The Texas State Senate – 78th Senate Committee on Health and Human Services

Senate Committee on Health and Human Services

Committees · Hearings and Events · Committee Archives · Notice of Assistance · Legislature Online · Committee Assignments (PDF)

» Video/Audio · Interim Charges · Reports

NOTE: This is archived committee information from the 78th Legislative Session.

Committee Information

CHAIR
Jane Nelson

VICE-CHAIR
Kyle Janek

MEMBERS
Ken Armbrister
Bob Deuell
Kevin Eltife
Mario Gallegos, Jr
Jon Lindsay
Royce West
Judith Zaffirini

CLERK:
Travis Broussard

TEL:
(512) 463-0360

Schedule, Minutes, Witness List and Bills Referred to Committee (via TLO)

Video/Audio — Archives

78th Session Interim

October 19, 2004 — Non-Profit Forum on the Role of CBO's in the Transformed HHS System
October 19, 2004
June 8, 2004
May 25, 2004
May 24, 2004 — Joint Hearing: Finance Committee, Health & Human Services Committee
April 28, 2004
April 20, 2004 (Part II)
April 20, 2004 (Part I)
April 13, 2004

78th Regular Session

May 23, 2003
May 22, 2003 (Part 2)
May 22, 2003 (Part 1)
May 20, 2003 (Part 2)
May 20, 2003 (Part 1)
May 16, 2003 — audio only
May 15, 2003
May 13, 2003 (Part 2)
May 13, 2003 (Part 1)
May 6, 2003
April 30, 2003 — audio only
April 29, 2003 (Part 2)
April 29, 2003 (Part 1)
April 24, 2003 (Part 2)
April 24, 2003 (Part 1)
April 16, 2003 — audio only
April 15, 2003 (Part 2)
April 15, 2003 (Part 1)
April 8, 2003 (Part 2)
April 8, 2003 (Part 1)
April 3, 2003 (Part 2)
April 3, 2003 (Part 1)
March 27, 2003 (Part 2)
March 27, 2003 (Part 1)
March 18, 2003
March 11, 2003 (Part 2)
March 11, 2003 (Part 1)
March 4, 2003
February 25, 2003
February 18, 2003
February 6, 2003

Reports

The following reports are available for download:

Senate Committee on Health and Human Services Interim Report to the 79th Legislature (1.4 MB, PDF format)

Interim Charges

Study and make recommendations on structural reform, efficiency improvements, and cost savings in the state Medicaid and CHIP programs, with a goal of changing the method and delivery of service to reduce costs while providing the intended services. The Committee should examine and make recommendations to:

lower institutional costs;
subsidize private insurance in lieu of Medicaid and CHIP where possible;
use consumer-directed care models;
reimburse health care providers based upon outcomes where feasible;
match currently unmatched local funds with federal funds;
alter Texas' current method of finance and distribution of DSH;
develop possible HIFA waiver options that incorporate premium subsidization;
develop accountability and incentive measures for outcomes within Medicaid managed care and CHIP;
seek flexibility from federal government to allow options and waivers and enhance federal funds;
examine local models for delivery of Medicaid while maintaining best practices; and
expand access to mental health services through expansion of behavioral health organization model.
The Committee will coordinate these studies with the Health and Human Services Transition Legislative Oversight Committee review of mental health and mental retardation services.

Monitor implementation and make recommendations to improve HB 2292. Include reviews of implementation of the preferred drug list and prior authorization and the new call center for determination of program and service eligibility. The Committee will coordinate activities with the Health and Human Services Transition Legislative Oversight Committee.
Study and make recommendations on improving Texas's county and local indigent health care system. Consider whether the system should be regionalized to reflect usage and gain efficiencies, so that one or more counties are not paying for regional health care.
Monitor the implementation and make recommendations to enhance the effectiveness of legislation relating to the Board of Medical Examiners, legislation relating to childhood immunizations, legislation relating to the pilot front end Medicaid fraud reduction systems, federal developments related to TANF reauthorization and related programs, expansion and new construction of Federally Qualified Health Centers, federal developments related to prescription drugs in Medicare and the effect on Medicaid. Also, monitor and report on the use of new federal Medicare funds allocated for Texas.
Study and make recommendations on increasing electronic transactions in health care. Review the use and make recommendations on improving technology in health care administration, including expediting pre-authorizations and increasing the efficiency of claims processing so that medical providers are paid once procedures are pre-authorized and performed, and administrative costs lowered, benefitting both the consumer and the managed health care organizations.
Study health facility regulation in Texas and make recommendations that facilitate innovation and patient safety. Concentrate studies on hospitals, including niche hospitals, Federally Qualified Health Centers and long term care facilities, and make recommendations for improving patient choice, facility competition, indigent health care, and for maintaining a competitive, patient-oriented health care industry.
Study and make recommendations on improving the Protective and Regulatory Services service levels payment system and tiered adoption subsidy program. Study and make recommendations on improving the recruitment and retention of foster care families.