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6 Document(s) [ Subject: ]

Committee: Senate Health and Human Services
Title: Interim Report
Subjects: Cancer Prevention and Research Institute of Texas | Caseworkers | Child Protective Services | Children's Health Insurance Program | Dental care | Foster care | Health care | Health care costs | Health insurance | Immunizations | Long-term care | Managed care | Medicaid | Medicaid eligibility | Medical research | Mental health services | Nursing homes | Patient Protection and Affordable Care Act | Public health | State Health Services, Texas Department of | State supported living centers |
Library Call Number: L1836.82 H349
Session: 82nd R.S. (2011)
Online version: View report [186 pages]
Charges: This report should address the charges below.
1. Monitor the potential impact of the Patient Protection and Affordable Care Act (PPACA) on insurance regulations, Medicaid and CHIP, health care outcomes and overall health of all Texans, and the state budget in Texas. Additionally, monitor the current constitutional challenges to PPACA and other court cases associated with PPACA, and ensure that the state does not expend any resources until judicial direction is clear. (Joint charge with Senate State Affairs Committee)
2. Monitor the potential impact of the Patient Protection and Affordable Care Act (PPACA) on insurance regulations, Medicaid and Children's Health Insurance Program (CHIP), health care outcomes, health care workforce, overall health of all Texans, and the state budget in Texas. Additionally, monitor the current constitutional challenges to PPACA, and other court cases associated with PPACA, and ensure that the state does not expend any resources until judicial direction is clear. (Joint charge with Senate State Affairs Committee)
3. Evaluate the implementation of cost-containment strategies across the Health and Human Services Enterprise to determine if and how each strategy can be expanded upon to achieve additional savings next biennium. The evaluation should include but is not limited to: the expansion of managed care, co-­pays in Medicaid, electronic visit verification, and independent assessments for long-­? term care services. The evaluation should also consider new cost-containment strategies that will increase efficiencies and reduce costs. This evaluation should include but not be limited to: Medicaid, Early Childhood Intervention Services, and immunizations.
4. Review the state's current investment in health care innovation, including translational research and the Cancer Prevention Research Institute, which focuses on rapid transfer of new technology experimentation directly into the clinical environment. Make recommendations to improve the health of Texans and encourage continued medical research in the most cost-effective manner possible.
5. Review existing policies for prior authorization and medical necessity review across the Medicaid Program, including nursing homes and orthodontic services. Make recommendations on how these policies could be improved to save money by reducing unnecessary utilization and fraud.
6. Review the Medicaid Home and Community Based Services Waivers to identify strategies to lower costs, improve quality, and increase access to services. Areas of the review should include, but are not limited to:
  • Functional eligibility determinations to ensure services are only being delivered to individuals that qualify;
  • Financial eligibility determinations to ensure parental income and resources are considered when the client is a minor;
  • Coordination of acute and long-term care services;
  • Development and use of lower-cost community care waiver options;
  • Coordination with the Department of Family and Protective Services (DFPS) for waiver services for children in conservatorships;
  • Reinvesting savings into accessibility of community care for individuals waiting for services.
7. Evaluate the management structure and supervision of CPS caseworkers with an emphasis on rural areas. Identify any legislative changes that could assist DFPS in maximizing efficiency, improving quality casework and supervision, and increasing caseworker retention. Identify any legislative changes that could improve the quality of care children receive while in Child Protective Services custody, including improving permanency outcomes.
8. Examine the delivery and financing of public health services in our state, including how federal funds are distributed by the state to local health departments and whether the work done by Regional Health Departments operated by the Department of State Health Services overlap unnecessarily with local health departments.
9. Review the state's public mental health system and make recommendations to improve access, service utilization, patient outcomes and system efficiencies. Study current service delivery models for outpatient and inpatient care, funding levels, financing methodologies, services provided, and available community-based alternatives to hospitalization. The review should look to other states for best practices or models that may be successful in Texas. The study shall also review and recommend "best value" practices that the state's public mental health system may implement to maximize the use of federal, state, and local funds.
10. Monitor the implementation of legislation addressed by the Senate Committee on Health and Human Services and make recommendations for any legislation needed to improve, enhance, and/or complete implementation, including but not limited to:
  • Health Care Quality and Efficiency - Monitor implementation of initiatives aimed at improving health care quality and efficiency in Texas, including: the transition of Medicaid and the CHIP to quality-based payments, establishment of the Texas Institute of Health Care Quality and Efficiency, implementation of the Health Care Collaborative certificate, patient-centered medical home for high-cost populations, development and use of potentially preventable event outcome measures, and reduction of health care-associated infections. Include recommendations on how to improve and build upon these initiatives, including improving birth outcomes and reducing infant and maternal mortality;
  • Federal Flexibility - Monitor implementation of initiatives to increase state flexibility, including the Health Care Compact and the Medicaid Demonstration Waiver;
  • Foster Care Redesign - Monitor implementation of the initiative to redesign the foster care system;
  • Implementation of DOJ Settlement agreement to address State Supported Living Center concerns.
Committee: House Public Health
Title: Interim Report
Subjects: Dental care | Dental Examiners, Texas State Board of | Farmers | Food safety | Health care costs | Hunger | Medicaid | Medical education | Medical records | Nurse practitioners | Patient Protection and Affordable Care Act | Physician assistants | Physician shortages | Property tax exemptions | Public health | School nutrition | Small farms | State hospitals | Supplemental Nutrition Assistance Program |
Library Call Number: L1836.82 H349h
Session: 82nd R.S. (2011)
Online version: View report [66 pages]
Charges: This report should address the charges below.
1. Examine the adequacy of the primary care workforce in Texas and assess the impact of an aging population, the passage of the Patient Protection and Affordable Care Act, and state and federal funding reductions to graduate medical education and physician loan repayment programs. Study the potential impact of medical school innovations, new practice models, alternative reimbursement strategies, expanded roles for physician extenders, and greater utilization of telemedicine. Make recommendations to increase patient access to primary care and address geographic disparities.
2. Study the various health registries maintained by the state, including the similarities and differences in reporting, consent, security, and portability of data. Assess registry compliance with standards for the protection and transmission of registry data and identify any additional steps necessary to ensure security, efficiency, and utilization.
3. Monitor implementation of the federal Patient Protection and Affordable Care Act, including any changes that may result from ongoing litigation or legislative modification or repeal. (Joint with the House Committee on Insurance)
4. 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 Human Services)
5. Monitor the agencies and programs under the committee's jurisdiction and the implementation of relevant legislation passed by the 82nd Legislature.
Committee: Senate Veteran Affairs and Military Installations
Title: Interim Report
Library Catalog Title: The Senate Committee on Veteran Affairs and Military Installations report and recommendations to the 80th Texas Legislature
Subjects: Dental care | Fort Bliss | Job training programs | Military personnel | Subprime lending | Veterans | Veterans cemeteries | Veterans Commission, Texas | Veterans homes | Veterans' health care | Voting by mail | Voting rights | Workforce Commission, Texas |
Library Call Number: L1836.79 V641
Session: 79th R.S. (2005)
Online version: View report [44 pages  File size: 2,250 kb]
Charges: This report should address the charges below.
1. Examine issues and problems with overseas military voting and explore the possibility of establishing a single point of contact for Texas military voters. Consider requirements of the federal Uniformed and Overseas Citizen Absentee Voting Act and review systems established in other states.
2. Compile an inventory of state veterans' benefits, including health care facilities and nursing homes across the state, the state veteran cemetery system, job training programs, educational benefits, and re-employment rights issues, and the Texas Veterans Land Board Loan Programs, and make recommendations for improving efficiency and effectiveness.
3. Monitor the implementation legislation transferring the veteran employment programs under the Texas Workforce Commission to the Texas Veterans Commission. Monitor the implementation of legislation establishing a database in the Texas Higher Education Coordinating Board that tracks veterans' usage of the Hazlewood higher education tuition exemption.
4. Examine other issues facing the 80th Legislature, such as oral health of guardsmen and reservists, Ellington Field and Fort Bliss, predatory lending, TRICARE provider shortages, business and employment issues for veterans, and the need for a VA hospital in the Rio Grande Valley.
Committee: Senate Children's Health Insurance, Interim
Title: Interim report
Library Catalog Title: Report to the Seventy-Sixth Texas Legislature.
Subjects: Children's health | Children's health insurance | Children's Health Insurance Program | Dental care | Medically uninsured |
Library Call Number: L1836.75 c438
Session: 75th R.S. (1997)
Online version: View report [202 pages  File size: 10,520 kb]
Charges: This report should address the charges below.
1. Study the relationship between the provisions of the federal Balanced Budget Act of 1997 relating to children's health insurance and the Texas health care infrastructure. Provide oversight for the efforts of the state health and human services agencies to develop a state children's health insurance program.
2. Identify potential sources of funding that may be used as state match for federal grant funds through the Children's Health Insurance Program.
Committee: House Public Health
Title: Interim report
Library Catalog Title: Committee on Public Health, Texas House of Representatives interim report, 1992 : a report to the House of Representatives, 73rd Legislature.
Subjects: Border health | Border issues | Child nutrition programs | Dental care | Health care | Indigent health care | Lead contamination | Lead-based paint | Long-term care | Medical reimbursements | Nursing homes | Prescription drugs | Senior citizens | Solid waste disposal | Tuberculosis | Undocumented immigrants |
Library Call Number: L1836.72 h349
Session: 72nd R.S. (1991)
Online version: View report [62 pages  File size: 2,694 kb]
Charges: This report should address the charges below.
1. Study medical waste disposal in coordination with Committee on Environmental Affairs.
2. Study health care reimbursement, and coordinate with and monitor the Texas Health Policy Task Force as it relates to this issue.
3. Study the administration of medication in hospitals, nursing homes and extended care facilities.
4. Study the problems associated with indigent health care provided to the citizens of Mexico in the border regions of Texas.
5. Study tuberculosis testing, treatment, and control.
6. Study the reporting of childhood lead poisoning.
7. Study the adoption of an enforceable lead ban.
8. Study oral health in long term care facilities.
9. Study chronic disease prevention by instituting dietary changes in publicly-funded food 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]

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