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2 Document(s) [ Subject: Medical billing ]

Committee: Senate State Affairs
Title: Interim Report
Subjects: Biometric identification | Cellular telephones | DNA databases | e-government | Electronic surveillance | Employees Retirement System of Texas | Health care costs | Health care navigators | Health insurance exchanges | Health insurance pools | Legislature, Texas | Medical billing | Patents | Patient Protection and Affordable Care Act | Personally identifiable information | Privacy | Rules of the Texas Senate | Search warrants | Searches and seizures | Small businesses | Teacher Retirement System of Texas | Texas Health Insurance Risk Pool | Texas Legislature Online | Texas Mutual Insurance | Websites | Workers' compensation |
Library Call Number: L1836.83 St29a
Session: 83rd R.S. (2013)
Online version: View report [128 pages]
Charges: This report should address the charges below.
1. Examine the negative economic impact on Texas business from legal issues involving threatened and actual patent litigation by "patent assertion entities" (PAEs). Consider the effects of PAE actions on innovation and economic development in Texas, paying particular attention to threats and lawsuits involving software and technology patent claims. Make recommendations on how the State of Texas can address problems related to frivolous legal actions and unsubstantiated patent claims asserted against legitimate business enterprises in light of the relevant federal jurisdiction, laws, regulations, and court rules in patent cases.
2. Examine possible measures to protect the personal privacy of Texas residents from governmental and commercial surveillance, including: (1) any necessary limits on warrantless search and seizure of data from electronic devices and wireless providers, including digital content and geolocational data; (2) any necessary protections against non-consented video and audio recordings collected by private handheld and wearable mobile devices and other private surveillance; and (3) any necessary limits on warrantless monitoring of the physical location of individuals through the use of biometrics, RFID chips, facial recognition, or other technologies. Examine related measures proposed or passed in other states.
3. Review the types and scope of personal data collected by governmental and commercial entities and consider methods to minimize the government’s collection of data on its citizens. The study should include: (1) whether sufficient protections exist for DNA samples and information, including whether there should be a prohibition on the creation of DNA databases, except for felons and sex offenders; (2) methods to protect the privacy of gun owners from aggregated purchasing pattern tracking; (3) mechanisms to ensure that private health care information is properly protected; and (4) ways to ensure that previously anonymous data is not improperly re-identified and marketed. Examine related measures proposed or passed in other states.
4. Examine possible reforms designed to increase citizens' ability to know what data is being collected about them by governmental andcommercial entities and with whom that data is being shared, including an analysis of consumer informed consent. Examine related measures proposed or passed in other states.
5. Study the online legislative resources available to the public from Texas Senate Committee websites and compare esources to those provided by other state legislative committees in Texas and other states. Determine how Texas Senate websites can be improved to provide a more interactive and transparent government.
6. Study the emerging negative impacts of the Federal Affordable Care Act, including the use of navigators, and make recommendations to mitigate any unintended consequences including rising health insurance premiums, lack of access to healthcare, mishandling of Texans' private information by insufficiently-trained navigators, and the Act’s overall effect on Texas employers and insurance consumers. Evaluate free-market alternatives to the Act, including state-led proposals to repeal, reduce or replace the Act. Closely monitor and make recommendations on the continuation of the Texas Health Insurance Pool.
7. Study and make recommendations on increasing medical price transparency in Texas, including studying the impact of SB 1731, 80th Legislative Session. Analyze relevant reforms considered or implemented in other states, and make recommendations regarding potential changes designed to create a more open marketplace for enhanced consumer decision making in Texas.
8. Monitor the actuarial and financial conditions of the pension and health care programs administered by the Teacher Retirement System (TRS) and the Employees Retirement System (ERS).
9. Monitor the implementation of legislation addressed by the Senate Committee on State Affairs, 83rd Legislature, Regular Session, and make recommendations for any legislation needed to improve, enhance, and/or complete implementation.
10. Study and make recommendations relative to the structure of Texas Mutual Insurance Company and the residual market for workers’ compensation insurance in Texas.
Committee: Senate Health and Human Services, Interim
Title: Interim report
Library Catalog Title: Texas Senate Interim Committee on Health and Human Services interim report.
Subjects: Immigration | Medicaid fraud | Medical billing | Prompt payment of insurance claims | Rural issues | Rural population | Senior citizens | Tobacco advertising | Tobacco laws and regulations | Tobacco lawsuit | Tobacco settlement receipts | Underage smoking | Welfare | Welfare fraud | Welfare reform |
Library Call Number: L1836.75 h349
Session: 75th R.S. (1997)
Online version: View report [160 pages  File size: 7,598 kb]
Charges: This report should address the charges below.
1. Monitor the implementation of SB 30, 75th Legislature, Regular Session, passed by the Legislature during the 1997 regular session, regarding fraud and improper payments under state Medicaid and welfare programs. If needed, make recommendations for further legislative and regulatory action.
2. Develop a plan for oversight of efforts by state health and human services agencies, the Attorney General, and law enforcement agencies, to detect and reduce fraud and improper payments under state Medicaid and welfare programs. The plan should address enforcement and punishment under state and federal civil and criminal laws.
3. Continue to monitor federal welfare reform, and make recommendations for necessary legislative or regulatory action.
4. Study the implementation of SB 55, 75th Legislature, Regular Session, passed by the Legislature during the 1997 regular session, regarding minors' access to tobacco.
5. Monitor developments in the federal tobacco settlement discussions and identify potential, fiscal impacts to Texas governments.
6. Examine the demographic trends of the state that will impact the health and human services delivery system in the future, including immigration, rural concerns, and the aging state population. Make recommendations for research and legislative action, if necessary.
7. Study current practices in patient billing by Texas hospitals and providers of health care to evaluate the accuracy, clarity and timliness of patient billing. The Committee should examine existing regulatory authority and determine whether there is suficient authority to address problems in patient billings. If necessary, the Committee may make recommendations for standardizing patient billing; ensuring that bills are accurate and complete yet simple enough for patients to understand; providing a meaningful appeals process for incorrect or excessive billings; and establishing guidelines for submission of bill for payment within a reasonable time period.

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