The following legislative and state agency health care hearings have been scheduled between May 7 and May 27.
 
5/9/2016
 
Department of State Health Services
May 9, 2016 – 10:00 AM
Department of State Health Services, Tower Building, Room T-607, 1100 West 49th Street, Austin
 
Texas School Health Advisory Committee The Committee will meet to discuss and possibly act on the following agenda: I. Call to Order II. Welcome and Introductions III. Approval of the Agenda – Action Item IV. Reading and Approval of the March 7, 2016, Minutes – Action Item V. Research and Recommendation on Promoting Positive School Climates to Improve Student Outcomes – Action Item VI. Research and Recommendation on Health Issues and Parent Involvement – Action Item VII. Agency Updates: Texas Education Agency, Texas Department of Agriculture, Texas Department of State Health Services – Information Items VIII. Revision of the following documents: A. Research and Recommendation on School Bus and Automobile Idling – Action Item B. Research and Recommendation on Benefits to Students in School Districts that Prohibit Physical Education as Punishment – Discussion Item – Possible Action C. Resolution Supporting Inclusive Practices for Students with Exceptionalities in Texas Public Schools – Action Item IX. Fitnessgram Review for Data Collection for 2015-16 School Year – Information Item X. Recommendation on Sleep and Late School Starts – Discussion Item XI. Recommendation on the Local SHACs Role in Sexuality Instruction -Information Item XII. Agenda Topics for School Health Advisory Councils – Call for New Topics – Action Item XIII. Coordinated School Health Data Sets – Call for New Websites – Action Item XIV. Reminder of Next Meeting Date: May 9, 2016 – Information Item – Determine Agenda Topics – Action Item XV. Public Comment XVI. Adjourn. Additional Information Contact: Anita Wheeler-Hill, 512/776-7111
 
5/10/2016
 
Texas Board of Nursing
May 10, 2016 – 08:30 AM
333 Guadalupe Street 3-460, Austin
 
Eligibility and Disciplinary Committee Meeting Agenda I. Call to order-8:30 A.M. II. Review of the agenda III. Review of the minutes: March 8, 2016, Committee Meeting; March 25, 2016, Emergency Meeting; March 29, 2016, Emergency Meeting; April 15, 2016, Emergency Meeting; April 19, 2016, 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 – KSTAR PILOT PROGRAM. Additional Information Contact: Krystal Mendoza, 512/305-6869
 
Department of Aging and Disability Services
May 10, 2016 – 09:00 AM
John H. Winter's Bldg., Public Hearing Room, 701 W. 51st St, Austin
 
Long-term Care Facility Survey and Informal Dispute Resolution Council (S.B. 914) Written and oral public comment will be accepted at this meeting. 1. Welcome and Introductions (roll call) 2. Review and Approval of Minutes 3. Public Comment 4. Overview of Recommendations 5. Break 6. Discussion of Recommendations 7. Lunch 8. Voting on Recommendations to Include in Report 9. Voting on top 10 or 15 Recommendations 10. Break 11. Drafting of Report: Responsibilities and Assignments for Next Meeting 12. Adjournment. Additional Information Contact: Robert Ochoa, 512/438-3334
 
Texas Health and Human Services Commission
May 10, 2016 – 03:00 PM
Winters Building, Public Hearing Room,701 West 51st St., Austin
 
Proposed amendment to Supplemental Nutrition Assistance Programs Eligibility Requirements. Health and Human Services Commission (HHSC) will conduct a public hearing to receive comments on the proposed amendment to Title 1 of the Texas Administrative Code, Part 15, Chapter 372, Subchapter B, Division 9,  §372.501, concerning Disqualifications Due to Criminal Activity.  The proposed amendment will be published in the April 29, 2016, issue of the Texas Register. Written Comments.  Written comments on the proposed amendment to the rule may be submitted at the public hearing or to Diana Forester, Office of Social Services, HHSC, at Mail Code 2115, 909 West 45th St., Austin, TX 78751; by fax to 512-206-5141; or by email to OSS_PSAD@hhsc.state.tx.us within 30 days of publication of this proposal in the Texas Register.
 
5/11/2016
 
Department of State Health Services
May 11, 2016 – 09:00 AM
Wyndham Garden Austin, 3401 South IH 35, Austin
 
Governor's EMS and Trauma Advisory Council (GETAC) Disaster Emergency Preparedness Committee 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. Infectious Disease Response Unit (IDRU) C. Hospital Disaster Task Force 2. Pediatric Recognition Program for Emergency Departments 3. Regional Health and Medical Operations Centers (RHMOCs) 4. Identify 2016 priorities for the Disaster Emergency Preparedness Committee 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: Colin Crocker, 512/776-7111
 
Department of State Health Services
May 11, 2016 – 10:30 AM
Wyndham Garden Austin, 3401 South IH 35, Austin
 
Governor's EMS and Trauma Advisory Council (GETAC) Pediatrics Committee Call to Order/Roll Call/Introductions Committee liaison reports: a. Air Medical b. Emergency Medical Services c. Education d. Injury Prevention e. Medical Directors f. Stroke g. Trauma Systems h. Regional Advisory Council chairs (volunteer liaison needed) i. Disaster and Emergency Preparedness (volunteer liaison needed) Discussion and possible action on the following items: 1. Update on Child Fatality Review Teams, including possible infant and child mortality updates from the Center for the Prevention of Child Maltreatment 2. Update on the National Pediatric Readiness Project activities, including Emergency Nurses Association demonstration project meeting 3. Update on Pediatric Facility Recognition Program 4. EMS for Children State Partnership update 5. Update on Texas Consideration for Pediatric Consultation and Transfer Guideline 6. Texas EMS and Trauma Registries pediatrics report status update 8. Review and discuss scope and best practices for pediatric paramedicine, review and discuss any GETAC progress on the issue 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: Colin Crocker, 512/776-7111
 
Department of State Health Services
May 11, 2016 – 01:00 PM
Wyndham Garden Austin, 3401 South IH 35, Austin
 
Governor's EMS and Trauma Advisory Council (GETAC) Injury Prevention Committee Call to Order/Roll Call Approval of minutes from February, 2016 meeting Discussion and possible action on the following items: 1. Update from the State Child Fatality Review Team 2. Texas Emergency Medical Services, Trauma & Acute Care Foundation and Texas Trauma Coordinators Forum injury prevention reports 3. Emergency Medical Services for Children Update 4. Child abuse prevention presentation 5. Update on the League of Women's Voters request for more comprehensive firearm injury data collection in Texas 6. Texas EMS and Trauma Registries data reports 7. Update on the development of Evidence-Based Texting/Driving Prevention fact sheet 8. Update on the Texas Injury Prevention Leadership Symposium Scheduling of future meetings 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: Colin Crocker, 512/776-7111
 
Texas Health and Human Services Commission
May 11, 2016 – 01:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd., Austin
 
Proposed Medicaid Payment Rates for the Special Review of Adult Ophthalmological Services. Hearing.  Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed Medicaid payment rates for the Special Review of Adult Ophthalmological Services.  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 also will broadcast the public hearing. The broadcast will be archived and can be accessed on demand. Proposal.  The payment rates for the Special Review of Adult Ophthalmological Services are proposed to be effective May 1, 2016. Methodology and Justification. The proposed payment rates were calculated in accordance with 1 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 services (known in Texas as Texas Health Steps). Briefing Package.  A briefing package describing the proposed payment rates will be available at on or after April 27, 2016.  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 Blvd., 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
May 11, 2016 – 01:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd., Austin
 
Proposed Medicaid Payment Rates for the Medical Policy Review of Screening Brief Intervention and Referral to Treatment. Hearing.  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 Screening Brief Intervention and Referral to Treatment (SBIRT).  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 also will broadcast the public hearing. The broadcast will be archived and can be accessed on demand. Proposal.  The payment rates for the Medical Policy Review of SBIRT are proposed to be effective July 1, 2016. Methodology and Justification. The proposed payment rates were calculated in accordance with 1 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 services (known in Texas as Texas Health Steps). Briefing Package.  A briefing package describing the proposed payment rates will be available at on or after April 27, 2016.  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 Blvd., 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
May 11, 2016 – 01:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd., Austin
 
Proposed Medicaid Payment Rates for the Medical Policy Review of Radiology Services. Hearing.  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 Radiology Services (77013, 77022, and 78608).  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 also will broadcast the public hearing. The broadcast will be archived and can be accessed on demand. Proposal.  The payment rates for the Medical Policy Review of Radiology Services (77013, 77022, and 78608) are proposed to be effective July 1, 2016. Methodology and Justification. The proposed payment rates were calculated in accordance with 1 Texas Administrative Code §355.8085, which addresses the reimbursement methodology for physicians and other practitioners. Briefing Package.  A briefing package describing the proposed payment rates will be available at on or after April 27, 2016.  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 Blvd., 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
May 11, 2016 – 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 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 also 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 July 1, 2016, for the following services: Birthing Centers, Clinical Lab, Nervous System Surgery. Methodology and Justification. The proposed payment rates were calculated in accordance with 1 Texas Administrative Code: §355.8061, which addresses outpatient hospital reimbursement; §355.8085, which addresses the reimbursement methodology for physicians and other practitioners; §355.8181, which addresses the reimbursement methodology for birthing center services; §355.8441, which addresses the reimbursement methodology for Early and Periodic Screening, Diagnosis, and Treatment services (known in Texas as Texas Health Steps); and §355.8610, which addresses the reimbursement methodology for Clinical Laboratory Services. Briefing Package.  A briefing package describing the proposed payment rates will be available at on or after April 27, 2016.  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 Blvd., 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
May 11, 2016 – 01:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd., Austin
 
Proposed Medicaid Payment Rates for the Annual 2016 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 2016 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 also will broadcast the public hearing. The broadcast will be archived and can be accessed on demand. Proposal.  The payment rates for the Annual 2016 HCPCS Updates are proposed to be effective May 1, 2016, for Hospital G Codes – Type of Service 5 (Laboratory). Methodology and Justification. The proposed payment rates were calculated in accordance with 1 Texas Administrative Code §355.8610, which addresses the reimbursement methodology for Clinical Laboratory Services. Briefing Package.  A briefing package describing the proposed payment rates will be available at on or after April 27, 2016.  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 Blvd., 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
May 11, 2016 – 02:30 PM
Wyndham Garden Austin, 3401 South IH 35, Austin
 
Governor's EMS and Trauma Advisory Council (GETAC) Stroke Committee Call to Order/Roll Call Discussion and possible action on the following items: 1. Report on the Stroke Education Program Workgroup activities 2. Report and suggestions of the Transport Bypass Workgroup regarding severity adjusted triage criteria for hospital bypass of ambulance patients 3. Data working group update on Brain Attack Coalition guidelines. Review of Acute Stroke Ready Hospitals, Det Norsk Veritas, and the Center for Improvement in Health Care Quality, and Joint Commission as certifying agencies 4. Report and update from the Texas Council on Cardiovascular Disease and Stroke 5. Report and update from the University of Texas at Houston Stroke Center Mapping Project 6. Review and possible recommendation of first responder field assessment stroke tools 7. Update and input from the Pediatric Stroke work group 8. Review and discuss revisions to Texas Department of State Health Services (DSHS) Stroke rules in Title 25 of the Texas Administrative Code (TAC), Chapter 157 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: Colin Crocker, 512/776-7111
 
Department of State Health Services
May 11, 2016 – 04:00 PM
Wyndham Garden Austin, 3401 South IH 35, Austin
 
Governor's EMS and Trauma Advisory Council (GETAC) Air Medical Committee Call to Order/Roll Call Discussion and possible action on the following items: 1. Discussion and possible approval of support for white paper development concerning air medical inclusion in Regional Advisory Council quality improvement and performance improvement processes 2. Regarding a potential strategic planning process for the Air Medical Committee 3. Pediatric Recognition Program for Emergency Departments 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: Colin Crocker, 512/776-7111
 
5/12/2016
 
Texas Health and Human Services Commission
May 12, 2016 – 09:00 AM
701 West 51st St. (Department of Aging and Disability Services, John H. Winters Building, Public Hearing Room), Austin
 
Medical Care Advisory Committee 1. Opening comments: Gilbert Handal, M.D., Medical Care Advisory Committee Chair. 2. Comments from the Associate Commissioner for Medicaid and Children's Health Insurance Program (CHIP), Gary Jessee, Health and Human Services Commission (HHSC). 3. Approval of February 18, 2016, meeting minutes (Vote Required). Informational items: 4. Managed Care Organizations (MCO) Audit Coordination.* HHSC proposes new Texas Administrative Code (TAC) Title 1, Part 15, Chapter 353, Subchapter A, s353.6, concerning Audit of Managed Care Organizations, and new Chapter 371, Subchapter B, s371.37, concerning Audit of Managed Care Organizations. The proposed new rules implement s533.015, Texas Government Code, as amended by Senate Bills 200 and 207, 84th Legislature, Regular Session, 2015. Section 533.015(b) requires the HHSC Executive Commissioner to define the roles in, jurisdiction over, and frequency of audits of managed care organizations (MCOs) participating in Medicaid conducted by various divisions of HHSC, including the Office of the Inspector General (OIG). The proposed new rules require coordination between various divisions of HHSC in conducting MCO audits, as directed by the HHSC Executive Commissioner through specific policy directives; clarify the roles of HHSC and the OIG with respect to audits of MCOs; and require coordination between HHSC and the OIG in conducting such audits. – Rich Stebbins, Director III, Medicaid (MCD) Finance Management, HHSC 5. Chapter 370 Unborn & Juvenile Facilities.* HHSC proposes amendments to TAC Title 1, Part 15, Chapter 370, concerning CHIP, to align the rules with federal law and current HHSC policy and processes. Under federal law, a child who is an inmate of a public institution is not eligible for CHIP (370.307) and that the unborn children of pregnant individuals are to be counted as part of the household composition for purposes of CHIP (370.807). – Gina Perez, Interim Director, Policy Strategy, Analysis, and Development Office of Social Services, HHSC 6. Delivery System Reform Incentive Payment (DSRIP) Program Transition June.* HHSC proposes new TAC Title 1, Part 15, Chapter 354, Subchapter D, Division 5, concerning Actions in Preparation for Extension of the DSRIP Program, and new 354.1641 to 354.1649 within the new division. In September 2015, HHSC proposed an extension of the Texas Healthcare Transformation and Quality Improvement Program, a Section 1115 Waiver that expires on September 30, 2016. As part of the extension of the 1115 Waiver, HHSC intends to extend the DSRIP program. DSRIP is a program for hospitals and certain other providers to implement transformative projects to increase access to care and quality of care. To prepare for expected changes in the structure of DSRIP, HHSC proposed a transition year to coincide with the first demonstration year in the extension period (or sixth demonstration year overall). Performing providers must take certain steps to prepare for the transition year. These proposed new rules describe the steps expected of performing providers. First, a performing provider may elect to continue, end, or replace the provider's existing projects. Second, a performing provider may request adjustments to certain DSRIP project characteristics. Third, HHSC plans to require the provision of Quantifiable Patient Impact data by a particular method and will require that performing providers report Medicaid identification numbers as a necessary component to getting a DSRIP payment. HHSC is offering exceptions to certain performing providers. – Ardas Khalsa, Medicaid/CHIP Deputy Director for Transformation Waiver Operations, HHSC notice of proposed rules / action items: 7. DSRIP Program Transition Year.* HHSC proposes new TAC Title 1, Part 15, Chapter 354, Subchapter D, new Division 6, concerning DSRIP Program Transition Year, and new 354.1661, 354.1663, 354.1665, 354.1667, 354.1669, 354.1671, 354.1673, and 354.1675 within the new division. HHSC also proposes to amend Chapter 354, Subchapter D, Division 3, s354.1624, concerning Independent Assessment of DSRIP Projects. In September 2015, HHSC proposed an extension of the Texas Healthcare Transformation and Quality Improvement Program, a Section 1115 Waiver that expires on September 30, 2016. As part of the extension of the 1115 Waiver, HHSC intends to extend the DSRIP program. DSRIP is a program for hospitals and certain other providers to propose transformative projects that will increase access to care and quality of care. Changes in the structure of DSRIP in later years of the 1115 Waiver extension are expected. To allow for time to address future changes, HHSC proposed to the Centers for Medicare & Medicaid Services (CMS) a transition year to coincide with the first demonstration year in the extension period (or sixth demonstration year overall). The proposed rules in new Division 6 outline the requirements for that transition year. In this transition year, HHSC proposes to simplify the structure and administration of the DSRIP program while maintaining the overall level of funding to performing providers (or performer as used in the DSRIP rules). To that end, HHSC proposes to focus payments more directly on the impact to patients. Additionally, HHSC hopes to innovate within the DSRIP program by adding a performance bonus pool for the various regional healthcare partnerships (RHPs). This bonus pool will further incentivize members of the several RHPs to collectively strive to address critical regional needs. HHSC is currently negotiating with CMS on the extension of the DSRIP program and the policies surrounding the transition year. However, the proposed rules mirror the proposal made to CMS regarding the transition year. HHSC will update these rules, as necessary, in accordance with CMS guidance. HHSC is also proposing an amendment to s354.1624 to specify that compliance monitoring is an ongoing process that will continue in the transition year and to clarify providers' responsibility to provide any requested documentation to the independent assessor and HHSC. The proposed amendment also clarifies that HHSC can initiate recoupments based on the findings of the independent assessor. Ardas Khalsa, Medicaid/CHIP Deputy Director for Transformation Waiver Operations, HHSC 8. Chapter 358 Achieving a Better Life Experience Program (ABLE) & School-Based Accounts.* HHSC proposes new TAC Title 1, Part 15, Chapter 358, s358.357, concerning ABLE Program; s358.358, concerning School-Based Savings Program; s358.389, concerning ABLE Program; and s358.390, concerning School-Based Savings Program. The new rules exclude ABLE accounts and School-Based Savings accounts from being counted as income and resources when determining eligibility for Medicaid Eligibility for Elderly and People with Disabilities (MEPD) programs. The proposed rules implement provisions of Texas Education Code s54.9065, adopted by Senate Bill (SB) 1664, and Texas Human Resources Code s32.02611, adopted by House Bill (HB) 3987, 84th Legislature, Regular Session, 2015, for MEPD. The proposed new 358.357 and 358.389 exclude funds used to establish an ABLE account, funds held in an ABLE account, interest earned on an ABLE account, and payments for expenses for the designated beneficiary from resources and income calculations in determining financial eligibility for MEPD programs, as specified Texas Human Resources Code s32.02611. The proposed new 358.358 and 358.390 exclude school-based savings accounts and interest earned on the accounts from resources and income calculations in determining eligibility for MEPD, as specified by Texas Education Code s54.9065. – Gina Perez, Interim Director, Policy Strategy, Analysis, and Development, Office of Social Services, HHSC 9. Chapter 359 ABLE & School-Based Accounts.* HHSC proposes amendments to TAC Title 1, Part 15, Chapter 359, s359.103, concerning the Qualified Medicare Beneficiary Program and s359.109, concerning the Qualified Disabled and Working Individual Program. Together, the rules as amended exclude ABLE accounts and School-Based Savings accounts from being counted as income and resources when determining eligibility for Medicare Savings Programs. The proposed rules implement provisions of Texas Education Code s54.9065, adopted by SB 1664, and Texas Human Resources Code s32.02611, adopted by HB 3987, 84th Legislature, Regular Session, 2015, for Medicare Savings Programs. The proposed amendments to s359.103 exclude funds used to establish an ABLE account, funds held in an ABLE account, interest earned on an ABLE account, and payments for expenses for the designated beneficiary from resources and income calculations in determining financial eligibility for the Qualified Medicare Beneficiary (QMB) program as specified by Texas Education Code s54.9065. HHSC will also exclude school-based savings accounts and interest earned on the accounts from resources and income calculations in determining eligibility for QMB as specified by Texas Human Resources Code s32.02611. The proposed amendments to s359.109 exclude funds used to establish an ABLE account, funds held in an ABLE account, interest earned on an ABLE account, and payments for expenses for the designated beneficiary from resources and income calculations in determining financial eligibility for Qualified Disabled and Working Individual (QDWI) programs as specified by SB 1664. HHSC will also exclude school-based savings accounts and interest earned on the accounts from resources and income calculations in determining eligibility for QDWI as specified by Texas Human Resources Code s32.02611. – Gina Perez, Interim Director, Policy Strategy, Analysis, and Development, Office of Social Services, HHSC 10. Chapter 360 ABLE & School-Based Accounts.* HHSC proposes amendments to TAC Title 1, Part 15, Chapter 360, s360.113, concerning Resources. The proposed rules implement provisions of Texas Education Code s54.9065, adopted by SB 1664, and Texas Human Resources Code s32.02611, adopted by HB 3987, 84th Legislature, Regular Session, 2015, for the Medicaid Buy-In (MBI) program. The proposed amendments to s360.113 exclude funds used to establish an ABLE account and funds held in an ABLE account from resources calculations in determining financial eligibility for the MBI program, as specified by Texas Education Code s54.9065. HHSC will also exclude school-based savings accounts from resources calculations in determining eligibility for MBI, as specified by Texas Human Resource Code s32.02611. – Gina Perez, Interim Director, Policy Strategy, Analysis, and Development, Office of Social Services, HHSC 11. Chapter 361 ABLE & School-Based Accounts.* HHSC proposes amendments to TAC Title 1, Part 15, Chapter 361, s361.111, concerning Income. The proposed rules implement provisions of Texas Education Code s54.9065, adopted by SB 1664, and Texas Human Resources Code s32.02611, adopted by HB 3987, 84th Legislature, Regular Session, 2015, for the Medicaid Buy-In for Children (MBIC) program. The proposed amendments to s361.111 exclude interest earned on an ABLE account and payments for expenses for the designated beneficiary from income calculations in determining financial eligibility for the MBIC program, as specified by Texas Education Code s54.9065. HHSC will also exclude interest earned on school-based savings accounts from income calculations in determining eligibility for MBIC, as specified by Texas Human Resources Code s32.02611. – Gina Perez, Interim Director, Policy Strategy, Analysis, and Development, Office of Social Services, HHSC 12. Chapter 358 Same-Sex Marriage.* HHSC proposes amendments to TAC Title 1, Part 15, Chapter 358, Subchapter C, Division 6, s358.431, concerning Definitions. The proposed rules implement the Supreme Court Decision Obergefell v. Hodges, 576 U.S. 135 (2015), issued on June 26, 2015, for Medicaid for the Elderly and People with Disabilities (MEPD). The proposed amendments to s358.431 specify that marriages include legally married same-sex couples in determining eligibility for MEPD. – Gina Perez, Interim Director, Policy Strategy, Analysis, and Development, Office of Social Services, HHSC 13. Chapter 366 Affordable Care Act (ACA), School-Based Accounts.* HHSC proposes amendments to TAC Title 1, Part 15, Chapter 366, s366.319, concerning Child Support and Medical Support; s366.703 and s366.707, concerning Medicaid for Parents and Caretaker Relatives; s366.821 and s366.847, concerning Medically Needy Program; and s366.1107, concerning Determination of Household Composition. The proposed rules implement provisions of the ACA and Texas Human Resources Code s32.02611, adopted by HB 3987, 84th Legislature, Regular Session, 2015. The proposed amendments will ensure the needs of the unborn are counted correctly in an individual's household composition (366.1107), include a parent or caretaker's spouse in eligibility determinations (366.707), exclude school-based savings accounts as countable resources when determining eligibility for the Medically Needy Program (366.847), remove the deprivation requirement (366.703), and remove the requirement for a pregnant woman to provide the name and last known address of the father of her unborn child (366.319 and 366.821). – Gina Perez, Interim Director, Policy Strategy, Analysis, and Development, Office of Social Services, HHSC 14. Durable Medical Equipment (DME) Physician Signature.* HHSC proposes amendments to TAC Title 1, Part 15, Chapter 354, Subchapter A, Division 3, s354.1039, concerning Home Health Services Benefits and Limitations. Currently, s354.1039 requires that a prior authorization request for repairs of DME or appliances must include a statement or medical information from the attending physician substantiating that the medical appliance or equipment continues to serve a specific medical purpose and an itemized estimated cost list of the repairs. The requirement for a statement from the attending physician is administratively burdensome on DME providers requesting prior authorization for the repair of a DME or appliance. Therefore, HHSC proposes to remove this requirement. – Laurie VanHoose, Director, MCD Medical Benefits, HHSC 15. Program for All-Inclusive Care for the Elderly (PACE).* HHSC proposes amendments to TAC Title 1, Part 15, Chapter 355, Subchapter E, Rule s355.501, concerning Reimbursement Methodology for Program for All-Inclusive Care for the Elderly (PACE). The purpose of the proposed amendments is two-fold. First, the proposed amendments align the rule with the shift from a fee-for-service payment system to a managed care payment system. The proposed amendments will thus adjust the underlying methodology and the data sources for determining PACE reimbursement. Second, the proposed amendments implement HB 3823, 84th Legislature, Regular Session, 2015, which outlines new requirements for reimbursement methodology. On the whole, the legislation links PACE reimbursement rates to those of the STAR+PLUS Medicaid program, modifies the methods for collecting PACE and STAR+PLUS Medicaid program data, and requires a comparison of PACE costs and care outcomes to STAR+PLUS Medicaid costs and outcomes. – William Warburton, Actuary, Financial Services, HHSC 16. STAR Kids, STAR+PLUS, STAR Health, and Home and Community-Based Services.* HHSC proposes new TAC Title 1, Part 15, Chapter 353, Subchapter M, concerning Home and Community-Based Services in Managed Care and Subchapter N concerning STAR Kids. HHSC also proposes amendments to TAC Title 1, Part 15, Chapter 353, Subchapter A, concerning General Provisions; Subchapter G, concerning STAR+PLUS; and Subchapter H, concerning STAR Health. The proposed amendments to Subchapters A, G, and H address rules s353.2, concerning Definitions; s353.603, concerning Member Participation; s353.701, concerning General Provisions; and s353.702, concerning Member Participation. HHSC proposes new Subchapter M, concerning Home and Community-Based Services in managed care, including new 353.901, 353.903, and 353.905. HHSC also proposes new Subchapter N, concerning STAR Kids, including new 353.1201 to 353.1209. Proposed Subchapter M describes the eligibility and assessment requirements for the STAR+PLUS Home and Community-Based Services (HCBS) program offered to qualified members in the STAR+PLUS managed care program and the Medically Dependent Children Program. Proposed Subchapter N aligns with legislative direction to provide Medicaid benefits to individuals under the age of 21 who have disabilities using a mandatory, capitated STAR Kids managed care program. Texas Government Code s533.00253, enacted in 2013, directs HHSC to establish a mandatory, capitated STAR Kids managed care program tailored to provide Medicaid benefits to individuals under the age of 21 who have disabilities. HHSC intends for the STAR Kids program to improve coordination of care, access to care, health outcomes, and quality of care with an operational start date of November 1, 2016. Proposed Subchapter M contains the rules required to implement this program. Proposed Subchapters G and H make changes resulting from the STAR Kids implementation. These primarily include changes to the list of client populations who are mandatory, voluntary, or excluded for these programs. Other proposed amendments to STAR+PLUS eligibility and program rules implement Texas Government Code s531.0931, adopted by SB169, 84th Legislature, Regular Session, 2015, regarding military members and their dependents who are on interest or waiting lists for services. – Michelle Erwin, Director, MCD Program Policy, HHSC 17. Nursing Facility Administrator and Nurse Aide Requirements for Military Service Members, Military Veterans, and Military Spouses.* HHSC, on behalf of the Department of Aging and Disability Services (DADS), proposes new sections and amendments to certain sections in TAC Title 40, Chapter 18, Nursing Facility Administrators; and Chapter 94, Nurse Aides. The proposal implements SBs 807 and 1307, 84th Legislature, Regular Session, 2015, which amended Texas Occupations Code, Chapter 55, Licensing of Military Service Members, Military Veterans, and Military Spouses. The proposal addresses several areas that relate to licensure of military service members, military veterans, and military spouses by describing processes for these persons to request fee waivers, to request additional time to complete renewal requirements, to request credit for internship requirements, and to request renewal of an expired license or nurse aide registry listing. The proposed rules add definitions related to the military provisions and delete provisions related to military members in existing rule because they are included in the new sections. – Anne Trejo, NFA Licensing Manager, DADS 18. Day Habilitation Locations.* HHSC, on behalf of DADS, proposes new s9.230 in TAC Title 40, Chapter 9, Subchapter E, concerning Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions (ICF/IID) Program–Contracting, Provider Service Requirements; and, in 40 TAC Chapter 49, concerning Contracting for Community Services, amendments to 49.102 and 49.205; and new s49.313. The proposal implements a recommendation from the Sunset Advisory Commission to DADS in the commission's July 2015 Staff Report with Final Results, concerning day habilitation facilities' in the Home and Community-Based Services Program, Texas Home Living Program, Deaf-Blind with Multiple Disabilities Program, Community Living Assistance and Support Services Program, and Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions Program. The proposal implements SB 1999, 84th Legislature, Regular Session, 2015 which amended the Texas Human Resources Code, Chapter 103, to change adult day care' to day activity and health services. The proposal also implements SB 202, 84th Legislature, Regular Session, 2015, which repealed Texas Health and Safety Code Chapter 781 concerning personal emergency response systems by deleting the requirement for a contractor that provides emergency response services under Title XX ERS to have a license as a personal emergency response system provider issued by the Department of State Health Services or a license as an alarm systems company issued by the Texas Private Security Board. – Sheryl Loera, HCS/TxHmL Policy Lead, DADS 19. Repeal of various outdated rules.* HHSC, on behalf of DADS, proposes to repeal TAC Title 40, Chapter 6, concerning ICF/ID Programs–Contracting, Subchapter H, concerning the Dental Program; Chapter 9, concerning Intellectual Disability Services–Medicaid State Operating Responsibilities, Subchapter G, concerning Medicaid Fair Hearings; and Chapter 39, concerning Community Alzheimer's Resources and Education (CARE) Program. – Corliss Powell, Senior Policy Advisor, DADS 20. Public comment 21. Proposed next meeting: Thursday, August 11, 2016, at 9 a.m. 22. Adjourn *Public comment will be taken on this agenda item. Contact: Questions regarding agenda items, content, or meeting arrangements should be directed to Suzanna Carter, Committee Coordinator, Medicaid and CHIP Division, 512-730-7423, suzanna.carter@hhsc.state.tx.us. This meeting is open to the public. No reservations are required, and there is no cost to attend this meeting. Additional Information Contact: Suzanna Carter, 512/730-7423
 
Department of State Health Services
May 12, 2016 – 09:00 AM
Wyndham Garden Austin, 3401 South IH 35, Austin
 
Governor's EMS and Trauma Advisory Council (GETAC) Education Committee Call to Order/Introductions Discussion and possible action on the following items: 1. Review and update the DSHS Emergency Medical Services (EMS) Education Training Manual 2. Development of a functional job description for EMS personnel as it relates to The Americans with Disabilities Act 3. Review progress on Texas effort (based on the Hartford Consensus III and the Stop the Bleed projects) to develop a coalition relating to the empowering of the public to serve as first responders in intentional mass casualty and active shooter events, identify education stakeholders and Education Committee goals towards coalition implementation 4. Discussion of continuing education requirements for all levels of EMS personnel 5. Scheduling of future meetings Announcements General Public Comment (Comment time may be limited at Chair's Discretion) Meeting Summary Adjourn. Additional Information Contact: Colin Crocker, 512/776-7111
 
Department of State Health Services
May 12, 2016 – 10:30 AM
Wyndham Garden Austin, 3401 South IH 35, Austin
 
Governor's EMS and Trauma Advisory Council (GETAC) Emergency Medical Services (EMS) Committee Call to Order/Roll Call Discussion and possible action on the following items: 1. Update on status of revisions to the EMS and Trauma System rules in 25 TAC, Chapter 157 2. EMS for Children Update 3. Update from the Texas EMS and Trauma Registries 4. Update from workgroup exploring the development of a state-approved process designed to rehabilitate EMS personnel with substance abuse problems and reintegrate them into the EMS workforce 5. Update from workgroup regarding best practices and issues regarding patients carrying firearms on ambulances 6. Update on Air Medical issues from across the state and the potential creation of a workgroup, in collaboration with the Air Medical Committee, to address them 7. Update from workgroup investigating transfer patients being moved by private vehicle 8. Update on the development of a workgroup, in collaboration with the Medical Director's Committee, with the purpose of formulating template language for EMS Medical Director agreements 9. EMS shift lengths and fatigue 10. Committee attendee feedback regarding the April 20 – 22, 2016, Rural EMS National Conference in Texas 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: Colin Crocker, 512/776-7111
 
Department of State Health Services
May 12, 2016 – 01:00 PM
Wyndham Garden Austin, 3401 South IH 35, Austin
 
Governor's EMS and Trauma Advisory Council (GETAC) Medical Directors Committee Call to Order/Roll Call Discussion and possible action on the following items: 1. Pediatric Recognition Program for Emergency Departments 2. Update on Community Paramedicine Taskforce progress and discussions 3. Gaps and/or differences between the Texas Medical Practice Act in the Texas Occupations Code and the Texas Medical Board rules in Title 22 of the Texas Administrative Code (TAC), Chapter 197, entitled: Emergency Medical Service', and the Texas Department of State Health Services Emergency Medical Services rules in 25 TAC 157 4. Update on the Cardiac Arrest Registry to Enhance Survival (CAREs) 5. Inter-facility transport of patients with mental health and behavioral disorders 6. Update on Freestanding Emergency Department Task Force progress and discussions 7. Update on work group to develop a state-approved process designed to rehabilitate EMS personnel with substance abuse problems and reintegrate them into the EMS Workforce 8. Update on workgroup investigating Transfer patients being moved by private vehicle 9. Update on workgroup to work with EMS Committee in formulating template language for EMS Medical Director agreements 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: Colin Crocker, 512/776-7111
 
Department of State Health Services
May 12, 2016 – 02:30 PM
Wyndham Garden Austin, 3401 South IH 35, Austin
 
Governor's EMS and Trauma Advisory Council (GETAC) Trauma Systems Committee Call to Order/Roll Call Recognition of members Discussion and possible action on the following items: 1. Review of current DSHS EMS and Trauma System Rules in Title 25 of the Texas Administrative Code (TAC), Chapter 157, including the process for applying for trauma facility designation 2. Texas EMS & Trauma Registry update 3. Trauma System Strategic Plan update 4. Interim study of the Texas Trauma System, as recommended by the Texas House Committee on Appropriations during the 84th Texas Legislative Session 5. Trauma Systems Committee Registry Workgroup report 6. Trauma Systems Committee Trauma Medical Director Workgroup report 7. Trauma Systems Committee Advanced Practice Provider Workgroup report 8. Trauma Registrars Workgroup report 9. Texas Trauma Quality Improvement Program (TQIP) Collaborative Initiative update 10. Texas TQIP Level III pilot report 11. Texas TQIP Pediatric Trauma Facilities report 12. Stand-Alone Emergency Departments in the Texas Trauma System 13. Pediatric Inter-facility Transfer Guidelines update 14. Hartford Consensus III, as it relates to empowering the public to serve as first responders in intentional mass-casualty and active shooter events, update a. stopthebleedtexas.org 15. Trauma Centers per Trauma Service Area review update 16. Trauma Awareness Month, May 2016 update: Sharing Our Best 17. Reports from committee member participation in the following groups/associations/facilities a. GETAC Council b. Region VI American College of Surgeons/Council on Trauma c. Texas Trauma Coordinators Forum d. Emergency Nurses Association e. Texas College of Emergency Physicians f. Level IV Trauma Facilities g. Level III Trauma Facilities h. Level II Trauma Facilities i. Level I Trauma Facilities j. Pediatric Trauma Centers k. Texas Hospital Association 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: Colin Crocker, 512/776-7111
 
Department of State Health Services
May 12, 2016 – 04:00 PM
Wyndham Garden Austin, 3401 South IH 35, Austin
 
Governor's EMS and Trauma Advisory Council (GETAC) Cardiac Care Committee Call to Order/Roll Call Discussion and possible action on the following items: 1. Review and approval of February, 2016 meeting minutes 2. Progress in improving pre-hospital ST Segment Elevation Myocardial Infarction (STEMI) data collection and potential impact on improving STEMI care 3. Progress of the STEMI-Accelerator project in Southeast Texas Trauma Regional Advisory Council 4. Update on the Cardio Vascular Disease and Stroke Council STEMI Care Gap Analysis 5. Review progress for goals for the GETAC Cardiac Care Committee in 2016 6. Initiatives, programs and potential research that might improve acute cardiac care in Texas 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: Colin Crocker, 512/776-7111
 
5/13/2016
 
Texas Medical Board
May 13, 2016 – 09:00 AM
333 Guadalupe Tower 2, Suite 400A, Austin
 
Perfusionist Licensure Advisory Committee 1. Call to order and roll call. 2. Committee Member Report. Introductions 3. Executive Director Report. Sunset Review Email Update 4 Discussion, recommendation, and possible action regarding proposed adoption of rules and rule review to 22 Texas Administrative Code: 1. Chapter 188. Perfusionists '188.1-188.15, 188.17-188.24, 188.26, 188.28 and 188.29 5. Consideration and approval of the February 12, 2016 Perfusionist Licensure Advisory Committee meeting minutes. 6. Adjourn. Additional Information Contact: Laura Fleharty, 512/305-7174
 
Department of State Health Services
May 13, 2016 – 09:00 AM
Wyndham Garden Austin, 3401 South IH 35, Austin
 
Governor's EMS and Trauma Advisory Council (GETAC) Call to Order Approval of Minutes Members 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 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: (Public comment time may be limited at Chair's discretion) 1. Discussion regarding the form and function of GETAC committee agenda items and agenda redundancy 2. Progress update regarding the development of a position statement addressing privately operated vehicle transports for patients being transferred between medical facilities 3. Information sharing for high-consequence infectious disease 4. Update from task force on freestanding emergency departments and other facilities providing emergency care and the potential categorization or designation of such entities 5. How to improve the sharing of a medical facility's patient outcome data with Emergency Medical Services 6. Review the final edited version of the Pediatric Committee's report titled Pediatric Transfer and Transport Guidelines and accompanying plan of action 7. Gaps and/or differences between the Texas Medical Practice Act in the Texas Occupations Code and the Texas Medical Board rules in Title 22 of the Texas Administrative Code (TAC), Chapter 197, entitled: Emergency Medical Service', and the Texas Department of State Health Services Emergency Medical Services rules in 25 TAC 157 8. Update on Texas effort to develop a coalition relating to the empowering of the public to serve as first responders in intentional mass-casualty and active shooter events 9. Update from the Cardiac Arrest Registry to Enhance Survival (CAREs) General Public Comment (Comment time may be limited at Chair's discretion) Review and list agenda Items for next meeting Adjournment. Additional Information Contact: Colin Crocker, 512/776-7111
 
Texas Medical Disclosure Panel
May 13, 2016 – 10:30 AM
Texas Department of State Health Services, Exchange Building, Room N-102, 8407 Wall Street, Austin
 
The Panel will meet to discuss and possibly act on the following agenda: Call to Order I. Introduction of members and guests. II. Approval of minutes from the January 22, 2016 meeting. III. Discussion and response to email from Laura Copeland, Senior Attorney, Cook Children's Health Care System, and possible revision to FAQs. IV. Review and discussion of updates to 25 TAC, s601.2 – s601.3. a. (b) Cardiovascular system b. (l) Musculoskeletal system treatments and procedures c. (p) Urinary system d. (v) Plastic surgery V. Discussion of any other updates to 25 TAC, s601.2 – s601.9. VI. Update regarding study on readability levels of consent forms/lists. VII. Panel Vacancies. VIII. Public Comment. IX. Next meeting date. X. Adjournment. Additional Information Contact: Pamela Adams, 512/370-1300
 
Department of Aging and Disability Services
May 13, 2016 – 10:30 AM
John H. Winters Bldg, Public Hearing Rm. 125 W&C, 701 W 51st St, Austin
 
Nursing Facility Administrators Advisory Committee (NFAAC) 1. Regional Survey & Referral Review Process Presentation – Speaker (Renee Blank-Haley, Regional Liaison) 2. Approval of minutes of February 22, 2016 meeting 3. Review nursing facility administrator cases referred 4. Discuss future Nursing Facility Administrators Advisory Committee meetings and agenda topics. The meeting will adjourn at 3:00 PM. Additional Information Contact: Lynette Sanders, 512/438-5305
 
Department of State Health Services
May 13, 2016 – 12:30 PM
Wyndham Garden Austin, 3401 South IH 35, Austin
 
Governor's EMS and Trauma Advisory Council (GETAC) Taskforce on Freestanding Emergency Departments and Alternative Care Sites Call to Order/Roll Call Review charge, purpose, and authority of task force Discussion and possible action on the following items: 1. Potential focus areas for task force A. Categorization matrix B. Development of a list of data points to be collected 2. Other considerations for task force Open discussion and comment Announcements Review and list agenda items for next meeting Discussion regarding next meeting date Adjournment. Additional Information Contact: Colin Crocker, 512/776-7111
 
5/16/2016
 
House Committee on County Affairs
May 16, 2016 – 10:00 AM
Reagan Building, Room JHR 120, Austin
 
The committee will meet to hear invited testimony on the following: Texas Healthcare Transformation and Quality Improvement Program 1115 Waiver; Counties involvement in Child Protective Services (CPS) cases. Contact: Katy Reagan (512) 463-0760
 
Texas Medical Board
May 16, 2016 – 10:00 AM
333 Guadalupe, Lobby Area, Room 100, Austin
 
Medical Physicist Licensure Advisory Committee 1. Call to order and roll call. 2. Committee Member Report. 3. Executive Director Report. Sunset update Email update 4 Discussion, recommendation, and possible action regarding proposed adoption of rules and rule review to 22 T.A.C. Chapter 160, 160.1-5, and 160.7-30. 5. Discussion and possible recommendations regarding multiple renewals of training licenses. 6. Discussion, recommendation, and possible action regarding DSHS data files imported to TMB. 7. Consideration and approval of the January 11, 2016 Medical Physicist Licensure Advisory Committee meeting minutes. 8. Adjourn. Additional Information Contact: Laura Fleharty, 512/305-7174
 
5/17/2016
 
Texas Board of Chiropractic Examiners
May 17, 2016 – 9:00 AM
333 Guadalupe Street, Tower 2, Room 225, Austin
 
Licensure and Education Committee Meeting. 5. Licensure and educational standards committee business 5.1 Request to Sit for the Texas Jurisprudence Examination 5.1.1 Tamikia Prunty, New Applicant 5.1.2 Vance Cornelison, New Applicant 5.2 Discussion and comments from Committee Chair concerning Committee business, activities or issues. 5.3 Adjournment. Additional Information Contact: jo.manning@tbce.texas.gov
 
Texas Board of Chiropractic Examiners
May 17, 2016 – 10:00 AM
333 Guadalupe Street, Tower 2 Room 225, Austin
 
Enforcement Committee Meeting William P. Hobby Building 333 Guadalupe, Tower 2, Room 225 Austin, Texas 78701 May 17, 2016 10:00 AM Agenda 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: 2016-214. Requests to expunge #'s: 109-186, 2012-066. 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. Discussion and comments from Committee Chair concerning business, activities or issues. Additional Information Contact: Mary Feys, 512/305-6901
 
Texas Board of Chiropractic Examiners
May 17, 2016 – 11:00 AM
333 Guadalupe Street, Tower 2, Room 225, Austin
 
Rules Committee Meeting. 7. Rules committee business 7.1 Discussion and Consideration of Rule Amendments. 7.1.1 Discussion and consideration to adopt amendment to Rule 78.6(b) (Required Fees and Charges). 7.1.2 Discussion and consideration to propose amendment to Rule 72.6 (Time, Place and Scope of Examination). 7.1.3 Discussion and consideration to propose amendment to Rule 78.6(a) (Required Fees and Charges). 7.1.4 Discussion and consideration of proposed Rule Review for Chapter 74 (Chiropractic Radiologic Technologists). 7.1.5 Discussion and consideration to propose amendment to Rule 74.1 (Definitions). 7.1.6 Discussion and consideration to propose amendment to Rule 74.2 (Registration of Chiropractic Radiologic Technologists). 7.2 Discussion and comments from Committee Chair concerning Committee business, activities or issues. 7.3 Adjournment.
Additional Information Contact: jo.manning@tbce.texas.gov
 
Texas Board of Chiropractic Examiners
May 17, 2016 – 1:00 PM
333 Guadalupe, Tower 2, Suite 225, Austin
 
The Texas Board of Chiropractic Examiners (TBCE) 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 ite 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 February 18, 2016 Board Meeting. 3. Public comments Forum for licensees, the general public or other interested stakeholders to address the Board. 4. Executive committee business 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 Patricia Gilbert will introduce a representative from e-Strategy Solutions who will give a brief presentation on e-learning and online services for regulatory agencies. The executive and staff directors will present written and/or oral reports to the Board concerning matters relevant to each department. Directors will answer questions from the Board members concerning any agency operations, legislative issues and other matters of concern to the Board. 4.3 Board Member & Committee Assignments The Board will discuss appointments (if any) of future Board members and new committee chairs and rotation. Outgoing Board members Dr. Larry Montgomery, Dr. Patrick Thomas and Ms. Anne Boatright all had terms that expired in February of 2015. 5. Licensure and educational standards committee business 5.1 Request to sit for the Texas Jurisprudence Examination 5.1.1 Tamikia Prunty, New Applicant 5.1.2 Vance Cornelision, New Applicant 5.2 Request to Sit for the Texas Jurisprudence Examination and be reinstated from a Revoked Status 5.2.1 Melva D. Mitchell-Gray, Revoked Applicant 5.3 Discussion and comments from Committee Chair concerning Committee business, activities or issues. 6. Enforcement committee business 6.1 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 § 6.1.1 Case #2014-073 6.1.2 Case #2015-058 6.1.3 Case #2015-088 6.1.4 Case #2015-129 6.1.5 Case #2015-201 6.1.6 Case #2015-215 6.1.7 Case #2015-226 6.1.8 Case #2015-229 6.1.9 Case #2015-230 6.1.10 Case #2015-231 6.1.11 Case #2015-232 6.1.12 Case #2015-239 6.1.13 Case #2015-267 6.1.14 Case #2015-277 6.1.15 Case #2016-035 6.1.16 Case #2016-046 6.1.17 Case #2016-048 6.1.18 Case #2016-062 6.1.19 Case #2016-069 6.1.20 Case #2016-131 6.1.21 Case #2016-171 6.2 Consideration of Requests to Expunge Records 6.2.1 Case #0109-186 6.2.2 Case #2012-066 6.3 Consideration of Board Orders 6.3.1 Case #2015-098 6.3.2 Case #2015-105 6.3.3 Case #2015-117 6.3.4 Case #2015-149 6.3.5 Case #2015-189 6.3.6 Case #2015-199 6.3.7 Case #2015-245 6.4 Consideration of Cease and Desist Orders 6.4.1 Case #2015-090 6.4.2 Case #2015-163 6.4.3 Case #2015-191 6.4.4 Case #2015-269 6.4.5 Case #2015-270 6.4.6 Case #2016-004 6.4.7 Case #2016-005 6.4.8 Case #2016-006 6.4.9 Case #2016-022 6.4.10 Case #2016-023 6.4.11 Case #2016-024 6.4.12 Case #2016-025 6.4.13 Case #2016-036 6.4.14 Case #2016-037 6.4.15 Case #2016-082 6.4.16 Case #2016-089 6.4.17 Case #2016-100 6.4.18 Case #2016-101 6.4.19 Case #2016-129 & 2016-130 6.4.20 Case #2016-132 6.4.21 Case #2016-133 6.4.22 Case #2016-134 6.4.23 Case #2016-138 6.4.24 Case #2016-143 6.4.25 Case #2016-145 6.4.26 Case #2016-147 6.4.27 Case #2016-178 6.4.28 Case #2016-179 6.5 Consideration of Order of Revocation 6.5.1 Case #2016-214 6.6 Discussion and comments from Committee Chair concerning Committee business, activities or issues. 7. Rules committee business 7.1 Discussion and Consideration of Rule Amendments. 7.1.1 Discussion and consideration to adopt amendment to Rule 78.6(b) (Required Fees and Charges). 7.1.2 Discussion and consideration to adopt amendment to Rule 78.8 (Complaint Procedures). 7.1.3 Discussion and consideration to propose amendment to Rule 72.6 (Time, Place and Scope of Examination). 7.1.4 Discussion and consideration to propose amendment to Rule 78.6(a) (Required Fees and Charges). 7.1.5 Discussion and consideration of proposed Rule Review for Chapter 74 (Chiropractic Radiologic Technologists). 7.1.6 Discussion and consideration to propose amendment to Rule 74.1 (Definitions). 7.1.7 Discussion and consideration to propose amendment to Rule 74.2 (Registration of Chiropractic Radiologic Technologists). 7.2 Discussion and comments from Committee Chair concerning Committee business, activities or issues 8. Executive session 8.1 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 p 8.1.1 Texas Medical Association lawsuit against the Board, including remand, concerning Diagnosis. 8.1.2 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 8.1.3 Texas Association of Acupuncture and Oriental Medicine lawsuit against the Board, including appeal, 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. 9. 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. 9.1 Consideration of Motions Related to Executive Session. 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 2016 are: August 18, 2016 November 17, 2016 *Note: All planned board meeting dates after this meeting 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: July 12, 2016 August 17, 2016 10.3 Adjournment. Additional Information Contact: jo.manning@tbce.texas.gov
 
Texas Health and Human Services Commission
May 17, 2016 – 01:00 PM
909 West 45th St. (Health and Human Services Commission, Building II, Public Hearing Room 164), Austin
 
Employment First Task Force 1. Welcome and introductions 2. Review of April 11, 2016, meeting summary. 3. Chair report on Employment First activities and related topics. 4. Workforce Innovation and Opportunity Act presentation and discussion. 5. Discussion of education and outreach process. 6. Update from subcommittee on report writing. 7. Update from subcommittee on Senate Bill 1226 compliance and discussion of state agency progress chart. 8. Public comment 9. Adjourn. Additional Information Contact: Marc Mullins, 512/438-3641
 
Senate Committee on Health and Human Services
May 17, 2016 – 01:00 PM
Capitol Extension, Room E1.012, Austin
 
The committee will meet to receive testimony from state health officials and medical experts regarding the Zika virus, as well as evaluate the state's ability to effectively respond to challenges posed by the virus and explore what actions should be taken to prevent transmission, including mosquito control efforts.  Invited testimony only. Contact: Jordan Dixon (512) 463-0360
 
Texas Health and Human Services Commission
May 17, 2016 – 06:00 PM
Houston Food Bank, 535 Portwall Street, Community Room 130ABC, Houston
 
STAR Kids – Client Information Session. Health and Human Services Commission (HHSC) will hold an information session in the Houston area to provide information to families on the STAR Kids program. This information session will be held in English. A STAR Kids information session highlighting the same details will be held in Spanish on May 18, 2016. Because this new program may change the way providers and other services are accessed, HHSC invites those who may be impacted by this new program to join us for an information session to learn more. Information sessions will provide details on STAR Kids, as well as provide the opportunity for attendees to ask questions pertaining to this new managed care program. Contact: Questions regarding agenda items, content, or meeting arrangements should be directed to Heather Kuhlman, Communications Specialist, HHSC, 512-730-7437, Heather.Kuhlman@hhsc.state.tx.us. 
 
5/18/2016
 
Texas Board of Chiropractic Examiners
May 18, 2016 – 09:00 AM
333 Guadalupe Street, Tower 2 Room 225, Austin
 
Enforcement Committee Meeting William P. Hobby Building 333 Guadalupe, Tower 2, Room 225 Austin, Texas 78701 May 18, 2016 9:00 AM Agenda 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: 2014-171, 2014-172, 2014-261, 2015-020, 2015-183, 2015-193, 2015-227, 2015-293, 2016-011, 2016-014, 2016-017, 2016-019, 2016-020, 2016-026, 2016-027, 2016-029, 2016-030, 2016-031, 2016-032, 2016-033, 2016-034, 2016-038, 2016-039, 2016-043, 2016-044, 2016-045, 2016-050, 2016-051, 2016-054, 2016-056, 2016-057, 2016-060, 2016-064, 2016-065, 2016-071, 2016-072, 2016-075, 2016-076, 2016-077, 2016-078, 2016-080, 2016-080, 2016-081, 2016-087, 2016-093, 2016-094, 2016-096, 2016-102, 2016-103, 2016-109, 2016-112, 2016-151, 2016-160, 2016-162, 2016-182. Requests to expunge #'s: NA. 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. Discussion and comments from Committee Chair concerning business, activities or issues. Additional Information Contact: Mary Feys, 512/305-6901
 
Health and Human Services Transition Joint Legislative Oversight Committee
May 18, 2016 – 10:00 AM
Capitol Extension, Room E1.036, Austin
 
The Transition Legislative Oversight Committee will meet on Wednesday, May 18, 2016 at 10:00am to hear invited testimony only. Contact: Stephanie Hoover (512) 463-0370
 
Texas Health and Human Services Commission
May 18, 2016 – 06:00 PM
Houston Food Bank, 535 Portwall Street, Community Room 130ABC, Houston
 
STAR Kids – Client Information Session – In Spanish. Health and Human Services Commission (HHSC) will hold an information session in the Houston area to provide information to families on the STAR Kids program. This information session will be held in Spanish. A STAR Kids information session highlighting the same details will be held in English on May 17, 2016. Because this new program may change the way providers and other services are accessed, HHSC invites those who may be impacted by this new program to join us for an information session to learn more. Information sessions will provide details on STAR Kids, as well as provide the opportunity for attendees to ask questions pertaining to this new managed care program. Contact: Questions regarding agenda items, content, or meeting arrangements should be directed to Heather Kuhlman, Communications Specialist, HHSC, 512-730-7437, Heather.Kuhlman@hhsc.state.tx.us. 
 
05/19/2016
 
House Committee on Public Health
May 19, 2016 – 01:00 PM
Capitol Extension, Room E2.012, Austin
 
The committee will meet to consider the following interim charge: Review programs focused on improving birth outcomes including evaluating the effectiveness and identifying any cost avoidance associated with them. Study barriers pregnant women face enrolling in services and receiving regular prenatal care. Identify factors, including substance abuse, associated with preterm birth and review services available for mothers postpartum. Contact: Craig Holzheauser (512) 463-0806
 
5/20/2016
 
Texas Health and Human Services Commission
May 20, 2016 – 10:00 AM
4900 North Lamar Blvd. (Health and Human Services Commission,Brown-Heatly Building, Room 4501), Austin
 
Advisory Committee on Qualifications for Health Care Translators and Interpreters 1. Call to order 2. Approval of minutes from the March 18, 2016, meeting (Vote required). 3. Discussion on disseminating information on the committee recommendations to the Executive Commissioner about qualifications for health care translators and interpreters. 4. Develop tracking plan for dissemination of information on the committee recommendations. 5. Review of draft poster and flyer for committee recommendations. 6. Report on annual meeting of National Council on Interpreting in Health Care. 7. Public comment 8. Discuss goals, work plan, and schedule for committee for 2016. 9. Adjourn. Additional Information Contact: Paula Traffas, 512/438-2944
 
5/25/2016
 
Texas Health and Human Services Commission
May 25, 2016 – 09:00 AM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd., Austin
 
Women’s Health Advisory Committee. 1. Call to order 2. Adoption of minutes from the Feb. 29, 2016, meeting. 3. Presentation from the Women’s Health Service Division regarding women’s health updates. 4. Presentation by the Medicaid Vendor Drug Program. 5. Public comment 6. Adjourn. Contact: Questions regarding agenda items, content, or meeting arrangements should be directed to Kristen Gonzales, Women's Health Advisory Committee Coordinator, Health and Human Services Commission, 512-776-6661, Kristen.Gonzales@hhsc.state.tx.us.
 
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