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13 Document(s) [ Subject: Health care providers ]

Committee: House Health Care Education and Training, Select
Title: Interim Report
Subjects: Education | Health care | Health care providers | Higher education | Job training programs | Mental health services |
Library Call Number: L1836.83 H349ce
Session: 83rd R.S. (2013)
Online version: View report [36 pages]
Charge: This report should address the charge below.
1. Assess the statewide demand for health professionals, including in the area of mental health. Make recommendations to better align institutions of public and higher education with the needs of health care employers.
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: Senate Health and Human Services
Title: Interim Report
Library Catalog Title: Interim report to the 81st Legislature
Subjects: Adoption | Aging and Disability Services, Texas Department of | Anti-smoking campaigns | Asthma | Caseworkers | Child abuse prevention | Child Protective Services | Community support services | Disease management | Disease preparedness | Disease prevention | Family and Protective Services, Texas Department of | Family Based Safety Services | Family preservation | Foster care | Health care providers | Health Enterprise Zones | Health insurance premium subsidies | Home health care services | Immunizations | Influenza | Medicaid | Medical errors | Medical reimbursements | Medically uninsured | Mental health services | Mentally disabled persons | Nursing homes | Obesity | Persons with disabilities | Preparation for Adult Living | Rural health care | State supported living centers | Stem cell research | Umbilical cord blood |
Library Call Number: L1836.80 H349
Session: 80th R.S. (2007)
Online version: View report [379 pages  File size: 16,580 kb]
Charges: This report should address the charges below.
1. Monitor the Department of Aging and Disability Services' improvement plan for the system of care for individuals with developmental disabilities, focusing on efforts to improve state schools and provide more community care options. Evaluate the process for preventing, reporting, and investigating abuse and neglect in state schools, ICF/MRs and the Home and Community-Based Services (HCS) program. Determine the short-term and long-term financial impact of increasing the number of individuals served in home or community locations and the financial impact this shift has on state schools. Monitor the department's efforts to convert institutions to community care providers through the money-follows-the-person program designed to improve access to community care services. Specifically make recommendations on:
  • how to further improve the system of care for individuals with developmental disabilities;
  • preventing, reporting, and investigating abuse and neglect;
  • developing a transition plan for reducing waiting list for community care service;
  • incentives for converting institutions into community care providers; and
  • a long term plan to address issues that result from the current federal Department of Justice investigation.
2. Study and make recommendations related to creating an outcome-based reimbursement model in Texas' Medicaid program as a way to improve quality of care, reduce medical errors, and create cost savings. Develop a pilot health care program that pays for best practices, rather than only paying for actual procedures performed. Examine the Centers for Medicare and Medicaid's (CMS) efforts to create an outcome-based system in the Medicare payment system that sanctions serious, preventable medical errors. Examine Pennsylvania's efforts to implement a similar outcome-based reimbursement model to make providers more vigilant about patient care, encourage best practices, and reduce costs in their Medicaid program. If necessary, examine other health care coverage models that have successfully incorporated an outcome-based reimbursement system. Consider pay-for-performance, options that reward good outcomes and the use of best practices, and changes to the reimbursement system that will reduce serious preventable medical errors and hospital acquired infections.
3. Study the effectiveness of the Resiliency and Disease Management (RDM) program in the mental health service delivery system, implementation of changes to the crisis care program, and recommendations for appropriate use of the mental health transformation grant. Identify strategies to increase access to services and meet future demand for services. Examine resource allocation and opportunities to maximize funding. Policy recommendations should maximize the number of inpatient psychiatric acute care beds, enhance access to outpatient services, promote the use of recovery-based services, and enhance access to community-based services.
4. Monitor the implementation of the Department of Family and Protective Services’ improvement plan to reduce caseloads for Child Protective Service caseworkers, and to provide family-based safety services and ongoing substitute care services. Evaluate the efficiency of Child Protective Services "functional units," and determine if other organizational models would allow for a reduction in caseworkers' caseloads, without increasing other administrative costs. Develop recommendations aimed at lowering individual caseloads, making casework more efficient, and improving the retention of caseworkers. Assess the viability of caseworker reimbursement as a manner to lower caseworker turnover.
5. Monitor the implementation of the Department of Family and Protective Services' plan to stabilize the foster care system and increase permanency options for children. Study placement capacity to determine how Child Protective Services can better develop the necessary adoptions or foster homes to meet the needs of children and families by increasing foster care capacity, recruiting and retaining more foster and adoptive parents, increasing the use of relative care, and developing best practices for reducing foster care placement breakdowns. This includes studying innovative ways to promote adoption and kinship care in Texas and best practices for foster/adoptive parents to improve their ability to care for abused and neglected children. Explore potential improvements and enhancements in the Preparation for Adult Living (PAL) program to increase successful transitioning from foster care to adult living. Study current death review processes for children who die while in state care.
6. Examine Texas' current strategies for preventing child abuse. Specifically study the effectiveness of current programs and how these programs compare to other state efforts. Identify national research-based solutions, including best practices and programs addressing sexual abuse. Explore promising existing and emerging approaches to child abuse and neglect prevention, especially those with a strong evidence base. Identify additional funding sources for increased child abuse prevention activities by the state.
7. Study the changes in statute contained in SB 10, 80th Legislature, Regular Session, as well as the state's current prevention and wellness efforts and chronic care management efforts, and identify opportunities for improvement in state policies and programs. Examine options for expanding and optimizing the state's current investment in wellness programs and management tools for individuals with chronic care conditions, including options that address childhood asthma. Review partnerships with the private sector that specifically address the following:
  • tobacco cessation, including the evaluation of a statewide smoking ban in public places;
  • reducing obesity;
  • availability and effectiveness of childhood and adult vaccines, including public education programs to promote the use of vaccines; and
  • more effective management of chronic care conditions.
8. Study the effectiveness and efficiency of nursing homes and home-based solutions/home care in Texas, and make recommendations to improve nursing homes and their funding. Identify and study successful nursing home funding models established by other states. Consider ways to fund infrastructure for nursing and therapists and home care. Examine the possibility of an incentive-based “pay for performance” rate plan for nursing facilities and consider factors that it could be based on, taking into account similar plans implemented in other states. Make recommendations on how best to use Medicaid to fund skilled nursing and home health care in Texas. Explore options for improving graduation rates for nurses in Texas.
9. Study and address ethical issues surrounding the impact of a pandemic influenza in this state, particularly focusing on the following:
  • the availability of human and material resources;
  • the benefits and burdens of mass vaccination plans;
  • the involvement of private sector professional organizations and businesses in the state's pandemic influenza preparedness and response plans; and
  • development and implementation of communication plans that will inform and prepare the public on risk reduction behaviors and local/state preparedness and response.
10. Study the potential for development of Health Enterprise Zones, which could offer tax incentives to medical providers who locate within the boundaries of designated medically underserved areas. Analyze similar legislation enacted in other states, specifically New Jersey, and estimate costs and benefits. Consider expanding incentives to medically related industries such as medical research facilities, laboratories and equipment manufacturers in order to spur economic development.
11. Monitor the collection and availability of cord blood stem cells for treatments and research in Texas. Review the current state of basic and clinical research using these and other types of adult stem cells. Assess the potential for clinical and economic benefits from current and increased adult stem cell research.
12. Review Medicaid provider reimbursement rate methodologies, including the impact of factors such as infrastructure concerns, federal minimum wage changes, and cost reports. Study the impact on access to care, quality of care, and value, and make recommendations for legislative changes, taking into account rate increases contained in the current budget. (Joint charge with Senate Finance Committee)
13. Study the state's current and long-range need for physicians, dentists, nurses, and other allied health and long-term care professionals. Make recommendations on how the state can help recruit high-need professions, especially for primary care providers and long-term care professionals in the underserved regions of Texas. (Joint charge with the Senate Committee on International Relations and Trade)
14. Monitor the implementation of legislation addressed by the Health and Human Services Committee, 80th Legislature, Regular Session, and make recommendations for any legislation needed to improve, enhance, and/or complete implementation. Specifically, report on the implementation of SB 10, 80th Legislature, Regular Session, to ensure meaningful improvement in access to quality care in the Texas Medicaid program, focusing on how to cover more uninsured in Texas with market-based plans or premium assistance for employer health plans, and monitor the creation of the Texas Cancer Research and Prevention Institute.
Committee: Senate International Relations and Trade
Title: Interim Report
Subjects: Border economy | Border security | Colonias | Drug trafficking | Extraterritorial jurisdiction | Health care providers | Human trafficking | Rural economic development | Substandard housing | Undocumented immigrants |
Library Call Number: L1836.80 In9
Session: 80th R.S. (2007)
Online version: View report [127 pages  File size: 4,048 kb]
Charges: This report should address the charges below.
1. Review state and local policies relating to development and growth in rural and unincorporated regions of the state. Work with housing advocates, county organizations and appropriate officials to assess the proliferation of substandard housing in rural and unincorporated areas.
2. Determine the appropriateness of and make recommendations on the existing extraterritorial jurisdiction authority currently granted under colonia prevention measures along the border region.
3. Develop recommendations to better provide Border and rural communities access to state and federal resources. Review the programs established by different states and recommend initiatives that Texas can enact to increase the competitiveness of these communities, engender critical development, provide affordable housing, identify community assets, retain/create wealth and create regional jobs. Study and make recommendations to expand business opportunities in international markets for businesses located in economically distressed areas, including rural and Border areas.
4. Study the state's current and long-range need for physicians, dentists, nurses, and other allied health and long-term care professionals. Make recommendations to recruit high-need professions, especially for primary care providers and long-term care professionals in the Border region of Texas. (Joint charge with the Senate Health and Human Services Committee)
5. Study and make recommendations to stem the tide of illegal immigration, drug trafficking, and human smuggling, and to reduce the criminal activities within the Border region. (Joint charge with Senate Committee on Transportation and Homeland Security)
6. Monitor the implementation of legislation addressed by the International Relations and Trade Committee, 80th Legislature, Regular Session, and make recommendations for any legislation needed to improve, enhance, and/or complete implementation.
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: Joint Binational Health Benefit Plan Coverage
Title: Interim Report
Library Catalog Title: Report of the Interim Committee on Binational Health Benefit Plan Coverage.
Subjects: Border health | Health care | Health care providers | Health insurance |
Library Call Number: L1836.77 b51
Session: 77th R.S. (2001)
Online version: View report [140 pages  File size: 8,344 kb]
Charges: This report should address the charges below.
1. Study the provision of binational health benefit plan coverage.
2. Hold hearings in the border areas of the state to: (1) determine the need for binational health benefit plan coverage; (2) assess the health care needs of the border area and how those needs can be served by various types of providers; and (3) assess the affordability, cost-effectiveness, economic impact, and improved health status achievable through binational health benefit plan coverage.
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: Joint Qualified Providers, Interim
Title: Interim report
Library Catalog Title: Report of the Joint Interim Committee on Qualified Providers: report to the 74th Legislature.
Subjects: Health care providers | Health insurance | Health maintenance organizations | Insurance industry | Managed care |
Library Call Number: L1836.73 qu25
Session: 73rd R.S. (1993)
Online version: View report [76 pages  File size: 2,557 kb]
Charge: This report should address the charge below.
1. Pursuant to HB 1461, 73rd Legislature, Regular Session, the committee should study the impact of requiring a health insurance policy or health maintenance plan to allow any qualified provider who is a physician, physician's assistant, advanced nurse practitioner, or any class of provider enumerated in Articles 21.52 and 21.52B, Insurance Code, to participate as a contracting provider for such a policy or plan.
Committee: House Health Services
Title: Interim Report
Library Catalog Title: To the speaker and members of the House of Representatives, 68th Legislature : interim report / of the Health Services Committee, Texas House of Representatives, 67th Legislature.
Subjects: Alcoholism | Autism | California | Community support services | Drug rehabilitation programs | Drug trafficking | Hazardous substances | Health care providers | Mental Health and Mental Retardation, Texas Department of | Mental health services | Mentally disabled persons | Patients' rights | Pesticides | State agency budgets | Substance abuse | Underage drinking | Veterans | Veterans' health care |
Library Call Number: L1836.67 h349
Session: 67th R.S. (1981)
Online version: View report [103 pages  File size: 4,438 kb]
Charges: This report should address the charges below.
1. Investigate the problems of alcohol addiction and drug abuse among youth.
2. Oversight functions shall be conducted for all appropriations-related actions of those agencies assigned to this committee for appropriative purposes during the 67th Regular Session of the Legislature. In addition, a study should be made of the impact of any federal cuts, and the differences in the operational aspect of the agencies under block vs. categorical grants. Close scrutiny should be given to each agency to ascertain if legislative intent is being carried out in the rules promulgated by the agency and if the rules are feasible and practical in their application. These agencies include: Department of Health Department of Mental Health and Mental Retardation Governor's Commission on Physical Fitness Health Facilities Commission Texas Commission on Alcoholism Board of Morticians Texas Board of Chiropractic Examiners Texas Board of Examiners in the Fitting and Dispensing of Hearing Aids Board of Nurse Examiners Texas Optometry Board State Board of Pharmacy Texas Board of Physical Therapy Examiners Texas Board of Podiatry Examiners Texas State Board of Examiners of Psychologists State Board of Dental Examiners State Board of Veterinary Medical Examiners and Texas State Board of Medical Examiners.
3. Study the operations of the Health Systems Agencies in Texas.
4. Examine California's statutes relating to freedom of choice in selecting health care services and providers and determine if similar changes should be made in Texas' statutes.
5. Coordinate efforts with the Joint Committee on Autistic Citizens to develop possible alternatives to institutionalization of mentally retarded and autistic persons.
6. Monitor the activities and progress of the programs designed to provide aid to veterans suffering from Agent Orange. Look at number of veterans served, percentages with abnormalities, costs, etc.
7. Study the impact of pesticides on health in Texas.
8. Study the proposed construction of the Houston Psychiatric Hospital.
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 Ad Hoc Committee on Standardized Medical Procedures
Title: Interim Report
Library Catalog Title: Interim report / Ad Hoc Committee on Standardized Medical Procedures, Senate of the state of Texas, 67th Legislature.
Subjects: Health care providers | Medical assistants | Nurses | Physicians |
Library Call Number: L1836.66 m468
Session: 66th R.S. (1979)
Online version: View report [114 pages  File size: 5,758 kb]
Charges: This report should address the charges below.
1. Study the provision of health care services by advanced practice nurses, nurse practitioners, emergency medical service personnel or physicians assistants working under standard orders or written protocols without the direct supervision of a doctor. Consider the effect on health care if limits on the use of standing delegation orders were strictly enforced. Make recommendations for legislative action. *
2. Make a thorough study of the provision of health care services through the use of protocols and standing orders and of the implications, if any, of Texas Attorney General Opinion H-1295 and of any legal restraints on such use.
Supporting documents
Committee: Senate Human Resources Ad Hoc Committee on Standardized Medical Procedures
Title: SR 667
Library Call Number: SR 667
Session: 66th R.S. (1979)
Online version: View document [3 pages  File size: 1,233 kb]
Committee: House Urban Needs, House Joint
Title: Interim Report
Library Catalog Title: To the speaker and members of the Texas House of Representatives, 67th Legislature : report / of the Joint Committee on Urban Needs, Texas House of Representatives, 66th Legislature.
Subjects: Crime prevention | Energy policy | Health care providers | Mental health services | Municipal budgets | Municipalities | Population growth | Social service agencies | Transportation | Transportation planning | Workforce |
Library Call Number: L1836.66 ur1n
Session: 66th R.S. (1979)
Online version: View report [154 pages  File size: 6,492 kb]
Charges: This report should address the charges below.
1. Investigate developments in Texas in the next decade and corresponding needs which the Legislature could address.
2. Investigate developments in Texas for the rest of the 20th century, including: the needs of Texas cities; energy needs; human services; transportation; the effect of growth on labor availability; and crime prevention. *
3. Consider the effects of population growth on the demand for government services, and review possible sources of additional revenue. *
4. Study the economics of Texas' cities, including such issues as revenue projections, expenditure levels, grants, etc.
5. Study Texas' energy needs for industrial, commercial and residential purposes.
6. Study the need for expanded human resources, such as mental and physical heath services, social service availability and related issues. Forecast future needs.
7. Study the future of transportation in urban areas.
8. Determine crime prevention needs in terms of law enforcement, neighborhood efforts and other related matters.
9. Study industrial and commercial growth and its effect on labor availability.

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

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