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55 Document(s) [ Subject: Nursing homes ]

Committee:	Senate Finance
Title:	Interim Report
Subjects:	Bail | Border security | Coronavirus | Economy | Employees Retirement System of Texas | Federal funds | Harris County | Homestead exemptions | Hospitals | Inflation | Investment of public funds | Long-term care | Medicaid | Mental health services | Nursing homes | Operation Lone Star (Border security) | Property tax exemptions | Property taxes | Public retirement systems | Recidivism | Retirees | Russia | School finance | State employee salaries | State employee turnover | Tax and expenditure limits | Tax revenue | Teacher Retirement System of Texas |
Library Call Number:	L1836.87 F49
Session:	87th R.S. (2021)
Online version:	View report [108 pages  File size: 4,001 kb]
Charges:	This report should address the charges below.
1.	Federal Funds: Report on the state use of federal COVID-19 relief funds provided under the Coronavirus Aid, Relief, and Economic Security Act, Coronavirus Response and Relief Supplemental Appropriations Act, the American Rescue Plan Act, Infrastructure Investment and Jobs Acts, and similar federal legislation. Examine local use of federal relief funding, including funding provided to school districts through the Elementary and Secondary School Emergency Relief (ESSER) Fund. Evaluate the overall fiscal impact of the COVID-19 pandemic on state agencies, including costs incurred due to federal mandates. Identify barriers to the effective utilization of funds and make recommendations on the expenditure of unappropriated funds. In addition, evaluate and report on the spending by state agencies that have been utilizing "one-time" federal funding (temporary enhancements, e.g. FMAP and ESSER) sources, where federal funding will likely be significantly reduced in future biennia.
2.	Property Tax Relief: Examine and recommend ways to reduce Texans' property tax burden. Review and report on proposals to use or dedicate state revenues in excess of the state spending limit to eliminate the school district maintenance and operations property tax.
3.	Inflation: Review and report on the effect inflation is having on the business community and state government, including state salaries, retiree benefits, the state economy, and cost of state services.
4.	Inflation: Review and report on the impact of inflation on units of local governments' revenue collections and property taxpayers' tax bills, including the homestead exemption.
5.	Tax Exemptions: Examine Texans' current tax exemptions and report on whether adjustments are merited because of inflation or any other factors.
6.	Russia Divestiture: Examine and report on options for state asset owners to divest their positions in companies that invest in the Russian Federation.
7.	State Pension Reforms: Monitor the implementation of recent statewide pension reforms to the Employees Retirement System of Texas and the Teacher Retirement System of Texas.
8.	Bail Bond Reform: Monitor the implementation of recent bail bond reform legislation along with its economic impact on the judicial and correctional system. Assess any barriers to implementation, the law’s effect on pretrial release and jail populations, and ways to further promote public safety and efficiency.
9.	Operation Lone Star: Monitor appropriations and spending supporting Operation Lone Star. Evaluate and report on the effectiveness of spending to secure the southern border. Identify and report on resources needed to ensure support for the State National Guard, as well as overall resources necessary for border security for future legislative consideration.
10.	Long-term Care Funding: Examine state investments in the long-term nursing home care system. Study nursing facility funding issues and the impact of the pandemic on capacity and delivery of care. Explore nursing facility quality metrics and recommend strategies to improve the sustainability of the long-term care workforce.
11.	Medicaid: Monitor the financial impact of federal decision-making affecting supplemental Medicaid funding for Texas hospitals and health care systems, including negotiations between the Centers for Medicare and Medicaid Services and the Texas Medicaid agency regarding the state's 1115 Medicaid waiver and other federal proposals reducing supplemental funding streams for Texas.
12.	Mental Health Delivery: Examine the state mental health service delivery system. Study the state's Comprehensive Plan for State-Funded Inpatient Mental Health Services and the Statewide Behavioral Health Strategic Plan and evaluate the existing state investments in mental health services and state hospital capacity. Review current forensic and civil mental health service waitlists, and recommend ways to improve coordination and outcomes to reduce waitlists. Explore and report on options for additional mental health service capacity, including building state hospitals in the Panhandle and Rio Grande Valley areas.
Committee:	House Human Services
Title:	Interim Report
Subjects:	Adoption | Assisted living facilities | Child abuse | Child abuse prevention | Child Protective Services | Early childhood intervention | Emergency management | Family preservation | Foster care | Hurricane Harvey | Long-term care | Managed care | Medicaid | Medicaid program management | Mentally ill persons | Natural disasters | Nursing homes | Pharmaceutical industry | Prescription drugs | State supported living centers | Substance abuse | Tropical storms |
Library Call Number:	L1836.85 H88
Session:	85th R.S. (2017)
Online version:	View report [50 pages]
Charges:	This report should address the charges below.
1.	Study the impact of Hurricane Harvey and the response to the storm on individuals living in long-term care facilities, assisted living facilities, state supported living centers, licensed community group homes, and children in the foster care system. Identify and recommend necessary solutions to ensure appropriate disaster-related protocols are in place to keep vulnerable Texans protected. Also, identify any challenges state agencies experienced in responding to the storm or during recovery efforts.
2.	Review the history and any future roll-out of Medicaid Managed Care in Texas. Determine the impact managed care has had on the quality and cost of care. In the review, determine: initiatives that managed care organizations (MCOs) have implemented to improve quality of care; whether access to care and network adequacy contractual requirements are sufficient; and whether MCOs have improved the coordination of care. Also determine provider and Medicaid participants’ satisfaction within STAR, STAR Health, Star Kids, and STAR+Plus managed care programs. In addition, review the Health and Human Services Commission's (HHSC) oversight of managed care organizations, and make recommendations for any needed improvement.
3.	Examine the survey process for nursing facilities to determine any duplication of government regulations. Consider recommendations to reduce duplication while ensuring patient safety is preserved.
4.	Review the availability of prevention and early intervention programs and determine their effectiveness in reducing maltreatment of children. In addition, review services available to children emancipating out of foster care, as well as services available to families post-adoption. Determine if current services are adequately providing for children's needs and meeting the objectives of the programs. While reviewing possible system improvements for children, follow the work of the Supreme Court of Texas Children's Commissions' Statewide Collaborative of Trauma-Informed Care to determine how trauma-informed care impacts outcomes for children.
5.	Analyze the prevalence of children involved with Child Protective Services (CPS) who have a mental illness and/or a substance use disorder. In addition, analyze the prevalence of children involved with CPS due to their guardian's substance abuse or because of an untreated mental illness. Identify methods to strengthen CPS processes and services, including efforts for family preservation; increasing the number of appropriate placements designed for children with high needs; and ensuring Texas Medicaid is providing access to appropriate and effective behavioral health services. (Joint charge with the House Committee on Public Health)
6.	Monitor the HHSC's implementation of Rider 219 in Article II of the General Appropriations Act related to prescription drug benefit administration in Medicaid. Analyze the role of pharmacy benefit managers in Texas Medicaid.
7.	Monitor the agencies and programs under the Committee’s jurisdiction and oversee the implementation of relevant legislation passed by the 85th Legislature. In conducting this oversight, the committee will also closely monitor the implementation of H.B. 4 (85R), H.B. 5 (85R), H.B. 7 (85R), and S.B. 11 (85R).
Committee:	Senate Health and Human Services
Title:	Interim Report
Subjects:	Abortion | Adoption | Adult day care | Assisted living facilities | Birth defects | Child abuse | Child abuse prevention | Child Protective Services | Family and Protective Services, Texas Department of | Foster care | Liability | Long-term care | Managed care | Medicaid | Mental health services | Mentally ill inmates | Nursing homes | Office of Inspector General, Health and Human Services Commission, Texas | Organ and tissue donations | Planned Parenthood | Pregnancy | Refugees and asylees | Senior citizens | Services for persons with disabilities | State employee turnover | Sunset review process | Telemedicine | Women's health |
Library Call Number:	L1836.84 H349
Session:	84th R.S. (2015)
Online version:	View report [152 pages]
Charges:	This report should address the charges below.
1.	Examine the business practices and regulatory structure of Planned Parenthood affiliates in Texas, and investigate whether state or federal laws are being broken by Planned Parenthood and/or its affiliates in Texas in regards to the donation and/or sale of fetal tissue. Consider recommendations to strengthen regulations on abortion providers, including further restrictions on the sale of fetal tissue by these entities. *
2.	Protecting the Unborn: Part I: Examine and make recommendations on the use of fetal tissue provided for research purposes and how related laws governing abortion procedures are interpreted and enforced. Part II: Examine the cause of action known as “wrongful birth.” The study should examine (1) its history in Texas, (2) its effect on the practice of medicine, and (3) its effect on children with disabilities and their families. Examine related measures proposed or passed in other states.
3.	Protection of Children Part I: Reducing Recurrence of Child Abuse and Neglect: Examine the current process that Child Protective Services uses to track recurrence of child abuse and neglect, and make recommendations to improve data tracking and the use of that data to assist in preventing recurrence. The study should examine the differences in recurrence among families who received services, families who received no services and had their cases closed, and families who had their children removed from the home. Part II: Addressing High-Acuity Needs of Foster Care Children: Study the increase in higher acuity children with trauma and mental illness in the state foster care system, and recommend ways to ensure children have timely access to appropriate treatment and placement options. Part III: Strengthening Adoptions: Examine the frequency, causes, and effects of disrupted foster care adoptions and make recommendations to improve the long-term success of adoptive placements. Study and make recommendations on ways to ensure a smooth transition for foster care children who are exiting the system.
4.	Healthy Aging: Part I: Study and make recommendations on innovative methods and best practices to promote healthy aging for the state’s population and reduce chronic medical and behavioral health conditions. Identify opportunities for improved collaboration to promote healthy aging in the health and human services system at the state, regional and local levels. Part II: Examine and recommend ways to improve quality and oversight in long-term care settings, including nursing homes and ICF/HCS programs. Monitor the implementation of legislation addressed by the Senate Committee on Health and Human Services during the 84th Regular Session related to the revocation of nursing home licenses for repeated serious violations.
5.	Medicaid Reform and State Innovation: Study the impact of the Section 1115 Texas Healthcare Transformation and Quality Improvement Program Waiver on improving health outcomes, reducing costs, and providing access to health care for the uninsured, and monitor the renewal process of the waiver. Explore other mechanisms and make recommendations to control costs and increase quality and efficiency in the Medicaid program, including the pursuit of a block grant or a Section 1332 Medicaid State Innovation Waiver for the existing Medicaid program.
6.	Inpatient Mental Health System Reform: Study and make recommendations on establishing collaborative partnerships between state-owned mental health hospitals and university health science centers to improve inpatient state mental health services, maximize the state mental health workforce, and reduce healthcare costs.
7.	Mental Health Diversion and Forensic Capacity: Study the impact of recent efforts by the legislature to divert individuals with serious mental illness from criminal justice settings and prevent recidivism. Study and make recommendations to address the state's ongoing need for inpatient forensic capacity, including the impact of expanding community inpatient psychiatric beds.
8.	Improving Access to Care through TeleHealth: Study and make recommendations on the appropriate use, scope and application of tele-monitoring and telemedicine services to improve management and outcomes for adults and children with complex medical needs and for persons confined in correctional facilities. Examine barriers to implementation of these services and any impact on access to health care services in rural areas of the state.
9.	Review of Refugee Resettlement Program: Study the impact to the state of the increasing number of refugees relocating to Texas, including the range of health and human services provided. Examine the authority of the state to reduce its burden under the Refugee Resettlement Program, and any state-funded services.
10.	Monitoring Charge: Monitor the implementation of legislation and riders related to health and human services that were considered by the 84th R.S. and make recommendations for any legislation needed to improve, enhance, and/or complete implementation, including but not limited to: ? The impact of changes made by the Department of Family and Protective Services, Child Protective Services on child safety, workforce retention, prevention, and permanency; ? Initiatives to reduce Medicaid fraud, waste and abuse, and other cost containment strategies, including examining the processes and procedures used by managed care organizations to address Medicaid fraud, waste and abuse; and The consolidation and expansion of women's health programs at the Health and Human Services Commission.
Committee:	Joint Aging
Title:	Interim Report
Subjects:	Aging and Disability Services, Texas Department of | Alzheimer's disease | Long-term care | Medicaid | Medicare | Nursing homes | Senior citizens |
Library Call Number:	L1836.83 Ag47
Session:	83rd R.S. (2013)
Online version:	View report [25 pages]
Charge:	This report should address the charge below.
1.	Study issues relating to the aging population of Texas, including health care, income, transportation, housing, education, and employment.
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:	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 | Asthma | Caseworkers | Child abuse prevention | Child Protective Services | 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 | Persons with disabilities | Preparation for Adult Living | Rural health care | Services for persons with disabilities | Smoking bans | 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 R.S., 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 R.S., and make recommendations for any legislation needed to improve, enhance, and/or complete implementation. Specifically, report on the implementation of SB 10, 80th R.S., 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, 2008 : a report to the House of Representatives, 81st Texas Legislat
Subjects:	Adoption | Child abuse | Child abuse prevention | Child Protective Services | Family and Protective Services, Texas Department of | Foster care | Long-term care | Nursing homes | Senior citizens | Services for persons with disabilities | Terminal care |
Library Call Number:	L1836.80 H88
Session:	80th R.S. (2007)
Online version:	View report [186 pages  File size: 21,784 kb]
Charges:	This report should address the charges below.
1.	Research strategies to promote permanency and stability for children and families involved with Child Protective Services. Identify any priorities that would approve the adoption process.
2.	Explore strategies to support the needs of aging Texans effectively and efficiently. This investigation should include best practices in delaying or avoiding the need for institutionalized care as well as promoting high-quality services for those who are best served in nursing homes.
3.	Evaluate Prevention and Early Intervention programs at the Department of Family and Protective Services that have been funded by the Texas Legislature for the prevention of child abuse and neglect. Consider if higher priority for selection should be given to child or family mentoring or other support services, such as foster grandparents and efforts to assist mothers.
4.	Evaluate existing and part efforts by the state for Youth Transitions in Independent Living. Recommend improvements to educational, occupational, health, and life skills components of preparation of foster children for adult living.
5.	Investigate the need and potential of respite care programs to delay or avoit institutional placements, thereby resulting in cost savings for the state.
6.	Examine compliance issues and concerns of hospices with certification surveys and ability to meet federal standards.
7.	Monitor the agencies and programs under the committee's jurisdiction.
Committee:	Senate State Affairs
Title:	Interim Report - Joint with Committee on Health and Human Services
Library Catalog Title:	Joint interim report to the 80th Legislature
Subjects:	Competency to stand trial | Criminally insane | End of life issues | Long-term care | Long-term care insurance | Medicaid | Mental health services | Mentally ill inmates | Nursing homes | Prescription drug costs | State hospitals |
Library Call Number:	L1836.79 H349sa
Session:	79th R.S. (2005)
Online version:	View report [82 pages  File size: 3,061 kb]
Charges:	This report should address the charges below.
1.	Examine and make recommendations, if necessary, regarding the state's role in regulating pharmacy benefit managers in the interest of consumer protection. Examine alternative methods of dispensing maintenance drugs, including mail service and retail pharmacies, and provide an analysis of the state's role in protecting consumers. Joint Charge with Health and Human Services Committee
2.	Study how to reduce dependence on Medicaid for the provision of long term care by increasing use of long-term care insurance and health savings accounts. Include a study of options for increasing the use of advance planning tools, such as health care power of attorney and living wills, to ensure more effective decision-making regarding critical end-of-life and other health care decisions. Finally, study the feasibility of implementing innovative models of nursing facility services that encourage autonomy, choice and dignity of residents. Joint Charge with Health and Human Services Committee.
3.	Study the current laws/policies relating to forensic patients in our State Hospitals and Community Mental Health Organizations. Include analysis of and recommendations relating to pre- and post-trial forensic patients, competency laws and procedures, current treatment policies and guidelines, cost and placement considerations for creating specialty units for forensic patients, judicial discretion and medical best practices. Joint Charge with Health and Human Services Committee.
Committee:	Joint Long-Term Care, Legislative Oversight
Title:	Interim Report
Library Catalog Title:	Interim report, 2004, 79th Texas Legislature
Subjects:	Liability insurance | Long-term care | Long-term care insurance | Medical liability insurance | Nursing homes | Quality of care | Senior citizens | STAR+PLUS program | Tort reform |
Library Call Number:	L1836.78 L854r
Session:	78th R.S. (2003)
Online version:	View report [123 pages  File size: 3,823 kb]
Charge:	This report should address the charge below.
1.	The committee examined the pressing issues related to long-term care, including quality of care, quality assurance, Medicaid reimbursement rates, liability insurance, the effects of tort reform, and possible funding funding methods such as a quality assurance fee and private long-term care insurance. *
Committee:	Senate State Affairs
Title:	Interim Report
Library Catalog Title:	Interim report to the 79th Legislature
Subjects:	Border health | Damage award caps | Election administration | Election laws | Employee Retirement Income Security Act of 1974 | Employees Retirement System of Texas | Health insurance | Liability insurance | Managed care | Medical liability insurance | Medically uninsured | Nursing homes | Patients' rights | Quality of care | Rural health care | State employee benefits | State mandated health insurance | Teacher health insurance | Teacher Retirement System of Texas | Tort reform | Voter registration | Voting systems |
Library Call Number:	L1836.78 St29a
Session:	78th R.S. (2003)
Online version:	View report [0 pages]
Charges:	This report should address the charges below.
1.	Study the implementation of changes made to the state group health insurance plans and identify additional cost-saving measures. Study the feasibility and practicality of offering health reimbursement accounts as an alternate health insurance plan for those insured in ERS, TRS, and university plans. Provide recommendations regarding whether the current method of administering these programs is in the best interest of the State of Texas and the various insured populations, or whether such programs might be more efficiently administered in another fashion.
2.	Monitor the implementation of HB 1549, 78th R.S., the Federal Help America Vote Act of 2002, to assure that Texas meets the criteria to secure the proposed federal funding. Make recommendations for statutory changes required to implement federal legislation and improve the efficiency of the process.
3.	Study the implementation of SB 10, 78th R.S., and SB 541, 78th R.S., and make recommendations, as needed, to make health insurance more accessible, and affordable for all Texans.
4.	Study the April 2003 United States Supreme Court decision in Kentucky Association of Health Plans v. Miller to determine its impact on Texas laws regulating health insurance plans under the Employee Retirement Income Security Act of 1974 (ERISA) and make recommendations to changes in state law to conform with recent federal court decisions.
5.	Study the reimbursement methodology of health care plans operating in Texas for out-of-network claims, specifically focusing upon the reimbursement of usual and customary charges, and make recommendations on how to improve their effectiveness. The study and recommendations should encompass all plans, including those participating in Texas Medicaid managed care program and should consider federal and state laws as well as Health & Human Services Commission rules relating to the reimbursement of out-of-network claims.
6.	Study the implementation of HB 4, 78th R.S., and Proposition 12 in achieving lower medical malpractice rates and providing more access to affordable health care. Monitor and report on trends in medical malpractice insurance rates and the effect of tort reform on access to health care and provider shortages in certain regions, particularly along the Border.
7.	Study and report on the affordability, reasonableness, and impact of mandatory liability insurance on the nursing home industry. Assess and report on the effects of the admissibility of quality reports.
Committee:	Joint Long Term Care, Legislative Oversight
Title:	Interim Report
Library Catalog Title:	Interim report / Long Term Care Legislative Oversight Committee.
Subjects:	Liability insurance | Long-term care | Long-term care insurance | Nursing homes |
Library Call Number:	L1836.77 l854r
Session:	77th R.S. (2001)
Online version:	View report [148 pages  File size: 1,938 kb]
Charges:	This report should address the charges below.
1.	Monitor implementation of SB 1839, 77th R.S., SB 415, 77th R.S., HB 154, 77th R.S., and SB 1, 77th R.S., provisions regarding nursing homes, including activities related to quality of care, nursing home regulation, nursing home rate methodologies, liability insurance, and any other relevant issues and legislation.
2.	Make recommendations to the 78th Legislature on any changes needed to improve the quality of nursing home care, assure effective use of public funds for resident care, and improve the affordability of nursing home liability insurance.
Committee:	Senate Veteran Affairs and Military Installations
Title:	Interim Report
Subjects:	Base realignment and closure | Cemeteries | Long-term care | Military bases | Military families | Military personnel | Nursing homes | Texas Air National Guard | Texas Army National Guard | Veterans | Veterans health care | Veterans Land Board |
Library Call Number:	L1836.77 v641
Session:	77th R.S. (2001)
Online version:	View report [215 pages  File size: 2,154 kb]
Charges:	This report should address the charges below.
1.	Monitor developments at the federal level regarding the Federal Base Realignment and Base Closure (BRAC) process, and the implementation of SB 1815, 77th R.S., relating to loan assistance for communities affected by BRAC.
2.	Evaluate the effects of the increased bonding authority granted to the Veteran's Land Board in HB 2453, 77th R.S..
3.	Evaluate veteran land and housing fund programs, including veteran nursing homes. The Committee shall determine if the demand for veterans nursing home beds is exceeding the available supply.
4.	Monitor the implementation of the following legislation from the 77th Session: HB 310, 77th R.S., relating to veterans cemeteries; HB 2125, 77th R.S., relating to public school admission for military personnel and dependents; and SB 1159, 77th R.S., relating to providing state veteran services. The Committee shall also evaluate the cost-effectiveness of programs and benefits provided to veterans and their families by state agencies. The Committee should consider veterans programs administered by the U.S. Department of Veterans Administration.
5.	Assess the impact of the current military mobilization on persons called to active duty and their families. The Committee should examine state and federal statutes concerning active reservists and guardsmen and make recommendations, if necessary.
6.	Monitor the current mobilization of Texas military forces and the role of the National Guard Armories to determine if increased assistance from the state is necessary for an efficient and timely response.
Committee:	House Human Services
Title:	Interim report
Library Catalog Title:	House Committee on Human Services, Texas House of Representatives interim report, 2000 : a report to the House of Representatives, 77th Texas Legislature.
Subjects:	Americans with Disabilities Act | Bankruptcy | Community care | Disability benefits | Food stamps | Human Services, Texas Department of | Liability insurance | Long-term care | Medicaid | Medicaid eligibility | Medical liability insurance | Medical reimbursements | Medicare | Nursing homes | Persons with disabilities | Services for persons with disabilities | Welfare | Welfare reform |
Library Call Number:	L1836.76 h88
Session:	76th R.S. (1999)
Online version:	View report [98 pages  File size: 765 kb]
Charges:	This report should address the charges below.
1.	Study issues created by the transition of the TANF program to federal law when the state's waiver expires in 2002. Include a review of the final TANF regulations and how other states use TANF funds outside the traditional cash assistance program. Consider policies to improve outcomes for people leaving welfare.
2.	Study issues surrounding the financial difficulties experienced by some nursing home companies, including the reasons for bankruptcies and closures, state policies and resources for dealing with them, and impacts on residents.
3.	Assess the state's responsibilities and policies regarding supports for individuals with disabilities in community-based settings.
4.	Study the current public assistance eligibility, application and review processes, and other Department of Human Services' client communications to ensure that clients are getting the supports necessary to make a successful transition to self-sufficiency.
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 | Children with disabilities | Community care | 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 | Persons with disabilities | Protective and Regulatory Services, Texas Department of | Senior citizens | Services for persons with disabilities | 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 R.S.: SB 30, 76th R.S., relating to parental notification before an abortion may be performed on certain minors; SB 374, 76th R.S., 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 R.S., 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:	Joint Long-Term Care, Legislative Oversight
Title:	Interim Report
Library Catalog Title:	Long-Term Care Legislative Oversight Committee interim report, 2000 : a report to the 77th Texas Legislature.
Subjects:	Human Services, Texas Department of | Nursing homes |
Library Call Number:	L1836.76 l854r
Session:	76th R.S. (1999)
Online version:	View report [45 pages  File size: 109 kb]
Charge:	This report should address the charge below.
1.	Evaluate the Department of Human Services' implementation of Section 242.071, Health and Safety Code, entitled "Amelioration of Violation," and make recommendations to the department and the Legislature regarding implementation of the provision.
Committee:	House Human Services
Title:	Interim report
Library Catalog Title:	House Committee on Human Services, Texas House of Representatives interim report, 1998 : a report to the House of Representatives, 76th Texas Legislature.
Subjects:	Long-term care | Managed care | Medicaid | Nursing homes | Quality of care |
Library Call Number:	L1836.76 h88
Session:	75th R.S. (1997)
Online version:	View report [22 pages  File size: 1,154 kb]
Charges:	This report should address the charges below.
1.	Conduct active oversight of the agencies under the committee's jurisdiction.
2.	Actively monitor implementation of the STAR-Plus Medicaid managed care project for long-term care in Harris County. This is a national pilot project and many constituencies will be interested in its deployment and results.
3.	Study the opportunities and problems associated with use of an index to measure quality of long-term care in Medicaid-certified nursing homes.
Committee:	Joint Long-Term Care, Legislative Oversight
Title:	Interim report
Library Catalog Title:	Long Term Care Legislative Oversight Committee interim report.
Subjects:	Attorney General of Texas | Human Services, Texas Department of | Long-term care | Long-term care insurance | Medicaid | Medical reimbursements | Nursing homes | Quality of care |
Library Call Number:	L1836.75 l854r
Session:	75th R.S. (1997)
Online version:	View report [81 pages  File size: 3,789 kb]
Charges:	This report should address the charges below.
1.	Identify significant problems in the nursing facility regulatory system and make recommendations for legislation action.
2.	Analyze and monitor the effectiveness and efficiency of the nursing facility regulatory system of Texas and make recommendations for any necessary research or legislative action.
3.	Review specific recommendations for legislation proposed by the Department of Human Services or the attorney General relating to nursing facility rules and regulations and other long-term care issues.
4.	Analyze the continuum of care of long term services available to Texans and make recommendations for legislative action.
Committee:	Senate Health and Human Services
Title:	Interim report - Client abuse & medically fragile children
Library Catalog Title:	Investigations of client abuse and neglect and progress report, medically fragile children : interim report.
Subjects:	Child abuse | Elder abuse | Mental Health and Mental Retardation, Texas Department of | Mentally disabled persons | Mentally ill persons | Nursing homes | Protective and Regulatory Services, Texas Department of |
Library Call Number:	L1836.74 h349c
Session:	74th R.S. (1995)
Online version:	View report [126 pages  File size: 5,368 kb]
Charge:	This report should address the charge below.
1.	Look into complaints included in the Austin American Statesman Jan 25 article regarding investigations of physical or mental abuse at our mental health and mental retardation institutions and look into the Department of Protective and Regulatory Services and determine why the number of investigations has increased, while the number of complaints has remained relatively constant and the number of confirmed cases has declined.
Supporting documents
Committee:	Senate Health and Human Services
Title:	Interim minutes, letters to Lt. Gov. Bob Bullock with enclosures, and charts reflecting legislative recommendations submitted to the Senate Committee on Health and Human Services
Library Catalog Title:	Minutes
Library Call Number:	L1803.9 H88 74
Session:	74th R.S. (1995)
Online version:	View document [461 pages  File size: 10,303 kb]
Committee:	House Human Services
Title:	Interim report
Library Catalog Title:	Committee on Human Services, Texas House of Representatives interim report, 1996 : a report to the House of Representatives, 75th Texas Legislature.
Subjects:	Community care | Long-term care | Long-term care insurance | Medicaid | Nursing homes | Persons with disabilities | Quality of care | Senior citizens | Services for persons with disabilities | Welfare reform |
Library Call Number:	L1836.74 h88
Session:	74th R.S. (1995)
Online version:	View report [106 pages  File size: 5,114 kb]
Charges:	This report should address the charges below.
1.	Monitor the implementation of HB 1836, 74th R.S., passed by the 74th Legislature.
2.	Study long-term care for Texans, including possible managed care approaches involving community-based providers, the efficient use and geographic distribution of Medicaid facilities, the effects of the revised enforcement rules for Medicaid facilities, issues related to management contracts and services relating to abuse, neglect and exploitation of the elderly.
Committee:	House Public Health
Title:	Interim report
Library Catalog Title:	House Committee on Public Health, Texas House of Representatives interim report, 1996 : a report to the House of Representatives, 75th Texas Legislature.
Subjects:	Children's health care | Children's health insurance | Long-term care | Medical education | Medically uninsured | Nursing homes | Occupational licenses | Quality of care | Texas Healthy Kids Corporation |
Library Call Number:	L1836.74 h349h
Session:	74th R.S. (1995)
Online version:	View report [115 pages  File size: 5,368 kb]
Charges:	This report should address the charges below.
1.	Review the benefits, costs and possibility of mandating a specific ratio of certified nurse aids to nursing home residents.
2.	Review the ways in which medical schools use funds generated by their family practice programs.
3.	Study whether public protection or public services could be enhanced by the registration or licensing of clinical laboratory scientists.
4.	Study options to improve access to healthcare for children who do not qualify for expanded medicaid eligibility.
Committee:	Senate Health and Human Services
Title:	Interim report - Medically fragile children
Library Catalog Title:	Medically fragile children in Texas : interim report.
Subjects:	Children with disabilities | Long-term care | Nursing homes | Persons with disabilities |
Library Call Number:	L1836.73 h349f
Session:	73rd R.S. (1993)
Online version:	View report [123 pages  File size: 6,296 kb]
Charge:	This report should address the charge below.
1.	Investigate conditions reported in "Nobody's Priority", an Austin American Statesman series on children with severe disbilities living in Texas nursing homes.
Supporting documents
Committee:	Senate Health and Human Services
Title:	Committee documentation: daily minutes record, draft minutes, testimony of Richard C. Ladd, HHSC Commissioner (HHSC accomplishments, reorganization, LBB budget recommendations, DHS summary of impact of legislative budget estimates), guardianship
Library Catalog Title:	Minutes
Library Call Number:	L1803.9 H88 73
Session:	73rd R.S. (1993)
Online version:	View document [30 pages  File size: 529 kb]
Committee:	House Human Services
Title:	Interim report - Vol 1
Library Catalog Title:	Interim report, 1992 : a report to the House of Representatives, 73rd Legislature / Committee on Human Services, Texas House of Representatives.
Subjects:	Child abuse | Child Protective Services | Children with disabilities | Emergency medical services | Foster care | Hospital emergency rooms | Inmate health | Medicaid | Mental health services | Mentally disabled persons | Mentally ill persons | Nursing homes | Persons with disabilities | Protective and Regulatory Services, Texas Department of | Quality of care | Services for persons with disabilities | Trauma centers | Women's health |
Library Call Number:	L1836.72 h88 1
Session:	72nd R.S. (1991)
Online version:	View report [370 pages  File size: 18,729 kb]
Charges:	This report should address the charges below.
1.	Study the implementation of the Pre-admissions Screening and Annual Resident Review (PASAAR) (OBRA '87 mandate) including the areas of program design, Alternate Disposition Plan (ADP), accountability, and residents' rights and training.
2.	Monitor child protective services in the proposed structure of the Department of Protective and Regulatory Services including criteria used in "priority" classifications and intervention methods and response time per classification; services provided to children over the age of 10 and to special needs children; value of family preservation services; and problems associated with abuse or neglected children in one-parent homes.
3.	Study health care in women's correctional facilities.
4.	Monitor and Coordinate with the Texas Health Policy Task Force as it relates to trauma care in Texas.
Committee:	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.
Committee:	House Human Services
Title:	Interim report
Library Catalog Title:	Interim report to the 72nd Texas Legislature / Committee on Human Services.
Subjects:	At-risk youth | Child abuse | Child care | Child welfare | Elder abuse | Long-term care | Medical education | Nurses | Nursing education | Nursing homes | Nursing shortages | Obesity | Public health | Quality of care | Runaway children | Senior citizens |
Library Call Number:	L1836.71 h88
Session:	71st R.S. (1989)
Online version:	View report [310 pages  File size: 11,175 kb]
Charges:	This report should address the charges below.
1.	To monitor all activities and to have budget oversight responsibilities for those agencies, boards and commissions as listed in Rule 3, Section 17.
2.	To study the extent of the problem of "throwaway children" that have been abandoned by their parents.
3.	To study feasibility of obesity prevention programs and the potential impact on reduction of indigent health care costs.
4.	To study the impact of the shortage of nursing personnel on health care delivery providers, including an examination of the regulation and permit requirements of nursing pools.
5.	To study the provision of day care services to families with low to moderate income, including the licensing and regulation of providers, the effects of federal welfare and day care reforms on day care services and the potential for expanded public-private partnerships in the area of day care.
6.	To study current public and private policies relating to child day care and to make recommendations to improve child day care services in Texas.
7.	To study the development of state policy and strategy for long term care, including a review of policies regarding penalties and sanctions for long term care providers, and to examine unlicensed and unregulated boarding terms.
Committee:	Joint Nursing Home Rate Reimbursement, Interim
Title:	Interim report
Library Catalog Title:	Interim report of the Joint Interim Committee on Nursing Home Rate Reimbursement : to the 72nd Legislature.
Subjects:	Long-term care | Medicaid | Medical reimbursements | Nursing homes |
Library Call Number:	L1836.71 n938
Session:	71st R.S. (1989)
Online version:	View report [27 pages  File size: 1,021 kb]
Charge:	This report should address the charge below.
1.	Examine the rate-setting methodology for nursing homes to determine what changes are needed to improve patient care, manage growth, and provide reasonable and adequate rates. Also review any unresolved issues contained in the compromise agreement and determine which items it must address.
Supporting documents
Committee:	Joint Nursing Home Rate Reimbursement, Interim
Title:	Proclamation
Library Catalog Title:	Proclamation
Library Call Number:	L1800.1 p926
Session:	71st R.S. (1989)
Online version:	View document [1 pages  File size: 64 kb]
Committee:	Joint Future of Long Term Health Care, Special Task Force
Title:	Interim report
Library Catalog Title:	Report to the 71st Legislature / the Special Task Force on the Future of Long Term Health Care.
Subjects:	Assisted living facilities | Community care | Health, Texas Department of | Home health care services | Human Services, Texas Department of | Long-term care | Medicaid | Medical reimbursements | Nursing homes | Nursing shortages | Quality of care | Senior citizens | Services for persons with disabilities |
Library Call Number:	L1836.70 l859
Session:	70th R.S. (1987)
Online version:	View report [99 pages  File size: 3,408 kb]
Charge:	This report should address the charge below.
1.	Study the current and future status of long term health care in Texas and to analyze all current laws and regulations that affect long term health care, with the goal of providing quality care for residents in the most efficient manner. The study should include: (1) a cost-efficient, simple and completely integrated regulatory system between the Texas Department of Health and the Texas Department of Human Services; (2) a regulatory system that focuses on enhancing quality care through an incentive program with sanctions and penalties carefully defined; (3) a long-term care reimbursement process designed to foster cost containment, good patient access and quality of care; and (4) defining and streamlining the certification process, as well as Medicaid eligibility.
Supporting documents
Committee:	Joint Future of Long Term Health Care, Special Task Force
Title:	HCR 213, 70th Leg.
Library Call Number:	HCR 213, 70th Leg.
Session:	70th R.S. (1987)
Online version:	View document [2 pages  File size: 181 kb]
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:	Interim report of the Committee on Human Services, Texas House of Representatives to the Seventieth Legislative Session, 1986.
Subjects:	Assisted living facilities | Child care | Child Protective Services | Criminal records | Long-term care | Medicaid | Medical reimbursements | Medicare | Mental health services | Nursing homes | Poverty | Preferred provider organizations | Privatization | Senior citizens | State employee turnover | Teenage pregnancy | Welfare | Welfare-to-work |
Library Call Number:	L1836.69 h88
Session:	69th R.S. (1985)
Online version:	View report [178 pages  File size: 9,803 kb]
Charges:	This report should address the charges below.
1.	To study the Aid to Families with Dependent Children Program (AFDC), including the problems of needy children and their families, the various employment, training and education programs, and other options designed to help Texas families become self-supporting.
2.	To study the problems encountered by the elderly in gaining access to appropriate post-hospital health care services, including skilled nursing and custodial services.
3.	To study the Child Protective Services Program of the Department of Human Services regarding case workloads and staffing requirements.
4.	To study the implementation of criminal background check legislation for child-care workers including the use of federal funds for caregiver training.
5.	To study continuing care communities and other options for the well-elderly.
6.	To study the problems of preventing unwanted teenage pregnancy, preventing poor parenting by teenagers, and preventing unemployment and poverty in teen-headed families.
7.	To study the advantages and disadvantages of the preferred provider insurance plan, with particular emphasis on consideration of quality of services, access to services, cost of care rendered, the effect on existing physician-patient relationships, and a proposed legislative/regulatory structure for such medical care delivery and financing arrangements; in conjunction with Insurance and Public Health Committees.
8.	To study the utilization of and potential for further development of privatization of care for the mentally ill and mentally retarded in the State, in conjunction with Appropriations and Law Enforcement committees.
9.	To study the impact on Medicare-Medicaid and associated state health and welfare costs of the elimination of the certificate of need process in Texas.
Committee:	House Retirement and Aging
Title:	Interim Report
Library Catalog Title:	Interim report to the 70th Texas Legislature / Texas House of Representatives, Committee on Retirement & Aging.
Subjects:	Firefighters | Nursing homes | Occupational licenses | Public retirement systems | Quality of care |
Library Call Number:	L1836.69 r314
Session:	69th R.S. (1985)
Online version:	View report [37 pages  File size: 1,133 kb]
Charges:	This report should address the charges below.
1.	To study the education or training requirements of nursing home aides and the need for licensing of same, and to review nursing home complaints, complaint procedures, and state inspection report results to insure swifter action in correcting bad situations.
2.	To study the present financing arrangements for the Law Enforcement and Custodial Officer Supplemental Retirement Fund and determine the need to provide a fully funded system on a long term basis, and to study the legislative history of volunteer fire department retirement programs and assess the condition of the participating and non-participating plans.
Committee:	House Nursing Home Reform, House Joint, Interim
Title:	Interim report
Library Catalog Title:	Interim report to the 69th Texas Legislature / House Joint Interim Study Committee on Nursing Home Reform.
Subjects:	Assisted living facilities | Long-term care | Nursing homes | Senior citizens |
Library Call Number:	L1836.68 n938
Session:	68th R.S. (1983)
Online version:	View report [66 pages  File size: 2,129 kb]
Charges:	This report should address the charges below.
1.	Conduct a thorough examination of the nursing home industry in the state.
2.	Study of recent legislation passed by other states concerning the industry.
3.	Monitor the working relationship of the industry with the Texas Dept. of Health, Human Resources and Attorney General.
4.	Examine provisions or previous legislation concerning the industry passed by previous sessions of the legislature
5.	Study alternative care services for the elderly and their cost effectiveness.
6.	Determine whether or not the Intermediate Care Facility II nursing care program should be restored to a full or modified degree.
7.	Examine the screening process for entry in a long term care facility as to comprehensiveness and equity.
Committee:	House Retirement and Aging
Title:	Interim report
Library Catalog Title:	To the Speaker and members of the Texas House of Representatives, 69th Legislature ; interim report / of the House Committee on Retirement and Aging.
Subjects:	Community care | Long-term care | Medicaid | Nursing homes | Senior citizens |
Library Call Number:	L1836.68 r314
Session:	68th R.S. (1983)
Online version:	View report [42 pages  File size: 1,382 kb]
Charges:	This report should address the charges below.
1.	To study alternative care services for the elderly, the scope of these services, and their cost effectiveness.
2.	To determine whether or not there is a need to restore the Intermediate Care Facility II nursing care program to a full or modified degree.
3.	To study the health care status of persons who have been denied entry into a long-term care facility and whether or not the screening process is comprehensive and equitable.
Committee:	House Health and Welfare
Title:	Interim Report
Library Catalog Title:	To the speaker and members of the Texas House of Representatives, 66th Legislature : report of the Committee on Health and Welfare, the Texas House of Representatives, 65th Legislature.
Subjects:	Mental Health and Mental Retardation, Texas Department of | Mental health services | Mentally disabled persons | Nursing homes | Persons with disabilities | Social service agencies | State agencies | State agency budgets |
Library Call Number:	L1836.65 H349
Session:	65th R.S. (1977)
Online version:	View report [38 pages  File size: 1,175 kb]
Charges:	This report should address the charges below.
1.	Oversight responsibility of agency expenditures and related transactions. This function shall encompass a review and monitoring of all appropriations-related actions of those agencies assigned to this committee for appropriative purposes during the 65th Regular Session of the Legislature, to wit: Department of Health Resources (less Meat Inspection), Department of Mental Health and Mental Retardation, Board of Examiners in the Basic Sciences, Board of Chiropractic Examiners, Governor's Commission on Physical Fitness, Board of Examiners in the Fitting and Dispensing of Hearing Aids, Board of Vocational Nurse Examiners, Board of Nursing Home Administrators, Board of Physical Therapy Examiners, Board of Examiners of Psychologists, Office of the Governor Committee on Aging, Department of Public Welfare, Health Facilities Commission, Board of Dental Examiners, Board of Medical Examiners, Texas Optometry Board.
2.	A study of the possible need for reorganization of the State's human resources delivery agencies: the Texas Department of Human Resources, the Governor's Committee on Aging, the Texas Youth Council and the Texas Department of Community Affairs. This study should include a review of the functions of and operations of these agencies and should make recommendations as to necessary legislative changes, if any.
3.	Review the implementation of SB 700, 65th R.S., (the legislation detailing the legal rights of the retarded) by MHMR and make recommendations as to further legislative action needed, if any.
4.	Review and monitor the effect and impact on the state of the passage of and judicial interpretations of Section 504 of the Rehabilitation Act of 1973, dealing with rights of the handicapped. This study should include specific recommendations as to possible state action, legislative or judicial, to protect the state's best interests in this manner as well as recommended legislation designed to meet criteria for state implementation of the federal law.
5.	A study of the Texas Health Facilities Commission to determine the effectiveness of that agency and of health systems agencies in health facility planning including a review of the current fee schedule and of the necessity, if any, for the Department of Health Facilities to have input into nursing home expansion requests and decisions.
Supporting documents
Committee:	House Health and Welfare
Title:	Committee Documentation: Bill Statistics, Lists of House Bills, Senate Bills
Library Catalog Title:	Minutes
Library Call Number:	L1801.9 H349 65
Session:	65th R.S. (1977)
Online version:	View document [22 pages]
Committee:	Joint Long-term Care Alternatives
Title:	Interim Report
Library Catalog Title:	Final report / Joint Committee on Long-Term Care Alternatives.
Subjects:	Assisted living facilities | Long-term care | Nursing homes | Quality of care | Senior citizens |
Library Call Number:	L1836.65 L854
Session:	65th R.S. (1977)
Online version:	View report [43 pages  File size: 3,751 kb]
Charge:	This report should address the charge below.
1.	Report to the legislature on the alternative care program. The report must include a complete evaluation of the effectiveness of the program and its effect on the number of persons receiving and the quality of care given under nursing home care programs. The report must also contain recommendations relating to whether or not alternate care is a suitable substitute for some kinds of nursing home care and whether there is a continuing need for minimum level nursing care programs, such as Intermediate Care Facility II programs.
Supporting documents
Committee:	Joint Long-term Care Alternatives
Title:	Joint Committee on Long-Term Care Alternatives Status Report
Library Catalog Title:	Joint Committee on Long-Term Care Alternatives.
Library Call Number:	L1836.65 L854 1977
Session:	65th R.S. (1977)
Committee:	Joint Long-term Care Alternatives
Title:	A longitudinal study of elderly SSI and community care clients, 1976-1978 : selected findings
Library Catalog Title:	A longitudinal study of elderly SSI and community care clients, 1976-1978 : selected findings / presented by Joint Committee on Long-Term Care Alternatives.
Library Call Number:	L1836.65 L854T 1
Session:	65th R.S. (1977)
Online version:	View document [83 pages  File size: 14,237 kb]
Committee:	Joint Long-term Care Alternatives
Title:	Admission to a nursing home : an exploratory study of the decision-making process
Library Catalog Title:	Admission to a nursing home : an exploratory study of the decision-making process / presented by Joint Committee on Long-Term Care Alternatives.
Library Call Number:	L1836.65 L854T 3
Session:	65th R.S. (1977)
Online version:	View document [44 pages  File size: 7,543 kb]
Committee:	Joint Long-term Care Alternatives
Title:	Agency providers survey : working paper
Library Catalog Title:	Agency providers survey : working paper / presented by Joint Committee on Long-Term Care Alternatives.
Library Call Number:	L1836.65 L854A
Session:	65th R.S. (1977)
Online version:	View document [71 pages  File size: 12,207 kb]
Committee:	Joint Long-term Care Alternatives
Title:	Nursing home survey and analysis
Library Catalog Title:	Nursing home survey and analysis / presented by Joint Committee on Long-Term Care Alternatives.
Library Call Number:	L1836.65 L854T 2
Session:	65th R.S. (1977)
Online version:	View document [129 pages  File size: 17,264 kb]
Committee:	Joint Long-term Care Alternatives
Title:	Physicians survey : working paper
Library Catalog Title:	Physicians survey : working paper / presented by Joint Committee on Long-Term Care Alternatives.
Library Call Number:	L1836.65 L854W
Session:	65th R.S. (1977)
Online version:	View document [23 pages  File size: 4,254 kb]
Committee:	Joint Long-term Care Alternatives
Title:	Report on statewide hearings : a public response to long-term care
Library Catalog Title:	Report on statewide hearings : a public response to long-term care / presented by Joint Committee on Long-Term Care Alternatives
Library Call Number:	L1836.65 L854T 5
Session:	65th R.S. (1977)
Online version:	View document [71 pages  File size: 16,065 kb]
Committee:	Joint Long-term Care Alternatives
Title:	The elderly in Texas : population projections, 1970-2000
Library Catalog Title:	The elderly in Texas : population projections, 1970-2000 / presented by Joint Committee on Long-Term Care Alternatives.
Library Call Number:	L1836.65 L854T 6
Session:	65th R.S. (1977)
Online version:	View document [61 pages  File size: 11,609 kb]
Committee:	Joint Long-term Care Alternatives
Title:	Well-being in old age : essential services
Library Catalog Title:	Well-being in old age : essential services / presented by Joint Committee on Long-Term Care Alternatives.
Library Call Number:	L1836.65 L854T 4
Session:	65th R.S. (1977)
Online version:	View document [107 pages  File size: 28,319 kb]
Committee:	Joint Long-term Care Alternatives
Title:	Community care program staff survey : working paper
Library Catalog Title:	Community care program staff survey : working paper / presented by Joint Committee on Long-Term Care Alternatives.
Library Call Number:	L1836.65 L854C
Session:	65th R.S. (1977)
Online version:	View document [28 pages  File size: 5,738 kb]
Committee:	Joint Long-term Care Alternatives
Title:	Legislative initiatives = protuesta accion legislativa
Library Catalog Title:	Legislative initiatives = protuesta accion legislativa / Joint Committee on Long-Term Care Alternatives.
Library Call Number:	L1836.65 L854I
Session:	65th R.S. (1977)
Online version:	View document [16 pages  File size: 2,475 kb]
Committee:	Joint Long-term Care Alternatives
Title:	Projections of the general and elderly population of Texas, 1970-2000 : by representative districts
Library Catalog Title:	Projections of the general and elderly population of Texas, 1970-2000 : by representative districts / presented by Joint Committee on Long-Term Care Alternatives.
Library Call Number:	L1836.65 L854PH
Session:	65th R.S. (1977)
Online version:	View document [157 pages  File size: 21,458 kb]
Committee:	Joint Long-term Care Alternatives
Title:	Projections of the general and elderly population of Texas, 1970-2000 : by senatorial districts
Library Catalog Title:	Projections of the general and elderly population of Texas, 1970-2000 : by senatorial districts / presented by Joint Committee on Long-Term Care Alternatives.
Library Call Number:	L1836.65 L854PS
Session:	65th R.S. (1977)
Online version:	View document [37 pages  File size: 5,467 kb]
Committee:	Senate Human Resources Subcommittee on Public Health and Welfare
Title:	Interim Report - Nursing homes
Library Catalog Title:	Interim study on nursing homes / Subcommittee on Public Health and Welfare, Texas Senate.
Subjects:	Long-term care | Medical reimbursements | Nursing homes | Quality of care |
Library Call Number:	L1836.63 n937
Session:	63rd R.S. (1973)
Online version:	View report [91 pages  File size: 3,091 kb]
Charge:	This report should address the charge below.
1.	Conduct a study of long-term care in Texas. Study government regulation of nursing homes and Medicaid reimbursement to nursing homes. Review complaints regarding nursing home operations and quality of care. *
Supporting documents
Committee:	Senate Human Resources Subcommittee on Public Health and Welfare
Title:	Letter from Senator Bob Gammage to State Department of Public Welfare, October 22, 1973; Testimony of State Department of Public Welfare on nursing home conditions and standards, November 2, 1973
Library Catalog Title:	Minutes
Library Call Number:	L1836.63 N937H
Session:	63rd R.S. (1973)
Online version:	View document [382 pages  File size: 19,954 kb]
Committee:	Senate Human Resources Subcommittee on Public Health and Welfare
Title:	Testimony, Responsibilities and Services of the Division of Nursing and Convalescent Homes, Texas State Department of Health, October 25, 1973
Library Catalog Title:	Minutes
Library Call Number:	L1836.63 N937T
Session:	63rd R.S. (1973)
Online version:	View document [386 pages  File size: 17,975 kb]

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

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