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19 Document(s) [ Subject: Nursing shortages ]

Committee: Senate Health and Human Services
Title: Interim Report
Subjects: Child care | Coronavirus | Disease preparedness | Emergency management | Immunizations | Long-term care | Medical licensing | Mental health services | Nursing shortages | Physician shortages | Public health | State Health Services, Texas Department of | Vaccine mandates |
Library Call Number: L1836.87 H349
Session: 87th R.S. (2021)
Online version: View report [38 pages  File size: 1,285 kb]
Charges: This report should address the charges below.
1. Public Health Data: Review the processes for public health data collection and coordination by local and state entities as well as regional trauma centers. Identify any continuing barriers to the real-time dissemination of data concerning health care facility capacity—including data that can expedite timely care—and mortality rates, as well as other information that can assist in public policy decisions.
2. Health Care Workforce: Study the impact of the global pandemic on the health care workforce in acute and long-term care. Identify health care staffing challenges and examine how staffing services and payment models changed the economics of the health care workforce. Identify and recommend ways to increase the health care workforce pipeline.
3. Pandemic Response: Examine the impact of state and federal pandemic policies—including agency guidance, licensing and regulatory actions, and health care industry policies—on patient care and treatment delivery. Examine how regulatory guidance impacts the patient-doctor relationship. Recommend any changes needed to ensure Texas can develop its own data-driven guidance during public health emergencies.
4. Monitoring: Monitor the agencies and programs under the Committee's jurisdiction and oversee the implementation of relevant legislation passed by the 87th Legislature. Conduct active oversight of all associated rulemaking and other governmental actions taken to ensure intended legislative outcome of all legislation.
Committee: House Public Health
Title: Interim Report
Subjects: Border health | Drug overdoses | Drug-related deaths | Hospitals | Interstate compacts | Medical education | Medical licensing | Medical marijuana | Nursing shortages | Opioids | Physician shortages | Public health | Rural health care | Substance abuse | Telemedicine |
Library Call Number: L1836.87 H39h
Session: 87th R.S. (2021)
Online version: View report [108 pages  File size: 2,369 kb]
Charges: This report should address the charges below.
1. Consider issues involving access to health care along the Texas-Mexico border, including, but not limited to, the ability to access providers, hospital capacity, pharmaceutical adequacy and whether any particularized training or education is necessary or appropriate.
2. Monitor the agencies and programs under the Committee’s jurisdiction and oversee the implementation of relevant legislation passed by the 87th Legislature. Conduct active oversight of all associated rulemaking and other governmental actions taken to ensure the intended legislative outcome of all legislation, including the following:
  • HB 4, 87th R.S., relating to the provision and delivery of telemedicine and telehealth services; and
  • HB 1616, 87th R.S., relating to the Interstate Medical Licensure Compact.
3. Study the impact of fentanyl-related overdoses and deaths in Texas. Evaluate existing data collection, dissemination, and mitigation strategies regarding opioid abuse in Texas. Make recommendations to improve coordinated prevention, education, treatment, and data-sharing.
4. Study current telemedicine trends by assessing and making recommendations related to standardizing required documentation healthcare providers must obtain for consent for treatment, data collection, sharing and retention schedules, and providing telemedicine medical services to certain cancer patients receiving pain management services and supportive palliative care.
5. Examine existing resources and available opportunities to strengthen the state’s nursing and other health professional workforce, including rural physicians and nurses.
6. Assess ongoing challenges in the rural health care system and the impact of legislation and funding from the 87th regular and special sessions on strengthening rural health care and the sustainability of rural hospitals and health care providers. Evaluate federal regulations authorizing the creation of a Rural Emergency Hospital provider type and determine if promoting this type of facility could increase local access to care in rural areas of the state.
Supporting documents
Committee: House Public Health
Title: Committee meeting handouts and testimony, October 5, 2021
Library Call Number:
Session: 87th R.S. (2021)
Online version: View document [129 pages  File size: 20,653 kb]
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 | 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 | Services for persons with disabilities | 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 R.S., 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 R.S., 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 R.S. relating to the Children's Health Insurance Program.
Committee: House Higher Education
Title: Interim report
Library Catalog Title: Committee on Higher Education, Texas House of Representatives interim report, 1992 : a report to the House of Representatives, 73rd Legislature.
Subjects: Grants | Higher education | Higher education affordability | Medical education | Nursing shortages | Physicians | Scholarships | Student aid | Student loans | Texas State Technical College | Tuition | University finance |
Library Call Number: L1836.72 ed84h
Session: 72nd R.S. (1991)
Online version: View report [34 pages  File size: 892 kb]
Charges: This report should address the charges below.
1. Monitor and oversee legislation enacted during the 72nd Regular and Special Called Sessions that was considered by the Higher Education Committee; Performance Audit Review Recommendations; and any agency-initiated changes.
2. Carry out budget and oversight responsibilities for all agencies, boards, and commissions listed in Rule 3, Section 15. A. Monitor and oversee documenation of salary increases. B. Verify the number and status of outcomes and outputs as identified in the Appropriations Bill (HB 1, 72nd Legislature, 1st Called Session). C. Review agencies' existing performance standards and determine whether new standards are needed.
3. Study the levels of tuition and fees at institutions of higher education across the state and the causes and effects of their increase in recent years. Monitor and coordinate with the Joint Committee on Higher Education as it pertains to this subject.
4. Study the increasing need for student financial aid in the forms of grants and loans.
5. Identify the role, mission, and benefits of Texas State Technical College (TSTC) including its role of meeting the educational needs of the area it serves, future funding, and conflicts with junior colleges.
6. Monitor and coordinate with the Joint Committee on Higher Education as it relates to formula funding and deferred maintenance at institutions of higher education.
7. Study the enrollment at professional schools to determine supply, as it relates to the demand for all appropriate professions.
Committee: Joint Higher Education, Select
Title: Interim report
Library Catalog Title: Higher education in the new Texas : report of the Joint Select Committee on Higher Education to the 73rd Legislature, state of Texas.
Subjects: Higher education | Higher education affordability | Medical education | Minority students | Nursing education | Nursing shortages | School dropouts | Tax system | University budgets | University enrollment | University faculty salaries | University finance | University graduation rates | Workforce |
Library Call Number: L1836.72 ed84hmr
Session: 72nd R.S. (1991)
Online version: View report [104 pages  File size: 4,500 kb]
Charges: This report should address the charges below.
1. Study the purposes, performance, administrative methods, formula allocation system and the use of funds appropriated for higher education.
2. Review the goals for higher education established in the master plan for higher education adopted by the Texas Higher Education Coordinating Board, and identify specific goals that the state must attain by the year 2000. The final report shall also contain recommended goals to be met on a biennial basis until the year 2000;
3. Assess the performance of the Texas higher education system in accomplishing the following purposes, with particular attention to the comparable performance of states, regions, and nations with which Texas competes: 1. preparing an adequate number of well-informed citizens and qualified professionals, as measured by enrollment rates, retention rates, incidence of degrees and certificates granted, performance on state licensure examinations, and other appropriate measures; 2. preparing an adequate number and quality of professionals in various fields to ensure a competitive work force, with emphasis on the supply of professionals compared to the demand and projected need of such professionals in the future; 3. preparing an adequate number and quality of public school teachers and administrators to provide for an effective and efficient public primary and secondary school system; 4. providing access to higher education programs to all citizens, regardless of age or ethnicity; and 5. providing to organizations and individuals in Texas access to relevant research results and new ideas in support of a dynamic economy;
4. Conduct an analysis comparing trends in funding per student, expenditure per student, administrative cost per student, and other relevant measures of comparison of the Texas higher education system and the systems of other states with which Texas competes
5. Examine methods of projecting student enrollment and projections through the year 2000 for each sector of higher education.
6. Review institutions' expenditures of funds and use of authority to set and collect fees.
7. Examine methods for colleges and universities to share critical resources using cooperative degree programs, telecommunication access to libraries, computers, selected classes, and coordinated research programs.
8. Examine means to reduce dropout rates and increase opportunities for students to achieve educational goals quickly and with a minimum of wasted effort;
Committee: House Human Services
Title: Interim report
Library Catalog Title: Interim report to the 72nd Texas Legislature / Committee on Human Services.
Subjects: At-risk youth | Child abuse | Child care | Child welfare | Elder abuse | Long-term care | Medical education | Nurses | Nursing education | Nursing homes | Nursing shortages | Obesity | Public health | Quality of care | Runaway children | Senior citizens |
Library Call Number: L1836.71 h88
Session: 71st R.S. (1989)
Online version: View report [310 pages  File size: 11,175 kb]
Charges: This report should address the charges below.
1. To monitor all activities and to have budget oversight responsibilities for those agencies, boards and commissions as listed in Rule 3, Section 17.
2. To study the extent of the problem of "throwaway children" that have been abandoned by their parents.
3. To study feasibility of obesity prevention programs and the potential impact on reduction of indigent health care costs.
4. To study the impact of the shortage of nursing personnel on health care delivery providers, including an examination of the regulation and permit requirements of nursing pools.
5. To study the provision of day care services to families with low to moderate income, including the licensing and regulation of providers, the effects of federal welfare and day care reforms on day care services and the potential for expanded public-private partnerships in the area of day care.
6. To study current public and private policies relating to child day care and to make recommendations to improve child day care services in Texas.
7. To study the development of state policy and strategy for long term care, including a review of policies regarding penalties and sanctions for long term care providers, and to examine unlicensed and unregulated boarding terms.
Committee: Joint Future of Long Term Health Care, Special Task Force
Title: Interim report
Library Catalog Title: Report to the 71st Legislature / the Special Task Force on the Future of Long Term Health Care.
Subjects: Assisted living facilities | Community care | Health, Texas Department of | Home health care services | Human Services, Texas Department of | Long-term care | Medicaid | Medical reimbursements | Nursing homes | Nursing shortages | Quality of care | Senior citizens | Services for persons with disabilities |
Library Call Number: L1836.70 l859
Session: 70th R.S. (1987)
Online version: View report [99 pages  File size: 3,408 kb]
Charge: This report should address the charge below.
1. Study the current and future status of long term health care in Texas and to analyze all current laws and regulations that affect long term health care, with the goal of providing quality care for residents in the most efficient manner. The study should include: (1) a cost-efficient, simple and completely integrated regulatory system between the Texas Department of Health and the Texas Department of Human Services; (2) a regulatory system that focuses on enhancing quality care through an incentive program with sanctions and penalties carefully defined; (3) a long-term care reimbursement process designed to foster cost containment, good patient access and quality of care; and (4) defining and streamlining the certification process, as well as Medicaid eligibility.
Supporting documents
Committee: Joint Future of Long Term Health Care, Special Task Force
Title: HCR 213, 70th Leg.
Library Call Number: HCR 213, 70th Leg.
Session: 70th R.S. (1987)
Online version: View document [2 pages  File size: 181 kb]
Committee: Joint Post-Secondary Medical, Dental, and Allied Health Education, Special
Title: Interim report
Library Catalog Title: Report of the Special Committee on Post-Secondary Medical, Dental, and Allied Health Education.
Subjects: Medical education | Nursing education | Nursing shortages |
Library Call Number: L1836.70 p846
Session: 70th R.S. (1987)
Online version: View report [277 pages  File size: 13,972 kb]
Charge: This report should address the charge below.
1. Study all issues and concerns relating to Medical, Dental, and Allied Health Education Systems in Texas. The study should include, but not be limited to, the most effective system of governance, role and mission statements for each institution, long-term manpower needs for physicians and other health professionals in Texas, the role of research in health-related institutions, the role of medical and dental institutions in the delivery of health care for Texas residents, and, based on a detailed analysis of program costs, a recommendation for a cost-effective methodology to fund health-related education of the highest quality.
Supporting documents
Committee: Joint Post-Secondary Medical, Dental, and Allied Health Education, Special
Title: HCR 107, 70th Leg.
Library Call Number: HCR 107
Session: 70th R.S. (1987)
Online version: View document [2 pages  File size: 183 kb]
Committee: House Retirement and Aging
Title: Interim report
Library Catalog Title: Interim report, 70th Legislature / Committee on Retirement and Aging.
Subjects: Affordable housing | Aging and Disability Services, Texas Department of | Employees Retirement System of Texas | Health insurance | Life insurance | Long-term care insurance | Medicaid | Medical reimbursements | Nursing homes | Nursing shortages | Public retirement systems | Senior citizens | Teacher Retirement System of Texas |
Library Call Number: L1836.70 r314
Session: 70th R.S. (1987)
Online version: View report [119 pages  File size: 4,409 kb]
Charges: This report should address the charges below.
1. To study the feasibility and cost of expansion of the shared housing program of the Texas Department of Aging.
2. Study the televised advertising of health and life insurance plans aimed at the elderly population.
3. To study the state retirement systems.
4. To study the current and projected financial condition of the private long-term care industry and examine possible funding alternatives, including the feasibility of tax deductible payments for nursing home care.
5. To study the costs and benefits of expanding internal administration of real estate investments in comparison to engaging outside real estate advisors by the Teachers Retirement System.
Committee: Joint Rural Health Care Delivery, Special Task Force
Title: Interim report
Library Catalog Title: Report and recommendations / the Special Task Force on Rural Health Care Delivery in Texas.
Subjects: Center for Rural Health Initiatives | Emergency medical services | Medicaid | Medical liability insurance | Medical reimbursements | Nursing shortages | Rural areas | Rural health care | Rural issues | Trauma centers |
Library Call Number: L1836.70 r88
Session: 70th R.S. (1987)
Online version: View report [142 pages  File size: 5,399 kb]
Charge: This report should address the charge below.
1. Define minimal desired medical care for rural counties and communities with due regard for population, geography, proximity to tertiary care centers, physician manpower, and medical transportation availability; define the resources available and/or needed to provide a voluntary plan to meet the needs of Texas counties, including methods of financing the implementation and operation of such a voluntary plan; and seek consensus among affected parties to support the plan when and where counties and communities seek to implement it.
Supporting documents
Committee: Joint Rural Health Care Delivery, Special Task Force
Title: SCR 25, 70th Leg.
Library Call Number: SCR 25
Session: 70th R.S. (1987)
Online version: View document [2 pages  File size: 170 kb]
Committee: House Health Services
Title: Interim Report
Library Catalog Title: To the speaker and members of the Texas House of Representatives, 67th Legislature : interim report of the / Committee on Health Services, Texas House of Representatives, 66th Legislature.
Subjects: Alcohol laws and regulations | Alcoholism | Child care | Freedom of religion | Health, Texas Department of | Medical assistants | Nursing shortages | Rabies | Rural health care | State agencies |
Library Call Number: L1836.66 h349r
Session: 66th R.S. (1979)
Online version: View report [236 pages  File size: 10,319 kb]
Charges: This report should address the charges below.
1. Determine what standards, operational changes, funding, and other matters are needed to improve outpatient health facilities and rural health clinics.
2. Study the implementation of HB 1323, 66th R.S., and determine if additional authority is needed for the Board of Health to effectively deal with the statewide control and eradication of rabies.
3. Recommend means of eliminating the shortage of nursing home care in Texas with emphasis on needed statutory changes, funding needs, and alternative care.
4. Review the Child Care Licensing Act of 1975 exploring the constitutional aspects of State involvement in such licensure.
5. Review the effects of the Uniform Alcoholism and Intoxication Treatment Act on those states which have implemented it; determine the cost of enforcing the state laws dealing with public intoxication, and make recommendations regarding the feasibility of decriminalizing public intoxication.
6. Study the operations of health systems agencies (HSA) in Texas as to their responsiveness to local needs, adherence to the State Health Plan, and overall productivity and effectiveness.
7. Study the Texas Department of Health (TDH) to monitor its growth and determine its role and scope and future needs.
8. Study the implications of Texas Attorney General Opinion H-1295 and other legal restraints on the use of protocols and standing orders in the provision of health services.
Committee: House Health Care
Title: Interim Report
Library Catalog Title: Report of the Texas Health Care Committee to Speaker Gus F. Mutscher and the House of Representatives of the 62nd Legislature.
Subjects: Hospitals | Medicare | Nursing shortages | Rural health care |
Library Call Number: L1836.61 m468
Session: 61st R.S. (1969)
Online version: View report [9 pages  File size: 361 kb]
Charge: This report should address the charge below.
1. Study federal Medicare regulations as they are applied to Class 7-C hospitals in Texas. *
Committee: Senate Nursing Profession
Title: Interim Report
Library Catalog Title: Report of the Interim Senate Committee Studying Nursing Profession Needs in Texas, presented to the 60th Texas Legislature, 1967.
Subjects: Nurses | Nursing shortages |
Library Call Number: L1836.59 n938
Session: 59th R.S. (1965)
Online version: View report [156 pages  File size: 8,388 kb]
Charge: This report should address the charge below.
1. Study the nursing profession in Texas, with emphasis on the following: (1) the current status of the nursing profession in the various categories, including registered nurses, tuberculosis nurses, and licensed vocational nurses; (2) anticipate future needs for nurses in the various categories; and (3) anticipate future supply of nurses in each category.
Supporting documents
Committee: Senate Nursing Profession
Title: Information relative to technical registered nurse programs.
Library Catalog Title: Information relative to technical registered nurse programs.
Library Call Number: L1836.59 n938m
Session: 59th R.S. (1965)

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

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