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7 Document(s) [ Subject: Prenatal care ]

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, May 19, 2016 (Interim charge, Better birth outcomes)
Library Call Number:
Session:	84th R.S. (2015)
Online version:	View document [84 pages  File size: 3,914 kb]
Committee:	House Public Health
Title:	Interim Report
Subjects:	Border crossings | Border issues | Border security | Dental Examiners, Texas State Board of | Dentists | Ebola | Food and Drug Administration, U.S. | Foster care | Immunizations | Medical records | Pharmaceutical industry | Pharmacies | Pregnancy | Prenatal care | Prescription drugs | Psychoactive drugs | Substance abuse | Unaccompanied minors | Undocumented immigrants | Workers' compensation | Workforce Commission, Texas |
Library Call Number:	L1836.83 H349h
Session:	83rd R.S. (2013)
Online version:	View report [82 pages]
Charges:	This report should address the charges below.
1.	Assess the prevalence of nonmedical prescription drug use in the state (including opioid analgesics, stimulants, tranquilizers, and sedatives). Identify adverse health impacts. Recommend strategies to curb emerging substance abuse trends among children, pregnant women, and adults, as well as to reduce health care costs and mortality.
2.	Study and make recommendations for improvements to the licensing, regulation, and monitoring of compounding pharmacies, including a review of the joint cooperative efforts between the Texas State Board of Pharmacy, Department of State Health Services, and U.S. Food and Drug Administration. Consider the impact of the passage of SB 1100, 83rd R.S., additional appropriations made by the 83rd Legislature to strengthen inspections, and any relevant federal legislation.
3.	Identify strategies to support the efficient exchange of electronic health information with Texas Health and Human Services enterprise agencies. Examine legal and technical issues around the accessibility of information held in registries maintained by state agencies to authorized health care providers. Identify issues related to health information exchange and providers' liability, as well as concerns related to transitioning patient data in cases where a provider selects a new electronic health record vendor.
4.	Examine the current practice for dispensation of biologic and follow-on biologic (biosimilar) pharmaceutical products in our state. Review any practices for interchangeability of drugs that might pertain to these particular medicines. Review and make recommendations regarding the substitution of biosimilar and biologic medicines.
5.	Monitor transition of the state's immunization registry to a new system. Determine whether the registry can be better utilized to prevent and/or respond to communicable disease outbreaks, including pertussis. Identify potential factors contributing to the rise in the number of pertussis cases and strategies to prevent future outbreaks.
6.	Conduct legislative oversight and monitoring of the agencies and programs under the committee’s jurisdiction and the implementation of relevant legislation passed by the 83rd Legislature, including HB 15, 83rd R.S.. 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.
Committee:	House Public Health
Title:	Interim Report
Library Catalog Title:	House Committee on Public Health, Texas House of Representatives interim report, 2004 : a report to the House of Representatives, 79th Texas Legislature
Subjects:	Children's health care | Diabetes | Fetal rights | Immunizations | Medicaid Vendor Drug Program | Organ and tissue donations | Pregnancy | Prenatal care |
Library Call Number:	L1836.78 H349h
Session:	78th R.S. (2003)
Online version:	View report [80 pages  File size: 309 kb]
Charges:	This report should address the charges below.
1.	Examine the demographics and costs of diabetes in Texas. Assess the impact diabetes will have on Texas' population, budget and health care system in the future and recommend appropriate policy changes.
2.	Investigate the practice of allowing corneal tissue to be taken and used for transplantation without prior consent. Recommend appropriate state policy changes.
3.	Collect, review and report on the statistics and statewide impact of drug and alcohol abuse by pregnant women on the unborn.
4.	Review the current operations of the Texas Immunization and Kidney Health Care programs. The review should determine if the operational and administrative changes made to the Medicaid Vendor Drug Program will continue to meet the needs of Texans who do not qualify for Medicaid, Children's Health Insurance Program or private insurance and recommend any necessary changes.
5.	Monitor the agencies and programs under the committee's jurisdiction.
Committee:	Senate Medicaid and Family Services, Select
Title:	Interim report
Library Catalog Title:	Report and recommendations / Select Committee on Medicaid and Family Services.
Subjects:	Medicaid | Medicaid application process | Medicaid eligibility | Medically uninsured | Prenatal care |
Library Call Number:	L1836.70 m469
Session:	70th R.S. (1987)
Online version:	View report [51 pages  File size: 2,174 kb]
Charge:	This report should address the charge below.
1.	Develop an immediate strategy to implement the opportunities created by new federal and state legislation. The Committee shall examine and evaluate the various options available to the state which will enhance the potential for expanded health and human services for needy Texans. At the same time, the Committee shall explore ways to attract the maximum amount of federal dollars to fund the cost of those programs. The Committee is charged with the responsibility of making recommendations to the Lieutenant Governor, the Legislature and the Board of the Department of Human Services in the following ares: 1. To determine what specific action should be taken or programs initiated during the current biennium which will allow the Department of Human Services to take advantage of current federal laws allowing expanded Medicaid benefits to eligible recipients through the use of matched federal funds. 2. To determine what action should be taken by the State of Texas during the current biennium with Congress or the Administration which might provide additional opportunities for the State of Texas to expand health and human services programs through the use of matched federal funds, and 3. To determine what specific legislative initiatives should be considered by the 71st Legislature consistent with the strategy of maximizing the use of federal funds to enhance the delivery of essential health and human services to needy Texans.
Committee:	Senate Medicaid and Family Services, Select Subcommittee on Local Funds
Title:	Interim Report
Library Catalog Title:	Local Funds Subcommittee report to the Select Committee on Medicaid and Family Services.
Subjects:	Medicaid | Medicaid application process | Medicaid eligibility | Medically uninsured | Prenatal care |
Library Call Number:	L1836.70 m469l
Session:	70th R.S. (1987)
Online version:	View report [69 pages  File size: 2,709 kb]
Charge:	This report should address the charge below.
1.	Develop an immediate strategy to implement the opportunities created by new federal and state legislation. The Committee shall examine and evaluate the various options available to the state which will enhance the potential for expanded health and human services for needy Texans. At the same time, the Committee shall explore ways to attract the maximum amount of federal dollars to fund the cost of those programs. The Committee is charged with the responsibility of making recommendations to the Lieutenant Governor, the Legislature and the Board of the Department of Human Services in the following ares: 1. To determine what specific action should be taken or programs initiated during the current biennium which will allow the Department of Human Services to take advantage of current federal laws allowing expanded Medicaid benefits to eligible recipients through the use of matched federal funds. 2. To determine what action should be taken by the State of Texas during the current biennium with Congress or the Administration which might provide additional opportunities for the State of Texas to expand health and human services programs through the use of matched federal funds, and 3. To determine what specific legislative initiatives should be considered by the 71st Legislature consistent with the strategy of maximizing the use of federal funds to enhance the delivery of essential health and human services to needy Texans.
Committee:	House Teenage Pregnancy, Select
Title:	Interim Report
Library Catalog Title:	To the speaker and members of the Texas House of Representatives : final report of the Select Committee on Teenage Pregnancy.
Subjects:	Child support | Family planning | Prenatal care | Sex education | Teenage pregnancy |
Library Call Number:	L1836.67 t229
Session:	67th R.S. (1981)
Online version:	View report [219 pages  File size: 7,171 kb]
Charge:	This report should address the charge below.
1.	Investigate the problems associated with teenage pregnancy and early parenthood in Texas, and examine the effectiveness of existing policies and programs which deal with teenagers.

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