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8 Document(s) [ Subject: Diet and nutrition ]

Committee: Senate Agriculture, Rural Affairs, and Homeland Security
Title: Interim Report
Subjects: Agriculture | Aquaculture | Diet and nutrition | Droughts | Fire prevention | Firing ranges | Food safety | Grain elevators and warehouses | Horse slaughter | Horses | Land conservation | Obesity | Ranches and ranching | Rural areas | Small farms | Supplemental Nutrition Assistance Program | Texas A&M AgriLife Research | Veterinarians | Water conservation |
Library Call Number: L1836.82 Ag86r
Session: 82nd R.S. (2011)
Online version: View report [47 pages]
Charges: This report should address the charges below.
1. Review the impact of the drought on the Texas agricultural and ranching industry.
2. Develop methods and legislative recommendations to minimize the effects of drought and respond to the challenges for farmers and ranchers.
3. The committee should focus on the following:
  • Implementation of best management practices for agricultural conservation
  • Alternatives to federal assistance due to drought losses
  • Long-term economic impact of the drought on the agricultural sector of the Texas economy
  • Better management of federal, state, and local parkland/preserve-land to reduce fire risk, including cooperative fire mitigation efforts with surrounding properties and neighborhoods
  • Analysis of Texas forest service and land management recommendations and options from other states for mitigating risk
4. Study and make recommendations for ways to increase investment, employment and production in Texas agriculture. Include a review of current land use and market trends as they relate to agricultural use and make recommendations for ways to support and enhance small farm and ranch operations.
5. Study current federal, state and local safeguards regarding seafood consumption in Texas. Review existing academic studies, and federal, state, and private data relating to the safety of imported seafood, and provide recommendations on the need for additional studies and testing related to safety advisories for the public.
6. Assess the current veterinary medical workforce, and make recommendations to address any disparities between small animal (companion) and large animal (food/fiber) veterinarians. Review the Rural Veterinary Medical Loan program (RVML) and make recommendations to enhance the use of RVML funds and other funding sources to increase the veterinary medical workforce.
7. Review the impact of state laws relating to the closure of horse slaughter facilities across the United States. Analyze the impact on the equine industry and agricultural sector of the Texas economy.
8. Examine ways to increase the use of Texas agricultural products in healthy foods readily available to Texas consumers. Evaluate the role of community initiatives in reducing obesity and diet-related diseases and make recommendations to support state and local efforts.
9. Monitor the implementation of legislation addressed by the Senate Committee on Agriculture & Rural Affairs, 82nd Legislature, Regular and Called Sessions, and make recommendations for any legislation needed to improve, enhance, and/or complete implementation. Specifically, monitor the implementation and effects of current and proposed federal laws and regulations, including Environmental Protection Agency initiatives that may impact the Texas farming and ranching industry.
Committee: House Human Services
Title: Interim Report
Subjects: Child nutrition programs | Diet and nutrition | Food banks | Foster care | Health maintenance organizations | Hunger | Long-term care | Medicaid | Medical reimbursements | Senior citizens | Supplemental Nutrition Assistance Program |
Library Call Number: L1836.82 H88
Session: 82nd R.S. (2011)
Online version: View report [57 pages]
Charges: This report should address the charges below.
1. Monitor the implementation of Foster Care Redesign. Evaluate the mechanisms for monitoring and oversight, including rates, contracts, and client outcomes.
2. Identify policies to alleviate food insecurity, increase access to healthy foods, and incent good nutrition within existing food assistance programs. Consider initiatives in Texas and other states to eliminate food deserts and grocery gaps, encourage urban agriculture and farmers' markets, and increase participation in the Summer Food Program. Evaluate the desirability and feasibility of incorporating nutritional standards in the Supplemental Nutrition Assistance Program (SNAP). Monitor congressional activity on the 2012 Farm Bill and consider its impact on Texas. (Joint with the House Committee on Public Health)
3. Explore strategies, including those in other states, to support the needs of aging Texans, including best practices in nursing home diversion, expedited access to community services, and programs to assist seniors and their families in navigating the long-term care system, with the goal of helping seniors remain in the community. Assess the feasibility of leveraging volunteer-supported initiatives using existing infrastructure to enhance the ability of seniors to remain active and involved.
4. Monitor the agencies and programs under the committee's jurisdiction and the implementation of relevant legislation passed by the 82nd Legislature, including the implementation of managed care in South Texas.
5. Study and make recommendations for significantly improving the state's manufacturing capability.
6. Find ways to increase transparency, accountability and efficiency in state government.
Committee: Senate Agriculture & Rural Affairs
Title: Interim Report
Library Catalog Title: Interim report to the 82nd Legislature / Senate Committee on Agriculture and Rural Affairs.
Subjects: Agriculture | Alternative energy | Diet and nutrition | Food safety | Hazardous substances | School lunches | Swine |
Library Call Number: L1836.81 AG86r
Session: 81st R.S. (2009)
Online version: View report [48 pages  File size: 7,714 kb]
Charges: This report should address the charges below.
1. Study and make recommendations on new and innovative ways to increase investment, employment and production in Texas agriculture.
2. Study current federal, state and local safeguards to protect our food supply. Identify gaps that may exist in Texas statute, agency roles, and authority for ensuring a safe food supply for Texas, including imported fruits and vegetables. Examine the impact of revised federal regulations on the State, and the potential impact of pending federal legislation. Examine the existing capabilities of the public health system on the border to accomplish public health surveillance of food.
3. Study impact of windblown herbicides on grape growing and other agricultural production. Make recommendations for improving the safety and quality of Texas agricultural products.
4. Study and make recommendations on the impact of feral hogs and other predators that hamper development of Texas agriculture.
5. Monitor the implementation of legislation addressed by the Senate Committee on Agriculture & Rural Affairs, 81st Legislature, Regular Session, and make recommendations for any legislation needed to improve, enhance, and/or complete implementation. Specifically, consider the following:
  • Monitor the establishment of the Texas Bioenergy Policy Council and the Texas Bioenergy Research Committee.
  • Monitor the Texas Department of Agriculture's efforts to reduce or eliminate trans fatty acids in foods provided by Texas schools.
Committee: Senate Health and Human Services
Title: Interim Report
Library Catalog Title: Interim report to the 82nd Legislature
Subjects: Adult Protective Services | Aging and Disability Services, Texas Department of | At-risk youth | Child abuse | Children's Health Insurance Program | Cloning | Community support services | Crime prevention | Diet and nutrition | Emergency management | Families | Family and Protective Services, Texas Department of | Family violence | Federal government | Foster care | H1N1 virus | Health care | Health care providers | Health insurance | Human services | Long-term care | Medicaid | Medicaid eligibility | Medical Board, Texas | Medical errors | Medical research | Mental health services | Mentally ill persons | Nurses | Obesity | Physicians | Quality of care | Senior citizens | State budgets | Stem cell research | Texas Integrated Eligibility Redesign System |
Library Call Number: L1836.81 H349
Session: 81st R.S. (2009)
Online version: View report [272 pages  File size: 6,511 kb]
Charges: This report should address the charges below.
1. Upon passage of federal legislation relating to reform of the health care industry and health insurance industry that the Texas Health and Human Services Commission estimates will costs the State of Texas $2 to 2.5 billion per year in General Revenue beginning as early as 2013, study the implications of such legislation on Texas, the health care industry, and public and private insurance. Study and monitor the implementation of the insurance regulatory changes, changes to high risk pool, and any other insurance mandates. Study the health care policy changes and the impact to the Medicaid and CHIP programs and the state budget. Assess the impact to all state uninsured and uncompensated care programs and county programs for the uninsured, including county property tax programs to pay for the uninsured. Make recommendations for the efficient implementation of programs. (Joint charge with Senate State Affairs Committee)
2. Study the benefits, efficiencies and costs, and effectiveness of the social service related prevention and early intervention programs at the health and human services agencies, the juvenile and adult criminal justice agencies and other government agencies that have programs that address mental illness, substance abuse, child abuse and neglect, domestic violence, single-parent families, absentee fathers, early pregnancy, and unemployment. Study other states' prevention programs and efforts to administer these programs through a merged prevention department. Make recommendations to improve the efficiency and effectiveness of these programs.
3. Review the timeliness and efficiency of the Health and Human Service Commission's eligibility system. Include a review of staffing levels and staffing distribution; implementation of Rider 61; and the increased demand on the system. Make recommendations to improve the efficiency and effectiveness of the system, focusing on policy changes that will not create a large financial burden for the state.
4. Study and make recommendations on the state's role for facilitating the exchange of health care information in the future, including using the Medicaid exchange as a framework for the statewide exchange of health information between health care providers to improve quality of care; what information the state should provide; how to use this information to improve care management, prevent medical errors, and reduce unnecessary services; and policies and statutory changes needed to ensure that privacy is protected. Study the feasibility of developing multiple regional health information technology exchanges in Texas.
5. Study the state's current and long-range need for physicians, nurses, dentists and other allied health and long-term care professionals. Provide recommendations for ensuring sufficient numbers of health care professionals, focusing on medically underserved and rural areas of the state as well as the Border region. Consider health care delivered by Advanced Practice Nurses in terms of access, cost and patient safety and include an assessment of independent prescriptive authority with those states in which prescriptive authority is delegated by a physician. Make recommendations to enhance the efficient use of Advanced Practice Nurses in Texas.
6. Explore strategies to support the needs of aging Texans, including best practices in nursing home diversion, expediting access to community services, and programs to assist seniors and their families in navigating the long-term care system with the goal of helping seniors remain in the community. Study the guardianship program implemented by the Department of Aging and Disabilities and the Department of Adult Protective Services, including the efficiency and effectiveness of the program, the relationship between the two agencies, the appropriate rights for parents, and whether clients and their assets are adequately protected to ensure the state is appropriately identifying seniors in need of protection.
7. Examine how the state could enact policies to improve the overall health of Texans, focusing on programs that compliment individually-based prevention with community­based prevention to reduce obesity rates by increasing physical activity, improving nutrition, and improving self-management of chronic diseases such as diabetes. Examine obesity-related health disparities between different ethnic groups and ways to narrow these gaps. Consider the fiscal and health impact of second-hand smoke on businesses and service sector employees. Study state-level initiatives to incorporate these individual and community-based prevention strategies, including initiatives pursued in other states.
8. Study the state's ability to appropriately respond to the H1N1 influenza pandemic by examining issues related to vaccine distribution and capacity. Consider the benefit of providing the state's independent school districts and various health authorities with standardized protocols for issues including, but not limited to, vaccine administration, absenteeism and the cancellation of school and other school-related events. Assess the state's ability to track and record H1N1 vaccinations through the ImmTrac registry, and review statutes governing ImmTrac to increase the effectiveness and efficiency of immunization information systems.
9. Study current state health care quality improvement initiatives in Texas, including statewide health care-associated infection and adverse event reporting, reimbursement reductions in the Texas Medicaid program for preventable adverse events, potentially preventable readmissions identification, health information technology implementation, pay-far-performance programs, and other initiatives aimed at improving the efficiency, safety, and quality of health care in Texas. Identify statutory changes that may build upon efforts to improve quality of care and contain health care costs in Texas. Study policies that encourage and facilitate the use of best practices by health care providers including the best way to report and distribute information on quality of care and the use of best practices to the public and to promote health care provider and payment incentives that will encourage the use of best practices. The study/recommendations could also include assessing the best way to bring provider groups together to increase quality of care, the use of best practices, and reduce unnecessary services.
10. Study current practices of the Texas Medical Board relating to disclosure of complaints.
11. Review the types of human stem cell and human cloning research being conducted, funded, or supported by state agencies, including institutions of higher education. Make recommendations for appropriate data collection and funding protocols.
12. Review the Medicaid HCBS waivers (CBA, STAR Plus, CLASS, MDCP, DBMT, TxHmL) and develop recommendations to assure that people with significant disabilities, regardless of disability label or age, receive needed services to remain in or transition to the community. Review should look at the delivery system, eligibility, service packages, rate structures, workforce issues and funding caps. Examine options for the provision of services for children aging out of the Medicaid system. Make recommendations for streamlining/combining these waivers, ensuring that these waivers are cost effective or create cost savings, and developing policies that contain costs in an effort to increase access to these services. The review should examine other states' community care waivers and provide recommendations relating to efforts that have been successful in other states.
13. Study the type, duration, frequency and effectiveness of mental health services available to and accessed by abused and neglected Texas children. Recommend strategies to address the impact of the trauma, and enhance therapeutic services available to this population in an effort to eliminate the cycle of abuse and neglect.
14. Monitor the implementation of legislation addressed by the Senate Committee on Health & Human Services, 81st Legislature, Regular and Called Sessions, and make recommendations for any legislation needed to improve, enhance, and/or complete implementation.
  • Monitor Department of Family and Protective Services' implementation of the U.S. Fostering Connections Act, including the new Kinship Care program. Include recommendations on how to optimize the use of monetary assistance to qualified relative caregivers.
  • Monitor the Department of Aging and Disability Services (DADS) implementation of SB 643, relating to Texas' state-supported living centers (SSLCs), implementation of Special Provisions relating to All Health and Human Services Agencies, Section 48. Contingency Appropriation for the Reshaping of the System for Providing Services to Individuals with Developmental Disabilities, and implementation of the United States Department of Justice (DOJ) Settlement Agreement terms.
Committee: House Public Health
Title: Interim Report
Library Catalog Title: House Committee on Public Health, Texas House of Representatives interim report, 2010 : a report to the House of Representatives, 82nd Texas Legislature
Subjects: Diet and nutrition | Emergency management | Employees Retirement System of Texas | Food safety | H1N1 virus | Health care | Health care costs | Human Immunodeficiency Virus and Acquired Immune Deficiency Syndrome | Influenza | Medicaid | Obesity | Parents | Teacher Retirement System of Texas |
Library Call Number: L1836.81 H349h
Session: 81st R.S. (2009)
Online version: View report [84 pages  File size: 854 kb]
Charges: This report should address the charges below.
1. Monitor implementation of legislation intended to curb rising obesity rates in Texas. Study and make recommendations regarding better coordination of prevention efforts and evidence-based strategies to reduce the impact of obesity on health care costs. Include recommendations related to the use of federal stimulus funds targeted toward obesity prevention.
2. Study the state's ability to respond to the H1N1 virus. Examine issues related to vaccine and antiviral distribution and capacity, disease surveillance, communication with providers and the public, intergovernmental cooperation, and medical surge capability.
3. Determine how the state can best coordinate efforts to streamline health care delivery with health information technology (HIT). Identify areas in state law that affect the adoption and use of HIT. Recommend statutory changes as necessary.
4. Identify factors influencing health care cost trends in Texas, including practices or policies that may contribute to regional variations. Investigate medical imaging utilization and its impact on the cost and quality of health care. Recommend policy changes to promote best practices, reduce costs, and improve quality within the state Medicaid program, Employees Retirement System, and Teacher Retirement System. Joint Interim Charge with House Committee on Appropriations
5. Examine the need for and barriers to implementing routine HIV screenings as recommended in 2006 by the Centers for Disease Control and Prevention. Assess the impact of implementation on HIV transmission, health outcomes, clinical progression, and mortality.
6. Pursuant to HB 1672, 81st Legislature, Regular Session, Section 4, study the policies and procedures related to the disclosure required by Chapter 33, Health and Safety Code, to the parent, managing conservator, or guardian of a newborn child.
7. Identify any gaps in Texas laws that may prevent coordinated efforts, both statewide and on the border, to ensure a safe food supply. Joint Interim Charge with House Committee on Border and Intergovernmental Affairs
8. Monitor the agencies and programs under the committee's jurisdiction.
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 | Community support services | 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 | 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 Legislature, Regular Session, 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 Legislature, Regular Session, 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: Joint Nutrition and Health in Public Schools
Title: Interim Report
Library Catalog Title: 78th Legislative interim : Senate Bill 474.
Subjects: Child nutrition programs | Diet and nutrition | Obesity | School lunches |
Library Call Number: L1836.78 N959
Session: 78th R.S. (2003)
Online version: View report [94 pages  File size: 2,086 kb]
Charge: This report should address the charge below.
1. To the extent that funds are available, the interim committee shall hold hearings throughout the state to: (1) determine the nutritional content and quality of foods and beverages served to public school children, including food service meals, a la carte foods, and competitive foods and food provided in vending machines; (2) evaluate the short-term and long-term financial, psychological and physiological impact of obesity in public school children; (3) assess the academic, emotional, and health value of a universal breakfast and lunch program by evaluating school children from districts that provide each child a free or reduced-price breakfast and lunch; and (4) evaluate school contracts relating to competitive food products and vending machines, including the following issues related to competitive food products and vending machines: (A) economic and other impacts of potential conflicts of interest; (B) the length of contracts; (C) advertising and marketing of competitive food products; (D) revenues realized by schools and school districts from the sale of competitive food products; (E) officials in charge of receiving and disbursing revenue and the accounting of that revenue; and (F) the extent to which competitive foods impact each school district's food service program.
Committee: Senate Hunger and Nutrition, Interim
Title: Interim Report
Library Catalog Title: Faces of hunger in the shadow of plenty : Senate Interim Committee on Hunger and Nutrition, 1984 report and recommendations.
Subjects: Child nutrition programs | Diet and nutrition | Hunger | Poverty |
Library Call Number: L1836.68 h894
Session: 68th R.S. (1983)
Online version: View report [54 pages  File size: 4,626 kb]
Charge: This report should address the charge below.
1. To be formed to supplement the work of the Commission on Hunger in America with a focus on Texas. To study improper nutrition in the elderly, often leading to debilitating illness, senility and premature death; improper nutrition inprenatal mothers, and hunger and improper nutrition in the general population, which serves to greatly decrease work capacities and abilities.

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