicaid | Nonprofit hospitals | Pharmaceutical industry | Pharmacists | Prescription drug costs | Prescription drugs | Public health | State government contracts | Telemedicine | Trauma centers |
Library Call Number: L1836.76 h349h
Session: 76th R.S. (1999)
Online version: View report [275 pages  File size: 10,000 kb]
Charges: This report should address the charges below.
1. Review the role of the pharmaceutical industry in the delivery of health care in Texas. The review should identify pharmaceutical cost-drivers and opportunities to reduce costs, assess the role of pharmacy benefit managers and pharmacies, and address patient-specific issues, as well as other issues identified by the committee.
2. Review issues related to the increased use of new technologies in the delivery of health care. The review should identify opportunities and risks associated with the sale of medical devices and drugs over the Internet, the feasibility of expanding telemedicine to improve care in underserved areas, and regulatory and privacy issues presented by these new technologies.
3. Evaluate the role and potential of disease management in public health programs that serve chronically ill populations.
4. Study issues arising from hospital system sales, conversions, partnerships and mergers, including the impact on health care in medically underserved and rural communities and on the level of charity care provided.
5. Examine the requirements imposed on emergency medical services providers in rural areas. Determine whether individual requirements encourage or hinder the provision of services.
6. Conduct active oversight of the agencies under the committee's jurisdiction, including the Children's Health Insurance Program, the restructuring of health and humans service agencies under HB 2641, 76th Legislature, Regular Session, and the Medicaid managed care program.
Committee: House Corrections
Title: Interim report
Library Catalog Title: Committee on Corrections, Texas House of Representatives interim report, 1996 : report to the House of Representatives, 75th Texas Legislature.
Subjects: Criminal Justice, Texas Department of | Deferred adjudication | Inmate health | Managed care | Parole | Penalties and sentences (Criminal justice) | Prison labor | Probation | Telemedicine | Wackenhut Corrections Corporation |
Library Call Number: L1836.75 c817
Session: 74th R.S. (1995)
Online version: View report [69 pages  File size: 3,420 kb]
Charges: This report should address the charges below.
1. Conduct active oversight of agencies under the committee's jurisdiction.
2. Study the prison industries program regarding private sector employment of inmates.
3. Study the continuing implementation of the managed health care system within the prison system. Consider how tele-medicine networks developed for the prison system might benefit local citizens.
4. Review the need for changes in sentencing practices, the revocation of probation and the use of deferred adjudication.
Committee: House Corrections
Title: Interim report
Library Catalog Title: To the speaker and members of the Texas House of Representatives, 74th Legislature : report of the Committee on Corrections, Texas House of Representatives, 74th Legislature.
Subjects: Criminal Justice, Texas Department of | Inmate health | Inmate rehabilitation | Managed care | Prison construction | Prison labor | Prison population | Recidivism | State agency mandated reports | State jail system | Telemedicine | Windham School District |
Library Call Number: L1836.73 c868
Session: 73rd R.S. (1993)
Online version: View report [64 pages  File size: 2,429 kb]
Charges: This report should address the charges below.
1. Conduct active oversight of agencies under the committee's jurisdiction, including a study of mandated reports to the legislature and legislative agencies. The study should consist of a review of the legislative reporting requirements of all agencies to identify areas where reporting obligations could be streamlined and agency accountability improved. The committee shall make specific recommendations about the continuation, modification or elimination of required legislative reports.
2. Monitor and report on the Texas Department of Criminal Justice's implementation of the managed health care system established in SB 378, 73rd Legislature, Regular Session.
3. Monitor the construction of facilities by the Texas Department of Criminal Justice. Report to the legislature on construction progress and make recommendations regarding the adequacy and effectiveness of the construction program.
4. Study the effects of inmate job training on recidivism, as proposed in HB 1602, 73rd Legislature, Regular Session.
5. Study the use of private industry prison work programs and the assumption of costs by the prison through these programs.

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

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