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37 Document(s) [ Subject: Emergency medical services ]

Committee: House Business and Industry
Title: Interim Report
Subjects: Child care | Coronavirus | Correctional officers | Electronic security | Emergency medical services | Firefighters | Homeowners' associations | Peace officers | Privacy | Retail industry | Theft | Unemployment | Unemployment benefits | Workers' compensation | Workforce Commission, Texas |
Library Call Number: L1836.87 B964
Session: 87th R.S. (2021)
Online version: View report [88 pages  File size: 4,132 kb]
Charges: This report should address the charges below.
1. 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 3746, 87th R.S., relating to certain notifications required following a breach of security or computerized data;
  • SB 22, 87th R.S., relating to certain claims for benefits, compensation, or assistance by certain public safety employees and survivors of certain public safety employees; and
  • SB 1588, 87th R.S., and SB 581, 87th R.S., relating to the powers and duties of certain property owners’ associations.
2. Study workers’ compensation claims involving public safety employees described by SB 22, 87th R.S. This study should include an analysis of medical costs, return-to-work outcomes, utilization of care, satisfaction with care, and health-related functional outcomes.
3. Study the impacts of the COVID-19 pandemic on unemployment trends, hurdles to workforce reentry, and industry-specific disruptions.
4. Study the impact of organized retail crime on Texas businesses. Make recommendations for addressing the redistribution of stolen merchandise into the supply chain, including through online marketplaces, to protect Texas businesses and consumers. Make recommendations relating to transparency for online marketplaces and information that should be provided by sellers.
5. Review operational changes and strategies employed by the Texas Workforce Commission to improve outcomes related to Unemployment Benefit Services, including application and payment processes, customer services, and fraud deterrence.
6. Evaluate the overall state of data privacy and online consumer protections in Texas and study the related laws and legislative efforts of other states. Make recommendations to ensure consumer data protections and online privacy.
Committee: House Insurance
Title: Interim Report
Subjects: Consumer protection | Emergency medical services | Health insurance | Insurance industry | Prescription drug costs | Prescription drugs | Rebates | Texas Mutual Insurance |
Library Call Number:
Session: 87th R.S. (2021)
Online version: View report [113 pages  File size: 2,704 kb]
Charges: This report should address the charges below.
1. 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 18, 87th R.S., relating to the establishment of the prescription drug savings program for certain uninsured individuals;
  • HB 3459, 87th R.S., relating to preauthorization requirements for certain health care services and utilization review for certain health benefit plans;
  • HB 3752, 87th R.S., relating to the offering of health benefit coverage by subsidiaries of the Texas Mutual Insurance Company; and
  • HB 3924, 87th R.S., relating to health benefits offered by certain nonprofit agricultural organizations.
2. Review existing state laws, administrative regulations, and agency practices to identify barriers to competition in the insurance marketplace. Examine existing business practices in the industry to determine if additional laws or regulations are needed to promote competition, lower premiums, and protect consumers.
3. Monitor the implementation, compliance, and enforcement of legislation related to freestanding emergency rooms to determine whether patients are adequately protected and if further safeguards and disclosures are needed.
4. Review Texas' insurance anti-rebating laws and model legislation related to rebates. Make recommendations for legislation that would preserve the purpose of the current statute while allowing certain services for and benefits to insurance consumers.
5. Study the impacts of the U.S. Supreme Court’s 2020 decision in Rutledge v. Pharmaceutical Care Management Association and the federal No Surprises Act (2021 Consolidated Appropriations Act, Public Law No. 116-620) on the Texas insurance market.
Committee: Senate Finance
Title: Interim Report
Subjects: Alamo | Alternatives to incarceration | Appropriations bill riders | Business taxes | Criminal justice | Delinquent taxes | Disaster relief | Driver Responsibility Program | Economy | Emergency medical services | Federal aid | Federal funds | Fees | General Land Office, Texas | Hurricane Harvey | Interest rates | Juvenile justice system | Legislative Budget Board, Texas | Natural disasters | Personal property taxes | Probation | Rainy Day Fund | State budget certification | State budgets | Tax refunds | Texas Emissions Reduction Plan |
Library Call Number: L1836.85 F49
Session: 85th R.S. (2017)
Online version: View report [64 pages]
Charges: This report should address the charges below.
1. Monitor all funds currently being used to address Hurricane Harvey relief and recovery. Identify ways to maximize the use of federal funds and ensure the efficient use of state funds.
2. Evaluate the long-term impact of Hurricane Harvey on the Texas economy and the gulf coast region.
3. Alamo Historical Site Renovation: Monitor the expenditures of state funds appropriated to the General Land Office for the preservation, maintenance, and operation of the Alamo historical site. Ensure the funds are spent to emphasize the architectural design and the historical impact the battle had on the development of Texas as a nation and as a state.
4. Economic Stabilization Fund: Examine options to increase investment earnings of the Economic Stabilization Fund in a manner that mini mizes overall risk to the fund balance. Investment options should ensure the liquidity of a sufficient portion of the balance so that the legislature has the resources necessary to address the needs of the state, including natural disasters. Evaluate how the Economic Stabilization Fund constitutional limit is calculated; consider alternative methods to calculate the limit, and alternative uses for funds above the limit.
5. Texas Emission Reduction Plan: Review the Texas Emission Reduction Plan (TERP) and its economic benefits to the state. Examine whether the state's investment in TERP, including transfers from the Department of Transportation, are being effectively utilized to comply with federal air quality standards, reduce pollution, and protect the public health of Texans.
6. Request to Exceed Review: Review all riders requiring interim action by the Legislative Budget Board to reduce the number of times interim budget modification is necessary.
7. Fee Structure Review: Review state General Revenue - Dedicated fees and make recommendations to reduce fees and lessen reliance on General Revenue - Dedicated fee balances to certify the budget.
8. Adult and Juvenile Corrections Funding: Examine the funding patterns used to fund the juvenile justice system and adult probation departments. Develop recommendations to ensure the Texas Juvenile Justice Department budget does not dis-incentivize the use of cost-effective best practices such as diverting youth from the juvenile justice system, providing services to youth in their community, and keeping youth closer to home. In addition, review funding to adult probation departments and ensure it provides for an equitable distribution to all Texas Probation Departments.
9. Trauma Funding: Review revenue sources currently funding the state's trauma system and the impact of declining revenues and balances in General Revenue - Dedicated accounts. Evaluate the impact of statutory changes affecting trauma system funding, including efforts to eliminate the Driver Responsibility Program. Examine ways to ensure sustainability of the trauma system in Texas.
10. Property Tax on Business Personal Property: Evaluate the property tax as it applies to business personal property and the current $5oo exemption. Quantify the economic effect of taxing business personal property and determine whether the tax places Texas at a competitive disadvantage relative to other states. Evaluate the burden on taxpayers and local governments of administering the property tax on business personal property and determine whether the current $soo exemption should be increased.
11. Interest Rate Disparity: Evaluate the rate of interest charged on delinquent property taxes and delinquent state taxes, compared to the rate of interest paid on property tax refunds and state tax refunds. • Evaluate the effect of interest rate disparity on the assessment decisions of governments and the payment decisions of taxpayers. • Quantify the amount by which state and local governments profit from interest rate disparity. • Identify best practices among other states regarding interest rates charged and paid. • Recommend a plan and timeline to reduce interest rate disparity.
12. Monitoring: Monitor the implementation of the following funding initiatives: • CPS Critical Needs - Monitor the impact of salary increases and additional caseworkers allocated to Child Protective Services last interim. • Health Care Costs Across State Agencies - Monitor coordination efforts among state agencies to improve health care and reduce costs pursuant to Article IX, Section 10.06 and Section 10.07. • Behavioral Health - Monitor the state's progress in coordinating behavioral health services and expenditures across state government, pursuant to Article IX section 10.04, including the impact of new local grant funding provided by the 85th Legislatu re. • Sporting Goods Sales Tax - Identify state and local park needs and determine whether the Sporting Goods Sales Tax is meeting those needs.
Committee: House Opioids and Substance Abuse, Select
Title: Interim Report
Subjects: Child Protective Services | Criminal justice | Drug courts | Drug rehabilitation programs | Emergency medical services | Homelessness | Juvenile justice system | Law enforcement | Mentally ill persons | Opioids | Penalties and sentences (Criminal justice) | Pregnancy | Prescription drugs | Specialty courts | State agencies | Substance abuse | Synthetic drugs | Veterans |
Library Call Number: L1836.85 Op3
Session: 85th R.S. (2017)
Online version: View report [117 pages]
Charges: This report should address the charges below.
1. Study the prevalence and impact of substance use and substance use disorders in Texas, including co-occurring mental illness. Study the prevalence and impact of opioids and synthetic drugs in Texas. Review the history of overdoses and deaths due to overdoses. Also review other health-related impacts due to substance abuse. Identify substances that are contributing to overdoses, related deaths and health impacts, and compare the data to other states. During the review, identify effective and efficient prevention and treatment responses by health care systems, including hospital districts and coordination across state and local governments. Recommend solutions to prevent overdoses and related health impacts and deaths in Texas.
2. Review the prevalence of substance abuse and substance use disorders in pregnant women, veterans, homeless individuals, and people with co-occurring mental illness. In the review, study the impact of opioids and identify available programs specifically targeted to these populations and the number of people served. Consider whether the programs have the capacity to meet the needs of Texans. In addition, research innovative programs from other states that have reduced substance abuse and substance use disorders, and determine if these programs would meet the needs of Texans. Recommend strategies to increase the capacity to provide effective services.
3. Review policies and guidelines used by state agencies to monitor for and prevent abuse of prescription drugs in state-funded or state-administered programs. Include in this review policies implemented by the Texas Medicaid Program, the Division of Workers’ Compensation of the Texas Department of Insurance, the Teacher Retirement System, and the Employee Retirement System. Make recommendations regarding best practices.
4. Monitor and evaluate the implementation of legislation passed by the 85th Legislature regarding the Prescription Monitoring Program. In addition, review the prescribing of addictive drugs by physicians and other health care providers within various geographic regions of this state. Determine the role of health care professionals in preventing overutilization and diversion of addictive prescriptions. Provide recommendations that will improve efforts to prevent overutilization and diversion of addictive prescriptions.
5. Identify how opioids have impacted the normal scope of work for law enforcement, first responders, and hospital emergency department personnel.
6. Examine the impact of substance abuse and substance use disorders on Texans who are involved in the adult or juvenile criminal justice system and/or the Child Protective Services system. Identify barriers to treatment and the availability of treatment in various areas of the state. Recommend solutions to improve state and local policy, including alternatives to justice system involvement, and ways to increase access to effective treatment and recovery options.
7. Examine the impact of overdose reporting defense laws known as "Good Samaritan" laws.
8. Identify the specialty courts in Texas that specialize in substance use disorders. Determine the effectiveness of these courts and consider solutions to increase the number of courts in Texas.
Supporting documents
Committee: House Opioids and Substance Abuse, Select
Title: Committee meeting handouts and testimony, June 26, 2018 (Good Samaritan laws, law enforcement and first responders).
Library Call Number:
Session: 85th R.S. (2017)
Online version: View document [30 pages  File size: 1,629 kb]
Committee: House Opioids and Substance Abuse, Select
Title: Committee meeting handouts and testimony, August 7, 2018 (law enforcement and first responders, specialty courts)
Library Call Number:
Session: 85th R.S. (2017)
Online version: View document [142 pages  File size: 9,539 kb]
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 R.S.) and a pilot program to encourage health lifestyles, such as smoking cessation within the Medicaid program (SB 10, 80th R.S.) 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 R.S..
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 R.S.. 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 R.S.. Examine the status of Texas' current statewide trauma system infrastructure and how the system may be optimized to meet future trauma care needs in a rapidly growing state with overburdened emergency rooms. (Joint Interim Charge with the House Committee on Transportation.)
9. Study the state's current and long-range need for physicians, dentists, nurses and other allied health and long-term care professionals. Make recommendations regarding strategies related to geographic distribution and barriers to recruitment of high-need professions, especially for primary care providers and long-term care professionals. (Joint Interim Charge with the House Committees on Border and International Affairs and Appropriations.)
10. Monitor the agencies and programs under the committee's jurisdiction.
Committee: House Transportation
Title: Interim Report
Library Catalog Title: House Committee on Transportation, Texas House of Representatives interim report, 2008 : a report to the House of Representatives, 81st Texas Legislature
Subjects: Buses | Driver licenses | Driver Responsibility Program | Emergency medical services | Enhanced driver licenses | Graduated driver licenses | High-occupancy vehicle lanes | Homeland security | Identity requirements | Metropolitan areas | Parking facilities | Persons with disabilities | Railroad tracks | Rural areas | Teenage drivers | Traffic | Traffic safety | Trans-Texas Corridor | Transportation planning | Trauma Facilty/EMS account | Uninsured motorists |
Library Call Number: L1836.80 T687
Session: 80th R.S. (2007)
Online version: View report [71 pages  File size: 8,336 kb]
Charges: This report should address the charges below.
1. Research and make recommendations to the legislature on programs to improve safety for teen drivers.
2. Study the concept of using corridor planning organizations to provide a mechanism for local involvement in the Trans-Texas Corridor.
3. Study and make recommendations for funding mechanisms for the Rail Relocation Fund.
4. Study and make recommendations regarding the feasibility of a motor bus-only lane program for state highways in Texas that focuses on the use of improved shoulders as a low-speed bypass of congested highway lanes. Examine comparable laws form other states that allow transit buses to operate on state highway shoulders.
5. Examine the role of metropolitan planning authorities in state law, as well as the creation of rural planning authorities to address the planning needs outside of metropolitan planning organizations but within council of government boundaries.
6. Study and make recommendations for changes to statutes regarding handicapped parking.
7. Review the effectiveness of the Driver Responsibility Program 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 R.S.. 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 Public Health.)
8. Review the current requirements for driver's license and identification card holders in Texas in order to recommend legislative measures to prevent these documents from being used to further criminal activities, and recommend ways to enhance homeland security. (Joint Interim Charge with House Committee on Defense Affairs and State-Federal Relations.)
9. Monitor the continued implementation of the Texas Financial Responsibility Verification Program authorized by SB 1670, 79th R.S., and determine whether any further statutory enhancements are needed to reduce the number of uninsured motorists in Texas. (Joint Interim Charge with the House Committee on Insurance.)
10. Monitor the agencies and programs under the committee's jurisdiction.
Committee: Senate Finance
Title: Interim Report
Library Catalog Title: Interim charge recommendations to the 80th Legislature
Subjects: Banks and banking | Driver Responsibility Program | Emergency medical services | Federal funds | Health care costs | Indigent health care | Medicaid | Medicaid fraud | Money transfers | Transportation planning | Transportation, Texas Department of | Trauma Facilty/EMS account |
Library Call Number: L1836.79 F49
Session: 79th R.S. (2005)
Online version: View report [62 pages  File size: 16,186 kb]
Charges: This report should address the charges below.
1. Review health care funding, focusing on the Medicaid program, Medicare Part D, hospital reimbursements and trauma and indigent care.
2. Study the method through which fees are collected under the Driver's Responsibility Program in order in maximize the amount of money for trauma funding and transportation. Look specifically at collection rates and develop means to enhance them.
3. Determine the number of commercial and consumer transactions, including wire transfers, that occur in Texas. Determine the amount of monies that are sent internationally from Texas. Study the feasibility of creating a pilot program in Harris County that captures a percentage of revenues from such transactions, and request an Opinion from the Attorney General's Office to pursue these revenues as a potential source for health care funding.
4. Review the process by which the Texas Department of Transportation Commission allocates funds to the districts through the Allocation Program. Include a description of all scoring mechanisms used in making allocations of resources and make recommendations for maximizing the use of these funds to meet Legislative objectives. Joint Charges with Senate Transportation & Homeland Security Committee.
5. Review the process by which the Texas Department of Transportation Commission determines which federal funding sources should be implemented to comply with funding reductions mandated by Congress. Assess the Commission's options for determining how projects that were to be funded out of these reduced revenue sources will be funded this biennium. Joint Charges with Senate Transportation & Homeland Security Committee.
Committee: Senate State Affairs
Title: Interim Report
Library Catalog Title: Interim report to the 80th Legislature
Subjects: Child Protective Services | Election fraud | Emergency medical services | Eminent domain | Employees | Employees Retirement System of Texas | Employers | Employment | Health care costs | Health maintenance organizations | Liability | Lobbyists | Medical bill balance billing | Privatization | Public retirement systems | State mandated health insurance | Teacher Retirement System of Texas | Voter identification | Voting by mail | Workers' compensation |
Library Call Number: L1836.79 St29a
Session: 79th R.S. (2005)
Online version: View report [211 pages  File size: 6,521 kb]
Charges: This report should address the charges below.
1. Study the Employees Retirement System of Texas ("ERS") including the actuarial soundness of the ERS pension fund; the implementation of cost-saving measures in the ERS group health insurance plan; the suggestion of further cost-saving measures such as the implementation of a 3-tiered provider network; the effectiveness of the third party administrator of the ERS group health insurance plan in managing inflation; and the feasibility of consolidating the administration of all state group health plans under a single state agency.
2. Study the Teachers Retirement System of Texas ("TRS") including the actuarial soundness of the TRS pension fund; the implementation of cost-saving measures in the TRS group health insurance plan; the suggestion of further cost-saving measures such as the implementation of a 3-tiered provider network; the implementation of SB 1370, 79th R.S.; the effectiveness of the third party administrator of the TRS group health insurance plan in managing inflation; and the feasibility of consolidating the administration of all state group health plans under a single state agency
3. Study and make recommendations on how election officials could verify the identity of a voter without hindering a person's right to vote. Include an analysis of the extent to which individuals are casting multiple votes because of any lack of voter identification verification. Make recommendations on how the state could improve its vote-by-mail system to ensure the authenticity of those ballots.
4. Monitor the implementation of HB 7, 79th R.S., relating to the workers compensation system of this state.
5. Study the regulation and management of health care plans, including the following:
  • Study the reimbursement methodology of health care plans for out-of-network claims, the adequacy of health plan networks to provide appropriate coverage, the impact of out-of-network balance billing by physicians and health care providers and the accurate disclosure of patients' out-of-pocket costs.
  • Study the discounting and/or waiving of co-pays, deductibles and co-insurance by physicians and health care providers. Specifically, how this practice can impact the cost to private and public health plans and the impact to acute, multi-service hospitals, including safety net hospitals.
  • Evaluate health care cost transparency by health care providers and access to that information by patients.
  • Review data reported to the Texas Department of Insurance by health care plans, investigate possible expansion of health plans' reportable data, including, but not limited to, administrative costs, and what, if any, is the appropriate release and publication of that information.
6. Study and review current law on the doctrine of eminent domain, including the U.S. Supreme Court case in Kelo v. City of New London. Monitor the implementation of SB 7, 79th Legislature, 2nd Called Session, and make any necessary recommendations as to the use of eminent domain for economic development purposes and the issue of what constitutes adequate compensation for property taken through the use of eminent domain.
  • Determine whether a constitutional amendment is prudent and/or necessary to protect private property owners from condemnations for economic development purposes.
  • Determine which state, regional, and local governmental entities have eminent domain powers and how those powers may be used. Make recommendations regarding their necessity, fairness, and effectiveness.
  • Study the public policy implications relating to Chapter 2007, Government Code, Private Real Property Rights Preservation Act, its effectiveness in protecting private property rights, and the current impact of regulatory takings on private property owners.
7. Study the costs associated with mandates to insurance companies for increased coverage for specific illnesses, medical conditions, or diseases, including obesity. Provide a cost assessment of the impact of such mandates to the state and local units of government. Include data and analysis of the costs and medical impact associated with insurance mandates which have been enacted in other states, as well as any short- and long-term cost-savings. Develop recommendations on how to provide increased cost-effective coverage, especially to populations with impairments and diseases, as well as the underinsured/uninsured.
8. Study the prevalence, legality and ethics of entities that actively lobby the Legislature to impact the lawmaking process while that entity is in any way a recipient of state funds.
9. Study and make recommendations regarding the cost drivers of emergency medical services. Make recommendations on how to improve and sustain EMS services for Texas, as well as reduce costs to health care plans, businesses, and individuals.
10. Study and review current Texas law on the doctrine of statutory employer, including the 2004 First District Court of Appeals' decision in Etie v. Walsh & Albert Co. and make recommendations of changes in state laws, if necessary, regarding the doctrine of statutory employer and indemnification in construction contracts. Study the current use of Consolidated Insurance Programs and make legislative recommendations, if appropriate.
11. Assess the benefit of limiting the civil liability for noneconomic damages against non-profit organizations involved in the privatization of child welfare services.
Committee: Senate Infrastructure Development and Security
Title: Interim Report - Transportation
Library Catalog Title: Senate Committee on Infrastructure Development and Security report to the 79th Legislature : transportation.
Subjects: Automobile insurance | Driver Responsibility Program | Emergency medical services | Federal funds | Highway construction | Highway finance | Highway planning | Motor fuels taxes | Regional mobility authorities | Texas Mobility Fund | Toll roads | Traffic violations | Trans-Texas Corridor | Transportation Equity Act for the 21st Century | Transportation planning |
Library Call Number: L1836.78 In5t
Session: 78th R.S. (2003)
Online version: View report [74 pages  File size: 708 kb]
Charges: This report should address the charges below.
1. Study the implementation and make recommendations to enhance the effectiveness of HB 3588, 78th R.S., relating to the construction, acquisition, financing, maintenance, management, operation, ownership, and control of transportation facilities including, but not limited to, multimodal transportation and the progress, improvement, policing, and safety of transportation in Texas. Monitor and report on the adequacy and use of the trauma care funds generated as a result of the legislation and make recommendations for improving the funding of trauma care services.
2. Study the proof of financial responsibility verification program administered by Texas Department of Insurance and the Department of Public Safety and make recommendations for improving compliance by drivers in Texas.
3. Study and make recommendations for innovative approaches to highway construction and maintenance. Focus on recommendations for streamlining Texas Department of Transportation operations, including methods of expediting permitting procedures while maintaining environmental safeguards. Examine and make recommendations for regional options for increasing financing, including, but not limited to, the creation of a local option motor fuels tax.
4. Evaluate and make recommendations relating to funding allocations for TransTexas Corridor projects. Monitor and report on the status of the projects, including their impact on local, regional, and state transportation.
5. Study the federal re-authorization of TEA-21. Analyze and make recommendations relating to the impact of re-authorization on transportation in Texas, including an assessment of state plans and programs for implementing any required changes.
Committee: House State Health Care Expenditures, Select
Title: Interim Report
Library Catalog Title: House Select Committee on State Health Care Expenditures, Texas House of Representatives interim report, 2004 : a report to the House of Representatives, 79th Texas Legislature
Subjects: Children's Health Insurance Program | Driver Responsibility Program | Emergency medical services | Employees Retirement System of Texas | Health care | Medicaid | Medicaid Disproportionate Share Hospital Program, Texas | State employee benefits | Teacher health insurance | Teacher Retirement System of Texas | Traffic violations |
Library Call Number: L1836.78 H35
Session: 78th R.S. (2003)
Online version: View report [73 pages  File size: 919 kb]
Charges: This report should address the charges below.
1. Monitor the implementation of the Driver Responsibility Act in respect to the collection of associated surcharges for trauma care. Specifically evaluate the funding and distribution of funds to trauma care facilities.
2. Study the effects of "crowd out" in the Children's Health Insurance Program and Medicaid Program to determine accurate data and to ascertain if additional policy changes are needed to prevent "crowd out" of private insurance and escalating public insurance costs.
3. Evaluate the funding source of the Medicaid Disproportionate Share Hospital (DSH) Program and the criteria that a hospital must meet to participate in the DSH program in comparison to the balance and fairness of other state and federal funding streams.
4. Study the current consumer-directed care models that are in use by the state and look at other states' consumer-directed care models that may benefit Texas in areas such as long-term health care and chronic health care. Place emphasis on the Program of All-Inclusive Care For the Elderly model to ascertain its true potential for both cost-effectiveness and improved health outcomes. Identify barriers to the model's expansion in Texas.
5. Continue to identify and seek new models for the provision of health care benefits within the Employee Retirement System and the Teacher Retirement System.
Committee: Senate Finance
Title: Interim Report - trauma care
Library Catalog Title: Interim report to the 78th Legislature / Senate Finance Subcommittee on Trauma Care.
Subjects: Emergency medical services |
Library Call Number: L1836.77 F49TC
Session: 77th R.S. (2001)
Online version: View report [25 pages  File size: 596 kb]
Charge: This report should address the charge below.
1. Evaluate the infrastructure, capacity and funding of trauma care, and develop recommendations to address the state's trauma care needs.
Committee: Senate Intergovernmental Relations
Title: Interim Report
Library Catalog Title: Interim report, 78th Legislature / Senate Committee on Intergovernmental Relations.
Subjects: Building codes | Construction codes | County development districts | County government | Emergency medical services | Fire prevention | Foreclosures | Homeowners' associations | Real estate development | Special taxing districts | Water districts |
Library Call Number: L1836.77 l786
Session: 77th R.S. (2001)
Online version: View report [231 pages  File size: 3,203 kb]
Charges: This report should address the charges below.
1. Study the appropriateness of foreclosure and other powers granted to property owners' associations to enforce convenants.
2. Examine current state law regarding the purposes, authority and duties of all special districts, including county development districts and fresh water supply districts. The Committee shall examine procedures by which districts are created and board members are selected, the authority to tax and issue bonds, and annexation and condemnation powers. The Committee shall assess the need for safeguards and accountability measures.
3. Study the power of county officials to regulate growth and development in unincorporated areas, including housing development, subdivision regulation, water, and general health, welfare and safety. The Committee shall study county ordinance authority and shall assess the effects of HB 1445, 77th R.S., HB 3172, 77th R.S., and SB 873, 77th R.S..
4. Study the availability and delivrey of fire prevention and emergency medical services across the state. The Committee shall assess variances in service delivery and make recommendations to improve services.
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 R.S., and the Medicaid managed care program.
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.
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: Senate Health and Human Resources Subcommittee on Public Health
Title: Interim Report
Library Catalog Title: Subcommittee report on interim studies / the Senate of Texas Subcommittee on Public Health.
Subjects: At-risk youth | Emergency medical services | Jail Standards, Texas Commission on | Mentally disabled persons | Municipal jails | Runaway children | Truancy |
Library Call Number: L1836.68 h350
Session: 68th R.S. (1983)
Online version: View report [54 pages  File size: 1,202 kb]
Charges: This report should address the charges below.
1. The passage of SB 906, 68th R.S., established a basis for mutual aid agreements between cities and counties on the provision of emergency medical services. The Subcommittee will followup on the continued effort to assure emergency medical services access to rural areas of the State, including the adequate provision of healthcare for the poor in rural areas and the accessibility and existence of adequate medical facilities and personnel.
2. There has been reported a growing concern of the health standards for city jails and the Subcommittee will undertake an initial assessment of present health standards.
3. The Subcommittee will monitor and assess referral services for parents of retarded children who need professional help.
4. The Subcommittee will monitor and assess the implementation of SR 83, 68th R.S., to the Texas Department of Human Resources on demonstration projects in violence centers, and the monitoring of the implementation of Runaway Youth Demonstration Project.
Committee: House Urban Affairs
Title: Interim report
Library Catalog Title: To the Speaker and members of the Texas House of Representatives, 69th Legislature ; report of / the Committee on Urban Affairs, Texas House of Representatives, 68th Legislature.
Subjects: Crime prevention | Criminal justice | Emergency medical services | Extraterritorial jurisdiction | Fines | Firefighters | Flooding | Indigent health care | Municipal annexation | Municipalities | Municipally-owned utilities | Real estate development |
Library Call Number: L1836.68 ur1
Session: 68th R.S. (1983)
Online version: View report [56 pages  File size: 1,640 kb]
Charges: This report should address the charges below.
1. To conduct a study on urban flooding.
2. To study payments by municipally-owned utilities in lieu of taxes.
3. To examine minimum staffing requirements for fire protection and emergency medical service in cities.
4. In cooperation with the Committee on County Affairs and the House-Senate Joint Committee of Indigent Health Care, study the payment of medical care provided to indigents at publicly-funded hospitals.
5. To investigate whether Texas cities and those residing within the cities' extraterritorial jurisdiction are being adequately and fairly treated by present annexation laws.
6. To study the possibility of empowering judges optionally to direct small percentages of fines to fund programs such as Crime Stoppers and TIPS, currently funded by voluntary contributions.
Committee: Senate Human Resources Subcommittee on Consumer Affairs
Title: Interim Report - Emergency medical services
Library Catalog Title: Final subcommittee report on Emergency Medical Services Act.
Subjects: Emergency medical services |
Library Call Number: L1836.67 c765e
Session: 67th R.S. (1981)
Online version: View report [7 pages  File size: 226 kb]
Charge: This report should address the charge below.
1. Review current ambulance laws and make recommendations regarding a comprehensive legislation regulating emergency medical services. *
Supporting documents
Committee: Senate Human Resources Subcommittee on Consumer Affairs
Title: SR 773
Library Call Number: SR 773
Session: 67th R.S. (1981)
Online version: View document [3 pages  File size: 742 kb]
Committee: Joint Public Health
Title: Assessing quality in medical care
Library Catalog Title: Assessing quality in medical care : report of the Joint Subcommittee on Public Health to the 64th Legislature.
Subjects: Emergency medical services | Health maintenance organizations | Indigent health care | Quality of care |
Library Call Number: L1836.63 p96as
Session: 63rd R.S. (1973)
Online version: View report [32 pages  File size: 1,595 kb]
Charge: This report should address the charge below.
1. Study health care issues in Texas, including health maintenance organizations, the certificate of need system, emergency medical services, professional standards review organizations, the health care problems of the medically indigent, and quality in medical care. *
Committee: Joint Public Health
Title: Selected health care issues
Library Catalog Title: A study of selected health care issues in the State of Texas : report of the Joint Subcommittee on Public Health to the 64th Texas Legislature.
Subjects: Emergency medical services | Health maintenance organizations | Indigent health care | Quality of care |
Library Call Number: L1836.63 p96r
Session: 63rd R.S. (1973)
Online version: View report [66 pages  File size: 3,695 kb]
Charge: This report should address the charge below.
1. Study health care issues in Texas, including health maintenance organizations, the certificate of need system, emergency medical services, professional standards review organizations, the health care problems of the medically indigent, and quality in medical care. *
Supporting documents
Committee: Joint Public Health
Title: Selected health care issues in the state of Texas
Library Catalog Title: A study of selected health care issues in the state of Texas / prepared by the staff of the Joint Subcommittee on Public Health.
Library Call Number: L1836.63 p96rp
Session: 63rd R.S. (1973)
Committee: Joint Public Health
Title: Committee documentation
Library Call Number: L1836.63 p96ht
Session: 63rd R.S. (1973)
Online version: View document [18 pages]
Committee: Joint Public Health
Title: Background information for the San Antonio hearing, August 15 & 16, 1974
Library Call Number: L1836.63 p96ht
Session: 63rd R.S. (1973)
Online version: View document [141 pages]
Committee: Joint Public Health
Title: Committee documentation for the Lubbock hearing, August 29 & 30, 1974
Library Call Number: L1836.63 p96ht
Session: 63rd R.S. (1973)
Online version: View document [100 pages]
Committee: Joint Public Health
Title: Medical care delivery in the United States and Texas
Library Catalog Title: A report on the predominant mode of medical care delivery in the United States and Texas : fee-for-service / Committee staff.
Library Call Number: L1836.63 h88f
Session: 63rd R.S. (1973)
Committee: Joint Public Health
Title: Rural health care
Library Catalog Title: A report on rural health care / Committee staff.
Library Call Number: L1836.63 h88rh
Session: 63rd R.S. (1973)
Committee: Joint Public Health
Title: Professional standards review organizations
Library Catalog Title: A report on professional standards review organizations / Shirley Anthony.
Library Call Number: L1836.63 h88p
Session: 63rd R.S. (1973)
Committee: Joint Public Health
Title: Emergency medical service systems
Library Catalog Title: A report on emergency medical service systems / Freda Kjolhede.
Library Call Number: L1836.63 h88e
Session: 63rd R.S. (1973)
Committee: Joint Public Health
Title: Committee documentation for the Houston hearing, November 7 & 8, 1974
Library Catalog Title: Hearings.
Library Call Number: L1836.63 p96ht
Session: 63rd R.S. (1973)
Online version: View document [32 pages]
Committee: Joint Public Health
Title: Medical indigence & health care resources : a comparison
Library Catalog Title: Medical indigence & health care resources : a comparison / prepared by Anne E. Reynolds.
Library Call Number: L1836.63 p96med
Session: 63rd R.S. (1973)
Committee: Joint Public Health
Title: Background information for the Edinburg hearing, September 19 & 20, 1974
Library Call Number: L1836.63 p96ht
Session: 63rd R.S. (1973)
Online version: View document [17 pages]
Committee: Joint Emergency Hospital Treatment
Title: Interim Report
Library Catalog Title: Report of the Joint Interim Committee on Emergency Hospital Treatment.
Subjects: Emergency medical services | Health care costs |
Library Call Number: L1836.60 em32
Session: 60th R.S. (1967)
Online version: View report [39 pages  File size: 1,738 kb]
Charge: This report should address the charge below.
1. Make a study of the problems of and facilities for emergency treatment of indigent patients in public and nonpublic hospitals of Texas.

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

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