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2 Document(s) [ Subject: Hospital emergency rooms ]

Committee: Senate Managed Care and Consumer Protections, Interim
Title: Interim report
Library Catalog Title: A report to the 75th Legislature .
Subjects: Consumer protection | Emergency medical services | Health maintenance organizations | Hospital emergency rooms | Managed care | Patients' rights | Preferred provider organizations | Quality of care |
Library Call Number: L1836.74 m311r
Session: 74th R.S. (1995)
Online version: View report [168 pages  File size: 7,079 kb]
Charges: This report should address the charges below.
1. Evaluate the ability of managed care organizations to provide adequate access to medical care. Examine Health Maintenance Organization (HMO) licensing standards as they relate to physician/patient rations, specialty physician/patient ratios, scope of medical coverage and geographic coverage requirements.
2. Study the incidence of emergency room utilization and the standards used to establish eligibility by an HMO for emergency room services.
3. Evaluate the requirements of an HMO to have adequate and effective consumer appeals processes in place for denied services, prescription drugs, etc.
4. Evaluate the standards of consumer education, in terms of availability and scope, and determine the extent to which they are, or should, be governed by regulation or statue.
5. Assess the process by which "medical necessity" is determined by an HMO, who may participate in establishing the criteria, if the process is governed by current or pending regulations and if the standards need enhancement.
6. The Interim Committee should study each of the above items and make recommendations based on its findings. In making its recommendations, the Interim Committee should consider whether modifications need to be addressed through state agency rule making authority or statutorily by the Legislature.
Committee: House Human Services
Title: Interim report - Vol 1
Library Catalog Title: Interim report, 1992 : a report to the House of Representatives, 73rd Legislature / Committee on Human Services, Texas House of Representatives.
Subjects: Child abuse | Child Protective Services | Children with disabilities | Emergency medical services | Foster care | Hospital emergency rooms | Inmate health | Medicaid | Mental health services | Mentally disabled persons | Mentally ill persons | Nursing homes | Persons with disabilities | Protective and Regulatory Services, Texas Department of | Quality of care | Services for persons with disabilities | Trauma centers | Women's health |
Library Call Number: L1836.72 h88 1
Session: 72nd R.S. (1991)
Online version: View report [370 pages  File size: 18,729 kb]
Charges: This report should address the charges below.
1. Study the implementation of the Pre-admissions Screening and Annual Resident Review (PASAAR) (OBRA '87 mandate) including the areas of program design, Alternate Disposition Plan (ADP), accountability, and residents' rights and training.
2. Monitor child protective services in the proposed structure of the Department of Protective and Regulatory Services including criteria used in "priority" classifications and intervention methods and response time per classification; services provided to children over the age of 10 and to special needs children; value of family preservation services; and problems associated with abuse or neglected children in one-parent homes.
3. Study health care in women's correctional facilities.
4. Monitor and Coordinate with the Texas Health Policy Task Force as it relates to trauma care in Texas.

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