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25 Document(s) [ Subject: Public%20health ]

Committee: Senate Health and Human Services
Title: Interim Report
Subjects: Child care | Coronavirus | Disease preparedness | Emergency management | Immunizations | Long-term care | Medical licensing | Mental health services | Nursing shortages | Physician shortages | Public health | State Health Services, Texas Department of | Vaccine mandates |
Library Call Number: L1836.87 H349
Session: 87th R.S. (2021)
Online version: View report [38 pages  File size: 1,285 kb]
Charges: This report should address the charges below.
1. Public Health Data: Review the processes for public health data collection and coordination by local and state entities as well as regional trauma centers. Identify any continuing barriers to the real-time dissemination of data concerning health care facility capacity—including data that can expedite timely care—and mortality rates, as well as other information that can assist in public policy decisions.
2. Health Care Workforce: Study the impact of the global pandemic on the health care workforce in acute and long-term care. Identify health care staffing challenges and examine how staffing services and payment models changed the economics of the health care workforce. Identify and recommend ways to increase the health care workforce pipeline.
3. Pandemic Response: Examine the impact of state and federal pandemic policies—including agency guidance, licensing and regulatory actions, and health care industry policies—on patient care and treatment delivery. Examine how regulatory guidance impacts the patient-doctor relationship. Recommend any changes needed to ensure Texas can develop its own data-driven guidance during public health emergencies.
4. Monitoring: Monitor the agencies and programs under the Committee's jurisdiction and oversee the implementation of relevant legislation passed by the 87th Legislature. Conduct active oversight of all associated rulemaking and other governmental actions taken to ensure intended legislative outcome of all legislation.
Committee: House Public Health
Title: Interim Report
Subjects: Border health | Drug overdoses | Drug-related deaths | Hospitals | Interstate compacts | Medical education | Medical licensing | Medical marijuana | Nursing shortages | Opioids | Physician shortages | Public health | Rural health care | Substance abuse | Telemedicine |
Library Call Number: L1836.87 H39h
Session: 87th R.S. (2021)
Online version: View report [108 pages  File size: 2,369 kb]
Charges: This report should address the charges below.
1. Consider issues involving access to health care along the Texas-Mexico border, including, but not limited to, the ability to access providers, hospital capacity, pharmaceutical adequacy and whether any particularized training or education is necessary or appropriate.
2. Monitor the agencies and programs under the Committee’s jurisdiction and oversee the implementation of relevant legislation passed by the 87th Legislature. Conduct active oversight of all associated rulemaking and other governmental actions taken to ensure the intended legislative outcome of all legislation, including the following:
  • HB 4, 87th R.S., relating to the provision and delivery of telemedicine and telehealth services; and
  • HB 1616, 87th R.S., relating to the Interstate Medical Licensure Compact.
3. Study the impact of fentanyl-related overdoses and deaths in Texas. Evaluate existing data collection, dissemination, and mitigation strategies regarding opioid abuse in Texas. Make recommendations to improve coordinated prevention, education, treatment, and data-sharing.
4. Study current telemedicine trends by assessing and making recommendations related to standardizing required documentation healthcare providers must obtain for consent for treatment, data collection, sharing and retention schedules, and providing telemedicine medical services to certain cancer patients receiving pain management services and supportive palliative care.
5. Examine existing resources and available opportunities to strengthen the state’s nursing and other health professional workforce, including rural physicians and nurses.
6. Assess ongoing challenges in the rural health care system and the impact of legislation and funding from the 87th regular and special sessions on strengthening rural health care and the sustainability of rural hospitals and health care providers. Evaluate federal regulations authorizing the creation of a Rural Emergency Hospital provider type and determine if promoting this type of facility could increase local access to care in rural areas of the state.
Supporting documents
Committee: House Public Health
Title: Committee meeting handouts and testimony, October 5, 2021
Library Call Number:
Session: 87th R.S. (2021)
Online version: View document [129 pages  File size: 20,653 kb]
Committee: Senate Health and Human Services
Title: Interim Report
Subjects: Child abuse | Child Protective Services | Emergency management | Employees Retirement System of Texas | Family and Protective Services, Texas Department of | Foster care | Health and Human Services Commission, Texas | Health care costs | Healthy Texas Women | Hurricane Harvey | Insurance, Texas Department of | Juvenile justice system | Managed care | Medicaid | Natural disasters | Opioids | Prescription drugs | Public health | State Health Services, Texas Department of | Substance abuse | Teacher Retirement System of Texas |
Library Call Number: L1836.85 H349
Session: 85th R.S. (2017)
Online version: View report [98 pages]
Charges: This report should address the charges below.
1. Review the state's response to Hurricane Harvey with a focus on public health efforts at the local and state level. The review should include an analysis of the state and local response related to vector control, immunization needs, utilization of health-related volunteers, adequacy of an emergency medical network, evacuation of vulnerable populations from state operated or regulated facilities, and coordination between all levels of government. Recommend any legislative changes necessary to improve public health response and coordination during and after a disaster.
2. Evaluate the impact of Hurricane Harvey on the capacity of out-of-home placements and care for youth involved with the juvenile justice and child welfare systems. Determine how the state can ensure support is available to provide appropriate care as close to home as possible as facilities and offices are rebuilt.
3. Child Welfare: Review the efficacy and quality of services offered to ensure family preservation while in the Family Based Social Services (FESS) stage of service at the Department of Family and Protective Services. Make recommendations to better track quality of services and link payments to providers of these services to outcomes for families and children. Analyze the Department of Family and Protective Services' progress in meeting statutory requirements related to timely visits to children involved in a reported case of abuse or neglect. Make recommendations to further improve the timeliness of these visits. Review services and supports provided to children in Permanent Managing Conservatorship of the state, and the level of preparedness given to youth aging out of state care. Examine the impact of recent legislation related to these populations, and make recommendations to ensure youth in care are ready for adulthood and to reduce the likelihood of intergenerational perpetuation of child maltreatment. Assess the effectiveness of public and private agency efforts to recruit and retain foster parents. Identify barriers to entry and obstacles that prevent interested families from continuing to provide foster care. Recommend solutions to increase foster recruitment and address non-renewals, especially in first-time foster parents.
4. Substance Abuse/Opioids: Review substance use prevention, intervention, and recovery programs operated or funded by the state and make recommendations to enhance services, outreach, and agency coordination. Examine the adequacy of substance use, services for pregnant and postpartum women enrolled in Medicaid or the Healthy Texas Women Program and recommend ways to improve substance use related health outcomes for these women and their newborns. Examine the impact of recent legislative efforts to curb overprescribing and doctor shopping via the prescription monitoring program and recommend ways to expand on current efforts.
5. Medicaid Managed Care Quality and Compliance: Review the Health and Human Services Commission's efforts to improve quality and efficiency in the Medicaid program, including pay-for-quality initiatives in Medicaid managed care. Compare alternative payment models and value-based payment arrangements with providers in Medicaid managed care, the Employees Retirement System, and the Teachers Retirement System, and identify areas for cross-collaboration and coordination among these entities. Evaluate the commission's efforts to ensure Medicaid managed care organizations' compliance with contractual obligations and the use of incentives and sanctions to enforce compliance. Assess the commission's progress in implementing competitive bidding practices for Medicaid managed care contracts and other initiatives to ensure the best value for taxpayer dollars used in Medicaid managed care contracts.
6. Health Care Cost Transparency: Study efforts by the Department of State Health Services and the Texas Department of Insurance to increase health care cost transparency, including a review of the Texas Health Care Information Collection (THCIC) system, and the Consumer Guide to Healthcare. Recommend ways to make provider and facility fees more accessible to consumers to improve health care cost transparency, increase quality of care, and create a more informed health care consumer base.
7. Monitoring Charge: Monitor the implementation of legislation addressed by the Senate Committee on Health and Human Services, 85th Legislature and make recommendations for any legislation needed to improve, enhance, and/or complete implementation, including but not limited to:
• Initiatives to increase capacity and reduce waitlists in the mental health system, including the construction of state hospitals and new community grant programs;
• Initiatives to better understand the causes of maternal mortality and morbidity, including the impact of legislation passed during the first special session of the 85th Legislature. Recommend ways to improve health outcomes for pregnant women and methods to better collect data related to maternal mortality and morbidity;
• Initiatives intended to improve child safety, Child Protective Services workforce retention, and development of additional capacity in the foster care system. Make additional recommendations to ensure children with high levels of medical or mental health needs receive timely access to services in the least restrictive setting;
• Efforts to transfer case management of foster children and families to Single Source Continuum Contractors (SSCCs). Monitor the progress of this transition and make recommendations to ensure the process provides continuity of services for children and families and ongoing community engagement;
• Initiatives to strengthen oversight of long-term care facilities to ensure safety and improve quality for residents and clients of these entities; and
• Abortion complications and other reporting legislation that was passed by the 85th Legislature.
Committee: House Public Health
Title: Interim Report
Subjects: Cancer | Communicable diseases | Contraceptives | Diabetes | Disease management | Disease prevention | Emergency communications | Emergency management | Employees Retirement System of Texas | Family planning | Healthy Texas Women | Heart disease | Infant mortality | Kidney disease | Obesity | Pregnancy | Premature infants | Prenatal care | Public health | Respiratory diseases | Teacher Retirement System of Texas | Telemedicine |
Library Call Number: L1836.84 H349h
Session: 84th R.S. (2015)
Online version: View report [45 pages]
Charges: This report should address the charges below.
1. Study and assess the state’s preparedness for public health threats and emergencies including responding to natural disasters and highly infectious diseases. Review current protocols and examine public health resources to determine if they are sufficient. Identify weaknesses within the public health response framework and make recommendations for improvements.
2. Study the impact of chronic disease in Texas and identify the major regional chronic health challenges. Review the types of health data collected by the state related to chronic disease and how the data is utilized to improve health care. Study state programs targeting chronic disease, including the Texas Health Improvement Network, and identify the direct and indirect costs associated with obesity, tobacco, and other related chronic health conditions including impacts to Medicaid, Employees Retirement System, Teacher Retirement System, University of Texas System, and Texas A&M University System. Identify public health interventions for chronic disease and preventative healthcare services that improve health outcomes and reduce cost.
3. Examine the history of telemedicine in Texas and the adequacy of the technological infrastructure for use between Texas healthcare providers. Review the benefits of using telemedicine in rural and underserved areas and current reimbursement practices. Explore opportunities to expand and improve the delivery of healthcare and identify methods to increase awareness by provider groups, including institutions of higher education, and payers of telemedicine activities being reimbursed in Texas.
4. Review programs focused on improving birth outcomes including evaluating the effectiveness and identifying any cost avoidance associated with them. Study barriers pregnant women face enrolling in services and receiving regular prenatal care. Identify factors, including substance abuse, associated with preterm birth and review services available for mothers postpartum.
5. Study the trauma system in the State of Texas including financing, service delivery, planning, and coordination between Emergency Medical Services providers, Trauma Services Area Regional Advisory Councils, The Emergency Medical Task Force, and hospitals. Determine strengths and weaknesses including challenges for rural areas of the state. Make recommendations to reduce any duplicated services, improve the coordination of services, and advance the delivery of trauma services in Texas. (Joint charge with the House Committee on Appropriations)
6. Conduct legislative oversight and monitoring of the agencies and programs under the committee's jurisdiction and the implementing of relevant legislation passed by the 84th Legislature. In conducting this oversight, the committee should: a. consider any reforms to state agencies to make them more responsive to Texas taxpayers and citizens; b. identify issues regarding the agency or its governance that may be appropriate to investigate, improve, remedy, or eliminate; c. determine whether an agency is operating in a transparent and efficient manner; and d. identify opportunities to streamline programs and services while maintaining the mission of the agency and its programs.
Supporting documents
Committee: House Public Health
Title: Committee meeting handouts and testimony, April 5, 2016 (Interim charge, Chronic Disease)
Library Call Number:
Session: 84th R.S. (2015)
Online version: View document [145 pages  File size: 6,864 kb]
Committee: Senate Health and Human Services
Title: Interim Report
Subjects: Cancer Prevention and Research Institute of Texas | Caseworkers | Child Protective Services | Children's Health Insurance Program | Dental care | Foster care | Health care | Health care costs | Health insurance | Immunizations | Long-term care | Managed care | Medicaid | Medicaid eligibility | Medical research | Mental health services | Nursing homes | Patient Protection and Affordable Care Act | Public health | State Health Services, Texas Department of | State supported living centers |
Library Call Number: L1836.82 H349
Session: 82nd R.S. (2011)
Online version: View report [186 pages]
Charges: This report should address the charges below.
1. Monitor the potential impact of the Patient Protection and Affordable Care Act (PPACA) on insurance regulations, Medicaid and CHIP, health care outcomes and overall health of all Texans, and the state budget in Texas. Additionally, monitor the current constitutional challenges to PPACA and other court cases associated with PPACA, and ensure that the state does not expend any resources until judicial direction is clear. (Joint charge with Senate State Affairs Committee)
2. Monitor the potential impact of the Patient Protection and Affordable Care Act (PPACA) on insurance regulations, Medicaid and Children's Health Insurance Program (CHIP), health care outcomes, health care workforce, overall health of all Texans, and the state budget in Texas. Additionally, monitor the current constitutional challenges to PPACA, and other court cases associated with PPACA, and ensure that the state does not expend any resources until judicial direction is clear. (Joint charge with Senate State Affairs Committee)
3. Evaluate the implementation of cost-containment strategies across the Health and Human Services Enterprise to determine if and how each strategy can be expanded upon to achieve additional savings next biennium. The evaluation should include but is not limited to: the expansion of managed care, co-­pays in Medicaid, electronic visit verification, and independent assessments for long-­? term care services. The evaluation should also consider new cost-containment strategies that will increase efficiencies and reduce costs. This evaluation should include but not be limited to: Medicaid, Early Childhood Intervention Services, and immunizations.
4. Review the state's current investment in health care innovation, including translational research and the Cancer Prevention Research Institute, which focuses on rapid transfer of new technology experimentation directly into the clinical environment. Make recommendations to improve the health of Texans and encourage continued medical research in the most cost-effective manner possible.
5. Review existing policies for prior authorization and medical necessity review across the Medicaid Program, including nursing homes and orthodontic services. Make recommendations on how these policies could be improved to save money by reducing unnecessary utilization and fraud.
6. Review the Medicaid Home and Community Based Services Waivers to identify strategies to lower costs, improve quality, and increase access to services. Areas of the review should include, but are not limited to:
  • Functional eligibility determinations to ensure services are only being delivered to individuals that qualify;
  • Financial eligibility determinations to ensure parental income and resources are considered when the client is a minor;
  • Coordination of acute and long-term care services;
  • Development and use of lower-cost community care waiver options;
  • Coordination with the Department of Family and Protective Services (DFPS) for waiver services for children in conservatorships;
  • Reinvesting savings into accessibility of community care for individuals waiting for services.
7. Evaluate the management structure and supervision of CPS caseworkers with an emphasis on rural areas. Identify any legislative changes that could assist DFPS in maximizing efficiency, improving quality casework and supervision, and increasing caseworker retention. Identify any legislative changes that could improve the quality of care children receive while in Child Protective Services custody, including improving permanency outcomes.
8. Examine the delivery and financing of public health services in our state, including how federal funds are distributed by the state to local health departments and whether the work done by Regional Health Departments operated by the Department of State Health Services overlap unnecessarily with local health departments.
9. Review the state's public mental health system and make recommendations to improve access, service utilization, patient outcomes and system efficiencies. Study current service delivery models for outpatient and inpatient care, funding levels, financing methodologies, services provided, and available community-based alternatives to hospitalization. The review should look to other states for best practices or models that may be successful in Texas. The study shall also review and recommend "best value" practices that the state's public mental health system may implement to maximize the use of federal, state, and local funds.
10. Monitor the implementation of legislation addressed by the Senate Committee on Health and Human Services and make recommendations for any legislation needed to improve, enhance, and/or complete implementation, including but not limited to:
  • Health Care Quality and Efficiency - Monitor implementation of initiatives aimed at improving health care quality and efficiency in Texas, including: the transition of Medicaid and the CHIP to quality-based payments, establishment of the Texas Institute of Health Care Quality and Efficiency, implementation of the Health Care Collaborative certificate, patient-centered medical home for high-cost populations, development and use of potentially preventable event outcome measures, and reduction of health care-associated infections. Include recommendations on how to improve and build upon these initiatives, including improving birth outcomes and reducing infant and maternal mortality;
  • Federal Flexibility - Monitor implementation of initiatives to increase state flexibility, including the Health Care Compact and the Medicaid Demonstration Waiver;
  • Foster Care Redesign - Monitor implementation of the initiative to redesign the foster care system;
  • Implementation of DOJ Settlement agreement to address State Supported Living Center concerns.
Committee: House Public Health
Title: Interim Report
Subjects: Dental care | Dental Examiners, Texas State Board of | Farms and farming | Food safety | Food stamps | Health care costs | Hunger | Medicaid | Medical education | Medical records | Nurse practitioners | Patient Protection and Affordable Care Act | Physician assistants | Physician shortages | Property tax exemptions | Public health | School nutrition | Small farms | State hospitals |
Library Call Number: L1836.82 H349h
Session: 82nd R.S. (2011)
Online version: View report [66 pages]
Charges: This report should address the charges below.
1. Examine the adequacy of the primary care workforce in Texas and assess the impact of an aging population, the passage of the Patient Protection and Affordable Care Act, and state and federal funding reductions to graduate medical education and physician loan repayment programs. Study the potential impact of medical school innovations, new practice models, alternative reimbursement strategies, expanded roles for physician extenders, and greater utilization of telemedicine. Make recommendations to increase patient access to primary care and address geographic disparities.
2. Study the various health registries maintained by the state, including the similarities and differences in reporting, consent, security, and portability of data. Assess registry compliance with standards for the protection and transmission of registry data and identify any additional steps necessary to ensure security, efficiency, and utilization.
3. Monitor implementation of the federal Patient Protection and Affordable Care Act, including any changes that may result from ongoing litigation or legislative modification or repeal. (Joint with the House Committee on Insurance)
4. Identify policies to alleviate food insecurity, increase access to healthy foods, and incent good nutrition within existing food assistance programs. Consider initiatives in Texas and other states to eliminate food deserts and grocery gaps, encourage urban agriculture and farmers' markets, and increase participation in the Summer Food Program. Evaluate the desirability and feasibility of incorporating nutritional standards in the Supplemental Nutrition Assistance Program (SNAP). Monitor congressional activity on the 2012 Farm Bill and consider its impact on Texas. (Joint with the House Committee on Human Services)
5. Monitor the agencies and programs under the committee's jurisdiction and the implementation of relevant legislation passed by the 82nd Legislature.
Supporting documents
Committee: House Public Health
Title: Committee meeting handouts and testimony, April 11, 2012 (Charge 5, Board of Dental Examiners; Charge 2, State health registries)
Library Call Number:
Session: 82nd R.S. (2011)
Online version: View document [212 pages  File size: 10,924 kb]
Committee: House Defense Affairs and State-Federal Relations
Title: Interim Report
Subjects: Driver licenses | Emergency management | Enhanced driver licenses | Mental health services | National Guard | Public health | Texas State Guard | Veterans | Veterans health care |
Library Call Number: L1836.80 D361
Session: 80th R.S. (2007)
Online version: View report [41 pages  File size: 3,594 kb]
Charges: This report should address the charges below.
1. Study and make recommendations to address the need to identify essential personnel necessary to enter a disaster area to restore critical infrastructure.
2. Monitor the United States Congress for the enactment and rules regarding the Veteran's Mental Health Outreach and Access Act of 2007. Explore coordination with the community based clinics in Texas that would be able to provide the prescribed services to veterans.
3. Review and monitor the Veterans Disability Benefits Commission's Inspector General Disability ratings report. Make recommendations for what the state can do to implement the findings of the report and to assist our veterans.
4. Examine Chapter 431, Government code to determine the feasibility of the Texas State Guard and Texas National Guard, while designated on state active duty, to assist in interagency planning and operational coordination under the Governor's Division of Emergency Management and the Texas Secretary of State.
5. Examine the State of Texas' preparedness level to handle a public health emergency. (Join Interim Charge with the House Committee on Public Health.)
6. Review the current requirements for driver's license and identification card holders in Texas in order to recommend legislative measures to prevent these documents from being used to further criminal activities and recommend ways to enhance homeland security. (Joint Interim Charge with the House Committee on Transportation.)
7. Monitor the agencies and programs under the committee's jurisdiction.
Committee: Senate Health and Human Services
Title: Interim Report
Library Catalog Title: Report to the 78th Legislature / Senate Committee on Health and Human Services.
Subjects: Biological weapons | Child care | Children's health care | Disability benefits | Immunizations | Mental Health and Mental Retardation, Texas Department of | Mental health services | Mentally disabled persons | Mentally ill persons | Organ and tissue donations | Patient restraints | Public health | Rehabilitation Commission, Texas | Terrorism | Welfare | Welfare reform | Welfare-to-work |
Library Call Number: L1836.77 h349
Session: 77th R.S. (2001)
Online version: View report [714 pages  File size: 8,454 kb]
Charges: This report should address the charges below.
1. Review, evaluate, and make recommendations on the following mental health and mental retardation issues: a. Availability and adequacy of mental health services for children and adolescents and their families, including services funded through the mental health system, Medicaid, and the Children's Health Insurance Program, and other funding sources the Committee considers relevant. b. Community mental health services delivery structure, including evaluating the efficacy of continuation or expansion of the NorthStar managed care pilot and the role of local community MHMR centers as mental health authorities. c. Texas Department of Mental Health and Mental Retardation's allocation formulas for distributing mental health and mental retardation funds to local communities.
2. Review, evaluate and make recommendations to improve the effectiveness of the state's Temporary Assistance to Needy Families (TANF), Welfare-to-work, child care and related programs in moving families out of poverty to self-sufficiency, with special focus on expiration of the state's federal waiver in FY 2002. Monitor federal reauthorization activities on these programs.
3. Review, evaluate and make recommendations to improve Texas' Supplemental Security Income disability determination procedures. The Committee should compare Texas' denial rate with other states' rates, analyze any changes in Texas' rate, and examine the impact of Texas' system on Medicaid coverage for the uninsured.
4. Evaluate and make recommendations to improve the effectiveness of the state's public health response to bioterrorism.
5. Make recommendations for improving the state's organ donatation and allocation system.
6. Study and make recommendations for increasing Texas' rates of immunization against childhood communicable diseases.
7. Study and make recommendations for improving reporting and training regarding the use of restraints and seclusions in facilities.
Committee: House Public Health
Title: Interim Report
Library Catalog Title: House Committee on Public Health, Texas House of Representatives interim report, 2002 : a report to the House of Representatives, 78th Texas Legislature.
Subjects: Alternative medicine | Biological weapons | Drug rehabilitation programs | Health, Texas Department of | Homeland security | Hospital districts | Immunizations | Medical licensing | Medical reimbursements | Mental health services | Prescription drug costs | Public health | Substance abuse | Terrorism | Undocumented immigrants |
Library Call Number: L1836.77 h349h
Session: 77th R.S. (2001)
Online version: View report [119 pages  File size: 429 kb]
Charges: This report should address the charges below.
1. Assess the state of the healthcare infrastructure in Texas in light of hospital closures, rising costs, constrained reimbursement rates, workforce issues and any other pertinent factors. Consider differences in regions or localities that might adversely affect healthcare delivery to specific groups of Texans.
2. Conduct an extensive review of access to programs and treatment options for mental illness and substance abuse. Identify barriers to access and any gaps in existing programs.
3. Examine the costs and benefits of allowing state and local governments to provide health and preventive care without regard to the immigration status of the patient.
4. Gather information about the production, distribution, use and disposal of biological agents that could be used in terrorist actions, as well as vaccines that would be used to respond to biological attacks. Review hospital plans for responding to large-scale emergencies. Review government regulations and business practices to determine whether legislation is needed to protect life and property and to detect, interdict and respond to acts of terrorism.
5. Study the use of complementary and alternative medicines in Texas. Is there a need for the state to develop a regulatory framework for their use?
6. Assess the procedures of health-related licensing agencies regarding the intake of complaints, investigation procedures and timetables, and enforcement of laws and rules. Comment on any factors involving the use or abuse of patient information by healthcare agencies or institutions.
7. Actively monitor agencies and programs under the committee's oversight jurisdiction. Pay particular attention to implementation of recommendations to restructure the Department of Health including the childhood immunization program; and implementation of pharmaceutical legislation passed by the 77th Legislature.
Committee: House Public Health
Title: Interim Report
Library Catalog Title: House Committee on Public Health, Texas House of Representatives interim report, 2000 : a report to the House of Representatives, 77th Texas Legislature.
Subjects: Children's health insurance | Children's Health Insurance Program | e-commerce | Emergency medical services | Health care | Hospitals | Indigent health care | Internet | Managed care | Medicaid | Nonprofit hospitals | Pharmaceutical industry | Pharmacists | Prescription drug costs | Prescription drugs | Public health | State government contracts | Telemedicine | Trauma centers |
Library Call Number: L1836.76 h349h
Session: 76th R.S. (1999)
Online version: View report [275 pages  File size: 10,000 kb]
Charges: This report should address the charges below.
1. Review the role of the pharmaceutical industry in the delivery of health care in Texas. The review should identify pharmaceutical cost-drivers and opportunities to reduce costs, assess the role of pharmacy benefit managers and pharmacies, and address patient-specific issues, as well as other issues identified by the committee.
2. Review issues related to the increased use of new technologies in the delivery of health care. The review should identify opportunities and risks associated with the sale of medical devices and drugs over the Internet, the feasibility of expanding telemedicine to improve care in underserved areas, and regulatory and privacy issues presented by these new technologies.
3. Evaluate the role and potential of disease management in public health programs that serve chronically ill populations.
4. Study issues arising from hospital system sales, conversions, partnerships and mergers, including the impact on health care in medically underserved and rural communities and on the level of charity care provided.
5. Examine the requirements imposed on emergency medical services providers in rural areas. Determine whether individual requirements encourage or hinder the provision of services.
6. Conduct active oversight of the agencies under the committee's jurisdiction, including the Children's Health Insurance Program, the restructuring of health and humans service agencies under HB 2641, 76th R.S., and the Medicaid managed care program.
Committee: House Public Health
Title: Interim report
Library Catalog Title: House Committee on Public Health, Texas House of Representatives interim report, 1998: a report to the House of Representatives, 76th Texas Legislature.
Subjects: Children's health insurance | Food safety | Heart disease | Medically uninsured | Public health | Texas Healthy Kids Corporation |
Library Call Number: L1836.75 h349h
Session: 75th R.S. (1997)
Online version: View report [83 pages  File size: 3,554 kb]
Charges: This report should address the charges below.
1. Study the effects of cardiovascular disease in Texas and assess the potential to reduce the health, social, and economic impacts through affirmative programs on prevention, care, and treatment.
2. Evaluate the educational and regulatory mechanisms currently in place to protect consumers from food-borne illnesses transmitted through the retail food distribution systems.
3. Monitor the implementation of HB 3, 75th R.S., (Texas Healthy Kids Corporation), and study the provisions of the federal Balanced Budget Act that relate to children's health.
Committee: House State, Federal, and International Relations
Title: Interim report
Library Catalog Title: Committee on State, Federal & International Relations, Texas House of Representatives interim report, 1992 : a report to the House of Representatives, 73rd Texas Legislature.
Subjects: Border environment | Border health | Environment | Environmental protection | International trade | Manufacturing | Maquiladoras | North American Free Trade Agreement | Public health | Retail industry | Truck traffic |
Library Call Number: L1836.72 st30
Session: 72nd R.S. (1991)
Online version: View report [134 pages  File size: 6,144 kb]
Charge: This report should address the charge below.
1. Study the impact of the North American Free Trade Agreement on Texas, including issues relating to health and environment along the Texas-Mexico border, in cooperation with other appropriate committees.
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: Senate Health and Human Resources Subcommittee on Health Services
Title: Interim Report
Library Catalog Title: Interim report on health promotion : report to the 70th Legislature.
Subjects: Public health | Vital statistics |
Library Call Number: L1836.69 h350
Session: 69th R.S. (1985)
Online version: View report [81 pages  File size: 2,717 kb]
Charge: This report should address the charge below.
1. Examine health promotion efforts in Texas and offer recommendations on how such efforts could be improved.
Supporting documents
Committee: Senate Health and Human Resources Subcommittee on Health Services
Title: Briefing papers, Lelsz v. Kavanagh and R.A.J. v. Miller, June-October 1985; monthly updates and reports on the Texas Department of Mental Health and Mental Retardation, October 1985-May 1986
Library Catalog Title: Minutes
Library Call Number: L1803.9 H88 69
Session: 69th R.S. (1985)
Online version: View document [73 pages]
Committee: Senate Health and Human Resources Subcommittee on Health Services
Title: Summary of proposed FY 1987 reductions, Article II
Library Catalog Title: Minutes
Library Call Number: L1803.9 H88 69
Session: 69th R.S. (1985)
Online version: View document [16 pages]
Committee: Joint Cancer in Texas, Task Force on
Title: Interim report
Library Catalog Title: Texas cancer plan: immediate needs and priorities, 1985-1986 / Legislative Task Force on Cancer in Texas.
Subjects: Cancer | Public health |
Library Call Number: L1836.68 c16
Session: 68th R.S. (1983)
Online version: View report [74 pages  File size: 2,502 kb]
Charge: This report should address the charge below.
1. Draft a broad-based plan and identify programs with the greatest possibility of producing results of great benefit to the people of Texas. It will concentrate on 3 areas: a review of the state's current cancer resources; identification of new resources that may be necessary; and recommendations for consideration by both the Legislature and the private sector.
Supporting documents
Committee: Senate Human Resources
Title: SR 692
Library Call Number: SR 692
Session: 66th R.S. (1979)
Online version: View document [3 pages  File size: 1,718 kb]
Committee: Senate Human Resources Subcommittee on Public Health and Welfare
Title: Interim Report - Local Health Departments
Library Catalog Title: Final report of the Senate Subcommittee on Public Health Steering Committee Report / Senate Human Resources Committee.
Subjects: Public health |
Library Call Number: L1836.66 h350
Session: 66th R.S. (1979)
Online version: View report [77 pages  File size: 2,336 kb]
Charge: This report should address the charge below.
1. Conduct a follow-up study on the proposals of the Steering Committee Study of Local Health Departments, especially the establishment of minimum services and staffing patterns for local health departments and the examination of various models of the roles of federal, state, and local governments with regard to financing and the provision of public health services.
Supporting documents
Committee: Senate Human Resources Subcommittee on Public Health and Welfare
Title: SR 692
Library Call Number: SR 692
Session: 66th R.S. (1979)
Online version: View document [3 pages  File size: 1,718 kb]
Committee: Senate Human Resources Subcommittee on Public Health and Welfare
Title: Interim Report
Library Catalog Title: Health educators in the public schools : interim report of the Subcommittee on Public Health and Welfare, Texas Senate, 64th Legislature.
Subjects: Children's health care | Public health | School-based health clinics |
Library Call Number: L1836.64 p96h
Session: 64th R.S. (1975)
Online version: View report [59 pages  File size: 2,057 kb]
Charge: This report should address the charge below.
1. Study health education in the public school system of Texas.
Committee: House Cholera and Epidemic Disease in Austin
Title: Report
Library Catalog Title: [Report].
Subjects: Austin, Texas | Cholera | Public health |
Library Call Number: H.J. of Tex., 11th Leg., R.S. 374 (1866)
Session: 11th R.S. (1866)
Online version: View report [2 pages]
Charge: This report should address the charge below.
1. Ascertain the existence of cholera or any other epidemic disease prevailing in or near Austin.

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