Health Care Hearings – February 6

The following legislative and state agency health care hearings have been scheduled between February 7 and February 27.

2/9/2015
 
House Committee on Appropriations
February 9, 2015 – 10:00 AM
Capitol Extension, Room E1.030, Austin
 
The House Appropriations Committee will hear testimony on the following:  Office of the Comptroller of Public Accounts Biennial Revenue Estimate, Overview of House Budget Recommendations, Strategic Fiscal Review Overview, Overview of General Revenue Dedicated Accounts, Legislative Budget Board Staff Introductions and Resource Documents. The committee will hear invited testimony only. Agenda items not considered during this meeting may be carried over to a future schedule. For more detailed information, please see agenda posted outside the Appropriations Committee hearing room, E1.030. Additional information contact: Hunter Thompson (512) 463-1091.
 
House Committee on Human Services
February 9, 2015 – 03:00 PM or upon adjournment of the House
Capitol Extension, Room E2.030, Austin
 
The committee will meet for organizational purposes and to hear invited testimony from Acting Deputy Inspector General (HHSC) Quinton Arnold. No public testimony will be taken. Additional information contact: Jim Terrell (512) 463-0786.
 
2/10/2015
 
House Committee on Appropriations
February 10, 2015 – 07:30 AM
Capitol Extension, Room E1.030, Austin
 
The House Appropriations Committee will hear testimony and overviews on the House Budget Recommendations including the following: Public Education Funding, Employee Retirement System, Teacher Retirement System, Medicaid Funding, Mental Health Funding, Sunset Recommendations Affecting the Budget. The committee will hear invited testimony only. Agenda items not considered during this meeting may be carried over to a future schedule. Additional information contact: Hunter Thompson (512) 463-1091.
 
Texas Department of Insurance
February 10, 2015 – 08:30 AM
333 Guadalupe Street, Hobby Building, Room 1250A, Austin
 
Texas Health Reinsurance System – Board of Directors Annual Mtg 1. Call to Order. 2. Review and vote on minutes of the June 10, 2014, board meeting. 3. Participation by the public (Invitation to address the board on any Texas Health Reinsurance System matter). 4. Presentation of, and discussion and possible action by the board on the system administrator's report. Presentation by the administrator will specifically include each of the subject headings listed in this agenda item. This agenda item might also include discussion and any necessary action relating to any or all of the specific subject headings and described items within each heading, and each item that is part of the administrator's report, as follows: –Reinsurance Activity – including a summary of number of ceding carriers, ceded lives, and coverage plans for the period of the report –Ceded Lives Comparison – across months, beginning with the first day of the current year through the last day of the period covered by the report –Premium and Claim Summary – including a comparison of both accepted premium amounts and accepted claim amounts for the period covered by the report, compared to that same period in the previous loss year, as well as a historical recap of premiums remitted and claims accepted –Carrier Issues – including questions posed by participating carriers about operation and administration of the system, and its processes and procedures –Assessment Activity – including an update on any activity relating to any assessment for which full collection has not been completed by the end of the period covered by the report, and –Unaudited Financial Statements – including sources and uses of cash, other cash flow considerations or observations, income statements, and operating assets. 5. Discussion and possible action on rates and trends for reinsurance coverages, factors affecting reinsurance premium, benefit plan design, and communication programs. 6. Discussion of status and possible action on the auditor's report and audited financial statements for 2014. 7. Progress report and update, discussion of, and possible action on existing or proposed system contracts, including the administrator contract with Pool Administrators, Inc. 8. Discussion of and possible action on expenditures of the system, including directors' and officers' insurance coverage. 9. The board will take up for discussion and possible action on the following matters, as necessary, according to the annual meeting provisions of the Plan of Operation of the Texas Health Reinsurance System. A. Review the Plan of Operation and submit proposed amendments, if any, to the commissioner for approval; B. Review reports of the administrator, including audited financial reports on outstanding contracts and obligations, and all other material matters; C. Determine whether any technical corrections or amendments to the Small Employer Health Insurance Availability Act, as amended, (Act) will be recommended to the commissioner; D. Review and give consideration to the performance of the system in support of the goals of the Act; E. Review the rates for reinsurance coverages, benefit plan design, and communication programs; F. Review the net reinsurance premiums, the system's administration expenses, and the incurred losses for the year taking into account investment income and other appropriate gains and losses; G. Review and adjust, if needed, the initial level of benefits and maximum liability limit to be retained by reinsured carriers to reflect increases in costs, and utilization for Small Employer Health Benefit Plans in Texas. Any adjustment will not be less than the annual change in the medical component of the Consumer Price Index for All Urban Consumers' published by the Department of Labor, Bureau of Statistics, unless the board proposes and the commissioner approves a lower adjustment factor; H. Review and determine the system's net loss, if any, for the previous calendar year taking into account investment income and other appropriate gains and losses and prepare the submission of the report to the commissioner not later than March 1st; I. Estimate the amount, if any, of the assessments needed to fund any losses incurred by the system in the previous calendar year and review the report to the commissioner before March 1st. If the estimate exceeds the 5 percent calculation specified in Insurance Code s1501.325(b), then perform the evaluation and prepare the additional report, as specified in s1501.325(b), to submit to the commissioner not later than April 1st. 10. Discussion of and possible action on assessment of reinsured carriers by the system. 11. Election of a chair, vice-chair, secretary, and treasurer for the board of directors of the system. 12. Discussion of and possible action on membership of the committees of the board. 13. Discussion of the current and future status of the system. 14. Announcement of any business items to be placed on the agenda for discussion and possible action at the next board meeting. 15. Set the date for the next board meeting. 16. Adjourn. Additional Information Contact: Justin Beam, 512/676-6568
 
Texas Health and Human Services Commission
February 10, 2015 – 9:00 AM
3280 Joe Battle Blvd. (Providence East Medical Center, Auditorium), El Paso
 
Texas Medicaid Managed Care Initiatives Provider Training. The Texas Health and Human Services Commission (HHSC) staff and Medicaid managed care organization representatives will conduct provider training sessions to offer information on and respond to questions about three Medicaid managed care initiatives that HHSC will implement March 1, 2015: Community First Choice; Texas Dual Eligibles Integrated Care Demonstration Project (Dual Demonstration); and the inclusion of nursing facility services in STAR+PLUS managed care program. Community First Choice will be implemented in the STAR+PLUS and STAR Health programs, and the Dual Demonstration and nursing facility project will impact the STAR+PLUS program. These provider trainings will be held across the state to educate providers that currently serve or that will begin serving individuals in STAR+PLUS or STAR Health about what changes to expect. This training session will be divided into three portions: The Community First Choice session will be directed towards providers of Community First Choice services. The Dual Demonstration session will be directed towards providers of Medicare and Medicaid services. The nursing facility session will be directed towards nursing facilities and providers who service nursing facility residents. You can learn more about these Medicaid managed care initiatives by visiting the following websites: Community First Choice – http://www.hhsc.state.tx.us/medicaid/managed-care/community- first-choice/ Dual Demonstration – http://www.hhsc.state.tx.us/ medicaid/managed-care/dual-eligible/ Nursing Facility Project – http://www.hhsc.state.tx.us/medicaid/ managed-care/mmc/starplus-adding- nursing.shtml 1. Community First Choice 9:00 a.m. – 10:30 a.m. 2. Dual Demonstration 11:00 a.m. – 12:30 p.m. 3. Nursing Facility Project 2:00 p.m. – 5:00 p.m. Additional Information Contact: Heather Kuhlman, 512/730-7437
 
Texas Health and Human Services Commission
February 10, 2015 – 09:00 AM
4900 North Lamar Blvd., HHSC, Brown-Heatly Bldg., Rm 1420-1430, Austin
 
Council on Children and Families (CCF) This meeting will be webcast. To access the webcast, go to http://www.hhsc.state.tx.us/news/meetings.asp the day and time of the meeting. 1. Welcome, Introductions, and Announcements 2. Approve October 21, 2014 Meeting Minutes (vote required) 3. Council Business a. Council Report Update b. Officer Nominations c. Review of Council Charges and next steps* 4. Presentation on the 2014 Department of Family and Protective Services/Department of State Health Services Joint Report to the Texas Legislature pursuant to Senate Bill 44, 83rd Legislature, Regular Session, 2013 5. CCF Member Agencies and Public Members may present Updates to the Council 6. Public Comment 7. Adjourn *Public comment will be taken on this agenda item. Additional Information Contact: Vicki Magee, 512/420-2826
 
Texas Board of Nursing
February 10, 2015 – 08:30 AM
333 Guadalupe, Suite 3-460, Austin
 
Texas Board of Nursing Eligibility and Disciplinary Committee Meeting Agenda February 10, 2015 I. Call to order-8:30 a.m. II. Review of the agenda III. Review of the minutes: December 9, 2014 Committee Meeting; December 1, 2014, Emergency Meeting; December 9, 2014, Emergency Meeting; December 19, 2014, Emergency Meeting; January 5, 2015, Emergency Meeting; January 12, 2015, Emergency Meeting; January 26, 2015, Emergency Meeting IV. Staff recommendations V. The Eligibility and Disciplinary Committee of the board will meet to consider and take action on the following: A. petitioners for eligibility. B. Petitioners for an exception to a previous board order. C. Motions for rehearing. D. Agreed orders. E. Reinstatement agreed orders. F. Eligibility agreed orders. G. Default revocation orders. H. Deferred disciplinary action agreed orders. I. Agreed order. Additional Information Contact: Andrea Gonzalez, 512/305-6869
 
2/11/2015
 
House Committee on Appropriations
February 11, 2015 – 07:30 AM
Capitol Extension, Room E1.030, Austin
 
The House Appropriations Committee will hear testimony and overviews on the House Budget Recommendations including the following: State Contracting Procedures
Graduate Medical Education, Hazlewood Exemption, Transportation Funding, Overview of Trusteed Funds, Border Security Funding. The committee will hear invited testimony only. Agenda items not considered during this meeting may be carried over to a future schedule. Additional information contact: Hunter Thompson (512) 463-1091.
 
Senate Committee on Health and Human Services
February 11, 2015 – 11:15 AM or upon adjournment of the Senate
Texas Capitol, Senate Chamber, Austin
 
The Committee will meet to take up the following bills:
SB 97-Hinojosa, Relating to regulation of the sale, distribution, possession, use, and advertising of vapor products; authorizing a fee; creating offenses.
SB 133-Schwertner, Relating to mental health first aid training for school district employees and school resource officers.
SB 197-Schwertner, Relating to the financial self-sufficiency of the Cancer Prevention and Research Institute of Texas.
SB 424-Schwertner, Relating to the licensing and regulation of hospitals in this state; increasing the amount of administrative penalties assessed or imposed against certain hospitals.
Public testimony will be limited to 3 minutes. If submitting written testimony, please provide 20 copies with your name on each. Additional information contact: Meagan Kirby (512) 463-0360.
 
State Board of Dental Examiners
February 11, 2015 – 03:00 PM
333 Guadalupe, Suite 3-800, Austin
 
Executive Committee Discuss and consider possible action on the Temporary I. Call to order. II. Roll call. III. Discuss and consider possible action on the temporary suspension of Texas Dental license number 9436. Discussion and a vote may be called for on all items under this hearing. Pursuant to Section 263.004 of the Texas Occupations Code, the Executive Committee of the Texas State Board of Dental Examiners shall convene an emergency meeting to consider a request to temporarily suspend Texas Dental License No. 9436. Based upon evidence and information collected pursuant to a Board investigation, the continuing practice of dentistry by Texas Dental License No. 9436 would constitute a clear, imminent, or continuing threat to a person's physical health or well-being. IV. Announcements. V. Public comments. VI. Adjourn. Additional Information Contact: Carol Pepper, 512/463-6400
 
Department of State Health Services
February 11, 2015 – 01:00 PM
Greenlights For Nonprofit Success, 8303 N. MoPac Expressway, Suite A201, Austin
 
Public Health Funding and Policy Committee The Committee will meet to discuss and possibly act on the following agenda: Welcome/Call to Order 1. Approval of October 22 and December 10, 2014 Meeting Minutes* 2. Office of the Assistant Commissioner Updates* 3. Legislative Update* 4. Preparedness Funding* 5. Committee Brainstorm About the Credentialing Process for Local Health Departments* 6. 1115A Waiver Renewal* 7. Process For Defining Core Services* 8. Status of Annual Report* 9. General Public Comment 10. Agenda Items for Next Meeting* 11. Future Meeting Dates/Locations* Adjourn *Denotes Action Items The committee accepts public testimony at meetings. Additional Information Contact: Glenna Laughlin, 512/776-7770
 
Texas Health and Human Services Commission
February 11, 2015 – 10:30 AM
6330 East Highway 290 (ITT Institute Bldg., Theory/Classrooms #3 and #4), Austin
 
The Perinatal Advisory Council (PAC) 1. Welcome 2. Approval of the Minutes (Meeting December 2, 2014) 3. Discussion and Vote on Recommending Level II RE (Regional Extended Capabilities) a. Discussion and Vote on Total Parental Nutrition (TPN) 4. Status of draft Rules proposed for Neonatal Levels of Care 5. Lunch (Recess) 6. EMS for Children's State Partnership 7. Discussion on Trauma Regional Advisory Councils (RACs) 8. Discussion on Maternal Level of Care 9. Public Comment 10. Set agendas, dates, times and locations of upcoming meetings in 2015 11. Adjourn. Additional Information Contact: David Williams, 512/380-4374
 
Texas Health and Human Services Commission
February 11, 2015 – 01:00 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd., Austin
 
Proposed Changes to Home and Community-Based Services Statewide Settings Transition Plan. Meeting. Health and Human Services Commission (HHSC) will host a meeting for stakeholders and the general public on Wednesday, February 11, 2015, from 1 p.m. to 2:30 p.m., to receive public comment on proposed changes to the Home and Community-based Services (HCBS) Statewide Settings Transition Plan.  The Statewide Settings Transition Plan has been developed in accordance with federal regulations pertaining to HCBS. The purpose of the meeting is to allow public comment regarding the State's proposed amendment to the Statewide Settings Transition Plan detailing the compliance, remediation strategies, and timelines for the HCBS STAR+PLUS waiver program operating under the State's 1115 Demonstration waiver. HHSC will submit the amendment to the federal Centers for Medicare and Medicaid Services by March 17, 2015.  The HCBS Statewide Settings Transition Plan is available at http://www.hhsc.state.tx.us/medicaid/hcbs/index.shtml.  Those interested may obtain a copy of the plan before the hearing by contacting Becky Brownlee by telephone at 512-462-6281; by fax at 512-730-7472; or by email at Medicaid_HCBS_Rule@hhsc.state.tx.us.  The plan will also be available at the stakeholder meeting.  The federal HCBS regulations may be viewed at:  http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Long-Term-Services-and-Supports/Home-and-Community-Based-Services/Home-and-Community-Based-Services.html. Written Comments. Written comments regarding the proposed changes to the HCBS Statewide Settings Transition Plan may be submitted instead of, or in addition to, oral comments until 5 p.m. the day of the stakeholder meeting.  HHSC will continue to accept additional comments throughout the transition process, which ends March 17, 2019.  Written comments may be sent by U.S. mail, overnight mail, special delivery mail, hand delivery, fax or email.  U.S. Mail: Texas Health and Human Services Commission, Attention:  Becky Brownlee, Mail Code H-600, P.O. Box 149030, Austin, Texas 78714-9030. Overnight mail, special delivery mail or hand delivery: Texas Health and Human Services Commission, Attention:  Becky Brownlee, Mail Code H-600, Brown Heatly Building, 4900 North Lamar Boulevard, Austin, Texas 78751-2399. Phone number for package delivery:  512-730-7472. Fax Attention:  Becky Brownlee at 512-462-6281. Email: Medicaid_HCBS_Rule@hhsc.state.tx.us. Agency websites: http://www.hhsc.state.tx.us/medicaid/hcbs/index.shtml http://www.dads.state.tx.us/providers/HCBS/index.cfm  http://www.dshs.state.tx.us/mhsa/yes/. This meeting is open to the public.  No reservations are required and there is no cost to attend.
 
2/12/2015
 
Texas Health and Human Services Commission
February 12, 2015 – 10:00 AM
501 Pine Tree Rd. #U16 (Community Connections), Longview
 
Texas Medicaid Managed Care Initiatives Provider Training. The Texas Health and Human Services Commission (HHSC) staff and Medicaid managed care organization representatives will conduct provider training sessions to offer information on and respond to questions about two Medicaid managed care initiatives that HHSC will implement March 1, 2015: Community First Choice and the inclusion of nursing facility services in STAR+PLUS managed care. Community First Choice will be implemented in the STAR+PLUS and STAR Health programs, and the nursing facility project will impact the STAR+PLUS program. These provider trainings will be held across the state to educate providers who currently serve or will begin serving individuals in STAR+PLUS or STAR Health about what changes to expect. This training session will be divided into two portions: The morning session will be directed towards providers of Community First Choice services. The afternoon session will be directed towards nursing facilities and providers who service nursing facility residents. You can learn more about these Medicaid managed care initiatives by visiting the following websites: Community First Choice . http://www.hhsc.state.tx.us/medicaid/managed-care/community- first-choice/ Nursing Facility Project – http://www.hhsc.state. tx.us/medicaid/managed-care/mmc/starplus-adding- nursing.shtml 1. Community First Choice 10:00 a.m. – 11:30 a.m. 2. Nursing Facility Project 1:30 p.m. – 4:30 p.m. Additional Information Contact: Heather Kuhlman, 512/730-7437
 
Texas Health and Human Services Commission
February 12, 2015 – 01:30 PM
701 West 51st St. (DADS, Winters Bldg., Public Hearing Rm), Austin
 
Hospital Payment Advisory Committee. 1. Opening Comments and introduction of new members: William Galinksy, Hospital Payment Advisory Committee Chair. 2. Approval of November 2014 Meeting Minutes (vote required). Informational item: 3. Disproportionate Share Hospital Reimbursement Methodology and Waiver Payments. The Texas Health and Human Services Commission (HHSC) proposes amendments to Title 1, Part 15, Chapter 355, s355.8065, concerning Disproportionate Share Hospital Reimbursement Methodology, and s355.8201, related to Waiver Payments to Hospitals for Uncompensated Care. The proposed amendments are intended to meet the requirements of 2014-15 General Appropriations Act, Senate Bill 1, 83rd Legislature, Regular Session, 2013 (Article II, Health and Human Services Commission, Rider 86, Transitional Medicaid Disproportionate Share Hospital (DSH) and Related Payments), which directs HHSC to assess the appropriate balance of Medicaid supplemental payments between large public, small public, and private hospitals. HHSC is instructed to accomplish this balance while considering the provision of care to Medicaid and low income patients and the ongoing availability of funding from the public owners of the state's largest public hospitals for the Disproportionate Share Hospital (DSH) program. – Pam McDonald, Director, HHSC Rate Analysis notice of proposed rules/action item: 4. Tuberculosis (TB) Institution Exclusion.* The Texas Health and Human Services Commission (HHSC) proposes to amend Title 1, Part 15, Chapter 354, Subchapter A, Division 10, s354.1121, concerning Definitions; Division 11, s354.1149, concerning Exclusions and Limitations; and Division 28, s354.1371, concerning Benefits and Limitations. The proposed amendments remove the prohibition against a tuberculosis (TB) institution receiving Texas Medicaid payment for inpatient services. Sections 354.1121 and 354.1149 are amended to update the definition of "hospital" and remove the exclusion of inpatient services in TB institutions from the description of covered Medicaid services. The title for s354.1371 is proposed for amendment to clarify that the rule applies only to TB clinics. – Alex Melis, HHSC 5. Public Comment. 6. Proposed Next Meeting: Thursday, June 4, 2015, at 1:30 p.m. 7. Adjourn. *Public comment will be taken on this agenda item. Additional Information Contact: Sallie Allen, 512/424-6969
 
Texas Medical Board
February 12, 2015 – 08:45 AM
333 Guadalupe, Tower 2, Suite 225, Austin
 
Finance Committee 1. Call to order and roll call. 2. Budget report. 3. Adjourn. Additional Information Contact: Sandra Carbajal, 512/305-7111
 
Texas Medical Board
February 12, 2015 – 09:00 AM
333 Guadalupe, Tower 2, Suite 225, Austin
 
Electronic Medical Records and Communication Ad Hoc Committee 1. Call to order and roll call. 2. Discussion, recommendation and possible action regarding proposed amendments to board rules: a. 165.1(a) Medical Records 3. Presentation by Dr. Snoots. 4. Adjourn. Additional Information Contact: Sandra Carbajal, 512/305-7111
 
Texas Medical Board
February 12, 2015 – 10:00 AM
333 Guadalupe, Tower 2, Suite 225, Austin
 
Telemedicine Committee 1. Call to order and roll call. 2. Discussion, recommendation, and possible action regarding Chapter 174. 3. Adjourn. Additional Information Contact: Sandra Carbajal, 512/305-7111
 
Texas Medical Board
February 12, 2015 – 11:00 AM
333 Guadalupe, Lobby Area, Room 100, Austin
 
Licensure Committee 1. Call to order and roll call. 2. Discussion, recommendation and possible action regarding applicants for licensure, permits, and certification. a. Applicants and registrants for pain management certification b. Applicants appearing concerning eligibility c. Proposed orders offered by the Executive Director d. Physician licensure applicants to be licensed e. Surgical assistant licensure applicants to be licensed f. Acudetox applicants to be certified 3. Report on physician licensure statistics. 4. Discussion, recommendation and possible action regarding Nonprofit Health Organizations a. Applicants for initial certification b. Requests for biennial recertification 5. Discussion, recommendation and possible action regarding proposed amendments to board rules: a. 163.1 – Definitions b. 163.7 – Ten Year Rule c. 163.11 – Active Practice of Medicine d. 172.8 – Faculty Temporary License 6. Adjourn. Additional Information Contact: Sandra Carbajal, 512/305-7111
 
Texas Medical Board
February 12, 2015 – 11:00 AM
333 Guadalupe, Tower 2, Suite 225, Austin
 
Disciplinary Process Review Committee 1. Call to order and roll call. 2. Discussion, recommendation, and possible action regarding referrals and reports from the Texas Physician Health Program. 3. Discussion and possible direction regarding Soberlink and remote alcohol monitoring. 4. Discussion, recommendation, and possible action regarding renewals involving impaired licensees. 5. Reports and discussion regarding the Investigation, Litigation and Compliance Departments. 6. Discussion, recommendation, and possible action regarding Rule Review and proposed changes to the following chapters in Title 22 of the Texas Administrative Code: A. Chapter 176 Health Care Liability Lawsuits and Settlements, s176.1 Definitions. 7. Review, discussion, and possible action regarding review of probationers appearances. 8. Consideration and approval of membership of the Expert Physician Panel. 9. Reports and discussion regarding cases over one year old. 10. Review, discussion, and possible action regarding appeals of dismissed complaints: (1:00 p.m.) A. Jurisdictional Complaints: i. Investigations 99-0109 12-4932 14-0198 14-1165 14-1868 14-2247 14-3213 14-3375 14-3710 14-4499 14-4693 14-4746 14-5298 14-5858 14-6368 14-6369 14-6370 14-6371 14-6372 ii. Legal Files 14-0206 (13-5470) 14-0530 (14-2049) 14-0746 (14-2601) 14-0765 (14-1570) B. Jurisdictional-Not-Filed Complaints: 14-3847 14-4361 14-6093 14-6357 14-6412 14-6920 14-6964 15-0141 15-0402 15-0428 15-0447 15-0576 15-0605 15-0732 15-0785 15-0881 15-0951 15-1008 15-1015 15-1029 15-1086 15-1087 15-1088 15-1154 15-1217 15-1227 15-1234 15-1279 15-1332 15-1361 15-1416 15-1527 15-1792 15-1808 15-1820 15-1824 15-1929 15-1946 15-2003 15-2073 15-2180 C. Non-Jurisdictional Complaints 13-5387 15-0403 11. Discussion, recommendation, and possible action regarding routine follow-up on investigative files previously referred from DPRC for follow-up action, specifically including: 14-3445 14-3834 12. Review, discussion, and possible action regarding selected files and cases. 13. Adjourn. Additional Information Contact: Sandra Carbajal, 512/305-7111
 
Texas Medical Board
February 12, 2015 – 08:30 AM
333 Guadalupe, Tower 2, Suite 225, Austin
 
Executive Committee 1. Call to order and roll call. 2. Discussion, recommendation, and possible action on the Charter of Audit Functions for the TMB Executive Committee. 3. Discussion, recommendation, and possible action on the FY 15 Internal Audit Plan. 4. Discussion of contract training requirements. 5. Discussion, recommendation, and possible action regarding proposed amendments to 22 T.A.C, Chapter 161. General Provisions, s161.3 Organization and Structure. 6. Adjourn. Additional Information Contact: Sandra Carbajal, 512/305-7111
 
2/13/2015
 
Executive Council of Physical Therapy & Occupational Therapy Examiners
February 13, 2015 – 08:30 AM
333 Guadalupe, Ste 2-510, Austin
 
Agenda: I. Call to order. II. Public comment. III. Approval of minutes of November 14, 2014 Executive Council meeting. IV. Discussion and possible action on Executive Director's Report concerning fiscal and budgetary matters, performance measures, ongoing projects, agency personnel matters, legislative session, and other agency business. V. Review and possible action on rule amendments proposed by the Texas Board of Occupational Therapy Examiners as follows: Chapter 367 to include categories of education; the development of publications, media materials, or research/grant activities; mentorship; unacceptable continuing education activities; continuing education documentation; the continuing education approval process; and other continuing education issues; s364.1, Requirements for Licensure; s364.2, Initial License by Examination; s364.3, Temporary License; and s364.4, Licensure by Endorsement; s370.3, Restoration of a Texas License; and s374.2, Detrimental Practice. VI. Review and possible action on rule amendments proposed by the Texas Board of Physical Therapy Examiners as follows: s322.4, Practicing in a Manner Detrimental to the Public Health and Welfare; s341.9, Retired Status; s346.3, Early Childhood Intervention (ECI) Setting; and s329.2, Licensure by Examination. VII. Presiding Officer's Report. VIII. Discussion and possible action on scheduling future Executive Council meeting dates, and items for future consideration. IX. Adjournment. Additional Information Contact: Jennifer J. Jones, 512/305-6969
 
Texas Health and Human Services Commission
February 13, 2015 – 10:00 AM
1100 Congress Ave., State Capitol Bldg., Capitol Ext, Rm. E2.024, Austin
 
Texas Office for Prevention of Developmental Disabilities Executive Committee Meeting (TOPDD) 1. Call to Order: Roll call of Members/Establish Quorum 2. Greetings and Introductions: Richard Garnett, Ph.D. 3. Approval of Minutes from November 14, 2014, meeting 4. TOPDD Structure Discussion 5. TOPDD Staff Report: Janet Sharkis, MS 6. Child Safety and Injury Prevention: Ashley Givens 7. Fetal Alcohol Spectrum Disorder Collaborative: Mary Tijerina, Ph.D., MSSW 8. Executive Director Report: Janet Sharkis 9. Scheduling of Next Meeting: Richard Garnett, Ph.D. 10. Public Comment 11. Adjourn. Additional Information Contact: Angela Morales, 512/206-4544
 
Texas Medical Board
February 13, 2015 – 08:00 AM
333 Guadalupe, Tower 2, Suite 225, Austin
 
Board Meeting 1. Full Board call to order, roll call, and Mission Statement. Our Mission is to protect and enhance the public's health, safety and welfare by establishing and maintaining standards of excellence used in regulating the practice of medicine and ensuring quality health care for the citizens of Texas through licensure, discipline, and education. 2. Board Member Report. Introduction new board member 3. Executive Director Report. Budget Legislative Update Personnel Update Outreach Update Audit Update Topics for ethics/professional responsibility approval Pain Clinics 4. Medical Director Report. Expert Panel update Opioid Training update 5. Public Information Update. 6. Physician Assistant Liaison report. 7. Report on criminal convictions and sanctions. 8. Discussion, recommendation, and possible action regarding guidelines for modification/termination orders. 9. Discussion, recommendation, and possible action regarding physicians delegating acupuncture. 10. Discussion recommendation and possible action regarding compact licensure. 11. Consideration and possible action regarding pending litigation. Agenda item #12 at 10:00 a.m. 12. Consideration and approval of Proposal for Decisions for: 1. Joseph Cotropia, M.D., SOAH #503-13-3809.MD 2. Shawn Gorden, M.D., SOAH #503-14-1734.MD 3. Charles T. Clayton, M.D., SOAH #503-13-3759.MD 4. Walter J. Zawislak, M.D., SOAH #503-12-6625.MD Agenda item #13 at 10:30 a.m. 13. Consideration and approval of Determinations of Default 14. Consideration and approval of Modification Request/Termination Request of Non-Public Rehabilitation Orders. 15. Consideration and approval of Modification Request/Termination Request Orders. 16. Consideration and possible action for Agreed Board Orders. 17. Consideration and approval of Mediated Settlement Agreed Orders. 18. Consideration and approval of Remedial Plans. 19. Consideration and approval of Nunc Pro Tunc Orders. 20. Consideration and final determination of ineligibility for Pain Management Certificate. 1. Applicant #1504 21. Consideration and approval of Orders of Referral. 22. Consideration and approval of Order to Show Cause. 23. Consideration and approval of Amended Proposal for Decision 24. Consideration and approval of Remand of Amended Final Orders. 25. Consideration and approval of Cease and Desist Agreed Orders. 26. Report on Cease and Desist Orders approved by Executive Director. 27. Report on Motions for Rehearing Requests. 28. Report on Temporary Suspensions. 29. Report of Suspension by Operation of Law. 30. Report on Automatic Orders. Agenda Item #31 at 11:00 a.m. 31. Discussion, recommendation, and possible action regarding the adoption of proposed amendments and rule review to 22 Texas Administrative Code: 1. s166.2. Continuing Medical Education 2. s192.2. Provision of Anesthesia Services in Outpatient Settings 3. s192.5. Inspections 32. Discussion, recommendation, and possible action regarding proposed amendments to the following in 22 Texas Administrative Code: 1. s190.8. Violation Guidelines. 33. Discussion, recommendation, and possible action regarding adoption of proposed rule changes to 22 T.A.C. Chapter 183, Acupuncture. (none) 34. Discussion, recommendation, and possible action regarding adoption of proposed rule changes to 22 T.A.C. Chapter 185, Physician Assistants. 1. s185.18 Discipline of Physician Assistants 2. s185.16 Employment Guidelines Agenda Item #35 at 11:30 a.m. 35. Open forum for public comments. 36. Adjourn. Discussion/Action Items – to be considered at any time the full board is in session: 1. Consideration and approval of the November 7, 2014 Board Meeting Minutes and action items. 2. Consideration and approval of the January 16, 2015 Board Meeting Minutes and action items. 3. Committee reports and the consideration and approval of minutes and action items of committees meeting during the board meeting. Additional Information Contact: Sandra Carbajal, 512/305-7111
 
2/16/2015
 
Texas Health and Human Services Commission
February 16, 2015 – 10:00 AM
Brown-Heatly Building , Public Hearing Room , 4900 North Lamar Blvd., Austin
 
Proposed Amendment to Disproportionate Share Hospital Reimbursement Methodology and Waiver Payments to Hospitals for Uncompensated Care Rules. Health and Human Services Commission (HHSC) will conduct a public hearing to receive comments on the proposed amendment to rules §355.8065 and §355.8201 under Title 1, Part 15, Chapter 355, Subchapter J, Purchased Health Services.  The proposed amendments were published in the February 6, 2015, issue of the Texas Register. See 40 TexReg 487 (February 6, 2015). Written Comments.  Written comments on the proposed amendments to the rule may be submitted to Pam McDonald, Director, Rate Analysis Department, Health and Human Services Commission, at 4900 N Lamar Blvd, Austin, Texas 78751; by fax to 512-730-7475; or by email to pam.mcdonald@hhsc.state.tx.us within 30 days of publication of this proposal in the Texas Register.
 
2/17/2015
 
Comptroller of Public Accounts
February 17, 2015 – 09:00 AM
1701 N. Congress Avenue, William B. Travis Bldg, Room 1-100, Austin
 
Interagency Task Force on Economic Growth and Endangered Species I. Call to order II. Welcome and introductions III. Review and approval of December 2, 2014 minutes IV. U.S. Fish and Wildlife Service's status review of the monarch butterfly; discussion and possible action V. Establishing a freshwater mussel advisory group; discussion and possible action VI. Current research activities for the spot-tailed earless lizard; discussion and possible action VII. Research coordination VIII. Public comment IX. Adjourn. Additional Information Contact: Meghan Hope, 512/936-8554
 
2/18/2015
 
Senate Committee on Finance
February 18, 2015 – 09:00 AM
Capitol Extension, Room E1.036, Austin
 
The committee will meet to consider SB 2 – Nelson, General Appropriations Bill: Article II – Health and Human Services, Department of Assistive and Rehabilitative Services, Department of Aging and Disability Services, Department of Family and Protective Services, Department of State Health Services, Health and Human Services Commission, Special Provisions Relating to All Health and Human Services Agencies. Invited Testimony: Any supporting written materials for the hearing must be provided to the Senate Finance Committee (SFC) 2 full business days before your scheduled hearing day. Please submit 50 copies to the SFC, and 6 copies to the LBB. Agencies should consult the postings regularly and maintain contact with their budget analyst at the Committee. The afternoon hearing will reconvene 30 minutes after adjournment of the Senate. LBB presentation documents can be found at: http://www.lbb.state.tx.us/BudgetDocs.aspx?Table=Budget&Session=84. INVITED TESTIMONY ONLY.  PUBLIC TESTIMONY ON ARTICLE II WILL BE THURSDAY, FEBRUARY 19, 2015.
 
Texas Board of Chiropractic Examiners
February 18, 2015 – 09:00 AM
333 Guadalupe Street, Tower II, Room 225, Austin
 
Enforcement Committee Meeting. The Texas Board of Chiropractic Examiners' Enforcement Committee will consider and act, if necessary, on matters within the jurisdiction of the committee which are listed in the agenda, as follows: Pending Complaints (including cases recommended for closure). Requests to expunge #'s: NA. Discussion with staff to review procedures for resolving open enforcement actions. The Committee may meet from time to time in Executive Session with respect to the above items as authorized by the Texas Open Meetings Act, Chapter 551 of the Government Code. Additional Information Contact: Mary Feys, 512/305-6901
 
Department of State Health Services
February 18, 2015 – 09:00 AM
Crowne Plaza Hotel, 6121 North I-35, Austin
 
Disaster Emergency Preparedness Committee of the Governor's EMS and Trauma Advisory Council (GETAC) The Committee will meet to discuss and possibly act on the following agenda: Call to Order/Roll Call Discussion and possible action on the following items: 1. Workgroup Reports: A. Texas Disaster Medical System (TDMS) a. TDMS Mass Fatality Management Report B. Emergency Medical Task Force (EMTF) Report a. EMTF AMBUS (Ambulance Bus) Working Group Report b. EMTF MMU (Mobile Medical Unit) Working Group Report c. EMTF Air Medical Working Group Report d. EMTF Coordination Center Standards & Operational Guidelines e. Infectious Disease Response Unit (IDRU) 2. Medical Incident Support Team (M-IST) and Ambulance Staging Manager (ASM) Courses Report 3. Ebola/infectious disease response summary 4. Regional Health and Medical Operations Centers (RHMOCs) 5. Legislative update 6. Identify 2015 priorities for the Disaster Emergency Preparedness Committee 7. Review and update of The Strategic Plan for the Texas EMS/Trauma System 8. Identify and list the accomplishments of this committee since its inception and report back to the GETAC General Public Comment (Comment time may be limited at Chair's discretion) Summary for GETAC meeting report Announcements Review and list agenda items for next meeting Next Meeting Date Adjournment. Additional Information Contact: Phil Lockwood, 512/776-2780
 
Department of State Health Services
February 18, 2015 – 01:00 PM
Crowne Plaza Hotel, 6121 North I-35, Austin
 
Injury Prevention Committee of the Governor's EMS and Trauma Advisory Council (GETAC) The Committee will meet to discuss and possibly act on the following agenda: Call to Order/Roll Call Discussion and possible action on the following items: 1. Texas EMS and Trauma Acute Care Foundation (TETAF) and Texas Trauma Care Foundation (TTCF) Injury Prevention Reports 2. Texas Injury Indicators report 3. State Child Fatality Review Team Update 4. Consider implementation and evaluation of hospital-based injury prevention components 5. National and state injury prevention conferences 6. Update on Injury-Free Texas website 7. Report on Texas EMS Trauma Registry 8. Review and update of The Strategic Plan for the Texas EMS/Trauma System 9. Identify and list the accomplishments of this committee since its inception and report back to the GETAC General Public Comment (Comment time may be limited at Chair's discretion) Summary for GETAC meeting report Announcements Review and list agenda items for next meeting Next Meeting Date Adjournment. Additional Information Contact: Phil Lockwood, 512/776-2780
 
Texas Health and Human Services Commission
February 18, 2015 – 01:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd., Austin
 
Proposed Medicaid Payment Rates for the Third Quarter 2014 Healthcare Common Procedure Coding System Updates. Hearing.  Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed Medicaid payment rates for the Third Quarter 2014 Healthcare Common Procedure Coding System Updates.  The hearing will be held in compliance with Texas Human Resources Code §32.0282 and the Texas Administrative Code, Title 1 (1 TAC), §355.201, which require public notice of and hearings on proposed Medicaid reimbursements.   HHSC also will broadcast the public hearing; the broadcast can be accessed at http://www.hhsc.state.tx.us/news/meetings.asp. The broadcast will be archived and can be accessed on demand at the same website. Proposal.  The payment rates for the Third Quarter 2014 Healthcare Common Procedure Coding System Updates are proposed to be effective April 1, 2015, for the following services: Physician-Administered Drugs  Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Methodology and Justification. The proposed payment rates were calculated in accordance with 1 TAC: §355.8021, which addresses the reimbursement methodology for home health services and durable medical equipment, prosthetics, orthotics, and supplies; §355.8085, which addresses the reimbursement methodology for physicians and other practitioners; and §355.8441, which addresses the reimbursement methodology for Early and Periodic Screening, Diagnosis, and Treatment services (known in Texas as Texas Health Steps). Briefing Package.  A briefing package describing the proposed payment rates will be available at http://www.hhsc.state.tx.us/rad/rate-packets.shtml on or after February 2, 2015.  Those interested may obtain a copy of the briefing package before the hearing by contacting Rate Analysis by telephone at 512-730-7401; by fax at 512-730-7475; or by email at RADAcuteCare@hhsc.state.tx.us.  The briefing package will also be available at the public hearing. Written Comments.  Written comments regarding the proposed payment rates may be submitted instead of, or in addition to, oral testimony until 5 p.m. the day of the hearing. Written comments may be sent by U.S. mail, overnight mail, special delivery mail, hand delivery, fax, or email: U.S. Mail: Health and Human Services Commission, Attention: Rate Analysis, Mail Code H-400, P.O. Box 149030, Austin, Texas 78714-9030. Overnight mail, special delivery mail, or hand delivery: Health and Human Services Commission Attention: Rate Analysis, Mail Code H-400, Brown-Heatly Building, 4900 North Lamar
Austin, Texas 78751. Phone number for package delivery: 512-730-7401 Fax : Attention:  Rate Analysis at 512-730-7475 Email RADAcuteCare@hhsc.state.tx.us
 
Texas Health and Human Services Commission
February 18, 2015 – 01:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd., Austin
 
Proposed Medicaid Payment Rates for Durable Medical Equipment – Orthotics and Prosthetics (Cochlear Device L8614). Hearing.  The Texas Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed Medicaid payment rates for Durable Medical Equipment – Orthotics and Prosthetics (Cochlear Device L8614).  The hearing will be held in compliance with Texas Human Resources Code §32.0282 and the Texas Administrative Code, Title 1 (1 TAC), §355.201, which require public notice of and hearings on proposed Medicaid reimbursements.  HHSC also will broadcast the public hearing; the broadcast can be accessed at http://www.hhsc.state.tx.us/news/meetings.asp. The broadcast will be archived and can be accessed on demand at the same website. Proposal.  The payment rates for Durable Medical Equipment – Orthotics and Prosthetics (Cochlear Device L8614) are proposed to be effective April 1, 2015. Methodology and Justification. The proposed payment rates were calculated in accordance with 1 TAC: §355.8021, which addresses the reimbursement methodology for home health services and durable medical equipment, prosthetics, orthotics, and supplies; §355.8441, which addresses the reimbursement methodology for Early and Periodic Screening, Diagnosis, and Treatment services (known in Texas as Texas Health Steps). Briefing Package.  A briefing package describing the proposed payment rates will be available at http://www.hhsc.state.tx.us/rad/rate-packets.shtml on or after February 2, 2015.  Those interested may obtain a copy of the briefing package before the hearing by contacting Rate Analysis by telephone at 512-730-7401; by fax at 512-730-7475; or by email at RADAcuteCare@hhsc.state.tx.us.  The briefing package will also be available at the public hearing.  Written Comments.  Written comments regarding the proposed payment rates may be submitted instead of, or in addition to, oral testimony until 5 p.m. the day of the hearing. Written comments may be sent by U.S. mail, overnight mail, special delivery mail, hand delivery, fax, or email: U.S. Mail: Texas Health and Human Services Commission, Attention: Rate Analysis, Mail Code H-400, P.O. Box 149030, Austin, Texas 78714-9030. Overnight mail, special delivery mail, or hand delivery: Texas Health and Human Services Commission, Attention: Rate Analysis, Mail Code H-400, Brown-Heatly Building, 4900 North Lamar, Austin, Texas 78751. Phone number for package delivery: 512-730-7401. Fax : Attention:  Rate Analysis at 512-730-7475. Email: RADAcuteCare@hhsc.state.tx.us
 
Texas Health and Human Services Commission
February 18, 2015 – 01:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd., Austin
 
Proposed Medicaid Payment Rates for Solid Organ Transplants. Hearing.  Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed Medicaid payment rates for Solid Organ Transplants.  The hearing will be held in compliance with Texas Human Resources Code §32.0282 and the Texas Administrative Code, Title 1 (1 TAC), §355.201, which require public notice of and hearings on proposed Medicaid reimbursements.   HHSC also will broadcast the public hearing; the broadcast can be accessed at http://www.hhsc.state.tx.us/news/meetings.asp. The broadcast will be archived and can be accessed on demand at the same website. Proposal.  The payment rates for Solid Organ Transplants are proposed to be effective April 1, 2015. Methodology and Justification. The proposed payment rates were calculated in accordance with 1 TAC: §355.8085, which addresses the reimbursement methodology for physicians and other practitioners; and §355.8441, which addresses the reimbursement methodology for Early and Periodic Screening, Diagnosis, and Treatment services (known in Texas as Texas Health Steps). Briefing Package.  A briefing package describing the proposed payment rates will be available at http://www.hhsc.state.tx.us/rad/rate-packets.shtml on or after February 2, 2015.  Those interested may obtain a copy of the briefing package before the hearing by contacting Rate Analysis by telephone at 512-730-7401; by fax at 512-730-7475; or by email at RADAcuteCare@hhsc.state.tx.us.  The briefing package will also be available at the public hearing. Written Comments.  Written comments regarding the proposed payment rates may be submitted instead of, or in addition to, oral testimony until 5 p.m. the day of the hearing. Written comments may be sent by U.S. mail, overnight mail, special delivery mail, hand delivery, fax, or email: U.S. Mail: Health and Human Services Commission, Attention: Rate Analysis, Mail Code H-400, P.O. Box 149030, Austin, Texas 78714-9030. Overnight mail, special delivery mail, or hand delivery: Health and Human Services Commission, Attention: Rate Analysis, Mail Code H-400, Brown-Heatly Building, 4900 North Lamar, Austin, Texas 78751. Phone number for package delivery: 512-730-7401. Fax : Attention:  Rate Analysis at 512-730-7475. Email: RADAcuteCare@hhsc.state.tx.us
 
Texas Health and Human Services Commission
February 18, 2015 – 01:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd., Austin
 
Proposed Medicaid Payment Rates for the Medicaid Biennial Calendar Fee Review. Hearing.  Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed Medicaid payment rates for the Annual 2015 Healthcare Common Procedure Coding System Updates.  The hearing will be held in compliance with Texas Human Resources Code §32.0282 and the Texas Administrative Code, Title 1 (1 TAC), §355.201, which require public notice of and hearings on proposed Medicaid reimbursements.   HHSC also will broadcast the public hearing; the broadcast can be accessed at http://www.hhsc.state.tx.us/news/meetings.asp. The broadcast will be archived and can be accessed on demand at the same website. Proposal.  The payment rates for the Annual 2015 Healthcare Common Procedure Coding System Updates are proposed to be effective January 1, 2015, for the following services: Radiology Services – Type of Service (TOS) 4 (Radiology), I (Interpretation component), and T (Technical component) Nonclinical Laboratory Services –TOS 5 (Laboratory), I (Interpretation component), and T (Technical component) Radiation Therapy Services – TOS 6 (Radiation Therapy), I (Interpretation component), and T (Technical component) Physician-Administered Drugs – TOS 1 (Medical Services)  Durable Medical Equipment, Prosthetics, Orthotics, and Supplies – TOS 9 (Supplies), J (Purchase), and L (Rental) Surgery, Assistant Surgery, Interpretation and Technical Components – TOS 2 (Surgery), 8 (Assistant Surgery), I (Interpretation component), and T (Technical component)  Dental Services – TOS W (Texas Health Steps Dental/Orthodontia) Surgery, Interpretation and Technical Components – TOS 2 (Surgery), I (Interpretation component), and T (Technical component) Ambulatory Surgical Centers / Hospital Ambulatory Surgical Centers – TOS F (ASC/HASC) Clinical Laboratory Services – TOS 5 (Laboratory Services) Hospital Outpatient Imaging – TOS 4 (Radiology) Methodology and Justification. The proposed payment rates were calculated in accordance with 1 TAC: §355.8021, which addresses the reimbursement methodology for home health services and durable medical equipment, prosthetics, orthotics, and supplies; §355.8085, which addresses the reimbursement methodology for physicians and other practitioners; §355.8121, which addresses the reimbursement methodology for Ambulatory Surgical Cnters; and §355.8441, which addresses the reimbursement methodology for Early and Periodic Screening, Diagnosis, and Treatment services (known in Texas as Texas Health Steps). Briefing Package.  A briefing package describing the proposed payment rates will be available at http://www.hhsc.state.tx.us/rad/rate-packets.shtml on or after February 2, 2015.  Those interested may obtain a copy of the briefing package before the hearing by contacting Rate Analysis by telephone at 512-730-7401; by fax at 512-730-7475; or by email at RADAcuteCare@hhsc.state.tx.us.  The briefing package will also be available at the public hearing. Written Comments.  Written comments regarding the proposed payment rates may be submitted instead of, or in addition to, oral testimony until 5 p.m. the day of the hearing. Written comments may be sent by U.S. mail, overnight mail, special delivery mail, hand delivery, fax, or email: U.S. Mail:  Health and Human Services Commission, Attention: Rate Analysis, Mail Code H-400, P.O. Box 149030, Austin, Texas 78714-9030. Overnight mail, special delivery mail, or hand delivery: Health and Human Services Commission, Attention: Rate Analysis, Mail Code H-400, Brown-Heatly Building, 4900 North Lamar, Austin, Texas 78751. Phone number for package delivery: 512-730-7401. Fax: Attention:  Rate Analysis at 512-730-7475. Email: RADAcuteCare@hhsc.state.tx.us
 
Texas Health and Human Services Commission
February 18, 2015 – 01:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd., Austin
 
Proposed Medicaid Payment Rates for the Annual 2015 Healthcare Common Procedure Coding System Updates. Hearing.  Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed Medicaid payment rates for the Annual 2015 Healthcare Common Procedure Coding System Updates.  The hearing will be held in compliance with Texas Human Resources Code §32.0282 and the Texas Administrative Code, Title 1 (1 TAC), §355.201, which require public notice of and hearings on proposed Medicaid reimbursements.   HHSC also will broadcast the public hearing; the broadcast can be accessed at http://www.hhsc.state.tx.us/news/meetings.asp. The broadcast will be archived and can be accessed on demand at the same website. Proposal.  The payment rates for the Annual 2015 Healthcare Common Procedure Coding System Updates are proposed to be effective January 1, 2015, for the following services: Radiology Services – Type of Service (TOS) 4 (Radiology), I (Interpretation component), and T (Technical component) Nonclinical Laboratory Services –TOS 5 (Laboratory), I (Interpretation component), and T (Technical component) Radiation Therapy Services – TOS 6 (Radiation Therapy), I (Interpretation component), and T (Technical component) Physician-Administered Drugs – TOS 1 (Medical Services) Durable Medical Equipment, Prosthetics, Orthotics, and Supplies – TOS 9 (Supplies), J (Purchase), and L (Rental) Surgery, Assistant Surgery, Interpretation and Technical Components – TOS 2 (Surgery), 8 (Assistant Surgery), I (Interpretation component), and T (Technical component)  Dental Services – TOS W (Texas Health Steps Dental/Orthodontia) Surgery, Interpretation and Technical Components – TOS 2 (Surgery), I (Interpretation component), and T (Technical component) Ambulatory Surgical Centers / Hospital Ambulatory Surgical Centers – TOS F (ASC/HASC) Clinical Laboratory Services – TOS 5 (Laboratory Services) Hospital Outpatient Imaging – TOS 4 (Radiology) Methodology and Justification. The proposed payment rates were calculated in accordance with 1 TAC: §355.8021, which addresses the reimbursement methodology for home health services and durable medical equipment, prosthetics, orthotics, and supplies; §355.8085, which addresses the reimbursement methodology for physicians and other practitioners; §355.8121, which addresses the reimbursement methodology for Ambulatory Surgical Centers; and §355.8441, which addresses the reimbursement methodology for Early and Periodic Screening, Diagnosis, and Treatment services (known in Texas as Texas Health Steps). Briefing Package.  A briefing package describing the proposed payment rates will be available at http://www.hhsc.state.tx.us/rad/rate-packets.shtml on or after February 2, 2015.  Those interested may obtain a copy of the briefing package before the hearing by contacting Rate Analysis by telephone at 512-730-7401; by fax at 512-730-7475; or by email at RADAcuteCare@hhsc.state.tx.us.  The briefing package will also be available at the public hearing.  Written Comments.  Written comments regarding the proposed payment rates may be submitted instead of, or in addition to, oral testimony until 5 p.m. the day of the hearing. Written comments may be sent by U.S. mail, overnight mail, special delivery mail, hand delivery, fax, or email: U.S. Mail: Health and Human Services Commission, Attention: Rate Analysis, Mail Code H-400, P.O. Box 149030, Austin, Texas 78714-9030. Overnight mail, special delivery mail, or hand delivery: Health and Human Services Commission, Attention: Rate Analysis, Mail Code H-400, Brown-Heatly Building, 4900 North Lamar, Austin, Texas 78751. Phone number for package delivery: 512-730-7401. Fax : Attention:  Rate Analysis at 512-730-7475. Email: RADAcuteCare@hhsc.state.tx.us
 
Department of State Health Services
February 18, 2015 – 02:30 PM
Crowne Plaza Hotel, 6121 North I-35, Austin
 
Stroke Committee of the Governor's EMS and Trauma Advisory Council (GETAC) The Committee will meet to discuss and possibly act on the following agenda: Call to Order/Roll Call Discussion and possible action on the following items: 1. Follow up with GETAC regarding the recommendation of the Brain Attack Coalition (BAC) standards for stroke ready hospitals as a basis for acceptable certification of Level III stroke support facilities 2. Report/update on Texas Council on Cardiovascular Disease and Stroke (TCCVDS) 3. TCCVDS legislative report 4. Follow up with GETAC regarding the stroke education program workgroup recommendation that 4 hours of stroke related continuing education be required for recertifying EMS personnel 5. Follow up with Transport Bypass Workgroup for adding severity adjusted triage criteria for hospital bypass of ambulance patients when a hospital's stroke care resources are unavailable 6. Presentation by Paul Hansen, MD: Mr Clean (Multicenter Randomized Clinical trial of Endovascular treatment for Acute Ischemic stroke in the Netherlands) stroke trial – first randomized successful trial endovascular treatment in strokes 7. Consider a recommendation calling for free standing emergency rooms to obtain Level III stroke center designation in special, rural circumstances 8. Consider a recommendation for adding uptime requirements to stroke center designation 9. Review and update of The Strategic Plan for the Texas EMS/Trauma System 10. Identify and list the accomplishments of this committee since its inception and report back to the GETAC General Public Comment (Comment time may be limited at Chair's discretion) Summary for GETAC meeting report Announcements Review and list agenda items for next meeting Next Meeting Date Adjournment. Additional Information Contact: Phil Lockwood, 512/776-2780
 
Department of State Health Services
February 18, 2015 – 04:00 PM
Crowne Plaza Hotel, 6121 North I-35, Austin
 
Air Medical Committee of the Governor's EMS and Trauma Advisory Council (GETAC) The Committee will meet to discuss and possibly act on the following agenda: Call to Order/Roll Call Discussion and possible action on the following items: 1. Presentation by Samuel Vance, EMS for Children State Partnership: Pediatric EMS Recognition Program 2. Review of the draft fixed-wing disaster response DSHS Memorandum of Agreement (MOA) with reimbursement rates 3. Review work group progress for Emergency Medical Task Force (EMTF) participation 4. Assisting with the development of and/or the review of air medical components of disaster response and education 5. Update on EMS interstate compact agreements for personnel training, certification and licensure and its effect on students doing clinical rotations, working in other states within the agreement and other factors that may be included in the agreement 6. Report on the progress of the Trauma Systems Committee Registry workgroup 7. Review of EMS rule in Title 25 of Texas Administrative Code, Chapter 157, s157.11(m)(9) to address the various requirements for an EMS provider's delivery of patient care reports to medical facilities at the time and location of patient drop off at a medical facility, and how to improve the sharing of the facility's outcome data of that patient with the EMS provider 8. Review and update of The Strategic Plan for the Texas EMS/Trauma System 9. Identify and list the accomplishments of this committee since its inception and report back to the GETAC General Public Comment (Comment time may be limited at Chair's discretion) Summary for GETAC meeting report Announcements Review and list agenda items for next meeting Next Meeting Date Adjournment. Additional Information Contact: Phil Lockwood, 512/776-2780
 
2/19/2015
 
Senate Committee on Finance
February 19, 2015 – 09:00 AM
Capitol Extension, Room E1.036, Austin
 
The committee will meet to consider SB 2 – Nelson, General Appropriations Bill: Article II – Health and Human Services. The Committee will hear public testimony on all Article II agencies. Invited Testimony: Any supporting written materials for the hearing must be provided to the Senate Finance Committee (SFC) 2 full business days before your scheduled hearing day. Please submit 50 copies to the SFC, and 6 copies to the LBB. Agencies should consult the postings regularly and maintain contact with their budget analyst at the Committee. Public Testimony: Those wishing to give public testimony, please limit prepared remarks to 3 minutes. If submitting written testimony, please submit 40 copies, with your name on each copy, to the Committee during the hearing. The afternoon hearing will reconvene 30 minutes after adjournment of the Senate. LBB presentation documents can be found at: http://www.lbb.state.tx.us/BudgetDocs.aspx?Table=Budget&Session=84
 
Texas Board of Chiropractic Examiners
February 19, 2015 – 11:00 AM
333 Guadalupe Street, Tower III, Room 102, Austin
 
Enforcement Committee Meeting. The Texas Board of Chiropractic Examiners' Enforcement Committee will consider and act, if necessary, on matters within the jurisdiction of the committee which are listed in the agenda, as follows: Pending Complaints (including cases recommended for closure) #s: NA. Requests to expunge #'s: 102-238, 2013-184. Discussion with staff to review procedures for resolving open enforcement actions. The Committee may meet from time to time in Executive Session with respect to the above items as authorized by the Texas Open Meetings Act, Chapter 551 of the Government Code. Additional Information Contact: Mary Feys, 512/305-6901
 
Texas Board of Chiropractic Examiners
February 19, 2015 – 01:00 PM
333 Guadalupe, Tower II, Room 225, Austin
 
Board Meeting Texas Board of Chiropractic Examiners. Texas Board of Chiropractic Examiners will consider and act, if necessary, on matters within the jurisdiction of the Board which are listed on this agenda. The Board may meet from time-to-time in executive session with respect to the agenda items as authorized by the Texas Open Meetings Act, Chapter 551 of the Government Code. 1. Call to order, roll call & establishment of a quorum Call to Order, Roll Call and Establishment of a Quorum. Vote as necessary on excusing any absent board members. 2. Approval of minutes Approval of Minutes from the November 13, 2014 Board Meeting 3. Public comments Forum for licensees, the general public or other interested stakeholders to address the Board 4. Executive Committee business Cynthia Tays, D.C. 4.1 President's Report Dr. Cynthia Tays may make a brief oral report to the Board on matters of current interest, including committee assignments. 4.2 Executive Director's Report Executive Director Yvette Yarbrough will present written and oral reports to the Board concerning recent agency activities, statistical reports, audit outcomes, revenues and expenditures, licensing information, enforcement information and issues from the legislative session. Mrs. Yarbrough will answer questions from the board members concerning any agency operations, legislative issues and other matters of concern to the Board. 4.3 FCLB Delegate Selection The Board will nominate and vote on a delegate and alternate delegate to the Federation of Chiropractic Licensing Boards (FCLB) for 2015. The delegate and/or alternate will be able to participate in the FCLB Annual Business Meeting in New Orleans on May 9, 2015. 4.4 NBCE Delegate Selection The Board will nominate and vote on a delegate and alternate delegate to the National Board of Chiropractic Examiners (NBCE) for 2015. The delegate and/or alternate will be able to participate in the NBCE Annual Business Meeting in New Orleans on May 8, 2015 (during the FCLB annual Congress). 4.5 NBCE Part IV Examiner Selection The Board will nominate and vote on two board members to act as examiners in the administration of the May examination and the Part IV Test Committee meeting. The May examination will be held on May 15, 16 and 17, 2015. The Test Committee Meeting will be held on June 12 and 13, 2015. 4.6 Enforcement Committee Restructure Dr. Tays will lead a discussion about possible restructure of the Enforcement Committee. This is an item that was tabled at the November 2014 meeting. 4.7 Recognition of Outgoing Board Members The Board will recognize outgoing Board members Dr. Larry Montgomery, Dr. Patrick Thomas, and Ms. Anne Boatright, whose terms expire this month. 5. Executive Session 5.1 The Board may meet in Executive Session for consultation with counsel pursuant to Section 551.071, Government Code, wherein the Board and essential staff will receive a briefing from assigned Assistant Attorney General and General Counsel concerning pending or contemplated litigation and settlement offers including but not limited to: 5.1.1 Texas Medical Association lawsuit against the Board, including remand, concerning Diagnosis. 5.1.2 Texas Medical Association lawsuit against the Board regarding Rule 75.17 Scope allowing DCs to perform Vestibular-Ocular-Nystagmus testing and challenge to diagnosis, as well as TMA challenge to definitions of musculoskeletal system and subluxation complex. 5.1.3 Eric VanderWerff, DC vs. TBCE – Lawsuit and appeal brought by Dr. VanderWerff challenging a Board Order issued in an enforcement case 5.1.4 Texas Association of Acupuncture and Oriental Medicine lawsuit against the Board, regarding the Board allowing certain chiropractors to perform acupuncture within scope of practice. The Board will reconvene in open session after Executive Session to vote on items considered in Executive Session as necessary. 6. Consideration of motions related to items discussed in Executive Session Board members will have the opportunity to offer motions related to any items discussed in Executive Session. 6.1 Consideration of Motions Related to Executive Session 7. Licensure and Educational Standards Committee business 7.1 Late License Renewal with Good Cause 7.1.1 Talih Ayache, License #5698 Non-Renewable 7.2 Facility Application Approval 7.2.1 Michael Koris, License #8149 Probation 7.3 License Reinstatement from a Non-Renewable Status 7.3.1 Lisa Pray, License #9883 Non-Renewable 7.4 License Reinstatement from a Revoked Status 7.4.1 Thomas Clark, License #6532 Revoked 7.5 Discussion and comments from Committee Chair concerning Committee business, activities or issues. 8. Rules Committee business 8.1 Discussion and Consideration of Rule Amendments and Repeals 8.1.1 Discussion and consideration of Rule Review Plan. 8.1.2 Discussion and consideration to propose the repeal of Rule 78.17 (Spinal Screenings). 8.1.3 Discussion and consideration to amend Rule 75.6 (Failure to Meet Continuing Education Requirements). 8.1.4 Discussion and consideration to amend Rule 77.5 (Delegation of Authority). 8.1.5 Discussion and consideration to amend Rule 77.9 (Out of Facility Practice). 8.1.6 Discussion and consideration to amend Rule 75.5 (Continuing Education). 8.1.7 Discussion and consideration to amend Rule 78.6 (Required Fees and Charges). 8.2 Discussion and comments from Committee Chair concerning Committee business, activities or issues 9. Enforcement Committee business 9.1 Consideration of Accepted Agreed Orders. The Board will receive a report from the Enforcement Committee concerning Agreed Orders that have been recommended by the Enforcement Committee and accepted by the Respondents pursuant to the Chiropractic Act s201.554. 9.1.1 Case # 111-038 & 111-159 9.1.2 Case # 111-113 9.1.3 Case # 2013-160 9.1.4 Case # 2013-171 9.1.5 Case # 2013-303 9.1.6 Case # 2013-305 9.1.7 Case # 2013-360 9.1.8 Case # 2014-109 9.1.9 Case # 2014-114 9.1.10 Case # 2014-177 9.1.11 Case # 2014-182 9.1.12 Case # 2014-183 9.1.13 Case # 2014-188 9.1.14 Case # 2014-223 9.1.15 Case # 2014-244 9.1.16 Case # 2014-264 9.1.17 Case # 2014-265 9.1.18 Case # 2015-002 9.1.19 Case # 2015-007 9.1.20 Case # 2015-036 9.2 Consideration of Requests to Expunge Records 9.2.1 Case # 2013-184 9.2.2 Case # 102-238 9.3 Consideration of Board Orders 9.3.1 Case # 2012-075 9.3.2 Case # 2013-111 9.3.3 Case # 2013-138 9.3.4 Case # 2012-247 9.3.5 Case # 2012-112 9.3.6 Case # 2013-008 9.4 Consideration of Cease and Desist Orders 9.4.1 Case # 2013-297 9.4.2 Case# 2013-302 9.4.3 Case# 2014-027 9.4.4 Case# 2014-112 9.4.5 Case# 2014-150 9.4.6 Case# 2014-157 9.4.7 Case# 2014-174 9.4.8 Case# 2014-201 9.4.9 Case# 2014-223 9.4.10 Case# 2014-248 9.4.11 Case# 2015-003 9.4.12 Case# 2015-014 9.4.13 Case# 2015-044 9.4.14 Case# 2015-066 9.4.15 Case# 2015-106 9.5 Consideration of Revocation Order 9.5.1 Case #2015-035 9.6 Discussion and comments from Committee Chair concerning Committee business, activities or issues. 10. Miscellaneous 10.1 Call for future items for discussion and/or consideration by the Board 10.2 Future Meeting Dates: The planned Board meeting dates for Calendar Year 2015 are: (1) May 21, 2015 (3) November 19, 2015 (2) August 20, 2015 *Note: All planned board meeting dates after November 2015 may be found on the agency's website (under Calendar) at: www.tbce.state.tx.us. All dates are tentative until posted in the Texas Register. The next Enforcement Committee dates apart from the board meetings are scheduled for: (1) April 14, 2015 (3) July 14, 2015 (2) May 20, 2015 (4) August 19, 2015 10.3 Adjournment. Additional Information Contact: Jo Manning, 512/305-6906
 
Texas Board of Chiropractic Examiners
February 19, 2015 – 08:30 AM
333 Guadalupe, Tower II, Room 225, Austin
 
The Executive Committee of the Texas Board of Chiropractic Examiners will consider and act, if necessary, on matters within the jurisdiction of the Committee which are listed on this agenda. The Committee may meet from time-to-time in executive session with respect to the agenda items as authorized by the Texas Open Meetings Act, Chapter 551 of the Government Code. 4. Executive Committee business Cynthia Tays, D.C. 4.1 President's Report Dr. Cynthia Tays may make a brief oral report to the Board on matters of current interest, including committee assignments. 4.2 Executive Director's Report Executive Director Yvette Yarbrough will present written and oral reports to the Board concerning recent agency activities, statistical reports, audit outcomes, revenues and expenditures, licensing information, enforcement information and issues from the legislative session. Mrs. Yarbrough will answer questions from the board members concerning any agency operations, legislative issues and other matters of concern to the Board. 4.3 FCLB Delegate Selection The Board will nominate and vote on a delegate and alternate delegate to the Federation of Chiropractic Licensing Boards (FCLB) for 2015. The delegate and/or alternate will be able to participate in the FCLB Annual Business Meeting in New Orleans on May 9, 2015. 4.4 NBCE Delegate Selection The Board will nominate and vote on a delegate and alternate delegate to the National Board of Chiropractic Examiners (NBCE) for 2015. The delegate and/or alternate will be able to participate in the NBCE Annual Business Meeting in New Orleans on May 8, 2015 (during the FCLB annual Congress). 4.5 NBCE Part IV Examiner Selection The Board will nominate and vote on two board members to act as examiners in the administration of the May examination and the Part IV Test Committee meeting. The May examination will be held on May 15, 16 and 17, 2015. The Test Committee Meeting will be held on June 12 and 13, 2015. 4.6 Enforcement Committee Restructure Dr. Tays will lead a discussion about possible restructure of the Enforcement Committee. This is an item that was tabled at the November 2014 meeting. 4.7 Recognition of Outgoing Board Members The Board will recognize outgoing Board members Dr. Larry Montgomery, Dr. Patrick Thomas, and Ms. Anne Boatright, whose terms expire this month. 4.8 Adjournment. Additional Information Contact: Jo Manning, 512/305-6906
 
Texas Board of Chiropractic Examiners
February 19, 2015 – 09:00 AM
333 Guadalupe, Tower II, Room 225, Austin
 
The Licensure and Educational Committee of the Texas Board of Chiropractic Examiners will consider and act, if necessary, on matters within the jurisdiction of the Committee which are listed on this agenda. The Committee may meet from time-to-time in executive session with respect to the agenda items as authorized by the Texas Open Meetings Act, Chapter 551 of the Government Code. 7. Licensure and educational standards committee business 7.1 Late License Renewal with Good Cause 7.1.1 Talih Ayache, License #5698 Non-Renewable 7.2 Facility Application Approval 7.2.1 Michael Koris, License #8149 Probation 7.3 License Reinstatement from a Non-Renewable Status 7.3.1 Lisa Pray, License #9883 Non-Renewable 7.4 License Reinstatement from a Revoked Status 7.4.1 Thomas Clark, License #6532 Revoked 7.5 Discussion and comments from Committee Chair concerning Committee business, activities or issues. 7.6 Adjournment. Additional Information Contact: jennifer@tbce.state.tx.us
 
Texas Board of Chiropractic Examiners
February 19, 2015 – 10:30 AM
333 Guadalupe, Tower II, Room 225, Austin
 
The Rules Committee of the Texas Board of Chiropractic Examiners will consider and act, if necessary, on matters within the jurisdiction of the Committee which are listed on this agenda. The Committee may meet from time-to-time in executive session with respect to the agenda items as authorized by the Texas Open Meetings Act, Chapter 551 of the Government Code. 8. Rules committee business 8.1 Discussion and Consideration of Rule Amendments and Repeals 8.1.1 Discussion and consideration of Rule Review Plan. 8.1.2 Discussion and consideration to propose the repeal of Rule 78.17 (Spinal Screenings). 8.1.3 Discussion and consideration to amend Rule 75.6 (Failure to Meet Continuing Education Requirements). 8.1.4 Discussion and consideration to amend Rule 77.5 (Delegation of Authority). 8.1.5 Discussion and consideration to amend Rule 77.9 (Out of Facility Practice). 8.1.6 Discussion and consideration to amend Rule 75.5 (Continuing Education). 8.1.7 Discussion and consideration to amend Rule 78.6 (Required Fees and Charges). 8.2 Discussion and comments from Committee Chair concerning Committee business, activities or issues 8.3 Adjournment. Additional Information Contact: Scott Stalnaker, 512/305-6706
 
Department of State Health Services
February 19, 2015 – 09:00 AM
Department of State Health Services, Moreton Building, Conference Room M-418, 1100 West 49th Street, Austin
 
Texas Bleeding Disorders Advisory Council The Council will meet in a telephone conference call meeting to discuss and possibly act on the following agenda: Welcome, Chair Call to Order and General Announcements Roll Call Review/Approval of Minutes of the November 20, 2014 Council Meeting Hemophilia Assistance Program Rules Update Legislation Update Texas Bleeding Disorders Advisory Council Report Update Discussion related to participation of writing hemophilia and other bleeding or clotting disorders articles Acceptance of Agenda Items and Scheduling the Next Council Meeting Public Comment Adjourn.  Additional Information Contact: Carol Labaj, 512/776-2780
 
Department of State Health Services
February 19, 2015 – 09:00 AM
Crowne Plaza Hotel, 6121 North I-35, Austin
 
Education Committee of the Governor's EMS and Trauma Advisory Council (GETAC) The Committee will meet to discuss and possibly act on the following agenda: Call to Order/Roll Call Discussion and possible action on the following items: 1. Development of the Advanced Practice Paramedic/Community Health Paramedic curriculum 2. Stroke-specific continuing education objectives for EMS personnel certification and recertification 3. Education, lessons learned, recommendations and treatment of patients with communicable diseases for EMS students during clinical and internship 4. Creation and support of an EMS Educator Conference in 2015 5. Review and update of The Strategic Plan for the Texas EMS/Trauma System 6. Identify and list the accomplishments of this committee since its inception and report back to the GETAC General Public Comment (Comment time may be limited at Chair's discretion) Summary for GETAC meeting report Announcements Review and list agenda items for next meeting Next Meeting Date Adjournment. Additional Information Contact: Phil Lockwood, 512/776-2780
 
Department of State Health Services
February 19, 2015 – 10:30 AM
Crowne Plaza Hotel, 6121 North I-35, Austin
 
Emergency Medical Services Committee of the Governor's EMS and Trauma Advisory Council (GETAC) The Committee will meet to discuss and possibly act on the following agenda: Call to Order/Roll Call Discussion and possible action on the following items: 1. Identify and list the accomplishments of this committee since its inception and report back to the GETAC. 2. Ebola virus disease, recommendations provided by the Centers for Disease Control and Prevention (CDC) and lessons 3. Update on status of revisions to the EMS and Trauma Systems rules in Title 25 of the Texas Administrative Code (TAC), Chapter 157. 4. Air Medical and EMS committees' joint discussion regarding air medical programs that may be engaging non-EMS and non-hospital entities to dial them directly in an emergency possibly bypassing the 911 system 5. Review of EMS rule at 25 TAC 157.11(m)(9) to address the various requirements for an EMS provider's delivery of its patient care reports to medical facilities at the time and location of its patient drop off at the medical facility and how to improve the sharing of the medical facility's outcome data of that patient with the EMS provider. 6. Update on DSHS Local Project Grants and recent changes on the outcomes of the most recent process. 7. Regarding the interstate recognition, cooperation and accountability of EMS personnel working across state boundaries, consider the model legislation document entitled, "Recognition of EMS Personnel Licensure Compact (REPLICA)," that is posted on the National Association of State EMS Officials (NASEMSO) website at www.nasemso.org/projects/interstatecompacts/index.asp. 8. EMS for Children (EMSC) update 9. Update from Trauma Registry Workgroup 10. Update on EMS provider license applications for initial applicants, the administrator of record (AOR) course and other changes, implemented as a result of Senate Bill 8, 83rd Legislature, 2013. 11. Update from Emergency Medical Task Forces (EMTFs). 12. Report on Texas EMS Trauma Registry 13. Review and update of The Strategic Plan for the Texas EMS/Trauma System 14. Identify and list the accomplishments of this committee since its inception and report back to the GETAC General Public Comment (Comment time may be limited at Chair's discretion) Summary for GETAC meeting report Announcements Review and list agenda items for next meeting Next Meeting Date Adjournment. Additional Information Contact: Phil Lockwood, 512/776-2780
 
Department of State Health Services
February 19, 2015 – 01:00 PM
Crowne Plaza Hotel, 6121 North I-35, Austin
 
Medical Directors Committee of the Governor's EMS and Trauma Advisory Council (GETAC) The Committee will meet to discuss and possibly act on the following agenda: Call to Order/Roll Call Review mission and vision statements for GETAC Vision A unified, comprehensive, and effective EMS/Trauma System for a healthy, safe Texas Mission To promote, develop, and maintain a comprehensive EMS/Trauma System that will meet the needs of all patients and that will raise the standards for community health care by implementing innovative techniques and systems for the delivery of emergency care for the entire population Discussion and possible action on the following items: 1. Stroke specific continuing education requirements for EMS personnel certification and recertification 2. Air Medical and EMS committees' joint discussion regarding air medical programs that may be engaging non-EMS and non-hospital entities to dial them directly in an emergency possibly bypassing the 911 system 3. Pediatric EMS Recognition Program 4. Consider endorsement of a position statement and sample clinical guidelines to be forwarded to GETAC regarding the revisions to Transportation Code, s724.017 by House Bill 434, 83rd Texas Legislature, 2013, relating to the persons authorized to take a blood specimen from a vehicle operator to test for alcohol concentration or other intoxicating substances 5. Scene control when there are multiple EMS providers, and the issue of patients being transported across state lines, particularly by air medical providers 6. Review and propose additions to the GETAC Medical Director web page at http://www.dshs.state.tx.us/emstraumasystems/medicaldirectorscom ittee.shtm 7. Consider recommendations and/or position statements on various situations during which EMS or air medical providers may be overused or inappropriately mandated for inter-facility transfers 8. Report from Trauma System Committee Registry Workgroup (TSCRW) 9. Consider approval of and submission to GETAC of talking points, a position statement and sample clinical guidelines on field clearance and/or limited spinal motion restriction 10. Consider municipal or county letters of approval of new EMS provider applicants, as required by Health and Safety Code, s773.0573 and 25 Texas Administrative Code (TAC) s157.11(b)(6)(Y), to provide guidance on determining the requirements of service levels mandated in those letters 11. Consider position statements regarding the transport and care of patients with behavioral disorders 12. Presentation: Pediatric Transfer and Transport Guidelines 13. Workgroup report and consider recommendations or position statements on didactic and clinical training necessary in addition to appropriate testing for Community Paramedic/Paramedic Practitioner 14. Consider recommendations regarding naloxone (Narcan) administration by persons not certified or licensed by DSHS 15. Workgroup report and recommendation on the gap (break in continuity) between the Medical Practice Act, Occupations Code Chapter 151, Texas Medical Board rules, Title 22, Texas Administrative Code (TAC), Chapter 197, and DSHS EMS rules, 25 TAC, Chapter 157. 16. Regarding the interstate recognition, cooperation and accountability of EMS personnel working across state boundaries, consider the model legislation document entitled, "Recognition of EMS Personnel Licensure Compact (REPLICA)," that is posted on the National Association of State EMS Officials (NASEMSO) website at www.nasemso.org/projects/interstatecompacts/index.asp. 17. Review and update of The Strategic Plan for the Texas EMS/Trauma System 18. Identify and list the accomplishments of this committee since its inception and report back to the GETAC General Public Comment (Comment time may be limited at Chair's discretion) Summary for GETAC meeting report Announcements Review and list agenda items for next meeting Next Meeting Date Adjournment. Additional Information Contact: Phil Lockwood, 512/776-2780
 
Department of State Health Services
February 19, 2015 – 02:30 PM
Crowne Plaza Hotel, 6121 North I-35, Austin
 
Trauma Systems Committee of the Governor's EMS and Trauma Advisory Council (GETAC) The Committee will meet to discuss and possibly act on the following agenda: Call to Order/Roll Call Discussion and possible action on the following items: 1. Recognition of committee members 2. Review of current DSHS EMS and Trauma System Rules, in Title 25 of the Texas Administrative Code, Chapter 157, and make recommendations to DSHS with regard to the process for applying for trauma facility designation. 3. Trauma System Strategic Plan Revisions 4. Report: Trauma Systems Committee Registry Workgroup (TSCRW) 5. Report: Trauma Systems Committee Trauma Medical Director's work group 6. Report: Trauma Systems Committee Mid-Level Provider workgroup 7. Report: Trauma Systems Committee Regional Advisory Council (RAC) System Development workgroup 8.Trauma Registrar's Trauma Registry Workgroup 9. Trauma Electronic Medical Record Implementation Workgroup 10. EMS patient care reports provided to receiving emergency facilities, as required by 25 TAC s157.11(m)(9) 11. Trauma center designation request for specialty services Trauma Electronic Medical Record Implementation Work Group 12. Committee Member Stakeholder Reports a. GETAC Council b. Region VI American College of Surgeons/Committee on Trauma (ACS/COT) c. Texas Trauma Coordinator's Forum (TTCF) d. Level IV Trauma Centers e. Level III Trauma Centers f. Level II Trauma Centers g. Level I Trauma Centers h. Pediatric Trauma Centers i. Texas EMS/Trauma Foundation (TETAF) Trauma Division j. Emergency Medical Services (EMS) k. Trauma Center Administrators l. Texas Hospital Association m. Emergency Nurses Association (ENA) 13. Report on Texas EMS Trauma Registry General Public Comment (Comment time may be limited at Chair's discretion) Summary for GETAC meeting report Announcements Review and list agenda items for next meeting Next Meeting Date Adjournment. Additional Information Contact: Phil Lockwood, 512/776-2780
 
Department of State Health Services
February 19, 2015 – 04:00 PM
Crowne Plaza Hotel, 6121 North I-35, Austin
 
Cardiac Care Committee of the Governor's EMS and Trauma Advisory Council (GETAC) The Committee will meet to discuss and possibly act on the following agenda: Call to Order/Roll Call Discussion and possible action on the following items: 1. Report on current results of the American Heart Association (AHA) ACTION Registry 2. Report on ST Segment Elevation Myocardial Infarction (STEMI) data collection addressed in the Appropriations Act, Rider 97, of the 83rd Texas Legislature, 2013. 3. Report on AHA Caruth 2 Heart Attack Public Awareness Campaign Initiative 4. Review and make recommendations for the revision of GETAC's 2002 document, entitled: "A Strategic Plan for the Texas EMS/Trauma System." 5. Report on the November of 2014 GETAC Council Meeting 6. Report on Texas Heart Attack Coalition (THAC) legislative initiatives 7. Review and update of The Strategic Plan for the Texas EMS/Trauma System 8. Identify and list the accomplishments of this committee since its inception and report back to the GETAC General Public Comment (Comment time may be limited at Chair's discretion) Summary for GETAC meeting report Announcements Review and list agenda items for next meeting Next Meeting Date Adjournment. Additional Information Contact: Phil Lockwood, 512/776-2780
 
Statewide Health Coordinating Council
February 19, 2015 – 10:00 AM
Department of State Health Services, Moreton Bldg., Room M-100, 1100 West 49th Street, Austin
 
The Council will meet to discuss and act upon the following agenda: 1. Chairman's welcome and introductions 2. Establish a quorum – Roll call and possible action to approve excused absences 3. Discussion and possible action to approve October 23, 2014 Meeting Minutes 4. Presentation on the 201502016 Update to the State Health Plan – Matt Turner, PhD, MPH 5. SHCC agency representatives' reports (including legislative updates) a. Texas Higher Education Coordinating Board – Stacey Silverman, PhD b. Health and Human Services Commission – Jimmy Blanton, M.P.Aff. c. Texas Department of State Health Services – Mike Maples d. Texas Department of Aging and Disability Services – Lisa Glenn, MD 6. Discussion and possible action related to the 2017-2022 State Health Plan a. Identifying strategy for stakeholder engagement process b. Identifying areas of focus for 2017-2022 State Health Plan 7. Discussion and possible action to establish SHCC subcommittees and/or project task forces 8. Health Professions Resource Center and SHCC project director's report – Matt Turner, PhD, MPH 9. Texas Center for Nursing Workforce Studies report – Tim J. Hawkins 10. Administrative items and next steps 11. Public comment and adjourn . Additional Information Contact: Matt Turner, 512/776-6541
 
2/20/2015
 
Department of State Health Services
February 20, 2015 – 09:00 AM
Crowne Plaza Hotel, 6121 North I-35, Austin
 
Governor's EMS and Trauma Advisory Council (GETAC) The Council will meet to discuss and possibly act on the following agenda: Call to Order Approval of Minutes Chair Report and Discussion Assistant Commissioner Report, Division for Regulatory Services State EMS Trauma System Report, Office of EMS Trauma Systems Coordination Assistant Commissioner Report, Environmental Epidemiology and Disease Registries Section Assistant Commissioner Report, Division for Regional and Local Health Services Preparedness Coordinating Council GETAC Committee Summary Reports: -Air Medical Committee -Cardiac Care Committee -Disaster/Emergency Preparedness Committee -Education Committee -EMS Committee -Injury Prevention Committee -Medical Directors Committee -Pediatric Committee -Stroke Committee -Trauma Systems Committee GETAC Liaison Summary Reports: Texas EMS, Trauma, and Acute Care Foundation (TETAF) EMS for Children State Partnership update Discussion, public comment, and possible action on the following items: Advisory Council Members (Public comment time may be limited at Chair's discretion) 1. Discussion and possible recommendation for stroke – specific continuing education requirements for EMS personnel certification and recertification. Report from the Stroke/Education Committee workgroups. 2. Discussion and possible recommendations on categorization or designation of Free Standing Emergency Departments (FSEDs) and other facilities providing emergency care 3. Discussion and possible recommendations on ST Segment Elevation Myocardial Infarction (STEMI) as a reportable disease 4. Discussion and possible recommendations regarding air medical programs that may be engaging non-EMS and non-hospital entities to dial them directly in an emergency possibly bypassing the 911 system 5. Discussion and possible recommendations on how to improve the sharing of a medical facility's patient outcome data with EMS providers 6. Discussion and possible endorsement of American College of Physicians (ACEP)/Emergency Nurses Association (ENA)/National Association of Emergency Medical Technicians (NAEMT)/National Association of State Emergency Medical Service Officials (NASEMSO) joint position statement on Transfer of Patient Care Between EMS Providers and Receiving Facilities 7. Report on Pediatric Transfer and Transport Guidelines from Charles Macias, MD, MPH 8. Discussion and possible recommendations regarding gaps (breaks in continuity) between The Medical Practice Act, Texas Medical Board (TMB) Rule 197 and Texas Administrative Code (TAC) Chapter 157 (David Persse, MD, and the Medical Directors Committee) 9. Discussion and possible recommendations on National Association of Emergency Medical Services Physicians (NAEMSP) 2014 Abstract #84 Outcomes from Prehospital Hydroxycobalamin for Fire-Associated Cyanide Poisoning in a Major Metropolitan Emergency Medical Service as an educational item that should be widely disseminated to the EMS community (David Persse, MD, and Medical Directors Committee) 10. Review and update of The Strategic Plan for the Texas EMS/Trauma System 11. Discussion and possible recommendations on renaming the Texas Trauma and EMS System strategic plan report General Public Comment (Comment time may be limited at Chair's discretion) Review and list agenda Items for next meeting Adjournment. Additional Information Contact: Phil Lockwood, 512/776-2780
 
2/22/2015
 
Department of State Health Services
February 22, 2015 – 04:00 PM
Omni Mandalay Hotel in Las Colinas, 221 E Los Colinas Blvd., Irving
 
Texas State Child Fatality Review Team Committee The State Child Fatality Review Team Committee will meet to discuss and possibly act on the following agenda: I. Roll Call and Establishment of Quorum II. Review and Approval of Meeting Minutes from the October 17th, 2014 Meeting III. Review and vote on State Child Fatality Review Team open positions V. Discussion of State Child Fatality Review Team Legislative Recommendations VI. Child Fatality Review Team coordinator update VII. Ask the State Child Fatality Review Team: Questions and Answers. Additional Information Contact: Amy Bailey, 512/776-2311
 
2/25/2015
 
Senate Committee on Finance
February 25, 2015 – 09:00 AM
Capitol Extension, Room E1.036, Austin
 
The committee will meet to consider SB 2 – Nelson, General Appropriations Bill: Article VIII, Regulatory:    Executive Council of Physical Therapy and Occupational Therapy Examiners, Board of Chiropractic Examiners, Board of Dental Examiners, Board of Pharmacy, Texas Board of Nursing, Board of Podiatric Medical Examiners, Optometry Board, Board of Examiners of Psychologists, Board of Veterinary Medical Examiners, Health Professions Council, Securities Board, Funeral Service Commission, Racing Commission, Board of Plumbing Examiners, Board of Professional Land Surveying, Department of Licensing and Regulation, Department of Insurance, Office of Public Insurance Counsel, Office of Injured Employee Counsel, State Office of Administrative Hearings, Board of Professional Geoscientists, Public Utility Commission, Office of Public Utility Counsel, Texas Medical Board, Special Provisions Relating to All Regulatory Agencies. Any unfinished business will be moved to a later date, to be determined. Invited Testimony: Any supporting written materials for the hearing must be provided to the Senate Finance Committee (SFC) 2 full business days before your scheduled hearing day. Please submit 50 copies to the SFC, and 6 copies to the LBB. Agencies should consult the postings regularly and maintain contact with their budget analyst at the Committee. Public Testimony: Those wishing to give public testimony, please limit prepared remarks to 3 minutes. If submitting written testimony, please submit 40 copies, with your name on each copy, to the Committee during the hearing. The afternoon hearing will reconvene 30 minutes after adjournment of the Senate. LBB presentation documents can be found at: http://www.lbb.state.tx.us/BudgetDocs.aspx?Table=Budget&Session=84. Additional information contact: Stephanie Hoover (512) 463-0370.
 
Texas Health and Human Services Commission
February 25, 2015 – 02:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd., Austin
 
Proposed Payment Rates for Community First Choice. This meeting will be webcast. Hearing.  The Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed payment rates for the Community First Choice (CFC) program.  The Department of Aging and Disability Services and HHSC operate various aspects of the CFC program.  The payment rates are proposed to be effective March 1, 2015.  The public hearing will be held in compliance with Human Resources Code §32.0282 and Title 1 of the Texas Administrative Code (TAC) §355.105(g), which require public notice and hearings on proposed reimbursement rates. Proposal.  HHSC proposes rates for CFC program services in accordance with the rate-setting methodology listed below under Methodology and Justification.  The methodology requires that CFC rates are established using pre-existing rates. Methodology and Justification.  The proposed rates were determined in accordance with the rate reimbursement setting methodology at 1 TAC §355.9090. Briefing Package.  A briefing package describing the proposed payment rates will be available at http://www.hhsc.state.tx.us/rad/rate-packets.shtml on or after February 11, 2015.  Those interested may obtain a copy of the briefing package before the hearing by contacting Rate Analysis by telephone at 512-730-7401; by fax at 512-730-7475; by email at RAD-LTSS@hhsc.state.tx.us. The briefing package also will be available at the public hearing. Written Comments.  Written comments regarding the proposed payment rates may be submitted instead of, or in addition to, oral testimony until 5 p.m. the day of the hearing.  Written comments may be sent by U.S. mail, overnight mail, special delivery mail, hand delivery, fax, or email: U.S. Mail: Health and Human Services Commission , Rate Analysis Department, H-400 , P.O. Box 149030 , Austin, Texas 78714-9030. Overnight mail, special-delivery mail or hand delivery: Health and Human Services Commission , Rate Analysis Department, H-400 , 4900 North Lamar , Austin, Texas 78751-2316. Phone number for package delivery: 512-730-7401. Fax Attention:  Rate Analysis at 512-730-7475. Email: RAD-LTSS@hhsc.state.tx.us
 
2/26/2015
 
Texas Health and Human Services Commission
February 26, 2015 – 09:00 AM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd., Austin
 
STAR Kids Managed Care Advisory Committee.  1. Welcome and Opening Remarks a.Member introductions b. Adopt meeting minutes from December 3, 2014 2. Health and Human Services Commission (HHSC) Updates a. STAR Kids Updates b. Prescribed Pediatric Extended Care Center Updates c. Updates on Administrative Processes 3. Member Input and Comments on STAR Kids Project 4. Discussion of the Medically Dependent Children Program 5. Discussion of the Individual Service Plan 6. Public Comment* 7. Adjourn *People who wish to submit written testimony in addition to or instead of in-person oral testimony may do so either by hardcopy or electronically.  The address for hardcopy submission: Brian Dees, Medicaid and Children's Health Insurance Program Division, Policy Development, 4900 North Lamar Blvd., MC-H310, Austin, TX 78751.  The address for electronic submission: STARKids@hhsc.state.tx.us.
 
-End of Report-