The following state agency health care hearings have been scheduled between October 21 and November 10.

10/23/2017

Texas Health and Human Services Commission
October 23, 2017 – 10:00 AM
4900 North Lamar Blvd. (Health and Human Services Commission, Brown-Heatly Building, Public Hearing, Room), Austin

AGENDA: Palliative Care Interdisciplinary Advisory Council October 23, 2017 10:00 a.m. Meeting Site: Health and Human Services Commission Brown-Heatly Building Public Hearing Room 4900 North Lamar Blvd. Austin, Texas 78751 1. Welcome and introductions 2. Update from the Chair 3. Review and approval of meeting minutes from July 10, 2017 4. Staff updates a. Appointment terms b. Legislative update c. Program initiatives 5. Palliative Care Information and Education website a. Advance directive language discussion b. Palliative care provider site 6. Continuing education a. Upcoming continuing education event b. Next steps and goals 7. Legislative report discussion a. Timeline b. Data collection c. Report topics and priorities d. Next steps 8. Action items for staff or member follow-up 9. Public comment 10. Adjourn Public comment may be taken on any agenda item. Contact: Questions regarding agenda items, content, or meeting arrangements should be directed to Jimmy Blanton, Director, Health Quality Institute, Health and Human Services Commission, 512-380-4372, jimmy.blanton@hhsc.state.tx.us. People who wish to submit written testimony for public comment may do so either by hard copy or electronically. The address for hardcopy submission is: Jimmy Blanton, 6330 East Highway 290, Suite 100, Austin, TX 78723. Additional Information Contact: Jimmy Blanton, 512/380-4372

Austin-Travis County MHMR Center
October 23, 2017 – 12:00 PM
1430 Collier St., Austin

Finance Committee FINANCE COMMITTEE MEETING Integral Care's mission is to improve the lives of people affected by behavioral health and developmental and/or intellectual challenges. DATE: Monday, October 23, 2017 TIME: 12:00 p.m. PLACE: 1430 Collier St. – Board Room Austin, Texas 78704 AGENDA I. Citizens' Comments (Presentations are limited to 3 minutes) II. Approval of Finance Committee Minutes for September 25, 2017 – pages 1-5 III. Discuss and Take Appropriate Action on Cash & Investment Report – September, 2017 (Weden) – pages 6-8 IV. Discuss and Take Appropriate Action on Financial Statements and Amendments (if applicable) for the Period Ending September 30, 2017 (Subject to Audit) (Weden, Thompson) – pages 9-17 V. Discuss and Take Appropriate Action Regarding Authorizing the Chief Executive Officer and/or his designee to Contract with Broaddus Planning for Facility Master Planning Services (Weden) – pages 18-30 VI. Discuss and Take Appropriate Action Regarding Resolutions of the Finance Committee Regarding Ground Lease, Debt and Equity Financing, Service as General Contractor, Developer and Guarantor in relation to Housing First Oak Springs (Weden) pages 31-41 VII. Financial Ratios (Weden) – pages 42-47 VIII. Discussion of Dashboard Financial Metrics (Baker) – pages 48-65 IX. Update on Facilities (Weden) – pages 66-71 X. Update on Transformation 1115 Waiver – (Weden, Macakiage, Christensen) – pages 72-75 XI. Announcements – page 76 Integral Care Finance Meeting October 23, 2017 Page 2 XII. New Business – pages 77-78 Identify Consent/Non-Consent Agenda Items New Milestones Foundation " Bridging the Gap " Event on November 9, 2017 Proposed Nov/Dec Combined Finance Meeting for December 11, 2017 XIII. Citizens' Comments (Presentations are limited to 3 minutes) – page 79 Integral Care is committed to compliance with the Americans with Disabilities Act. For reasonable accommodations, please call 512-440-4002 for information. Note: Effective September, 2017, copies of the Finance Committee packets will no longer be provided to staff/public at the meeting. Only Agendas will be available. The full packet will continue to be e-mailed to Integral Care staff and it will also be available on Integral Care's webpage at: http://integralcare.org/agendas-minutes/ (Under the heading " Finance Committee " ). Additional Information Contact: Libby Worsham, 512/440-4002

10/25/2017

Texas Health and Human Services Commission
October 25, 2017 – 09:00 AM
701 West 51st St. (Health and Human Services Commission, John H. Winters Human Services Comples, Public Hearing Room 125), Austin

Joint Committee on Access and Forensic Services AGENDA: Joint Committee on Access and Forensic Services October 25, 2017 9:00 a.m. Meeting Site: Health and Human Services Commission John H. Winters Human Services Complex Public Hearing Room 125 701 West 51st St. Austin, TX 78751 Teleconference Access: 1-877-820-7831 Passcode: 834918# 1. Opening remarks and introductions 2. Approval of minutes from July 26, 2017, committee meeting 3. Election of Chair and Vice-Chair 4. Review and possible action regarding the committee's draft of annual written report to the Executive Commissioner as required by 25 Tex. Admin. Code – 411.3 5. Update on access and capacity issues 6. Update on access subcommittee activities 7. Public comment 8. Adjourn Public comment may be taken on any agenda item. Additional Information Contact: Courtney Harvey, 512/206-5237

Statewide Health Coordinating Council
October 25, 2017 – 10:00 AM
Department of State Health Services, Moreton Building, 1100 West 49th Street, Room M-100, Austin

Texas Center for Nursing Workforce Studies (TCNWS) Advisory Committee The Committee will meet to discuss and possibly act on the following agenda: 1. Welcome and Introductions 2. Establish Quorum and Approval of Excused Absences 3. Review of October 25, 2017 Agenda 4. The following items are for discussion and possible action: A. Minutes of June 7, 2017 Meeting B. Hospital Nurse Staffing Study Reports – Cate Campbell C. Long Term Care Nurse Staffing Study Reports – Cate Campbell D. Organizational Updates –Texas Nurses Association –Texas Higher Education Coordinating Board –Texas Board of Nursing –Texas Hospital Association E. Update from the TCNWS – Pam Lauer F. TCNWS 2018-2019 Operations Plan G. Committee Vacancies and New Appointments 5. Public Comment 6. Adjourn. Additional Information Contact: Pam Lauer, 512/776-6723

Border Region MHMR Community Center
October 25, 2017 – 10:00 AM
1500 Pappas St. Auditorium, Laredo

Board of Trustees BOARD OF TRUSTEES BORDER REGION BEHAVIORAL HEALTH CENTER COUNTIES OF JIM HOGG, STARR, WEBB, ZAPATA PUBLIC NOTICE OF MEETING Notice is hereby given that on Wednesday, October 25, 2017, the Board of Trustees of Border Region MHMR Community Center dba Border Region Behavioral Health Center will hold a regular meeting at 10:00 a.m. in the Border Region Behavioral Health Center – Auditorium, East Side, located at 1500 Pappas St. in Laredo, Texas. BOARD OF TRUSTEES MAY CHOOSE TO MEET IN A CLOSED MEETING (EXECUTIVE SESSION) AS PERMITTED BY THE TEXAS OPEN MEETINGS ACT, TEXAS GOVERNMENT CODE, CHAPTER 551, SUBCHAPTER D, SECTION 551.101, ET.SEQ., ON ANY ITEM OF THIS AGENDA AS DEEMED APPROPRIATE INCLUDING, BUT NOT LIMITED TO CONSULTATION WITH ATTORNEY, DELIBERATIONS REGARDING REAL PROPERTY, A PROSPECTIVE GIFT, PERSONNEL MATTERS, TO CONFERENCE WITH AN EMPLOYEE, AND/OR DELIBERATIONS REGARDING SECURITY DEVICES. If you require any of the auxiliary aids or services identified in the Americans with Disabilities Act in order to attend this meeting, please call (956) 794-3009 at least 48 hours prior to the scheduled time of this meeting. Agenda 10.01.17 Call to Order 10.02.17 Administer the Oath of Office for Fiscal Year 2018, Statement of Appointed Office, and Promise to Maintain Confidential Information to re-appointed Board Members: Commissioner Jaime A. Canales and Commissioner Rosaura Tijerina 10.03.17 Roll Call; Establish Quorum 10.04.17 Open Forum – If you wish to address the Board, please write your name, address, county of residence and topic you wish to discuss on the " Open Forum Sign-Up Sheet. " No more than three (3) speakers will be allowed time to address each side of a topic. All speakers are limited to three (3) minutes. If you are raising issues relating to a non-agenda item, Texas law prohibits the Board from discussing or acting on any issue, which has not been noticed in compliance with the Texas Open Meetings Act 10.05.17 Approval of October 4, 2017 Board Meeting minutes 10.06.17 Executive Director's Report .01 Program Services Adult Behavioral Health Unit Executive Summary Children, Adolescent and Parent Services Executive Summary Intellectual and Developmental Disability Executive Summary Quality Management Executive Summary Support Services Executive Summary Medical Director's Executive Summary .02 Quality Management Report .03 1115 Waiver Report .04 Informational Items 10.07.17 Discussion and possible action to accept donations 10.08.17 Discussion and possible action to accept the Financial Reports of August 2017(unaudited), as presented: August 2017 Financial Statements Overtime Earning Report MH Funding 10.09.17 Discussion and possible action to approve the Budget for Fiscal Year 2018 10.10.17 Discussion and possible action to approve the Medical Emergencies Policy 10.11.17 Discussion and possible action to approve the Medication Services Policy 10.12.17 Discussion and possible action to approve the Laptop Computer Security Policy and Procedures 10.13.17 Information: Distribution of Executive Director's Evaluation Instrument With Instructions 10.14.17 Chairman's Report 10.15.17 Adjournment. Additional Information Contact: Esmeralda Pompa, 956/794-3009

Border Region MHMR Community Center
October 25, 2017 – 10:30 AM
1500 Pappas St. Auditorium, Laredo

BOARD OF TRUSTEES BORDER REGION BEHAVIORAL HEALTH CENTER COUNTIES OF JIM HOGG, STARR, WEBB, ZAPATA PUBLIC NOTICE OF BOARD TRAINING Notice is hereby given that on Wednesday, October 25, 2017, the Board of Trustees of Border Region MHMR Community Center dba Border Region Behavioral Health Center will hold a board training at 10:30 a.m. in the Border Region Behavioral Health Center- Auditorium East Side, located at 1500 Pappas St. in Laredo, Texas. Agenda 10.01.16 Call to Order 10.02.16 Board of Trustees Annual Mandatory Training 10.03.16 Adjourn. Additional Information Contact: Esmeralda Pompa, 956/794-3009

Texas Board of Nursing
October 25, 2017 – 01:30 PM
333 Guadalupe, Room 102, Austin

AGENDA TEXAS BOARD OF NURSING RETREAT October 25, 2017 1:30p.m. 333 Guadalupe, Room 102 Austin, Texas I. Discussion of Changes Resulting from the 85th Legislative Session – JWJohnston/JAbel. Additional Information Contact: P. Vianes-Cabrera, 512/305-9811

Texas Diabetes Council
October 25, 2017 – 07:00 PM
Hyatt Place North Central, 7522 North IH-35, Meeting Room 1, Austin

Advocacy and Outreach Committee The Committee will meet to discuss and possibly act on the following agenda: 1. Welcome and Call to Order 2. Introductions 3. Approval of July 26, 2017, Meeting Minutes (action item) 4. Continuing Glucose Monitoring (CGM) Presentation (Dexcom, Inc.) 5. State of Texas Legislative Update 6. American Diabetes Association Advocacy Update 7. Diabetes Research Updates (Outcomes Research/Recent Articles by Committee Members) 8. Statewide Professional Diabetes Education Updates 9. Coordinating Calendar Items (upcoming conferences, events etc.) 10. Next Meeting Date – January 24, 2018 11. Public Comments 12. Adjournment. Additional Information Contact: Ashley Doyle, 512/776-7111

10/26/2017

Texas Board of Nursing
October 26, 2017 – 08:30 AM
333 Guadalupe, Tower II, Room 225, Austin

AGENDA TEXAS BOARD OF NURSING Regular Meeting October 26-27, 2017 Section 46.035 of the Texas Penal Code prohibits handgun licensees from carrying their handguns at government meetings such as this one. This prohibition applies to both concealed carry and open carry by handgun licensees. Handgun licensees are required by law to refrain from carrying their handguns at this meeting. For full agenda, please see the Board of Nursing here. CALL TO ORDER – 8:30 am REVIEW OF AGENDA REVIEW OF THE MINUTES CONSENT AGENDA 1. ADMINISTRATION 2. OPERATIONS 3. NURSING 4. ENFORCEMENT 5. COMMITTEE REPORTS 6. OLD BUSINESS 7. NEW BUSINESS 8. PROPOSED BOARD ORDERS 9. MISCELLANEOUS. Additional Information Contact: P. vianes-Cabrera, 512/305-6811

Texas Diabetes Council
October 26, 2017 – 09:00 AM
Department of State Health Services, Central Office, 1100 West 49th Street, Tower Building Room, T-607, Austin

Health Professionals and Outcomes Committee The Committee will meet to discuss and possibly act on the following agenda: 1. Call to Order, Welcome, and Introductions 2. Review and Approve Minutes for July 26-27, 2017 Health Care Professionals Advisory Committee and July 27, 2017, Medical Professionals Advisory and Outcomes Subcommittees (Action Item) 3. Committee Mission Statement (Action Item) 4. Use of QI Collaborative Model to Improve Evidence-Based Care 5. Continuous Glucose Monitoring (Dexcom, Inc.) 6. Research/Recent Articles 7. Public Comments 8. Adjournment. Additional Information Contact: Jimi Ripley-Black, 512/776-7111

Texas Health and Human Services Commission
October 26, 2017 – 10:00 AM
4900 North Lamar Blvd. (Health and Human Services Commission, Brown-Heatly Building, Public Hearing, Room), Austin

Intellectual and Developmental Disability System Redesign Advisory Committee AGENDA: Intellectual and Developmental Disability System Redesign Advisory Committee October 26, 2017 10:00 a.m. Meeting Site: Health and Human Services Commission Brown-Heatly Building Public Hearing Room 4900 North Lamar Blvd. Austin, TX 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 (HHSC) 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. 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. Introductions and Chair report 2. Review and adoption of July 27, 2017, August 14, 2017, and October 2, 2017, meeting minutes (Vote required) 3. Meet with Associate Commissioner for Health, Developmental and Independence Services Lesley French 4. Meet with Deputy Executive Commissioner of Medical and Social Services Enrique Marquez 5. Subcommittee updates a. Transition to Managed Care b. Day Habilitation and Employment Services c. System Adequacy 6. Lunch 7. Dallas Housing Pilot Presentation 8. Update on Home and Community-based Services settings 9. Discuss Health and Human Services Commission response to Hurricane Harvey for individuals with Intellectual and Developmental Disabilities (IDD) 10. Break 11. IDD Managed Care Pilot, Texas Home Living waiver, and Legislative Report 12. Public comment 13. Discuss January 2018 agenda topics 14. Adjourn and thank you Public comment may be taken on any agenda item. Additional Information Contact: Tony Moreno, 512/462-6278

Statewide Health Coordinating Council
October 26, 2017 – 10:00 AM
DSHS Main Campus, Moreton Building, Room M100, 1100 West 49th Street, Austin

The Statewide Health Coordinating Council will meet to discuss and possibly act on the following agenda: 1. Chairman's welcome and introductions 2. Establish a quorum – Roll call and possible action to approve excused absences 3. Discussion and possible action to approve February 23, 2017 Meeting Minutes 4. Oral Health in Texas presentation 5. SHCC discussion of 2019-2020 Update to the Texas State Health Plan report a. Oral Health b. Health Literacy c. Health Professions Training – Clinical Site Availability d. Hospital Trauma Designation 6. SHCC agency representatives' reports a. Health and Human Services Commission b. Texas Department of State Health Services c. Texas Higher Education Coordinating Board 7. Report on SHCC representation on the Health and Human Services Commission's E-Health Advisory Committee 8. Physician Workforce Shortage Report presentation of preliminary 2017-2018 findings 9. Health Professions Resource Center and SHCC project director's report 10. Texas Center for Nursing Workforce Studies report 11. Administrative items and next steps a. 2018 SHCC meeting dates: 3/1/2018, 6/7/2018, 10/11/2018 12. Public comment and adjourn Note: The Statewide Health Coordinating Council may act upon any agenda item. Additional Information Contact: Matt Turner, 512/776-6541

Texas Diabetes Council
October 26, 2017 – 01:00 PM
Department of State Health Services, Central Office, 1100 West 49th Street, Moreton Building, Room M-100, Austin

Mission: Specific initiatives to improve outcomes and minimize barriers to impact diabetes care in Texas communities for improved delivery of care through system reforms that lead to increased access and high quality, affordable, effective, and efficient care for people with diabetes and coordination of state services. The Council will meet to discuss and possibly act on the following agenda: 1. Call to Order 2. Roll Call 3. Action on Absences 4. Approval of July 27, 2017, Meeting Minutes 5. Chair's Address and Report 6. Presentations – Continuous Glucose Monitoring 7. Department of State Health Services Agency Diabetes Prevention and Control Program Report 8. Health Professionals and Outcomes Committee a. Committee Mission Statement (Action Item) b. Use of QI Collaborative Model to Improve Evidence-Based Care c. Continuous Glucose Monitoring d. Research/Recent Articles 9. Advocacy and Outreach Committee a. Continuous Glucose Monitoring b. State of Texas Legislative Update c. American Diabetes Association Advocacy Update d. Diabetes Research Updates (Outcomes Research/Recent Articles by Committee Members) e. Statewide Professional Diabetes Education Updates f. Coordinating Calendar Items (Information about upcoming conferences, events, etc.) 10. Program Reports a. Public Information and Education b. Community Diabetes Education Programs 11. Agency Reports a. Texas Workforce Commission b. Department of State Health Services c. Health and Human Services Commission/Texas Medicaid 12. Member Announcements 13. Public Comment (No Action Required) 14. Adjournment. Additional Information Contact:Cattina Horn, 512/776-7111

10/27/2017

Texas Board of Nursing
October 27, 2017 – 08:30 AM
333 Guadalupe, Tower II, Room 225, Austin

AGENDA TEXAS BOARD OF NURSING Regular Meeting October 26-27, 2017 Section 46.035 of the Texas Penal Code prohibits handgun licensees from carrying their handguns at government meetings such as this one. This prohibition applies to both concealed carry and open carry by handgun licensees. Handgun licensees are required by law to refrain from carrying their handguns at this meeting. For full agenda, please see the Board of Nursing here. CALL TO ORDER – 8:30 am REVIEW OF AGENDA REVIEW OF THE MINUTES CONSENT AGENDA 1. ADMINISTRATION 2. OPERATIONS 3. NURSING 4. ENFORCEMENT 5. COMMITTEE REPORTS 6. OLD BUSINESS 7. NEW BUSINESS 8. PROPOSED BOARD ORDERS 9. MISCELLANEOUS. Additional Information Contact: P. vianes-Cabrera, 512/305-6811

Texas Health and Human Services Commission
October 27, 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 October 27, 2017 9:00 a.m. Meeting Site: Health and Human Services Commission Brown-Heatly Building Public Hearing Room 4900 North Lamar Blvd. 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, opening remarks, and introductions 2. Approval of minutes for August 18, 2017, meeting and review of past action items 3. Intellectual and Developmental Disabilities and Behavioral Health Services updates a. Block Grant Subcommittee restructure b. Public Awareness Campaign c. Appointments update d. First Responders – Comprehensive Addiction and Recovery Act Cooperative Agreement Grant e. Disaster response f. Peer and Parity Workgroup update 4. State Hospital plan 5. First episode psychosis 6. Public comment 7. 1115 Medicaid Waiver case study 8. Regulatory update 9. Subcommittee and committee reports a. Children and Youth Behavioral Health Subcommittee b. Data Subcommittee c. Rules Subcommittee d. Policy Subcommittee e. Self-Directed Care update f. Behavioral Health Integration Advisory Committee 10. Public comment 11. Planning for next meeting 12. Action items and committee recommendations 13. Closing remarks Public comment may be taken on any agenda item. Additional Information Contact: Karissa Sanchez, 512/487-3337

Texas Medical Board
October 27, 2017 – 09:00 AM
333 Guadalupe, 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, October 27, 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 August 11, 2017 Governing Board meeting minutes 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) Personnel update d) Budget update e) Legal update Agenda Item 4 Discussion, recommendations, and possible action regarding processing of remaining backlogged referrals Agenda Item 5 Discussion, recommendations, and possible action regarding proposed Memorandum of Understanding between the program and the Texas Medical Board, including but not limited to notifying the Texas Medical Board of participants who are under a cease practice agreement; the continued monitoring of non-practicing participants who maintain licenses for unemployment or disability purposes; and release of participants who have been certified as unsafe to practice 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 scheduling, procedures, and upcoming Board meetings, member rotation, and possible agenda topics Agenda Item 8 Open forum for public comments Agenda Item 9 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, 512/305-7462

Department of State Health Services
October 27, 2017 – 11:00 AM
1100 West 49th Street, Moreton Building, Room M100, Austin

Newborn Screening Advisory Committee The Advisory Committee will meet to discuss and possibly act on the following agenda: 1. Welcome and Introductions 2. Committee Business Logistics 3. Action: Review and Approval of Meeting Minutes for August 11, 2017 4. Newborn Screening Program Overview 5. 10 MINUTE BREAK 6. WORKING LUNCH Future Planning: Conditions not Currently Screened in Texas 7. Newborn Hearing Screening in NICU 8. Fee Increase Data and Impact to Provider Practices 9. Spinal Muscular Atrophy (SMA) a. Clinical/Screening b. Treatments 10. Possible Action: Parental Refusal Form a. DSHS Lab Update b. Subcommittee Reporting 11. Possible Action: Critical Congenital Heart Disease (CCHD) Education 12. Public Comment 13. Future Agenda Items/Next Meeting Date 14. Adjournment This meeting is open to the public. No reservations are required, and there is no cost to attend this meeting. This meeting will be webcast. To access the webcast, please refer to the HHS website the day and the time of the meeting. Additional Information Contact: Beth Rider, 512/776-7111

10/31/2017

Texas State Board of Pharmacy
October 31, 2017 – 09:00 AM
333 Guadalupe Street, Room 2-225, Austin

Interagency Prescription Monitoring Program Work Group A G E N D A I. Call to Order II. Review of Meeting Minutes Held July 24, 2017 III. Budget (FY2018 – FY2019) IV. Update on Program a) Statistics b) Threshold reporting c) Guidelines for potentially harmful prescribing and dispensing patterns V. Wholesale Distributor Reporting VI. User Registration of Licensees VII. Open Discussion VIII. Adjourn. Additional Information Contact: Allison Benz, 512/305-8037

11/1/2017

Texas Health and Human Services Commission
November 1, 2017 – 09:00 AM
701 West 51st St. (Health and Human Services Commission, John H. Winters Human Services Complex, Public Hearing Room), Austin

Aging Texas Well Advisory Committee AGENDA: Aging Texas Well Advisory Committee November 1, 2017 9:00 a.m. Meeting Site: Health and Human Services Commission John H. Winters Human Services Complex 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 and opening remarks; Introduction of new committee members: Dr. Michele Saunders, Committee Chair 2. Review and approve August 2, 2017, meeting minutes 3. Special topics a. Alternatives to Guardianship: Jeff Miller, Disability Rights Texas b. Elder Abuse Suspicion Index Screening Tool: Debbie Billa, WellMed Charitable Foundation 4. Division reports a. Quality Monitoring Program: Jennifer Carrillo, Nurse IV b. STAR+PLUS: Amanda Dillon, Program Specialist c. Access and Eligibility Services i. Aging and Disability Resource Centers, Community Access and Grants: Nicole Hawk, Grant Coordinator ii. Area Agencies on Aging: Heather Blackwell, Manager d. Aging Services Coordination: Holly Riley, Manager 5. Aging Texas Well Advisory Committee (ATWAC) updates and operations a. Membership needs: Dr. Michele Saunders, Committee Chair b. S.B. 1693, 85th Legislature, Regular Session, 2017, workgroup roles: Dr. Michele Saunders, Committee Chair c. Issue brief updates i. ATWAC issue briefs: Cody Rothschild, ATWAC Liaison ii. Intern report on housing issue brief: Alberto Guzman, ATW Intern 6. Roundtable: ATWAC member updates on relevant news from entities represented on ATWAC 7. Wrap-up and next steps. Additional Information Contact: 512/438-4157

11/2/2017

Department of State Health Services
November 2, 2017 – 02:30 PM
Department of State Health Services, Moreton Building, Room M-618, 1100 West 49th Street, Austin

Tobacco Settlement Permanent Trust Account Administration Advisory Committee Teleconference Access: Please dial (877) 820 – 7831 and enter passcode: 737504# The Committee will meet to discuss and possibly act on: Welcome and Call to Order Roll Call Introduction of New Members Approval of November 5, 2015 Minutes Approval of October 13, 2016 Minutes Review of 2017 Distribution Administrative Updates -No Audits Conducted in 2017 -Revised Expenditure Statements -Committee Member Contact Info. Verification -Committee Member Training Requirements Adjourn 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. Committee Members: R. King Hillier, Chair Jonny F. Hipp, ScD FACHE Carolyn Konecny Keri Disney-Story Honorable Darryl Primo Michael Nu'ez Honorable David Bird Sharon Clark Honorable Jerry Bearden Honorable Woodrow W. Gossom, Jr. Jim Parrish. Additional Information Contact: DSHSTobacco@dshs.texas.gov

11/3/2017

Texas Health and Human Services Commission
November 3, 2017 – 09:00 AM
701 West 51st St. (Health and Human Services Commission, John H. Winters Human Services Complex, Public Hearing Room), Austin

AGENDA: Drug Utilization Review Board November 3, 2017 9:00 a.m. Meeting Site: Health and Human Services Commission John H. Winters Human Services Complex 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. Call to order 2. Approval of minutes from July 28, 2017 (Vote required) 3. Old business: Report on Health and Human Services Commission decisions on acceptance of the Drug Utilization Review (DUR) Board recommendations from the July 28, 2017, meeting 4. New business: Public comment on drug classes and therapeutic and clinical drug reviews to be reviewed for the Medicaid Preferred Drug List (PDL): a. Androgenic agents b. Antibiotics, GI c. Antibiotics, topical d. Antibiotics, vaginal e. Antiemetic/antivertigo agents f. Antifungals, oral g. Antifungals, topical h. Antihistamines, first generation i. Antiparasitics, topical j. Antipsychotics k. Antivirals, oral/nasal l. Antivirals, topical m. Bile salts n. Bone resorption suppression and related agents o. Colony stimulating factors p. Cytokine and CAM antagonists q. Epinephrine, self-injected r. GI motility, chronic s. Growth hormone t. Hepatitis C u. Hypoglycemics, incretin mimetics/enhancers v. Hypoglycemics, insulin and related w. Hypoglycemics, meglitinides x. Hypoglycemics, metformin y. Hypoglycemics, TZD z. Macrolides/ketolides aa. Opiate dependence treatments bb. Pediatric vitamin preparations cc. Penicillins dd. Stimulants and related agents ee. Tetracyclines Public comment and therapeutic and clinical drug reviews on new drugs to be reviewed for the Medicaid PDL: ff. Analgesics, narcotics long / Morphabond ER gg. Antihistamines, minimally sedating / Xyzal Solution OTC hh. Antihistamines, minimally sedating / Xyzal Tablet OTC ii. Antiparkinson's agents / Xadago 5. Executive work session Pursuant to Texas Government Code Section 531.071, and in accordance with Texas Administrative Code, Title 1, Part 15, Subchapter F, Section 354.1941(c)(2), the DUR Board may meet in executive session on one or more items listed under new business as permitted by the Texas Open Meetings Act. 6. Lunch 7. Announcements of drugs recommended for the Medicaid PDL 8. Retrospective DUR: Luke Boehmer, Pharm. D., Conduent, LLC a. Report on recent retrospective DUR interventions sent: i. Second-generation antipsychotics in youth ii. Metabolic syndrome iii. Stroke prevention 2017 iv. Polypharmacy 2017 v. Opioid use during pregnancy b. Report on recent retrospective DUR interventions outcome: i. Benzodiazepine anxiolytics and controlled sedative hypnotics ii. Asthma disease management 2016 c. Retrospective DUR proposals: (Vote required) i. Asthma disease management 2018 ii. Bipolar disorder management 2018 iii. Migraine prevention and treatment 9. Prospective prior authorization proposals (clinical edits): Christina Faulkner, Pharm. D., Health Information Designs, LLC (Vote required) a. Cytokine and CAM antagonists b. Gastrointestinal (GI) motility agents c. Ingrezza (Valbenazine) d. Keveyis ( Dichlorphenamide) 10. Retrospective drug use, criteria for outpatient use in Vendor Drug Program: Jennifer Seltzer, Pharm. D., University of Texas at Austin College of Pharmacy (Vote required) a. Atypical antipsychotics (long-acting injectable) b. Atypical antipsychotics (oral) c. Nitazoxanide (Alinia) d. Promethazine use in children less than two years of age e. Quetiapine (low-dose) 11. Adjourn 12. Next meeting date: January 26, 2018. Additional Information Contact: 512/707-6112

11/10/2017

Texas Health and Human Services Commission
November 10, 2017 – 09:30 AM
4900 North Lamar Blvd. (Health and Human Services Commission, Brown-Heatly Building, Public Hearing, Room), Austin

Proposed Medicaid Payment Rates for Preadmission Screening and Resident Review (PASRR) Specialized Services. Hearing. The Texas Health and Human Services Commission (HHSC) will conduct a public hearing to receive comment on proposed payment rates for Preadmission Screening and Resident Review (PASRR) Specialized Services for Medicaid clients residing in Nursing Facilities. 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 https://hhs.texas.gov/about-hhs/communications-events/live-archived-meetings. The broadcast will be archived and can be accessed on demand at the same website. Proposal. HHSC proposes the following payment rates for PASRR Specialized Services to be effective December 1, 2017: Supported Employment (per hour), $29.15; Employment Assistance (per hour), $29.66; Independent Living Skills Training (per hour), $17.73; Behavioral Support (per hour), $86.87; Habilitation Coordination (monthly), $208.23; and Day Habilitation (per day), $41.83. Methodology and Justification. The proposed payment rates were calculated in accordance with Title 1 of the Texas Administrative Code §355.315, concerning Reimbursement Methodology for Preadmission Screening and Resident Review (PASRR) Specialized Services, which will be effective December 1, 2017. Briefing Package. A briefing package describing the proposed payment rates will be available at http://rad.hhs.texas.gov/rate-packets on or after October 20, 2017. Interested parties may obtain a copy of the briefing package prior to the hearing by contacting the HHSC Rate Analysis Department by telephone at (512) 730-7401; by fax at (512) 730-7475; or by e-mail at RAD-LTSS@hhsc.state.tx.us. The briefing package will also will be available at the public hearing. Written Comments. Written comments regarding the proposed payment rates may be submitted in lieu of, or in addition to, oral testimony until 5:00 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 e-mail. U.S. Mail: Health and Human Services Commission, Rate Analysis Department, 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, Rate Analysis Department, Mail Code H-400, Brown-Heatly Building 4900 North Lamar Blvd. Austin, Texas 78751-2316 Phone number for package delivery: 512-730-7401. Fax Attention: Rate Analysis at (512) 730-7475. E-mail: RAD-LTSS@hhsc.state.tx.us

Texas Medical Board
November 10, 2017 – 10:00 AM
333 Guadalupe, Tower 3, Room 780, Austin

Disciplinary Panel 1. Call to order. 2. Roll call. 3. Consideration of the Cease and Desist hearing of Heather Perillo pursuant to Texas Occupations Code, s165.052(a). 4. Adjourn. Additional Information Contact: Laura Fleharty, 512/305-7174