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11 Document(s) [ Subject: Aging and Disability Services, Texas Department of ]

Committee: Senate Finance
Title: Interim Report
Library Catalog Title: Interim charge recommendations to the 82nd Legislature
Subjects: Affordable housing | Aging and Disability Services, Texas Department of | Border security | Business taxes | Cancer Prevention and Research Institute of Texas | Disaster relief | Economic stabilization | Federal aid | Highway finance | Hospitals | Mineral rights | Nursing education | Prepaid tuition plans | Property tax exemptions | Property taxes | Rural health care | State budgets | Tax and expenditure limits | Tax appraisals | Tax incentives | Tax revenue | Tobacco taxes | Traffic | Transportation, Texas Department of | Tropical storms | University finance | University of Texas Medical Branch at Galveston |
Library Call Number: L1836.81 F49
Session: 81st R.S. (2009)
Online version: View report [158 pages  File size: 7,366 kb]
Charges: This report should address the charges below.
1. Review and make recommendations regarding existing and future public debt at all levels of government in Texas, including independent school districts, cities, other local governments and the Texas Guaranteed Tuition Plan.
2. Study the impact of recent hurricanes for which a federal disaster declaration was issued on local economies. Examine the basis for the distribution of federal dollars for hurricane cleanup across the state. Review past methods of distribution, including those involving the Texas Department of Housing and Community Affairs and the Office of Rural Community Affairs. Develop policy and statutory recommendations to ensure that the system of distribution is effective to address needs of the various regions of the state in the event of future disasters. Provide effective budget oversight of state agencies that received appropriations as a result of hurricane damage. Examine the rebuilding of University of Texas Medical Branch at Galveston and the collection and proper deposit of federal reimbursements.
3. Review the effect that Texas Business Tax credits, such as a research and development credit, have on economic development in Texas. Determine whether the costs of various tax credits would be adequately offset by the net increase in state sales tax and other revenues and jobs produced by each credit. Focus on businesses relocating to or from the State of Texas, the impact on the tax base, employment, and the overall economic condition of the state.
4. Identify and evaluate potential improvements to the property tax system. Consider and make recommendations relating to the following:
  • Methods to increase public participation in the tax rate-setting process and ensure fairness in appraisal protests and appeals;
  • Requirement that property appraisal values may not increase by more than inflation and/or population growth, or another amount to be determined by local taxing authorities, with a maximum cap of 10 percent;
  • Exemptions provided to community housing development organizations to determine if changes are needed to ensure that the public benefits outweigh the revenue loss;
  • Methods and procedures for determining a real property interest in oil or gas in place, as contained in Texas Tax Code Sec. 23.175, including how market-based data and market-based methodology could possibly be used to ensure fair, reliable, and equitable price forecasts of oil and gas interests. Analyze the need for the creation of an Oil and Gas Valuation Advisory Committee to assist in forecasting current calendar year statewide average prices for oil and gas; and
  • the constitutional constraints and fiscal implications of exempting real property, leased to a school, as defined by Section 11.21 of the Tax Code, from ad valorem taxation.
5. Examine the Texas Tomorrow Fund and its impact on institutions of higher education. Assess current and future costs, the ability of institutions to absorb the costs, and make recommendations for ensuring a sound fiscal approach to managing the fund for the future.
6. Study the impact of changing the constitutional and statutory spending limit based on the sum of the rate of population growth and the rate of inflation. Examine what past biennial spending limits would have been, and what the next biennium's limit might be, under a new definition. Consider the impact of exempting growth from federally mandated programs.
7. Study and make recommendations regarding formula funding and its impact on the cost of attendance and methods of financing higher education institutions, including funding differences for pharmacy and nursing programs; research funding; performance funding; and funding for institutions that face capacity student enrollment. Specifically address the following:
  • Methods of financing capital projects at higher education institutions, including the levels of deferred maintenance, the impact of deferred maintenance on the ability to offer basic instructional services, and the methods used to finance deferred maintenance projects. Recommend alternatives for providing a structured and recurring funding mechanism more suited to the state's fiscal capacity and institutional needs
  • Supplemental funding for structured programs that are essential for student success and for meeting the goals of Closing the Gaps, including those that provide concentrated student academic and personal support services for universities that enroll a high proportion of non-traditional or at-risk students. Study and make recommendations regarding the quality and effectiveness of academic advising, focusing on resources, staff development, and impact on time­ to-degree.
8. Review the capacity of rural hospitals, rural hospital infrastructure, and the statewide impact of services provided by rural hospitals. Make recommendations for funding options to help communities that do not have adequate resources to replace aging infrastructure and consider the creation ofa rural hospital infrastructure support program similar to the courthouse preservations fund.
9. Examine transportation funding concepts contained in legislation considered during the 81 st Legislature, Regular and Special Sessions. Analyze options and make recommendations relating to historical funding strategies, including prioritization of existing revenues, as well as alternative state and local transportation funding concepts. (Joint charge with Senate Transportation and Homeland Security Committee)
  • Ensure that the pass-through program reimbursements to contractors and local public entities are based on actual project costs and not cost estimates.
  • Prioritize necessary road construction projects and target financing to those segments that affect the largest number of Texans through congestion mitigation.
  • Ensure that Texas receives the best value for its investment. (Subcharges added pursuant to Dewhurst letter dated 4/8/2010.)
10. Monitor the implementation of legislation addressed by the Senate Committee on Finance, 81 st Legislature, Regular and Called Sessions, and make recommendations for any legislation needed to improve, enhance, and/or complete implementation. Specifically, monitor the following:
  • The Legislative Budget Board effectiveness and efficiency review of Chapter 313, Tax Code. Consider whether tax provisions provide a net benefit to the state.
  • Monitor ongoing faculty recruitment and retention for Texas nursing schools, and assess the impact ofincreased state funds to nursing schools to increase faculty salaries and add new teaching schools.
  • Monitor the use of Byrne Grant Border security funds, including whether additional funds need to be spent on communications interoperability.
  • Monitor the Department of Aging and Disability Services (DADS) implementation of SB 643, emergency legislation 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.
  • Provide effective budget oversight of Texas Department of Transportation's implementation of Riders 55 and 56, appropriations from State Highway Fund No. 006 and Proposition 12 General Obligation Bonds for reducing congested road segments.
  • Monitor the revenue receipts associated with the weight-based tobacco tax.
  • Monitor the Cancer Prevention and Research Institute of Texas grant making process to ensure that funds are spent efficiently and effectively.
  • Monitor the expenditure of federal American Resource and Recovery Act funds. Review the extent to which federal stimulus funds affected each agency's ability to meet or surpass its Performance Measure Targets. Consider the effect that delays in federal approvals have had on funding for public education and weatherization programs.
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: Senate Jurisprudence
Title: Interim Report
Library Catalog Title: Report to the 82nd Legislature
Subjects: Adult Protective Services | Aging and Disability Services, Texas Department of | At-risk youth | Child custody | Consumer credit | Credit service organizations | Guardianship | Parents | Personally identifiable information |
Library Call Number: L1836.81 J979
Session: 81st R.S. (2009)
Online version: View report [36 pages  File size: 932 kb]
Charges: This report should address the charges below.
1. Study the effectiveness of current regulation and practices of debt management providers in Texas, including credit service organizations, and assess the extent to which individuals' estates are protected in transactions with debt management providers. Make recommendations to enhance protections.
2. 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.
3. Study and make recommendations to promote and enable confidential information sharing among state agencies and courts serving at-risk children and youth to ensure that comprehensive and appropriate services are being provided. The study should focus on the technological, legal, and fiscal barriers that prevent information sharing among these entities regarding affected children and youth.
4. Evaluate the voluntary relative placement process in issues of guardianship and the ability of nonparent relatives to make decisions for children under their care. Monitor the progress and implementation of SB 1598 relating to an agreement authorizing a nonparent relative of a child to make certain decisions regarding the child.
5. Monitor the implementation of legislation addressed by the Senate Committee on Jurisprudence, 81st Legislature, Regular and Called Sessions, and make recommendations for any legislation needed to improve, enhance, and/or complete implementation.
Committee: Senate Finance
Title: Interim Report
Library Catalog Title: Interim report
Subjects: Aging and Disability Services, Texas Department of | Criminal Justice, Texas Department of | Employees Retirement System of Texas | Employers | Financial investments | Frew lawsuits | Health and Human Services Commission, Texas | Health insurance | Health insurance premium subsidies | Higher Education Coordinating Board, Texas | Highway finance | Investment of public funds | Iran | Medicaid | Medical reimbursements | Parks and Wildlife, Texas Department of | Permanent School Fund, Texas | Permanent University Fund | State agency budgets | State government debt | State Health Services, Texas Department of | State supported living centers | Sudan | Tax incentives | Teacher Retirement System of Texas | Texas Southern University | Transportation, Texas Department of | Youth Commission, Texas |
Library Call Number: L1836.80 F49
Session: 80th R.S. (2007)
Online version: View report [46 pages  File size: 698 kb]
Charges: This report should address the charges below.
1. Provide effective budget oversight of state agencies to ensure that monies appropriated are spent wisely. Particular areas of focus will include the Texas Department of Transportation, Department of State Health Services coordination of Mental Health Services, Texas Parks and Wildlife Department revitalization of State Parks, Health and Human Services Commission management of Frew settlement agreement and waiting list slots, Department of Aging and Disability Services improvement of State Schools, Texas Department of Criminal Justice roll out of treatment programs and review of the salary career ladder for employees for retention purposes, Texas Youth Commission achievement of reform, Texas Southern University rehabilitation, Higher Education Coordinating Board implementation of incentive programs and the creation of the Texas Cancer Research and Prevention Institute.
2. Evaluate the effectiveness of existing state tax incentives that encourage employers to provide health coverage to their employees, including tax incentives under the revised state business tax, and make recommendations for additional deductions or credits that increase the number of employees covered by health care insurance.
3. Study the feasibility and the advisability of establishing an investment policy that is consistent across all state trust funds, including the trust funds of the Employees Retirement System, the Teachers Retirement System, the Permanent University Fund, and the Permanent School Fund. Identify best investment policies for state trust funds. Examine recent portfolio diversification strategies and the effect they have on long-term fund performance. The recommendations should consider what is an acceptable rate of return, an acceptable degree of risk, the appropriateness of certain investments. (Joint charge with Senate State Affairs Committee)
4. Review Medicaid provider reimbursement rate methodologies, including the impact of factors such as infrastructure concerns, federal minimum wage changes, and cost reports. Study the impact on access to care, quality of care, and value, and make recommendations for legislative changes, taking into account rate increases contained in the current budget. (Joint charge with Senate Health and Human Services Committee)
5. Study and review state and local options for expanding transportation funding and explore options to reduce diversions of Fund 6 revenue. (Joint charge with Senate Committee on Transportation and Homeland Security)
6. Study and make recommendations relating to whether the Texas Department of Transportation is in compliance with Transportation Code §201.109, Revenue Enhancement, and whether the Texas Department of Transportation is using the funding sources provided by the Legislature, including, but not limited to, General Obligation, Fund 6 and Mobility Fund bonds, to build new roads. (Joint charge with Senate Committee on Transportation and Homeland Security)
7. Monitor and provide a brief update on the implementation of legislation addressed by the Finance Committee, 80th Legislature, Regular Session, and make recommendations for any legislation needed to improve or enhance and complete implementation.
  • SB 247, 80th Legislature, Regular Session, relating to Sudan divestment, and make recommendations about whether to include Iran in the divestment strategy;
  • SB1332, 80th Legislature, Regular Session, to help improve the state's debt management and oversight, including a more comprehensive review of state debt and improved communication between entities and oversight of state bond issuance;
  • SB 10, 80th Legislature, Regular Session, and the Frew settlement to ensure that the initiatives carried out by the Health and Human Services Commission affect meaningful improvement in access to quality care in the Texas Medicaid program; and
  • HB 3732, 80th Legislature, Regular Session, relating to ultra-clean coal technologies, and determine the amount of property tax removed from the tax rolls, as well as the corresponding impact on school finance. Identify any changes needed to strengthen the program and ensure its success.
Committee: Senate Health and Human Services
Title: Interim Report
Library Catalog Title: Interim report to the 81st Legislature
Subjects: Adoption | Aging and Disability Services, Texas Department of | Anti-smoking campaigns | Asthma | Caseworkers | Child abuse prevention | Child Protective Services | Community support services | Disabled persons | Disease management | Disease preparedness | Disease prevention | Family and Protective Services, Texas Department of | Family Based Safety Services | Family preservation | Foster care | Health care providers | Health Enterprise Zones | Health insurance premium subsidies | Home health care services | Immunizations | Influenza | Medicaid | Medical errors | Medical reimbursements | Medically uninsured | Mental health services | Mentally disabled persons | Nursing homes | Obesity | Preparation for Adult Living | Rural health care | State supported living centers | Stem cell research | Umbilical cord blood |
Library Call Number: L1836.80 H349
Session: 80th R.S. (2007)
Online version: View report [379 pages  File size: 16,580 kb]
Charges: This report should address the charges below.
1. Monitor the Department of Aging and Disability Services' improvement plan for the system of care for individuals with developmental disabilities, focusing on efforts to improve state schools and provide more community care options. Evaluate the process for preventing, reporting, and investigating abuse and neglect in state schools, ICF/MRs and the Home and Community-Based Services (HCS) program. Determine the short-term and long-term financial impact of increasing the number of individuals served in home or community locations and the financial impact this shift has on state schools. Monitor the department's efforts to convert institutions to community care providers through the money-follows-the-person program designed to improve access to community care services. Specifically make recommendations on:
  • how to further improve the system of care for individuals with developmental disabilities;
  • preventing, reporting, and investigating abuse and neglect;
  • developing a transition plan for reducing waiting list for community care service;
  • incentives for converting institutions into community care providers; and
  • a long term plan to address issues that result from the current federal Department of Justice investigation.
2. Study and make recommendations related to creating an outcome-based reimbursement model in Texas' Medicaid program as a way to improve quality of care, reduce medical errors, and create cost savings. Develop a pilot health care program that pays for best practices, rather than only paying for actual procedures performed. Examine the Centers for Medicare and Medicaid's (CMS) efforts to create an outcome-based system in the Medicare payment system that sanctions serious, preventable medical errors. Examine Pennsylvania's efforts to implement a similar outcome-based reimbursement model to make providers more vigilant about patient care, encourage best practices, and reduce costs in their Medicaid program. If necessary, examine other health care coverage models that have successfully incorporated an outcome-based reimbursement system. Consider pay-for-performance, options that reward good outcomes and the use of best practices, and changes to the reimbursement system that will reduce serious preventable medical errors and hospital acquired infections.
3. Study the effectiveness of the Resiliency and Disease Management (RDM) program in the mental health service delivery system, implementation of changes to the crisis care program, and recommendations for appropriate use of the mental health transformation grant. Identify strategies to increase access to services and meet future demand for services. Examine resource allocation and opportunities to maximize funding. Policy recommendations should maximize the number of inpatient psychiatric acute care beds, enhance access to outpatient services, promote the use of recovery-based services, and enhance access to community-based services.
4. Monitor the implementation of the Department of Family and Protective Services’ improvement plan to reduce caseloads for Child Protective Service caseworkers, and to provide family-based safety services and ongoing substitute care services. Evaluate the efficiency of Child Protective Services "functional units," and determine if other organizational models would allow for a reduction in caseworkers' caseloads, without increasing other administrative costs. Develop recommendations aimed at lowering individual caseloads, making casework more efficient, and improving the retention of caseworkers. Assess the viability of caseworker reimbursement as a manner to lower caseworker turnover.
5. Monitor the implementation of the Department of Family and Protective Services' plan to stabilize the foster care system and increase permanency options for children. Study placement capacity to determine how Child Protective Services can better develop the necessary adoptions or foster homes to meet the needs of children and families by increasing foster care capacity, recruiting and retaining more foster and adoptive parents, increasing the use of relative care, and developing best practices for reducing foster care placement breakdowns. This includes studying innovative ways to promote adoption and kinship care in Texas and best practices for foster/adoptive parents to improve their ability to care for abused and neglected children. Explore potential improvements and enhancements in the Preparation for Adult Living (PAL) program to increase successful transitioning from foster care to adult living. Study current death review processes for children who die while in state care.
6. Examine Texas' current strategies for preventing child abuse. Specifically study the effectiveness of current programs and how these programs compare to other state efforts. Identify national research-based solutions, including best practices and programs addressing sexual abuse. Explore promising existing and emerging approaches to child abuse and neglect prevention, especially those with a strong evidence base. Identify additional funding sources for increased child abuse prevention activities by the state.
7. Study the changes in statute contained in SB 10, 80th Legislature, Regular Session, as well as the state's current prevention and wellness efforts and chronic care management efforts, and identify opportunities for improvement in state policies and programs. Examine options for expanding and optimizing the state's current investment in wellness programs and management tools for individuals with chronic care conditions, including options that address childhood asthma. Review partnerships with the private sector that specifically address the following:
  • tobacco cessation, including the evaluation of a statewide smoking ban in public places;
  • reducing obesity;
  • availability and effectiveness of childhood and adult vaccines, including public education programs to promote the use of vaccines; and
  • more effective management of chronic care conditions.
8. Study the effectiveness and efficiency of nursing homes and home-based solutions/home care in Texas, and make recommendations to improve nursing homes and their funding. Identify and study successful nursing home funding models established by other states. Consider ways to fund infrastructure for nursing and therapists and home care. Examine the possibility of an incentive-based “pay for performance” rate plan for nursing facilities and consider factors that it could be based on, taking into account similar plans implemented in other states. Make recommendations on how best to use Medicaid to fund skilled nursing and home health care in Texas. Explore options for improving graduation rates for nurses in Texas.
9. Study and address ethical issues surrounding the impact of a pandemic influenza in this state, particularly focusing on the following:
  • the availability of human and material resources;
  • the benefits and burdens of mass vaccination plans;
  • the involvement of private sector professional organizations and businesses in the state's pandemic influenza preparedness and response plans; and
  • development and implementation of communication plans that will inform and prepare the public on risk reduction behaviors and local/state preparedness and response.
10. Study the potential for development of Health Enterprise Zones, which could offer tax incentives to medical providers who locate within the boundaries of designated medically underserved areas. Analyze similar legislation enacted in other states, specifically New Jersey, and estimate costs and benefits. Consider expanding incentives to medically related industries such as medical research facilities, laboratories and equipment manufacturers in order to spur economic development.
11. Monitor the collection and availability of cord blood stem cells for treatments and research in Texas. Review the current state of basic and clinical research using these and other types of adult stem cells. Assess the potential for clinical and economic benefits from current and increased adult stem cell research.
12. Review Medicaid provider reimbursement rate methodologies, including the impact of factors such as infrastructure concerns, federal minimum wage changes, and cost reports. Study the impact on access to care, quality of care, and value, and make recommendations for legislative changes, taking into account rate increases contained in the current budget. (Joint charge with Senate Finance Committee)
13. Study the state's current and long-range need for physicians, dentists, nurses, and other allied health and long-term care professionals. Make recommendations on how the state can help recruit high-need professions, especially for primary care providers and long-term care professionals in the underserved regions of Texas. (Joint charge with the Senate Committee on International Relations and Trade)
14. Monitor the implementation of legislation addressed by the Health and Human Services Committee, 80th Legislature, Regular Session, and make recommendations for any legislation needed to improve, enhance, and/or complete implementation. Specifically, report on the implementation of SB 10, 80th Legislature, Regular Session, to ensure meaningful improvement in access to quality care in the Texas Medicaid program, focusing on how to cover more uninsured in Texas with market-based plans or premium assistance for employer health plans, and monitor the creation of the Texas Cancer Research and Prevention Institute.
Committee: House Human Services
Title: Interim Report
Library Catalog Title: House Committee on Human Services, Texas House of Representatives interim report, 2006 : a report to the House of Representatives, 80th Texas Legislature
Subjects: Aging and Disability Services, Texas Department of | Assistive and Rehabilitative Services, Texas Department of | Call centers | Family and Protective Services, Texas Department of | Foster care | Health and Human Services Commission, Texas | Mental health services | Privatization | Supplemental Nutrition Assistance Program |
Library Call Number: L1836.79 H88
Session: 79th R.S. (2005)
Online version: View report [59 pages  File size: 6,948 kb]
Charges: This report should address the charges below.
1. Examine ways foster care provides, or does not provide, preparation for adult living to foster children. Review programs other states have adopted to enhance the likelihood that foster care alumni will complete a secondary education or maintain trade skills learned while in foster care. Examine the correlation between the school drop-out pattern, job maintenance and poverty, and foster care preparation programs for adult living.
2. Study the effectiveness, efficiency and funding mechanisms of mental health and mental retardation services. Identify and study best practices in crisis intervention, residential treatment and aftercare. Identify and study successful mental health services delivery models established by other states.
3. Monitor how changes in the Food Stamp Program at the federal level affect participation in Texas, including proposed changes in the 2006 Federal Farm Bill.
4. Monitor the agencies and programs under the committee's jurisdiction.
Committee: Senate Human Services
Title: Interim Report
Library Catalog Title: Senate Committee on Human Services interim report.
Subjects: Abortion | Aging and Disability Services, Texas Department of | Americans with Disabilities Act | Community care | Community support services | Disabled children | Disabled persons | Health and Human Services Commission, Texas | Human Services, Texas Department of | Long-term care | Long-term care insurance | Medicaid | Nursing homes | Parental notification of abortion | Protective and Regulatory Services, Texas Department of | Senior citizens | Supreme Court, U.S. | Welfare | Welfare reform | Welfare-to-work |
Library Call Number: L1836.76 h89
Session: 76th R.S. (1999)
Online version: View report [303 pages  File size: 882 kb]
Charges: This report should address the charges below.
1. Examine the continuum of care and support options available to Texans in need of long-term care. The Committee shall evaluate the effectiveness of state regulatory efforts to ensure quality services as well as analyze the long-term care business climate.
2. Evaluate services provided to hardest-to-serve adult welfare recipients and services provided to children receiving welfare. The Committee shall assess the state's ability to avoid long-term dependency on welfare for both of these populations and develop additional strategies to encourage self-sufficiency and movement from welfare to work.
3. Monitor federal developments related to long-term care and welfare issues. In the event that significant developments occur, the Committee shall evaluate their impact on Texas.
4. Monitor the implementation of the following bills enacted during the 76th Legislature, Regular Session: SB 30, 76th Legislature, Regular Session, relating to parental notification before an abortion may be performed on certain minors; SB 374, 76th Legislature, Regular Session, relating to the provision of certain long-term care services, to the continuation and functions of the Texas Department on Aging, and to the eventual consolidation of the Texas Department of Human Services and the Texas Department on Aging into a new agency on aging and disability services; and HB 2641, 76th Legislature, Regular Session, relating to the continuation and functions of the Health and Human Services Commission. The Committee shall also monitor the effects of the additional resources provided to the Texas Department of Protective and Regulatory Services.
Supporting documents
Committee: Senate Human Services
Title: Interim Committee Rules
Library Catalog Title: Minutes
Library Call Number: L1803.9 H89 76
Session: 76th R.S. (1999)
Online version: View document [5 pages  File size: 169 kb]
Committee: Senate State Affairs
Title: Charge 2 Devolution in the state
Library Catalog Title: Senate Committee on State Affairs report to the 77th Legislature : charge 2, studying the impact of devolution on the state.
Subjects: Aging and Disability Services, Texas Department of | Federal funds | Federal government | Health, Texas Department of | Housing and Community Affairs, Texas Department of | Human Services, Texas Department of | Natural Resource Conservation Commission, Texas | State agencies | State Auditor's Office, Texas | Workforce Commission, Texas |
Library Call Number: L1836.76 st29a 2
Session: 76th R.S. (1999)
Online version: View report [93 pages  File size: 3,705 kb]
Charge: This report should address the charge below.
1. Study the impact of devolution and other federal streamlining and efficiency efforts on major state agencies, including full-time equivalent employee (FTE) increases, major programmatic changes, and administrative costs to the state. The Committee shall also study conflicts and overlaps among agencies resulting from federally devolved functions and responsibilities. The Committee shall coordinate study of this issue with the Committee on Finance. The final preparation of the report will be the responsibility of the State Affairs Committee.
Committee: House Retirement and Aging
Title: Interim report
Library Catalog Title: Interim report, 70th Legislature / Committee on Retirement and Aging.
Subjects: Affordable housing | Aging and Disability Services, Texas Department of | Employees Retirement System of Texas | Health insurance | Life insurance | Long-term care insurance | Medicaid | Medical reimbursements | Nursing homes | Nursing shortages | Public retirement systems | Senior citizens | Teacher Retirement System of Texas |
Library Call Number: L1836.70 r314
Session: 70th R.S. (1987)
Online version: View report [119 pages  File size: 4,409 kb]
Charges: This report should address the charges below.
1. To study the feasibility and cost of expansion of the shared housing program of the Texas Department of Aging.
2. Study the televised advertising of health and life insurance plans aimed at the elderly population.
3. To study the state retirement systems.
4. To study the current and projected financial condition of the private long-term care industry and examine possible funding alternatives, including the feasibility of tax deductible payments for nursing home care.
5. To study the costs and benefits of expanding internal administration of real estate investments in comparison to engaging outside real estate advisors by the Teachers Retirement System.
Committee: House Human Services
Title: Interim Report
Library Catalog Title: To the speaker and members of the Texas House of Representatives, 68th Legislature : report of the / Human Services Committee, Texas House of Representatives, 67th Legislature.
Subjects: Aging and Disability Services, Texas Department of | Air quality | Blind, Texas Commission for the | Child abuse | Child Protective Services | Deaf and Hard of Hearing, Texas Commission for the | Elder abuse | Hazardous substances | Manufactured housing | Medicaid | Outdoor recreation | Senior citizens | State agency budgets | Welfare |
Library Call Number: L1836.67 h89
Session: 67th R.S. (1981)
Online version: View report [309 pages  File size: 11,172 kb]
Charges: This report should address the charges below.
1. Oversight functions shall be conducted for all appropriations-related actions of those agencies assigned to this committee for appropriative purposes during the 67th Regular Session of the Legislature. In addition, a study should be made of the impact of any federal cuts, and the differences in the operation aspect of the agencies under block vs. categorical grants. These agencies include: Department of Human Resources Texas Commission for the Blind Texas Commission for the Deaf Texas Department of Community Affairs Texas Rehabilitation Commission Board of Licensure of Nursing Home Administrators Department of Aging The Veterans Affairs Commission
2. Track the development of the newly created Department of Aging. Investigate protective services for the elderly, currently provided by Department of Human Resources, and determine whether the Department of Aging could effectively take over those duties.
3. Develop background information on the general subject area of battered children and conduct and investigation into protective services for children provided by state agencies. (Do agencies overlap in authority, number of calls answered per month, effective results, justification or program, etc.)
4. Conduct and in-depth study of the AFDC program. Look at descriptive data such as turnover rate, ethnic breakdown, percentage of fraud. Consider the effect of abolishment of ceiling on payments if amendment passes in November of 1982.
5. Monitor the development of outdoor training programs under the Commission for the Deaf.
6. Study the detrimental effects of formaldehyde use to determine what actions need to be taken to protect the health of the general public.
7. Monitor state procurement and program changes of Medicaid Services in Texas.
8. Study activities and programs of the Texas Commission for the Blind including the Commission's efficiency in relation to its contracted services.

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