The following state agency health care hearings have been scheduled between 8/5 and 8/25.
8/8/2017
Texas Board of Nursing
August 8, 2017 – 08:30 AM
333 Guadalupe, Ste. 3-460, Austin
Eligibility and Disciplinary Committee TEXAS BOARD OF NURSING Eligibility and Disciplinary Committee Meeting AGENDA August 8, 2017 I. CALL TO ORDER-8:30 A.M. II. REVIEW OF THE AGENDA III. REVIEW OF THE MINUTES: June 13, 2017, Committee Meeting; June 9, 2017, Emergency Meeting; June 23, 2017, Emergency Meeting; June 26, 2017, Emergency Meeting July 18, 2017, 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. AGREED ORDERS D. REINSTATEMENTS AGREED ORDERS: E. ELIGIBILITY AGREED ORDERS: F. DEFAULT REVOCATION ORDERS: G. DEFERRED DISCIPLINARY ACTION AGREED ORDERS: H. AGREED ORDER – KSTAR PILOT PROGRAM: Additional Information Contact: Krystal Mendoza, 512/305-6869
Texas Health and Human Services Commission
August 8, 2017 – 1:30 PM
4900 North Lamar Blvd. (Health and Human Services Commission, Brown-Heatly Public Hearing Room), Austin
Hearing. The Texas Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on the proposed Medicaid payment rates for the Quarterly Healthcare Common Procedure Coding System (HCPCS) Updates. The hearing will be held in compliance with Texas Human Resources Code §32.0282, which requires public notice of and hearings on proposed Medicaid reimbursements. HHSC will broadcast the public hearing. The broadcast will be archived and can be accessed on demand. Proposal. The payment rates for the Quarterly HCPCS review of procedure codes C9484, C9485, C9486, Q9989, G0498, J7182, and Q5102 are proposed to be effective Oct.1, 2017. Methodology and Justification. The proposed payment rates were calculated in accordance with Title 1 of the Texas Administrative Code: §355.8085, which addresses the reimbursement methodology for physicians and other practitioners; and §355.8441, which addresses the reimbursement methodologies for Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) services (known in Texas as Texas Health Steps). Briefing Package. A briefing package describing the proposed payment rates will be available on or after Feb. 2, 2017. Those interested may obtain a copy of the briefing package before the hearing, on or after July 25, 2017, 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 1490, Austin, TX 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 Blvd., Austin, TX 78751. Phone number for package delivery: 512-730-7401. Fax Attention: Rate Analysis at 512-730-74751. Email: RADAcuteCare@hhsc.state.tx.us
Texas Health and Human Services Commission
August 8, 2017 – 1:30 PM
4900 North Lamar Blvd. (Health and Human Services Commission, Brown-Heatly Public Hearing Room), Austin
Hearing. The Texas Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on the proposed Medicaid payment rate for the Medical Policy Review of Clinical Laboratory Services (G0433 – HIV Testing). The hearing will be held in compliance with Texas Human Resources Code §32.0282, which requires public notice of and hearings on proposed Medicaid reimbursements. HHSC will broadcast the public hearing. The broadcast will be archived and can be accessed on demand. Proposal. The payment rate for the Medical Policy Review of Clinical Laboratory Services (G0433 – HIV Testing) is proposed to be effective July 1, 2017. Methodology and Justification. The proposed payment rate was calculated in accordance with Title 1 of the Texas Administrative Code §355.8610, which addresses the reimbursement methodology for clinical laboratory services. Briefing Package. A briefing package describing the proposed payment rate will be available on or after July 25, 2017. Those interested may obtain a copy of the briefing package before the hearing, on or after July 25, 2017, 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 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 1490, Austin, TX 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 Blvd., Austin, TX 78751. Phone number for package delivery: 512-730-7401. Fax Attention: Rate Analysis at 512-730-74751. Email: RADAcuteCare@hhsc.state.tx.us
Texas Health and Human Services Commission
August 8, 2017 – 1:30 PM
4900 North Lamar Blvd. (Health and Human Services Commission, Brown-Heatly Public Hearing Room), Austin
Hearing. The Texas Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed Medicaid payment rates for the Medical Policy Review of Magnetoencephalography. The hearing will be held in compliance with Texas Human Resources Code §32.0282, which requires public notice of and hearings on proposed Medicaid reimbursements. HHSC will broadcast the public hearing; the broadcast can be accessed at http://legacy-hhsc.hhsc.state.tx.us/news/webcasting.asp. The broadcast will be archived and can be accessed on demand at the same website. Proposal. The payment rates for the Medical Policy Review of Magnetoencephalography are proposed to be effective October 1, 2017. Methodology and Justification. The proposed payment rates were calculated in accordance with Title 1 of the Texas Administrative Code: §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 (EPSDT) services (known in Texas as Texas Health Steps). Briefing Package. A briefing package describing the proposed payment rates will be available on or after July 25, 2017. Interested parties may obtain a copy of the briefing package before the hearing, on or after July 25, 2017, by contacting Rate Analysis by telephone at (512) 730-7401; by fax at (512) 730-7475; or by e-mail at RADAcuteCare@hhsc.state.tx.us. The briefing package will also be available at the public 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 1490, Austin, TX 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 Blvd., Austin, TX 78751. Phone number for package delivery: 512-730-7401. Fax Attention: Rate Analysis at 512-730-74751. Email: RADAcuteCare@hhsc.state.tx.us
Texas Health and Human Services Commission
August 8, 2017 – 1:30 PM
4900 North Lamar Blvd. (Health and Human Services Commission, Brown-Heatly Public Hearing Room), Austin
Hearing. The Texas Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on the proposed Medicaid payment rates for the Medical Policy Review of Family Planning Services (J7301 & J7307). The hearing will be held in compliance with Texas Human Resources Code §32.0282, which requires public notice of and hearings on proposed Medicaid reimbursements. HHSC will broadcast the public hearing; the broadcast can be accessed online. The broadcast will be archived and can be accessed on demand at the same website. Proposal. The payment rates for the Medical Policy Review of Family Planning Services (J7301 & J7307) are proposed to be effective October 1, 2017. Methodology and Justification. The proposed payment rates were calculated in accordance with Title 1 of the Texas Administrative Code: §355.8085, which addresses the reimbursement methodology for physicians and other practitioners; §355.8441, which addresses the reimbursement methodologies for Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) services (known in Texas as Texas Health Steps); and §355.8641, which addresses the reimbursement methodology for the Women's Health Program. Briefing Package. A briefing package describing the proposed payment rates will be available on or after July 25, 2017. Interested parties may obtain a copy of the briefing package before the hearing, on or after July 25, 2017, by contacting Rate Analysis by telephone at (512) 730-7401; by fax at (512) 730-7475; or by e-mail at RADAcuteCare@hhsc.state.tx.us. The briefing package will also be available at the public 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 1490, Austin, TX 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 Blvd., Austin, TX 78751. Phone number for package delivery: 512-730-7401. Fax Attention: Rate Analysis at 512-730-74751. Email: RADAcuteCare@hhsc.state.tx.us
Texas Health and Human Services Commission
August 8, 2017 – 1:30 PM
4900 North Lamar Blvd. (Health and Human Services Commission, Brown-Heatly Public Hearing Room), Austin
Hearing. The Texas Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed Medicaid payment rates for the Medicaid Biennial Calendar Fee Review. The hearing will be held in compliance with Texas Human Resources Code §32.0282, which requires public notice of and hearings on proposed Medicaid reimbursements. HHSC will broadcast the public hearing. The broadcast will be archived and can be accessed on demand. Proposal. The payment rates for the Medicaid Biennial Calendar Fee Review are proposed to be effective Oct. 1, 2017, for the following services: Blood Products; Ears, Nose and Throat; Radiation Oncology; Nuclear Medicine; Physician Administered Drugs – Non-Oncology; Physician Administered Drugs – Oncology; Substance Use Disorder Services; Dental Services; Ambulance Services; Hospital Outpatient Imaging (Nuclear Medicine); and Rural Hospital Outpatient Imaging (Nuclear Medicine). Methodology and Justification. The proposed payment rates were calculated in accordance with Title 1 of the Texas Administrative Code: §355.8021, which addresses the reimbursement methodology for home health services and durable medical equipment, prosthetics, orthotics, and supplies; §355.8061, which addresses outpatient hospital reimbursement; §355.8085, which addresses the reimbursement methodology for physicians and other practitioners; §355.8441, which addresses the reimbursement methodologies for Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) services (known in Texas as Texas Health Steps); and §355.8600, which addresses the reimbursement methodology for ambulance services. Briefing Package. A briefing package describing the proposed payment rates will be available on or after July 25, 2017. Those interested may obtain a copy of the briefing package before the hearing, on or after July 25, 2017, 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 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 1490, Austin, TX 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 Blvd., Austin, TX 78751. Phone number for package delivery: 512-730-7401. Fax Attention: Rate Analysis at 512-730-74751. Email: RADAcuteCare@hhsc.state.tx.us
8/9/2017
Department of State Health Services
August 9, 2017 – 09:30 AM
Mission Capitol, 8303 North Mopac Expressway, Ste. A201, Austin
Public Health Funding and Policy Committee (PHFPC) This meeting will be available by teleconference. Call-in Number: 1-877-820-7831 Passcode: 899597# The Committee will meet to discuss and possibly act on the following agenda: Welcome/Call to Order – Committee Chair, Stephen Williams 1. Approval of June 7, 2017 Meeting Minutes* – Committee 2. Update on Preparedness Funding for Local Health Entities* – Mr. Bruce Clements 3. Discussion on DSHS Budget* – Mr. Kirk Cole 4. Update on Data Sharing Between DSHS and Local Health Entities* – Mr. Chris Aker 5. Update on Categorization of Local Health Entities* – Mr. Peter Hajmasy 6. Update on the Public Health Implementation Plan* – Mr. Peter Hajmasy 7. Discussion on Zika Funding for Local Health Entities* – Dr. Umair A. Shah 8. Update on Texas Syndromic Surveillance System* – Dr. Carrie Bradford 9. Discussion on Preparations for the 2017 Annual PHFPC Report* – Mr. Stephen Williams 10. Stakeholder Comment – Public 11. Agenda Items for Next Meeting* – Mr. Stephen Williams 12. Future Meeting Dates/Locations* – Mr. Stephen Williams 13. Adjourn – Mr. Stephen Williams *Denotes possible action items The committee accepts public testimony at meetings. Persons wishing to address the committee must complete a registration form at the reception desk before the start of the meeting. Agenda items may be taken in any order at the discretion of the Chair. Additional Information Contact: Glenna Laughlin, 512/776-7770
Texas Health and Human Services Commission
August 9, 2017 – 10:00 AM
4900 North Lamar Blvd. (Health and Human Services Commission, Brown-Heatly Public Hearing Room), Austin
Early Childhood Intervention Advisory Committee AGENDA: Early Childhood Intervention Advisory Committee August 9, 2017 10 a.m. Meeting Site: Health and Human Services Commission Brown-Heatly Public Hearing Room 4900 North Lamar Blvd. Austin, Texas 78751 Texas Penal Code Section 46.035(c) states: "A license holder commits an offense if the license holder intentionally, knowingly, or recklessly carries a handgun under the authority of Subchapter H, Chapter 411, Texas Government Code, regardless of whether the handgun is concealed or carried in a shoulder or belt holster, in the room or rooms where a meeting of a governmental entity is held and if the meeting is an open meeting subject to Chapter 551, Texas Government Code, and the entity provided notice as required by that chapter." Please note that this governmental meeting is, in the opinion of counsel representing the Health and Human Services Commission, an open meeting subject to Chapter 551, Texas Government Code, and the Health and the Human Services Commission is providing notice of this meeting as required by Chapter 551. In addition, please note that the written communication required by Texas Penal Code Sections 30.06 and 30.07, prohibiting both concealed and open carry of handguns by Texas Government Code Chapter 411 licensees, will be posted at the entrances to this governmental meeting. 1. Call to order 2. Approval of minutes from April 5, 2017 3. Legislative update 4. Advisory Committee roles/responsibilities 5. Early Childhood Intervention program update 6. Title V family/parent partnership success 7. Program Director/committee member updates 8. Public comment (limited to five minutes per person) 9. Adjourn Public comment may be taken on any agenda item. Additional Information Contact: Tammy miller, 512/424-6795
8/10/2017
Texas Health and Human Services Commission
August 10, 2017 – 09:00 AM
701 West 51st St. (Department of Aging and Disability Services, John H. Winters Building, Public, Hearing Room), Austin
Health and Human Services Office of Transformation AGENDA: Health and Human Services Office of Transformation August 10, 2017 9 a.m. Meeting Site: Department of Aging and Disability Services John H. Winters Building Public Hearing Room 701 West 51st St. Austin, TX 78751 This meeting will be webcast. To access the webcast, go to https://hhs.texas.gov/about-hhs/communications-events/live-archi ed-meetings the day and time of the meeting. 1. Welcome 2. Public comment regarding state hospital construction and state-funded mental health service delivery 3. Closing Contact: Questions regarding agenda items, content, or meeting arrangements should be directed to Joy Borjes, Government Relations Specialist, Health and Human Services Commission, 512-428-1973, or joy.borjes@hhsc.state.tx.us. Written comments may be submitted to HHS_Transformation@hhsc.state.tx.us or Joy Borjes, 4900 North Lamar Blvd., Mail Code 4001, Austin, TX 78751, by August 15, 2017. This meeting is open to the public. No reservations are required, and there is no cost to attend this meeting. Additional Information Contact: 512/706-7306
8/11/2017
Texas Medical Board
August 11, 2017 – 09:00 AM
333 Guadalupe, Tower 2, Suite 400A, Austin
Texas Physician Health Program TEXAS PHYSICIAN HEALTH PROGRAM Hobby Building PERSONNEL COMMITTEE MEETING 333 Guadalupe, Tower 2, Suite 400A Austin, Texas 78701 BOARD AGENDA Friday, August 11, 2017 9:00 a.m. Agenda item numbers are assigned for ease of reference only and do not necessarily reflect the order of their consideration by the Board. Call to Order; Roll Call; Welcome Agenda Item 1 Discussion, recommendations, and possible action regarding May 19, 2017 Governing Board meeting minutes and May 12, 2017 and June 9, 2017 Personnel Committee meetings Agenda Item 2 Discussion, recommendations, and possible action regarding case advisory panels and case reviews Agenda Item 3 Discussion, recommendations,and possible action regarding program operations a) Executive Medical Director report b) Report on program enrollment to date, program performance, program operations, program policies c) Legislative update d) Budget update e) Legal update Agenda Item 4 Discussion, recommendations, and possible action regarding interactions and information exchange with County Medical Societies Physician Wellness Committees and the program Agenda Item 5 Discussion, recommendations, and possible action regarding amending definition of substantial noncompliance' to include participant actions that result in an inability of the program to manage participants Agenda Item 6 Discussion, recommendations, and possible action regarding RecoveryTrek response to positive drug screens to ensure next day follow up testing Agenda Item 7 Discussion, recommendations, and possible action regarding third party referrals to the program Agenda Item 8 Discussion, recommendations, and possible action regarding scheduling, procedures, and upcoming Board meetings, member rotation, and possible agenda topics Agenda Item 9 Open forum for public comments Agenda Item 10 Adjourn. Executive Session The Board may close the meeting to the public and continue in executive session for the following reasons: a. Private consultation and advice of legal counsel concerning pending or contemplated litigation, settlement offers, and/or legal matters subject to the attorney-client privilege under the authority of the Open Meetings Act Section 551.071, Government Code b. Deliberations concerning the appointment, evaluation, reassignment, duties, discipline or dismissal of a public officer or employee or to hear a complaint or charge against an officer or employee under the authority of the Open Meetings Act Section 551.074, Government Code. While in executive session, the Board will not take any action, make any decision, or vote with regard to any matter that may be considered or discussed. A certified agenda of any executive session will be made. Additional Information Contact: Joan Howard Allen, 512/305-7030
Texas Medical Board
August 11, 2017 – 09:00 AM – 1:30 PM
333 Guadalupe, Tower 3, Suite 610, Austin
Disciplinary Panel 1.Call to order. 2.Roll call. 3.Consideration of the Cease and Desist hearings. 4.Adjourn. Additional Information Contact: Angel Johnson, 512/305-8099
State Board of Dental Examiners
August 11, 2017 – 09:30 AM
333 Guadalupe, Tower 2, Suite 225, Austin
Anesthesia Committee I. CALL TO ORDER. II. ROLL CALL OF COMMITTEE MEMBERS. III. PUBLIC COMMENTS. IV. DISCUSSION: a. Review of SB313 of the 85th Legislative Session b. Review of Chapter 110 c. New rules pursuant to SB313 d. Future rulemaking topics pursuant to SB313 V. OTHER. VI. Adjourn. Additional Information Contact: Carol Pepper, 512/475-1155
Texas Board of Nursing
August 11, 2017 – 10:00 AM
333 Guadalupe St., Hobby Building, Tower III, Rm. 102, Austin
Eligibility & Disciplinary Advisory Committee TEXAS BOARD OF NURSING 333 GUADALUPE STREET, SUITE 3-460 AUSTIN, TX 78701 Agenda for Eligibility & Disciplinary Advisory Committee Meeting William P. Hobby Building, Tower III, Room 102 Friday, August 11, 2017- 10:00 a.m. to 3:00 p.m. 1. Call to Order. 2. Review and Approval of the Agenda. 3. Review and Approval of the Meeting Minutes of June 9, 2017. 4. Continued review and discussion of the Board's current Disciplinary Guidelines for Criminal Conduct and discussion from Committee members regarding recommended amendments, including offenses that should be considered for removal from the Guidelines. Additional discussion may include: the nexus to the practice of nursing; consideration of felonies/misdemeanors; moral turpitude; criminal indictments; deferred adjudications/pre-trial diversions; professional character; a review of the current sanctions in the Guidelines; mitigation that could/should result in a lower sanction; and changes to the structure of Guidelines. Additional discussion may also include: the Sunset Commission's adopted recommendations; HB 2950; the Enhanced Nurse Licensure Compact; Board Rule 213.28 and recommended changes; Occupations Code Chapter 53; and the rules/policies related to criminal offenses and licensure of the Texas Medical Board, the Texas Pharmacy Board, and the Texas Department of Licensing and Regulation. 5. Discussion of Committee recommendations for the Board. 6. Items for Future Agenda. 7. Set Future Meeting Date. 8. Adjournment. Additional Information Contact: Jena Abel, 512/305-6822
Department of State Health Services
August 11, 2017 – 01:00 PM
1100 West 49th Street, Moreton Building, Room M100, Austin
Newborn Screening Advisory Committee Public attendees who wish to attend the meeting must be physically present as the call-in option is not available to the public. The Advisory Committee will meet via Conference Call to discuss and possibly act on the following agenda: Welcome and Introductions Committee Business Logistics Action: Review and Approval of Meeting Minutes for February 24, 2017 Follow-up: Hearing Aids for NICU Babies Pompe and MPS-1 Cost Estimates Plan for Implementation of X-ALD Screening Possible Action: Parental Refusal Form -DSHS Legal Update -Subcommittee Report Update: Fee Increase and Impact to Small Practices Public Comment Future Agenda Items / Next Meeting Date Adjournment. Additional Information Contact: Beth Rider, 512/776-7111
8/14/2017
Texas Health and Human Services Commission
August 14, 2017 – 01:00 PM
4900 North Lamar Blvd. (Health and Human Services Commission, Brown-Heatly Building, Public Hearing, Room), Austin
Women's Health Advisory Committee AGENDA: Women's Health Advisory Committee August 14, 2017 1 p.m. to 4 p.m. Meeting Site: Health and Human Services Commission Brown-Heatly Building Public Hearing Room 4900 North Lamar Blvd. Austin, TX 78751 1. Call to order 2. Welcome and opening remarks 3. Adoption of meeting minutes from May 15, 2017, (Vote Required) 4. Maternal Mortality in Texas presentation 5. Program updates 6. Public comment 7. Closing remarks 8. Adjourn. Additional Information Contact: 512/776-2328
8/16/2017
Department of State Health Services
August 16, 2017 – 09:00 AM
Wyndham Garden Austin, 3401 South IH-35, Austin
Governor's EMS and Trauma Advisory Council Aug 16-18. Individual committee information available here. Aug. 16 9:00AM Disaster Emergency Preparedness Committee Agenda 10:30AM Pediatric Committee Agenda 1:00PM Injury Prevention Committee Agenda 2:30PM Stroke Committee Agenda 4:00PM Air Medical Committee Agenda. Additional Information Contact: Colin Crocker, 512/776-7111
8/17/2017
Department of State Health Services
August 17, 2017 – 09:00 AM
Wyndham Garden Austin, 3401 South IH-35, Austin
Governor's EMS and Trauma Advisory Council Aug 16-18. Individual committee information available here. Aug. 17 9:00AM Education Committee 10:30AM Emergency Medical Services Committee 1:00PM Medical Directors Committee 2:30PM Trauma Systems Committee 4:00PM Cardiac Care Committee. Additional Information Contact: Colin Crocker, 512/776-7111
Texas Health and Human Services Commission
August 17, 2017 – 10:00 AM
4900 North Lamar Blvd. (Health and Human Services Commission, Brown-Heatly Building, Public Hearing, Room), Austin
State Medicaid Managed Care Advisory Committee AGENDA: State Medicaid Managed Care Advisory Committee August 17, 2017 10 a.m. Meeting Site: Health and Human Services Commission Brown-Heatly Building Public Hearing Room 4900 North Lamar Blvd. Austin, TX 78751 1. Call to order 2. Roll call 3. Welcoming remarks 4. Adoption of May 11, 2017, meeting minutes 5. Discussion and approval of suggested changes to committee strategic plan (vote required) 6. Discussion of the committee's annual report to the commissioner 7. Subcommittee discussion of resource needs 8. Public comment 9. Adjournment Public comment may be taken on any agenda item. Note: The MCO Automated Telephone System subcommittee will meet from 9 a.m. until 9:45 a.m. All other subcommittees will meet 20 minutes after the full committee meeting adjourns. Additional Information Contact: Charles Bredwell, 512/462-6337
Texas Health and Human Services Commission
August 17, 2017 – 01:30 PM
701 West 51st St. (Department of Aging and Disability Services, John H. Winters Building, Public, Hearing Room), Austin
Hospital Payment Advisory Committee AGENDA: Hospital Payment Advisory Committee August 17, 2017 1:30 p.m. Meeting Site: Department of Aging and Disability Services John H. Winters Building Public Hearing Room 701 West 51st St. Austin, TX 78751 1. Opening comments: Bill Galinsky, Hospital Payment Advisory Committee Chair 2. Approval of June 8, 2017, meeting minutes (vote required) INFORMATIONAL ITEMS: 3. Delivery System Reform Incentive Payment (DSRIP) Program Demonstration Years 7-8 HHSC proposes new rules to Texas Administrative Code (TAC), Title 1, Part 15, Chapter 354, Subchapter D, Division 7, relating to DSRIP Program Demonstration Years 7-8; Chapter 355, Subchapter J, Division 11, s355.8205, relating to DSRIP for Demonstration Years 7-8; and s355.8206, relating to Funding for DSRIP Monitoring Program for Demonstration Years 7-8. On December 12, 2011, the Centers for Medicare and Medicaid Services (CMS) approved Texas's request for a new Medicaid demonstration waiver entitled Texas Healthcare Transformation and Quality Improvement Program' in accordance with section 1115 of the Social Security Act. The DSRIP program is one of the three main components of this waiver. The initial waiver was approved through September 30, 2016, and an initial extension was granted through December 31, 2017. HHSC has requested an additional 21 months that would extend the waiver through September 30, 2019. The framework for DSRIP payments is governed by the Program Funding and Mechanics (PFM) protocol that is referenced in the waiver's Special Terms and Conditions. HHSC developed the draft PFM protocol proposal for the requested additional 21 months (demonstration years 7-8) and submitted it to CMS on May 17, 2017. These proposed new rules closely mirror the PFM protocol proposal that HHSC submitted to CMS. – Ardas Khalsa, HHSC Medicaid and CHIP Services Department, Deputy Director for Transformation Waiver Operations 4. Amendments to Disallowance Provisions in Directed Payment General Provisions HHSC proposes amendments to TAC Title 1, Part 15, Chapter 355, Subchapter O, s353.1301, relating to General Provisions. In March 2017, HHSC adopted a series of rules governing delivery system and provider payment initiatives through Medicaid managed care organizations (MCOs). These initiatives are generally funded through intergovernmental transfers (IGT) from local governmental entities. Given that these programs are not funded with state general revenue, HHSC must ensure that no state dollars are at risk through the operation of these programs. A disallowance by CMS is one potential risk to general revenue, unless HHSC can ensure that funds from another source are available. Section 353.1301(j) describes the procedure HHSC would use for a disallowance. The rule delineates between a disallowance for impermissible provider-related donations and all other disallowances. At present, if there is a disallowance for impermissible provider-related donations, the rule requires HHSC to recoup the disallowed amount from transferring governmental entities that caused the disallowance. If there is a disallowance for reasons other than an impermissible provider-related donation, HHSC reserves the right to recoup the disallowed amount from MCOs, providers, or governmental entities. In an effort to provide HHSC more flexibility when determining the appropriate entity from which to recoup, HHSC proposes to amend s353.1301 to remove the requirement to recoup only from governmental entities in the case of a disallowance for impermissible provider-related donations. Instead, HHSC reserves the right to recoup from MCOs, providers, or governmental entities for any disallowance. To minimize the risk to general revenue, HHSC requires that if a recoupment for a disallowance results in a subsequent disallowance, the entity that HHSC initially recouped against faces a recoupment for the subsequent disallowance. In addition, HHSC clarifies the heading for s353.1301(k) by changing the name from Recoupment' to Overpayment. – Pam McDonald, Director of HHSC Rate Analysis 5. Amendments to Uniform Hospital Rate Increase Program HHSC proposes amendments to TAC Title 1, Part 15, Chapter 355, Subchapter O, s355.1305, relating to the Uniform Hospital Rate Increase Program. In March 2017, HHSC adopted rules governing a provider payment initiative through Medicaid managed care organizations (MCOs) called the Uniform Hospital Rate Increase Program (UHRIP). See 42 Tex. Reg. 13 (2017). Under the UHRIP initiative, a service delivery area (SDA) may apply to receive an increase in certain hospital rates that would vary by class of hospital. Although UHRIP was supposed to begin in September 2017 and be available to any SDA, operational issues necessitated a delay. The issues included lack of readiness by MCOs, lack of program understanding among providers, and incomplete approvals from the CMS. HHSC proposes to amend the UHRIP rules in three ways. First, HHSC proposes to amend s353.1305(b)(7) and (8), the definitions of rural private hospital' and rural public hospital,' to be consistent with a revised definition of rural hospital' that HHSC adopted earlier this year in s355.8052 (relating to Inpatient Hospital Reimbursement). The definitions in this rule now refer to the definition of rural hospital' in s355.8052. Second, HHSC proposes to add s353.1305(k), which allows for a limited December 1, 2017, entry into UHRIP for a subset of SDAs. Specifically, if HHSC received an approval from CMS for any particular SDA by July 1, 2017, that SDA would be able to participate in UHRIP for dates of service beginning December 1, 2017. Third, HHSC standardizes references to SDAs throughout the section. – Pam McDonald, Director of HHSC Rate Analysis 6. Texas Healthcare Transformation and Quality Improvement Program extension update – HHSC Staff 7. Public comment 8. Proposed next meeting: November 9, 2017, at 1:30 p.m. 9. Adjourn Public comment may be taken on any agenda item. Additional Information Contact: 512/730-7423
8/18/2017
Department of State Health Services
August 18, 2017 – 08:00 AM
Wyndham Garden Austin, 3401 South IH 35, Austin
Governor's EMS and Trauma Advisory Council (GTAC) Call to Order Vision: A unified, comprehensive, and effective Emergency Healthcare System for a healthy and safe Texas. Mission: To promote, develop, and maintain a comprehensive data driven Emergency Healthcare System that will meet the needs of all patients and will raise the standards for high quality community health care by implementing innovative techniques and accountable systems for the delivery of emergency care for the entire population. Review and Approval of May 2017 Meeting Minutes Public Comment (Please sign-up to give public comment. Public comment time may be limited at Chair's discretion) 1. Chair Report and Discussion 2. State EMS Trauma System Report, Office of EMS/Trauma Systems 3. Associate Commissioner Report, Environmental Epidemiology and Disease Registries Section 4. 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 5. GETAC Liaison Summary Reports: Texas EMS, Trauma, and Acute Care Foundation (TETAF) EMS for Children (EMSC) State Partnership update Preparedness Coordination Council Discussion, public comment, and possible action on the following items: (Public comment time may be limited at Chair's discretion) 6. Reminder about public comment sign-in sheet procedure 7. Review Title 25 Texas Administrative Code Section 157.39, Comprehensive Clinical Management Approval and Comprehensive Clinical Program 8. Report on the collaborative effort between the Education Committee and the DSHS Community Health Workers Program 9. Review requests for the Texas EMS & Trauma Registries 10. Information sharing for high-consequence infectious disease 11. Update from committee/task force charged with examining the scope of mental health/behavioral health issues in emergency healthcare 12. Update on Stroke and Cardiac Care Committee suggestions regarding National EMS Information Systems data points and/or elements to be examined for the purposes of a state assessment 13. Update on the Texas Heart Attack and Stroke Data Collection Initiative 14. Update from the Cardiac Arrest Registry to Enhance Survival (CAREs) and the RAC Data Collaborative 15. Update from the EMS Committee working group on EMS peer assistance program 16. Update from the GETAC joint work group examining the availability of paramedic and initial paramedic education in rural and frontier areas of Texas 17. Update on Texas effort to educate and train the public to serve as first responders in intentional mass-casualty and active shooter events, also referred to as "BCON" (bleeding control) by several GETAC committees 18. Review of committee charges and agenda development criteria. This item will also be discussed at the October 2017 GETAC retreat 19. Review and possible approval of GETAC burn center workgroup recommendations 20. Review and possible endorsement of the American College of Surgeons Palliative Care Guidelines, the palliative care document "Adult Comfort Care Order Set Sample," and the "Best Practices Guide: Palliative Care for Review" document 21. Update from the GETAC chair and the Texas EMS & Trauma Registries on available reports 22. Update from Mr. Eric Epley regarding the San Antonio Community Collaborative 23. Update from the ad hoc GETAC workgroup to assess the possible designation or verification of all emergency departments, regardless of affiliation 24. Review the "GETAC Strategic Plan for the Texas Emergency Healthcare System" and determine if any additions, deletions or corrections are in order 25. Reminder that the GETAC committee application period will be from August 21st – September 17th, 2017. Committee selections will be deliberated in early October. 26. Reminder that the 2017 GETAC Retreat will be held from 4:00 P.M. – 9:00 P.M. on October 5th and from 8:00 A.M. – 12:00 P.M. on October 6th at the Austin Wyndham Garden Hotel. Review and list agenda items for next meeting Announcements Adjournment. Additional Information Contact: Colin Crocker, 512/776-7111
Texas Health and Human Services Commission
August 18, 2017 – 09:00 AM
4900 North Lamar Blvd.(Health and Human Services Commission, Brown-Heatly Building, Public Hearing Room), Austin
Behavioral Health Advisory Committee AGENDA: Behavioral Health Advisory Committee August 18, 2017 9 a.m. Meeting Site: Health and Human Services Commission Brown-Heatly Building Public Hearing Room 4900 North Lamar Blvd. Austin, TX 78751 1. Welcome, opening remarks, and introductions 2. Approval of minutes for April 28, 2017, meeting and review of past action items 3. Intellectual and Developmental Disabilities and Behavioral Health Services updates a. Recovery homes discussion b. Texas Targeted Opioid Response and other grant opportunities c. Strategic plan implementation d. Speak Your Mind Texas campaign 4. Legislative implementation a. H.B. 10, 85th Legislature, Regular Session, 2017 b. S.B. 292, 85th Legislature, Regular Session, 2017 c. H.B. 13, 85th Legislature, Regular Session, 2017 d. H.B. 1486, 85th Legislature, Regular Session, 2017 5. Public comment 6. 1115 Medicaid Waiver case study 7. Behavioral health initiatives for individuals with intellectual and developmental disabilities update 8. Subcommittee/committee reports a. Block Grant Subcommittee b. Children and Youth Behavioral Health Subcommittee c. Data Subcommittee d. Rules Subcommittee e. Policy Subcommittee f. Self-Directed Care update 9. Public comment 10. Planning for next meeting 11. Action items/committee recommendations 12. Closing remarks Public comment may be taken on any agenda item. Additional Information Contact: 512/487-3337
Texas Board of Occupational Therapy Examiners
August 18, 2017 – 09:00 AM
333 Guadalupe, Suite 2-510, Austin
1. Call to Order 2. Public comment 3. Approval of Minutes of May 5, 2017 4. Discussion and possible action on the Executive Director's Report concerning fiscal and budgetary matters, performance measures, ongoing projects, agency personnel matters, Executive Council activity, the recent Sunset Review, the recent legislative session, and other agency business 5. Investigation Committee Report A. Review and possible action on Agreed Orders for Case #s: 16-017; 16-095; 16-213; 17-072; 17-090; 17-091; 17-112; 17-119; 17-129; 17-142; 17-155; 17-159; 17-185; 17-187; 17-188; 17-190 and 17-201 B. Discussion and possible action on the Investigation Committee meeting of July 28, 2017 C. Discussion and possible action on investigative activities to date 6. Discussion and possible action on policy and rule changes based on SB 317 from the 85th Legislative Session including fingerprint-based criminal background checks of licensure applicants and licensees, a schedule of sanctions, administrative penalties, facility deregulation and expunction of facility-related administrative violations from a licensee's record, requirements for initial licensure, the separation of board and staff responsibilities, negotiated rulemaking and alternative dispute resolution, and establishing a process for selecting a license holder peer organization in this state to evaluate and approve continuing education courses 7. Discussion and possible action on SB 1107 from the 85th Legislative Session and Board rules concerning telehealth 8. Discussion and possible action on the OT Coordinator's Report. The Coordinator's Report may concern any items listed on the agenda and events that have occurred between this meeting and the Board's last meeting. 9. Discussion and possible action on the Presiding Officer's Report. The Presiding Officer's Report may concern any items listed on the agenda and events that have occurred between this meeting and the Board's last meeting. 10. Discussion and possible action on scheduling future Board meeting dates and agenda items for future consideration 11. Adjournment. Additional Information Contact: Lea Weiss, 512/305-6900
Department of State Health Services
August 18, 2017 – 10:00 AM
1100 West 49th Street, Moreton Building, Room M653, Austin
Texas State Child Fatality Review Team Committee The State Child Fatality Review Team (SCFRT) Committee will meet to discuss and possibly act on the following agenda: I. Roll Call and Establishment of Quorum II. Review & Approval of Meeting Minutes from the May 4th, 2017 Meeting III. Discussion and vote on new member – Medical Examiner IV. 85th legislative updates and how this affects the SCFRT V. 2014 and 2015 CFRT data presentation VI. Vote on recommendations for biennial report. Additional Information Contact: Amy Bailey, 512/776-2311
8/22/2017
Texas State Board of Pharmacy
August 22, 2017 – 10:00 AM
333 Guadalupe Street, Room 2-225, Austin
Pharmacies Compounding Sterile Preparations Stakeholders Meeting A G E N D A I. Call to Order and Welcome II. Announcements III. Discussion concerning CETA requirements in Board rule 291.133 IV. Adjourn. Additional Information Contact: Becky Damon, 512/305-8026
Texas Health and Human Services Commission
August 22, 2017 – 03:30 PM
4900 North Lamar Blvd. (Health and Human Services Commission, Brown-Heatly Building, Room 3501), Austin
System Adequacy Subcommittee AGENDA: Intellectual and Developmental Disability System Redesign Advisory Committee System Adequacy Subcommittee August 22, 2017 3:30 p.m. Meeting Site: Health and Human Services Commission Brown-Heatly Building Room 3501 4900 North Lamar Blvd. Austin, TX 78751 1. Welcome and introductions 2. Develop mission statement for new System Adequacy Subcommittee 3. Develop list of issues for subcommittee to discuss and prioritize 4. Determine dates for future meetings 5. Public comment 6. Adjourn Public comment may be taken on any agenda item. Additional Information Contact: 512/462-6278
8/24/17
Texas Health and Human Services Commission
August 24, 2017 – 01:00 PM
4900 North Lamar Blvd. (Health and Human Services Commission, Brown-Heatly Building, Conference Room 5155), Austin
Hearing. The Texas Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on the proposed payment rate for the Truman W. Smith Children's Care Center, a nursing facility in the pediatric care facility special reimbursement class. The hearing will be held in compliance with Texas Human Resources Code §32.0282, which requires public notice of and hearings on proposed Medicaid reimbursements. Proposal. HHSC proposes to increase the payment rate for the pediatric care facility special reimbursement class, of which the Truman W. Smith Children's Care Center is the sole provider, from $270.17 a day to $272.86 a day. The proposed rate will be effective to Sept. 1, 2017. Methodology and Justification. The proposed payment rate was calculated in accordance with Title 1 of the Texas Administrative Code §355.307, which addresses the reimbursement setting methodology for nursing facilities. Briefing Package. A briefing package describing the proposed payment rate will be available on or after Aug. 11, 2017. Those interested may also obtain a copy of the briefing package before the hearing by contacting the HHSC Rate Analysis Department by telephone at 512-730-7401; by fax at 512-730-7475; or by email at RAD-LTSS@hhsc.state.tx.us. In addition, the briefing package will be available at the public hearing. Written Comments. Written comments regarding the proposed payment rate 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, Mail Code H-400, P.O. Box 149030, Austin, TX 78714-9030. Overnight mail, special delivery mail, or hand delivery: Health and Human Services Commission, Rate Analysis Department, Mail Code H-400, Brown-Heatly Building, 4900 North Lamar Blvd., Austin, TX 78751. Phone number for package delivery: 512-730-7401. Fax: Attention: Brandon Wilson at 512-730-7475. Email: RAD-LTSS@hhsc.state.tx.us