The following legislative and state agency health care hearings have been scheduled between November 1 and November 21.
11/4/2014
Texas State Board of Pharmacy
November 4, 2014 – 09:00 AM
333 Guadalupe Street, Suite 2-225, Austin
Agenda A. Announcements Meeting Procedures Board Members Staff Continuing Education B. Discussion and Approval of Minutes (Tab 01) TSBP Board Business Meeting Held August 5, 2014 Temporary Suspension Hearings C. Discussion of and Possible Action Regarding Rules C.1 Final Adoption of Rules C.1.1 Amendment to 291.31 and 291.33 Concerning Patient Counseling (Tab 02) C.1.2 Amendments to s291.34 Concerning Transfer of Prescriptions (Tab 03) C.1.3 Amendments to 291.52, 291.53 and 291.54 Concerning Nuclear Pharmacy (Tab 04) C.1.4 Amendments to s291.72 Concerning Electronic Supervision of Pharmacy Technicians in a Class C Pharmacy in a Facility with 101 Beds or More (Tab 05) C.1.5 Amendments to s291.121 Concerning Automated Emergency Medication Kits (Tab 06) C.1.6 Amendments to s291.133 Concerning Nuclear Pharmacies Compounding Sterile Preparations (Tab 07) C.2 Proposal of Rules C.2.1 Amendments to s281.8 Concerning Grounds for Discipline for a Pharmacy License (Tab 08) C.2.2 Amendments to s291.1 Concerning Pharmacy License Application (Tab 09) C.2.3 Amendments to s291.3 Concerning Notifications (Tab 10) C.2.4 Amendments to 291.76 and 291.151 Concerning Recording the Removal of Drugs From the Pharmacy (Tab 11) C.2.5 Amendments to s291.133 Concerning Pharmacies Compounding Sterile Preparations (Tab 12) C.2.6 New Rule s291.157 Concerning a New Class of Pharmacy Located in a Physician's Office with Limited Dispensing (Tab 13) C.2.7 Amendments to 295.1 and 297.9 Concerning Change of Name for Pharmacists and Pharmacy Technicians (Tab 14) C.2.8 Amendments to 303.1 and 303.2 Concerning Drug Destruction (Tab 15) C.3 Rule Reviews in Accordance with Government Code, Section s2001.039 (Tab 16) C.3.1 For Proposal C.3.1.1 Chapter 291 Concerning Pharmacies (All Classes of Pharmacies) (291.1-291.3, 291.5-291.11, 291.14-291.19, 291.22-291.24, 291.27-291.29) (Tab 17) C.3.1.2 Chapter 291 Concerning Pharmacies (Clinic Pharmacy (Class D)) (291.91-291.94 )(Tab 18) D. Discussion of and Possible Action Concerning the Following Reports and Discussions D.1 Financial Update D.1.1 Review of FY2014 Expenditures (Tab 19) D.1.2 Review of Board Member Travel Budget (Tab 20) D.1.3 Update on Legislative Appropriations Request for FY2016-2017 (Tab 21) D.2 Update Concerning Program to Aid Impaired Pharmacists and Pharmacy Students D.2.1 Update on Number of Participating Individuals (Tab 22) D.2.2 Professional Recovery Network (PRN) D.2.2.1 Presentation and Discussion Concerning PRN Expenditures and Activities by PRN Director Courtney Hulbert (Tab 23) D.2.2.2 Review and Approval of Professional Recovery Network Program Audit (Tab 24) D.3 Discussion Concerning Pharmacists Who are Serving as the Pharmacist-in-Charge of Both a Class A (Community) Pharmacy and a Class C (Institutional) Pharmacy in a Facility with101 Beds or More (Tab 25) D.4 Presentation Regarding Electronic Viewing and Computerized Workflow Supervision Systems for Sterile Compounding Pharmacies. Presented by Eric Ho, Pharm.D., Corporate Pharmacy Compliance, Paragon Healthcare Inc. (Tab 26) D.5 Presentation Concerning Iowa Pilot Program Concerning Tech Check Tech. Presented by Alex Adams, Vice President, Pharmacy Programs, National Association of Chain Drug Stores (Tab 27) D.6 Discussion of s291.131(e)(2) Relating to Records for Non-Sterile Compounding for Patient Specific Prescriptions and Batch Compounding (Tab 28) D.7 Report on Appeals from State Office of Administrative Hearings Cases and Other Court Actions (Tab 29) D.8 Report on Continuing Education Initiative (Tab 30) D.9 Discussion Concerning Inspections When a Pharmacy Changes Location (Tab 31) D.10 Update on Legislation Filed During the 83rd Texas Legislative Session that has an Impact on TSBP and/or the Practice of Pharmacy (Tab 32) D.11 Discussion of Possible Statutory Changes for Consideration During the 84th Session of the Texas Legislature (Tab 33) E. Disciplinary Orders E.1 Consideration of Proposals for Decision E.1.1 In the Matter of A & I Pharmacy, LLC, Pharmacy License #28645 (Tab 34) E.1.1.1 Executive Session Concerning the Proposal for Decision in the Matter of A & I Pharmacy, LLC, Pharmacy License #28645 E.1.2 In the Matter of Carol M. Johnson, Pharmacist License #16435 (Tab 35) E.1.2.1 Executive Session Concerning the Proposal For Decision in the Matter of Carol M. Johnson, Pharmacist License #16435 E.1.3 In the Matter of Rana Okasha, Pharmacist License #51285 (Tab 36) E.1.3.1 Executive Session Concerning the Proposal For Decision in the Matter of Rana Okasha, Pharmacist License #51285 E.2 Report on Agreed Board Orders Entered by Executive Director (Tab 37) E.3 Discussion of and Action on Proposed Agreed Board Orders and Default Orders (Tab 38) E.4 Discussion of and Action on Proposed Remedial Plans (Tab 39) E.5 Executive Session to Consider Confidential Agreed Board Orders (Tab 40) F. Consideration of and Possible Action Concerning the Following Enforcement Reports F.1 Report on Complaints Closed and Dismissed During the Previous Quarter (Tab 41) F.2 Report on Status of Active/Pending Complaints (Tab 42) G. Miscellaneous G.1 Items to be Placed on Agenda for February 2015 Board Meeting (Tab 43) G.2 Discussion of and Possible Action on Recent Conferences and Events National Association of Boards of Pharmacy/American District VI, VII, and VIII Annual Meeting, Whitefish, MT September 21-24, 2014 National Community Pharmacist Association (NCPA) Annual Convention, Austin, TX October 18-22, 2014 Maltagon Annual Conference, St. Petersburg, FL October 26-29, 201 G.3 Discussion of and Possible Action on Upcoming Conferences and Events American Society of Consultant Pharmacists (ASCP) Annual Meeting, Orlando, FL November 5-7, 2014 Technician Informal Conference, Austin, November 12, 2014 (Tipton) Informal Conference, Austin, December 2-4, 2014 (Wiesner) American Society of Health-System Pharmacists (ASHP) Mid-Year Clinical Meeting, Anaheim, CA December 7-11, 2014 Informal Conference, Austin, January 13-15, 2015 (Tipton) Technician Informal Conference, Austin, January 22, 2015 (Wetherbee) TSBP Board Business Meeting, Austin February 3-4, 2015 G.4 Election of Vice President and Treasure (Tab 44). Additional Information Contact: Becky Damon, 512/305-8026
Texas Health and Human Services Commission
November 4, 2014 – 02:00 PM
1702 Horne Rd. (Corpus Christi-Nueces County Public Health District, Auditorium), Corpus Christi
Medicaid and Children's Health Insurance Program Regional Advisory Committee 1. Welcome and Introductions. 2. Approval of minutes of the May 27, 2014, Medicaid and Children's Health Insurance Program (CHIP) Regional Advisory Committee Meeting. (vote required) 3. Update on the Affordable Care Act. a. Hospital-based Presumptive Eligibility b. Changes to the HHSC Renewal Process 4. Update on the Dual Demonstration Project. 5. Update on the Managed Care Expansion Initiatives. a. Intellectual and Developmental Disabilities b. STAR+PLUS Expansion c. Nursing Facility d. Behavioral Health 6. Update on the Home and Community Based Services Rules. 7. Update on the Medicaid and CHIP Quality Efficiency Improvement Efforts. 8. Update on the Texas Healthcare Transformation and Quality Improvement Waiver. 9. Update on the Prescribed Pediatric Extended Care Centers. 10. Information Presentations. a. Medical Transportation Program b. YourTexasBenefitsCard.com c. YourTexasBenefits.com Mobile App d. Community Partner Program 11. Public Comment. 12. Discussion on Schedule Information for Next Meeting. 13. Adjourn. Additional Information Contact: Arnold Gomez, 361/878-3432
11/5/2014
Texas Health and Human Services Commission
November 5, 2014 – 10:00 AM
320 Iwo Jima Blvd. (Marine Military Academy, Cadet Activity Center), Harlingen
Medicaid and Children's Health Insurance Program Regional Advisory Committee 1. Welcome and Introductions. 2. Approval of minutes of the May 28, 2014, Medicaid and Children's Health Insurance Program (CHIP) Regional Advisory Committee Meeting. (vote required) 3. Update on the Affordable Care Act. a. Hospital-based Presumptive Eligibility b. Changes to the HHSC Renewal Process 4. Update on the Dual Demonstration Project. 5. Update on the Managed Care Expansion Initiatives. a. Intellectual and Developmental Disabilities b. STAR+PLUS Expansion c. Nursing Facility d. Behavioral Health 6. Update on the Home and Community Based Services Rules. 7. Update on the Medicaid and CHIP Quality Efficiency Improvement Efforts. 8. Update on the Texas Healthcare Transformation and Quality Improvement Waiver. 9. Update on the Prescribed Pediatric Extended Care Centers. 10. Information Presentations. a. Medical Transportation Program b. YourTexasBenefitsCard.com c. YourTexasBenefits.com Mobile App d. Community Partner Program 11. Public Comment. 12. Discussion on Schedule Information for Next Meeting. 13. Adjourn. Additional Information Contact: Belinda Senteno, 956/421-5576
Department of State Health Services
November 5, 2014 – 10:00 AM
909 West 45th Street, Building 552, Austin
Local Authority Network Advisory Committee Teleconference The Committee will meet in a telephone conference call meeting to discuss and possibly act on the following agenda items: Approval of minutes Update on status of revisions to 25 TAC, Chapter 412, Subchapter P (relating to Provider Network Development) Preparation for joint meeting with Council on Advising and Planning Ten Percent Withhold Committee on December 9, 2014 Public comment Adjourn. Additional Information Contact: kim.wolfe@dshs.state.tx.us
Department of State Health Services
November 5, 2014 – 01:00 PM
Austin State Hospital Campus, West Auditorium Bldg., 4110 Guadalupe Street, Austin
Texas Worksite Wellness Advisory Board The Board will meet to discuss and possibly act on the following agenda: Call to Order Roll Call/Introductions Discussion 1. Annual Wellness Conference Debrief 2. Development of Worksite Wellness Advisory Board recommendations to the Department of State Health Services 3. Updates on wellness activities from the Employees Retirement System 4. Updates on wellness activities from the Department of State Health Services Public Comments Acceptance of Items for Discussion/Approval at Future Meetings Adjourn. Additional Information Contact: kim.wolfe@dshs.state.tx.us
Texas Health and Human Services Commission
November 5, 2014 – 01:00 PM
1100 Congress Ave. (Texas State Capitol Extension, E2.002A), Austin
Promoting Independence Advisory Committee Community First Choice Work Session 1. Welcome and Introductions. 2. Community First Choice. a. Assessment Review and Input 3. Public Comment. 4. Adjourn. Additional Information Contact: April Young, 512/424-6911
11/6/2014
Texas Medical Board
November 6, 2014 – 08:30 AM
333 Guadalupe, Tower 2, Suite 225, Austin
Executive Committee 1. Call to order and roll call. 2. Discussion, recommendation, and possible action on the FY 14 Annual Internal Audit Report to Oversight Agencies. 3. Report on FY 15 Internal Audit Process. 4. Discussion, recommendation, and possible action regarding proposed amendments to 22 T.A.C s161.3 Board Member Eligibility. 5. Adjourn. Additional Information Contact: Laura Fleharty, 512/305-7174
Texas Medical Board
November 6, 2014 – 08:45 AM
333 Guadalupe, Tower 2, Suite 225, Austin
Finance Committee 1. Call to order and roll call. 2. Budget report. 3. Adjourn. Additional Information Contact: Sandra Carbajal, 512/305-7111
Texas Medical Board
November 6, 2014 – 09:00 AM
333 Guadalupe, Tower 2, Suite 225, Austin
Electronic Medical Records and Communication Ad Hoc Committee 1. Call to order and roll call. 2. Discussion, recommendation and possible action regarding proposed amendments to board rules: a. 165.1(a) Medical Records 3. Discussion, recommendation, and possible action regarding draft resolution for Federation. 4. Adjourn. Additional Information Contact: Sandra Carbajal, 512/305-7111
Texas Medical Board
November 6, 2014 – 10:00 AM
333 Guadalupe, Tower 2, Suite 225, Austin
Telemedicine Committee 1. Call to order and roll call. 2. Report on the Telemedicine Stakeholder Group meeting regarding rules under Chapter 174 related to telemedicine. 3. Adjourn. Additional Information Contact: Laura Fleharty, 512/305-7174
Texas Medical Board
November 6, 2014 – 10:30 AM
333 Guadalupe, Lobby Area, Room 100, Austin
Licensure Committee 1. Call to order and roll call. 2. Discussion, recommendation and possible action regarding applicants for licensure, permits, and certification. a. Applicants for pain management certification b. Applicants appearing concerning eligibility c. Proposed orders offered by the Executive Director d. Physician licensure applicants to be licensed e. Surgical assistant licensure applicants to be licensed f. Acudetox applicants to be certified 3. Report on physician licensure statistics. 4. Discussion, recommendation and possible action regarding cancellation of licenses by request for incomplete registration. a. Surgical assistant b. Acudetox 5. Discussion, recommendation and possible action regarding Nonprofit Health Organizations. a. Applicants for initial certification b. Requests for biennial recertification c. Cancellation of organizations certified as Nonprofit Health Organizations 6. Discussion, recommendation and possible action regarding registration/renewal forms. 7. Adjourn. Additional Information Contact: Sandra Carbajal, 512/305-7111
Texas Medical Board
November 6, 2014 – 10:30 AM
333 Guadalupe, Tower 2, Suite 225, Austin
Disciplinary Process Review Committee 1. Call to order and roll call. 2. Discussion, recommendation, and possible action regarding referrals and reports from the Texas Physician Health Program. 3. Discussion, recommendation, and possible action regarding renewals involving impaired licensees. 4. Reports and discussion regarding the Investigation, Litigation and Compliance Departments. 5. Discussion, recommendation, and possible direction regarding the request related to the proposed rulemaking for Title 22 TAC Chapter 165, s165.2. 6. Discussion, recommendation, and possible action regarding Rule Review and proposed changes to the following chapters in Title 22 of the Texas Administrative Code: A. Chapter 190, Disciplinary Guidelines, s190.14. Disciplinary Sanction Guidelines. 7. Discussion and possible direction regarding Soberlink and remote alcohol monitoring. 8. Review, discussion, and possible action regarding review of probationers appearances. 9. Consideration and approval of membership of the Expert Physician Panel. 10. Reports and discussion regarding cases over one year old. 11. Review, discussion, and possible action regarding appeals of dismissed complaints: (12:00 p.m.) A. Jurisdictional Complaints: i. Investigations 14-0264 14-2289 14-3173 14-3445 14-3929 14-4360 14-4552 14-4693 14-5078 ii. Legal Files 14-0206 (13-5470) 14-0603 (14-1070) B. Jurisdictional-Not-Filed Complaints: 14-0966 14-3638 14-4179 14-4487 14-4772 14-5671 14-5755 14-5946 14-6024 14-6059 14-6285 14-6417 14-6420 14-6468 14-6565 14-6967 14-7025 15-0048 15-0174 15-0589 12. Discussion, recommendation, and possible action regarding routine follow-up on investigative files previously referred from DPRC for follow-up action, specifically including: 13-0277 13. Review, discussion, and possible action regarding selected files and cases. 14. Adjourn. Additional Information Contact: Sandra Carbajal, 512/305-7111
Texas Board of Occupational Therapy Examiners
November 6, 2014 – 02:00 PM
16090 City Walk, Sugar Land Marriott Town Square, Veranda Rm, Sugar Land
Rules Committee 1. Call to Order 2. Public Comment 3. Approval of Minutes of June 12, 2014 4. Report on attendance at the NBCOT Annual Regulatory Conference on October 24-25, 2014 by DeLana Honaker, OTR, PhD, FAOTA and Lea Weiss 5. Discussion and possible action on proposing a new rule s372.2, Provision of Services, to add a section on Telehealth 6. Discussion and possible action on proposing rule amendments, including amendments regarding Telehealth, to the following rules: A. s362.1, Definitions B. s363.1, Consumer/Licensee Information C. s364.1, Requirements for Licensure, and s364.4, Licensure by Endorsement D. s369.1, Display of Licenses E. s372.1, Provision of Services F. s373.1, Supervision of Non-Licensed Personnel; s373.2, Supervision of a Temporary Licensee; and s373.3, Supervision of an Occupational Therapy Assistant G. s376.1, Facility Definitions; s376.4, Requirements for Registered Facilities; and s376.5, Exemptions to Registration 7. Discussion and possible action on future meeting dates and agenda items 8. Adjournment. Additional Information Contact: Lea Weiss, 512/305-6900
11/7/2014
Department of State Health Services
November 7, 2014 – 08:30 AM
Austin-Health and Human Services Commission, MHMR Center, Conference Room 164, 909 W. 45th Street, Austin
Topic Research Committee of the Texas Radiation Advisory Board The Texas Radiation Advisory Board's Topic Research Committee will convene as posted to consider, discuss and take formal action, as necessary, on the following agenda items: 1. Call to Order 2. Introduction of guests 3. Review and adoption of the minutes of the September 19, 2014 meeting 4. Old Business A. Udate on rulemaking priorities, Chuck Flynn, DSHS B. Licensing of Certified Diagnostic Physicists by the American Board of Radiology and Possible Texas Board of Licensure for Professional Medical Physicists Board Remedies, Doug Johnson, Vice Chair, Texas Board of Licensure for Professional Medical Physicists Board 5. New Business: Present and discuss topics that need further research for action by the TRAB 6. Public Comments 7. Formulate recommendations on any agenda items to be considered by the full Board 8. Adjourn Members of the Topic Research Committee invite all non-Committee members of TRAB to attend and listen to the discussion. Additional Information Contact: Ian Hamilton, ihamilton@sw.org
Texas Board of Occupational Therapy Examiners
November 7, 2014 – 09:00 AM
16090 City Walk, Sugar Land Marriott Town Square, Veranda Rm, Sugar Land
Education Committee 1. Call to Order 2. Public Comment 3. Approval of Minutes of June 12, 2014 4. Discussion and possible action on proposing changes to Chapter 367 to include categories of education, the continuing education approval process, and other continuing education issues 5. Discussion and possible action on a request for consideration for continuing education credit from Susan L. Garber, OTR, MA, FAOTA, FACRM 6. Discussion and possible action on a request for consideration for continuing education credit from DeLana Honaker, OTR, PhD, FAOTA 7. Discussion and possible action on future meeting dates and agenda items 8. Adjournment. Additional Information Contact: Lea Weiss, 512/305-6900
Department of State Health Services
November 7, 2014 – 09:00 AM
Austin-Health and Human Services Commission, MHMR Center, Conference Room 240, 909 W. 45th Street, Austin
Medical Committee of the Texas Radiation Advisory Board The Texas Radiation Advisory Board's Topic Research Committee will convene as posted to consider, discuss and take formal action, as necessary, on the following agenda items: 1. Call to Order 2. Introduction of guests 3. Review and adoption of the minutes of the September 19, 2014 meeting 4. Old Business A. TRAB Advisory Statement on the NRC's proposed changes to the radiation safety regulations, 10 CFR Part 20, (Emery) B. NRC proposed amendments to 10 CFR Part 35 (Flynn) 5. New Business – None 6. Public Comments 7. Formulate recommendations on any agenda items to be considered by the full Board 8. Adjourn Members of the Medical Committee invite all non-Committee members of TRAB to attend and listen to the discussion. Additional Information Contact: Darlene Metter, metter@uthscsa.edu
Texas Health and Human Services Commission
November 7, 2014 – 09:00 AM
701 West 51st St. (DADS, Winters Bldg., Public Hearing Rm), Austin
Medical Care Advisory Committee (MCAC) 1. Opening Comments: Michael Vaclav, DDS, Medical Care Advisory Committee Chair. 2. Comments from the Associate Commissioner for Medicaid and Children's Health Insurance Program (CHIP): Kay Ghahremani, Health and Human Services Commission (HHSC). 3. Approval of August 2014 Meeting Minutes. 4. Announcement of Proposed Slate of Candidates for MCAC Executive Committee: Michael Vaclav, DDS. 5. Presentation on the Transformation Waiver Overview: Lisa Kirsch, Chief Deputy Director, Medicaid and Children's Health Insurance Program (CHIP). HHSC staff will present an overview of current activities under the Texas Healthcare Transformation & Quality Improvement Program, otherwise known as the 1115 waiver. The overview will include an update on regional and local Delivery System Reform Incentive Payment (DSRIP) projects and managed care expansion activities. Informational items: 6. Amendments to Title 1, Part 15, Chapter 355, Subchapter D, s355.456, concerning Reimbursement Methodology. The Texas Health and Human Services Commission (HHSC) proposes to amend s355.456, concerning Reimbursement Methodology. This rule establishes the reimbursement methodology for the Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions (ICF/IID) program administered by the Department of Aging and Disability Services (DADS). HHSC, under its authority and responsibility to administer and implement rates, is proposing amendments to this rule to add a reimbursement methodology for services to individuals who have lived in a State-Supported Living Center (SSLC) for at least six months prior to referral to a non-state operated facility; have a level of need (LON) which includes a medical LON increase but not a LON of pervasive plus; and have a Resource Utilization Group (RUG-III) classification in the major RUG-III classification groups of Extensive Services, Rehabilitation, Special Care, or Clinically Complex. Judy Myers, HHSC 7. Informal Dispute Resolution for Assisted Living Facilities. HHSC proposes new rule Title 1, Part 15, Chapter 393, s393.2, Informal Dispute Resolution (IDR) for Assisted Living Facilities (ALFs). As required by H.B. 33, in accordance with the Texas Government Code chapter 2008, HHSC engaged in Negotiated Rulemaking to improve the IDR process for ALFs. Currently, s393.1 of the Texas Administrative Code (TAC) dictates the IDR process for three facility types: nursing facilities, intermediate care facilities for individuals with an intellectual disability or related conditions (ICF/IID), and ALFs. Under the negotiated rulemaking committee's proposal, there are significant differences between the proposed IDR process for ALFs and the other two provider-types. Therefore, although the negotiated rulemaking committee initially attempted to incorporate the newly proposed ALF IDR process within s393.1, it subsequently determined that having two separate rules one that applies to nursing facilities and ICF/IID, and another that applies exclusively to ALFs was preferable. The purpose of this bifurcation is to avoid confusion as to which provisions affect ALFs and which provisions affect the other two provider types. For s393.2, rule implementation by the proposed effective date is required by State law. There are no other alternatives. Additionally, most of the procedures outlined in the proposed new rule are currently in practice; however, some modifications were made to improve the process. The proposed amendments to s393.1 are necessary after the negotiated rulemaking committee's recommendations and also improve the current IDR process for nursing facilities and ICF/IID. There are no other issues or alternatives to consider. Allison Levee, HHSC notice of proposed rules/action items: 8. Transition Assistance Services. HHSC, on behalf of the Department of Aging and Disabilities Services, proposes amendments, new rules, and repeals in Chapter 62 relating to transition assistance services and the repeal of a rule in Chapter 51 relating to transition assistance services in the Medically Dependent Children Program. Becky Hubik, DADS 9. Home and Community-based Services (HCS) and Texas Home Living (TxHmL). HHSC, on behalf of the Department of Aging and Disabilities Services (DADS), proposes amendments in Chapter 9, Subchapter D, governing the HCS Waiver Program, related to: (1) the provision of transition assistance services, pre-enrollment minor home modifications (MHMs) and pre-enrollment MHMs assessments; and (2) the role of the service coordinator in: assisting an individual to obtain a neurobehavioral or neuropsychological assessment and plan of care from a qualified professional for delivering cognitive rehabilitation therapy; and ensuring the plan of care includes a sufficient number of nursing units for the provider's registered nurse to perform an initial nursing assessment if an applicant or the legally authorized representative chooses a program provider to deliver certain services (e.g. nursing; residential support); and in Subchapter D and Subchapter N, related to (1) submitting requests to DADS for an informal review; and (2) actions DADS may take to resolve non-compliance by a program provider. Dana Williamson, DADS 10. Community Living Assistance and Support Services (CLASS). HHSC, on behalf of the Department of Aging and Disabilities Services, proposes amendments, new rules, and a repeal to add cognitive rehabilitation therapy and employment assistance; establish definitions and requirements for employment services; clarify the requirements for repair/maintenance costs for adaptive aids; add recordkeeping and documentation requirements for non-delegated tasks; update service limits; specify the requirement for an initial and annual nursing assessment; add requirements for service back-up plans; replace a reference to the CLASS Program waiver with a reference to s41.108 that lists the CLASS Program services for which the consumer direction services (CDS) option is available; establish requirements for using a protective device and restraints and the use of a restraint in a behavior support plan; establish requirements for a case manager related to the provision of transition assistance services; clarify when a service provider may be a relative or guardian of the individual to whom the service provider is providing the service; and add references to Chapter 49 governing contracting for community services. Dana Williamson, DADS 11. Reimbursement Methodology for School Health and Related Services (SHARS). HHSC proposes to amend s355.8443, Reimbursement Methodology for School Health and Related Services (SHARS) by deleting obsolete language. Nadia Bobb, HHSC 12. Community First Choice Services. The Texas Health and Human Services Commission (HHSC) proposes to repeal the current division title (as the division contains no rules) and add a new division entitled Community First Choice, to implement a new state plan option to provide certain home and community based supports under Title 1, Part 15, Chapter 354, Subchapter A, Division 27. The proposed new rules describe eligibility, benefits, and provider criteria for the CFC program. Laurie VanHoose, HHSC 13. Reimbursement Methodology for Community First Choice Services. The Texas Health and Human Services Commission (HHSC) proposes new s355.9090, concerning Reimbursement Methodology for Community First Choice, under Title 1, Part 15, Chapter 355, Subchapter M, Division 7, to establish a reimbursement methodology for services provided under Community First Choice (CFC). This proposed new rule describes the reimbursement methodology for CFC services. CFC rates are established using pre-existing attendant and habilitation, consumer directed services, support consultation, financial management services agency, and emergency response services rates. Texas Government Code s533.0025(i) requires HHSC to "implement the most cost-effective option for the delivery of basic attendant and habilitation services for individuals with disabilities under the STAR+PLUS Medicaid managed care program that maximizes federal funding for the delivery of services for that program and other similar programs." CFC is available under federal law and lets states provide home and community-based attendant and habilitation services to Medicaid enrollees with disabilities under their State Plan. Pam McDonald, HHSC 14. Prescribed Pediatric Extended Care Centers. The Texas Health and Human Services Commission (HHSC) proposes new Subchapter B, Prescribed Pediatric Extended Care Center Services, including new rules 363.201 to 363.217. S.B. 492, 83rd Legislature, Regular Session, 2013, establishes Prescribed Pediatric Extended Care Centers (PPECCs) in Texas. A PPECC provide non-residential, facility-based care as an alternative to private-duty nursing (PDN) for individuals under the age of 21 who are "medically dependent or technologically dependent" with complex medical needs. PDN services would be rendered before and/or after PPECC services are rendered, and the bill requires nursing services received in a PPECC to be prescribed by the client's primary care physician. Policy staff determined PPECC services should be considered Medicaid State Plan services, requiring the creation of new payable provider type and enrollment processes for Texas Medicaid. PPECC services will be made available in traditional Medicaid and managed care (STAR, STAR+PLUS, STAR Health, and eventually STAR Kids). Laurie VanHoose, HHSC 15. Reimbursement Methodology for Prescribed Pediatric Extended Care Centers (PPECC). The Texas Health and Human Services Commission (HHSC) proposes new s355.9080, concerning Reimbursement Setting Methodology, under Title 1 of the Texas Administrative Code (TAC), Part 15, Chapter 355, Subchapter M. Under this proposed rule, HHSC has the authority and responsibility to administer and implement rates, to establish a reimbursement methodology for Prescribed Pediatric Extended Care Centers (PPECCs). A PPECC provides non-residential, facility-based care as an alternative to private-duty nursing (PDN) for individuals under the age of 21 with complex medical needs. HHSC is required to establish PPECCs as a separate Medicaid provider type and limit the reimbursement rate to no more than 70 percent of the average hourly PDN rate. HHSC may require a contracted provider to submit a cost report for any service provided through this program if necessary to obtain financial and statistical data upon which to base reimbursement; if HHSC requires a cost report, the provider must follow cost reporting and allowable and unallowable cost guidelines. HHSC may excuse a provider from the requirement to submit a cost report in certain circumstances. Laura Marble, HHSC 16. Presumptive Medicaid Program. The proposed rules implement federal requirements for presumptive eligibility for Medicaid. Under federal law, hospitals have the option to make presumptive eligibility determinations for pregnant women, children, parents and caretaker relatives, and former foster care children regardless of whether the state chooses to provide presumptive eligibility for these groups. HHSC is proposing new rules that provide the eligibility requirements for individuals to qualify for presumptive eligibility, the requirements for providers making presumptive eligibility determinations, and HHSC responsibilities for oversight of providers making presumptive eligibility determinations. In order to align policies and procedures, HHSC is amending existing rules for qualified entities making presumptive eligibility determinations for pregnant women. Gina Perez, HHSC 17. Texas Dual Eligibles Integrated Care Demonstration Project. The Texas Health and Human Services Commission (HHSC) proposes to add a new subchapter entitled Texas Dual Eligibles Integrated Care Demonstration Project under Title 1, Part 15, Chapter 353, Subchapter L, to implement a new HHSC initiative for individuals dually eligible for Medicaid and Medicare. The proposed new rules describe member participation, member enrollment and disenrollment, participating providers, benefits, appeals and fair hearings, and accessibility of services. Rider 51 (21), 83rd Regular Session, 2013, directed HHSC to implement the Dual Demonstration. The Federal Coordinated Health Care Office ("Medicare-Medicaid Coordination Office") is charged with supporting the coordination of Medicare and Medicaid to allow the two programs to work together more effectively to improve care and lower costs. The Financial Alignment Demonstration, also referred to as the Dual Demonstration, was created by Medicare-Medicaid Coordination Office. Rhyne Simon, HHSC 18. Public Comment. 19. Proposed Next Meeting: Thursday, February 20, 2015 at 9 a.m. 20. Adjourn. Additional Information Contact: Sallie Allen, 512/424-6969
Department of State Health Services
November 7, 2014 – 09:00 AM
Austin-Health and Human Services Commission, MHMR Center, Conference Room 164, 909 W. 45th Street, Austin
Industrial, Nuclear Power, Uranium and Waste Committee will convene as posted to consider, discuss and take formal action, as necessary, on the following agenda items: 1. Call to Order 2. Introduction of guests 3. Consideration and approval of the minutes of the September 19, 2014 meeting 4. Old Business A. TRAB Advisory Statement on the NRC's proposed changes to the radiation safety regulations, 10 CFR Part 20, (Emery) B. Update on the Texas Low Level Radioactive Waste Disposal Facility: (OMcGuire, TCEQ) 5. New Business – None 6. Public Comments 7. Formulate recommendations on any agenda items to be considered by the other Committees or the full Board 8. Adjourn Members of the Industrial, Nuclear Power, Uranium and Waste Committee invite all non-Committee members of TRAB to attend and listen to the discussion. Additional Information Contact: Mitch Lucas, mlucas0217@gmail.com
Texas Board of Occupational Therapy Examiners
November 7, 2014 – 10:00 AM
16090 City Walk, Sugar Land Marriott Town Square, Sugar Land VII Room, Sugar Land
1. Call to Order 2. Public comment 3. Approval of Minutes of September 5, 2014 4. Discussion and possible action on Executive Director's Report concerning fiscal and budgetary matters, performance measures, ongoing projects, agency personnel matters, upcoming legislative session, and other agency business 5. Investigation Committee Report A. Review and possible action on Agreed Orders for case numbers: 13-039; 14-161; 14-162; 14-163; 14-164 and 14-165 B. Discussion and possible action on the Investigation Committee meeting of October 14, 2014 C. Discussion and possible action on investigative activities to date 6. Executive Session pursuant to s551.074 of the Texas Government Code, regarding the appointment, employment, evaluation, reassignment, duties, discipline, or dismissal of the Executive Director of the Executive Council of Physical Therapy and Occupational Therapy Examiners 7. Discussion and possible action on request from Janie Oyakawa regarding Chapter 364, Requirements for Licensure, and licensure requirements for applicants with only an expired license in another state and whose passing NBCOT scores are older than two years 8. Rules Committee Report Discussion and possible action on recommendations from the Rules Committee on the following items: A. Discussion and possible action on proposing a new rule s372.2, Provision of Services, to add a section on Telehealth B. Discussion and possible action on proposing rule amendments, including amendments regarding Telehealth, to the following rules: 1. s362.1, Definitions 2. s363.1, Consumer/Licensee Information 3. s364.1, Requirements for Licensure, and s364.4, Licensure by Endorsement 4. s369.1, Display of Licenses 5. s372.1, Provision of Services 6. s373.1, Supervision of Non-Licensed Personnel; s373.2, Supervision of a Temporary Licensee; and s373.3, Supervision of an Occupational Therapy Assistant 7. s376.1, Facility Definitions; s376.4, Requirements for Registered Facilities; and s376.5, Exemptions to Registration 9. Education Committee Report Discussion and possible action on recommendations from the Education Committee on proposing changes to Chapter 367 to include categories of education, the continuing education approval process, and other continuing education issues 10. Discussion and possible action on the OT Coordinator's Report. The Coordinator's Report may concern any items listed on the agenda and events that have occurred between this meeting and the Board's last meeting. 11. Discussion and possible action on the Presiding Officer's Report. The Presiding Officer's report may concern any item listed on the agenda and events that have occurred between this meeting and the Board's last meeting. 12. Discussion and possible action on scheduling future board meeting dates and agenda items for future consideration 13. Adjournment. Additional Information Contact: Lea Weiss, 512/305-6900
Department of State Health Services
November 7, 2014 – 10:30 AM
Austin-Health and Human Services Commission, MHMR Center, Conference Room 164, 909 W. 45th Street, Austin
Texas Radiation Advisory Board The Board will convene as posted to consider, discuss and take formal action, as necessary, on the following agenda items, as time allows: 1. Call to Order 2. Introduction of guests 3. Review and adoption of the minutes of the September 19, 2014 meeting 4. Committee Reports and Recommendations A. Industrial, Nuclear Power, Uranium and Waste Committee B. Medical Committee C. Topic Research Committee 5. Program Reports A. Railroad Commission of Texas (RRC) B. Texas Commission on Environmental Quality (TCEQ) C. Texas Department of State Health Services (DSHS) D. Texas Low-Level Radioactive Waste Disposal Compact Commission (TLLRWDCC) E. U.S. Nuclear Regulatory Commission -Roger Mulder, State Liaison Officer 6. Old Business A. Brief update on the WIPP Facility Waste Issues and its Waste Stored at WCS (Free, DSHS) 7. New Business A. Medical community (second responders) emergency readiness for a radiation event (Free, DSHS) B. Finalization of the TRAB's Advisory Statement on the proposed changes to 10 CFR Part 20 C. TRAB Policies on Public Comments at Open Meetings (Pfefferle, DSHS) D. Discuss and decide on action items presented by the Industrial, Nuclear Power, Uranium and Waste Committee E. Discuss and decide on action items presented by the Medical Committee F. Discuss and decide on action items presented by the Topic Research Committee 8. Public Comments 9. Discussion of Future Meeting Topics 10. Adjourn. Additional Information Contact: John P. Hagemen, jph@swri.org
Texas Health and Human Services Commission
November 7, 2014 – 01:00 PM
4900 N Lamar Blvd. (HHSC, Brown-Heatly Building, Room 1420), Austin
Interagency Task Force for Children with Special Needs. This meeting will be webcast. To access the webcast, on the day and time of the meeting, go to http://www.hhsc.state.tx.us/news/meetings.asp. 1. Welcome and Introduction. 2. Approval of August Meeting Minutes. 3. Legislative Report update. 4. Project Status, Priority I: Informed and Empowered Parents. a. Update, presentation, and discussion of marketing scope: Trademark Media 5. Project Discussion, Priority II: Crisis Prevention/Intervention. a. Discussion of opportunities to partner with Texas Education Agency/ESC region 4 Positive Behavior Support project for community and school based outreach and training 6. Public Comment. 7. Discuss Next Potential Action Items and Meeting Dates. 8. Adjourn. Additional Information Contact: sherry.broberg@hhsc.state.tx.us
Texas Health and Human Services Commission
November 7, 2014 – 02:30 PM
701 West 51st St. (DADS, Winters Bldg., Public Hearing Rm), Austin
Hospital Payment Advisory Committee (HPAC) Telephone Meeting 1. Opening Comments: Peggy Deming, Hospital Payment Advisory Committee Chair. 2. Announcement of Proposed Slate of Candidates for HPAC Executive Committee: Peggy Deming. 3. *Election of HPAC Executive Committee Officers: Peggy Deming. 4. Proposed Next Meeting: Thursday, February 12, 2015, at 1:30 p.m. 5. Adjourn. *Public comment will be allowed on this item. Additional Information Contact: Sallie Allen, 512/424-6969
11/10/2014
Department of State Health Services
November 10, 2014 – 10:00 AM
Brown Heatly Building, Room 1410, 4900 North Lamar, 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 IV. Reading and Approval of the September 8, 2014, Minutes V. Revision of the Bullying Prevention Toolkit VI. Revision of the Research and Recommendation Document on Student Consumption of Regular and Diet Sodas in High Schools VII. Revision of the School Health Advisory Committee Self-Assessment Tool VIII. Review of Revision Schedule IX. Public Policy, Research and Development, Texas School Survey of Drug and Alcohol Use, Texas Youth Tobacco Survey Presentation X. New Activities Work Group Reports A. Research and Recommendation on Safe School Climate B. Research and Recommendation on School Health and Academic Achievement C. Mental Health and Suicide Prevention Resources Document D. Research and Recommendation on Parent Involvement E. Research and Recommendation on Promotion of Health Education in High Schools and Utilizing State Standards for Health and Physical Education XI. 10-Component Coordinated School Health Model XII. Agency Updates: Texas Education Agency, Texas Department of Agriculture, Texas Department of State Health Services XIII. Joint-Use Agreements XIV. Adolescent Sleep and Late Start XV. Agenda Topics for School Health Advisory Councils 0 Call for New Topics XVI. Coordinated School Health Data Sets – Call for New Websites XVII. Reminder of Next Meeting Date: January 12, 2015, Determine Agenda Topics XVIII. Public Comment XIX. Adjourn. Additional Information Contact: kim.wolfe@dshs.state.tx.us
11/12/2014
Texas Board of Nursing
November 12, 2014 – 08:30 AM
333 Guadalupe, Suite 3-460, Austin
Eligibility and Disciplinary Committee Meeting I. Call to order-8:30 a.m. II. Review of the agenda III. Review of the minutes: September 9, 2014 Committee Meeting; September 9, 2014, Emergency Meeting; September 15, 2014, Emergency Meeting; September 29, 2014, Emergency Meeting; October 17, 2014, Emergency Meeting; October 27, 2014, Emergency Meeting IV. Staff recommendations V. The Eligibility and Disciplinary Committee of the board will meet to consider and take action on petitioners. Additional Information Contact: Andrea Gonzalez, 512/305-6869
Texas Health and Human Services Commission
November 12, 2014 – 09:00 AM
2405 Robert Dedman Dr. (UT Thompson Conf. Ctr., Room 2.102), Austin
Institute of Health Care Quality and Efficiency (IHCQE)Board of Directors Meeting 1. Welcome and Introductions. 2. Opening Statements. 3. Old Business: a. Review and approval of meeting minutes of August 14, September 15 and October 20, 2014 (Vote Required) b. 2014 IHCQE Recommendations Report (Vote Required) i. Value-Based Care ii. Expanded Access iii. Serious and Persistent Mental Illness 4. Background Presentations. a. Dr. Ken Shine (Code Red Report) b. Dr. Charles Macias (Children's Hospital Association of Texas) 5. Public Comment . 6. Review of items requiring staff action prior to the next meeting. 7. Adjourn. Additional Information Contact: Jimmy Blanton, 512/380-4372
Sunset Advisory Commission
November 12, 2014 – 10:00 AM
Capitol Extension, Room E1.036, Austin
1. Call to Order 2. Approval of Minutes 3. Staff Presentation and Agency Response (Invited Testimony Only) Texas Council for Developmental Disabilities Governor's Committee on People with Disabilities Texas Council on Purchasing from People with Disabilities Texas Health Services Authority Health and Human Services Commission and System Issues (includes Interagency Task Force for Children With Special Needs) Office of Inspector General (Health and Human Services Commission) DFPS: Presentation on the Child Protective Services Transformation Report to the Sunset Commission Texas Education Agency (includes State Board for Educator Certification) Entry Criteria for Self-Directed Semi-Independent Agencies 9:00 a.m., Thursday, November 13 4. Public Testimony Texas Council for Developmental Disabilities Governor's Committee on People with Disabilities Texas Council on Purchasing from People with Disabilities Texas Health Services Authority Health and Human Services Commission and System Issues (includes Interagency Task Force for Children With Special Needs) Office of Inspector General (Health and Human Services Commission) Texas Education Agency (includes State Board for Educator Certification) Entry Criteria for Self-Directed Semi-Independent Agencies 5. Other Business 6. Adjournment. Additional Information Contact: Cee Hartley, 512/463-1300
Texas Health and Human Services Commission
November 12, 2014 – 01:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd., Austin
Proposed Medicaid Payment Rates for Gynecological and Reproductive Health Services. Hearing. Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed Medicaid payment rates for Gynecological and Reproductive Health Services. The hearing will be held in compliance with Human Resources Code §32.0282 and the Texas Administrative Code, Title 1 (1 TAC), §355.201, which require public notice of and hearings on proposed Medicaid reimbursements. HHSC also will broadcast the public hearing; the broadcast can be accessed at http://www.hhsc.state.tx.us/news/meetings.asp. The broadcast will be archived and can be accessed on demand at the same website. Proposal. The payment rates for Gynecological and Reproductive Health Services are proposed to be effective January 1, 2015. Methodology and Justification. The proposed payment rates were calculated in accordance with 1 TAC: §355.8085, which addresses the reimbursement methodology for physicians and other practitioners; and §355.8441, which addresses the reimbursement methodology for Early and Periodic Screening, Diagnosis, and Treatment services (known in Texas as Texas Health Steps). Briefing Package. A briefing package describing the proposed payment rates will be available at http://www.hhsc.state.tx.us/rad/rate-packets.shtml on or after October 28, 2014. Those interested may obtain a copy of the briefing package before the hearing by contacting Rate Analysis by telephone at 512-730-7401; by fax at 512-730-7475; or by email at RADAcuteCare@hhsc.state.tx.us. The briefing package will also be available at the public hearing. Written Comments. Written comments regarding the proposed payment rates may be submitted instead of, or in addition to, oral testimony until 5 p.m. the day of the hearing. Written comments may be sent by U.S. mail, overnight mail, special delivery mail, hand delivery, fax, or email: U.S. Mail Health and Human Services Commission, Attention: Rate Analysis, Mail Code H-400, P.O. Box 149030, Austin, Texas 78714-9030. Overnight mail, special delivery mail, or hand delivery Health and Human Services Commission, Attention: Rate Analysis, Mail Code H-400, Brown-Heatly Building, 4900 North Lamar, Austin, Texas 78751, Phone number for package delivery: 512-730-7401 Fax Attention: Rate Analysis at 512-730-7475 Email RADAcuteCare@hhsc.state.tx.us
Texas Health and Human Services Commission
November 12, 2014 – 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 Human Resources Code §32.0282 and the Texas Administrative Code, Title 1 (1 TAC), §355.201, which require public notice of and hearings on proposed Medicaid reimbursements. HHSC also will broadcast the public hearing; the broadcast can be accessed at http://www.hhsc.state.tx.us/news/meetings.asp. The broadcast will be archived and can be accessed on demand at the same website. Proposal. The payment rates for the Medicaid Biennial Calendar Fee Review are proposed to be effective January 1, 2015, for the following services: (1) Combination Type of Service 1-2-I-T (Medical Services, Surgery, and Interpretation and Technical components) (2) Medical and Surgical Supplies (3) Medical Nutrition Therapy (4) Durable Medical Equipment – E Codes Methodology and Justification. The proposed payment rates were calculated in accordance with 1 TAC: §355.8021, which addresses the reimbursement methodology for home health services and durable medical equipment, prosthetics, orthotics, and supplies; §355.8085, which addresses the reimbursement methodology for physicians and other practitioners; and §355.8441, which addresses the reimbursement methodology for Early and Periodic Screening, Diagnosis, and Treatment services (known in Texas as Texas Health Steps). Briefing Package. A briefing package describing the proposed payment rates will be available at http://www.hhsc.state.tx.us/rad/rate-packets.shtml on or after October 28, 2014. Those interested may obtain a copy of the briefing package before the hearing by contacting Rate Analysis by telephone at 512-730-7401; by fax at 512-730-7475; or by email at RADAcuteCare@hhsc.state.tx.us. The briefing package will also be available at the public hearing. Written Comments. Written comments regarding the proposed payment rates may be submitted instead of, or in addition to, oral testimony until 5 p.m. the day of the hearing. Written comments may be sent by U.S. mail, overnight mail, special delivery mail, hand delivery, fax, or email: U.S. Mail Health and Human Services Commission, Attention: Rate Analysis, Mail Code H-400, P.O. Box 149030, Austin, Texas 78714-9030 Overnight mail, special delivery mail, or hand delivery Health and Human Services Commission, Attention: Rate Analysis, Mail Code H-400, Brown-Heatly Building, 4900 North Lamar, Austin, Texas 78751 Phone number for package delivery: 512-730-7401 Fax Attention: Rate Analysis at 512-730-7475 Email RADAcuteCare@hhsc.state.tx.us
Texas Health and Human Services Commission
November 12, 2014 – 01:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd., Austin
Proposed Medicaid Payment Rate for Indian Health Services. Hearing. Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on the proposed Medicaid payment rate for Indian Health Services. The hearing will be held in compliance with Human Resources Code §32.0282 and the Texas Administrative Code, Title 1 (1 TAC), §355.201, which require public notice of and hearings on proposed Medicaid reimbursements. HHSC also will broadcast the public hearing; the broadcast can be accessed at http://www.hhsc.state.tx.us/news/meetings.asp. The broadcast will be archived and can be accessed on demand at the same website. Proposal. The payment rate for Indian Health Services is proposed to be effective January 1, 2014. Methodology and Justification. The proposed payment rates were calculated in accordance with the rate specified in the April 8, 2014, issue of the Federal Register (79 Fed. Reg. 19345) and in accordance with 1 TAC §355.8620, which addresses the reimbursement methodology for Services Provided in Indian Health Service and Tribal Facilities. Briefing Package. A briefing package describing the proposed payment rates will be available at http://www.hhsc.state.tx.us/rad/rate-packets.shtml on or after October 28, 2014. Those interested may obtain a copy of the briefing package before the hearing by contacting Rate Analysis by telephone at 512-730-7401; by fax at 512-730-7475; or by email at RADAcuteCare@hhsc.state.tx.us. The briefing package will also be available at the public hearing. Written Comments. Written comments regarding the proposed payment rates may be submitted instead of, or in addition to, oral testimony until 5 p.m. the day of the hearing. Written comments may be sent by U.S. mail, overnight mail, special delivery mail, hand delivery, fax, or email: U.S. Mail Health and Human Services Commission Attention: Rate Analysis, Mail Code H-400 P.O. Box 149030 Austin, Texas 78714-9030 Overnight mail, special delivery mail, or hand delivery Health and Human Services Commission Attention: Rate Analysis, Mail Code H-400 Brown-Heatly Building 4900 North Lamar Austin, Texas 78751 Phone number for package delivery: 512-730-7401 Fax Attention: Rate Analysis at 512-730-7475 Email RADAcuteCare@hhsc.state.tx.us
Texas Health and Human Services Commission
November 12, 2014 – 01:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd., Austin
Proposed Medicaid Payment Rates for Prognostic Breast and Gynecological Cancer Studies. Hearing. Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed Medicaid payment rates for Prognostic Breast and Gynecological Cancer Studies. The hearing will be held in compliance with Human Resources Code §32.0282 and the Texas Administrative Code, Title 1 (1 TAC), §355.201, which require public notice of and hearings on proposed Medicaid reimbursements. HHSC also will broadcast the public hearing; the broadcast can be accessed at http://www.hhsc.state.tx.us/news/meetings.asp. The broadcast will be archived and can be accessed on demand at the same website. Proposal. The payment rates for Prognostic Breast and Gynecological Cancer Studies are proposed to be effective January 1, 2015. Methodology and Justification. The proposed payment rates were calculated in accordance with 1 TAC: §355.8085, which addresses the reimbursement methodology for physicians and other practitioners; and §355.8441, which addresses the reimbursement methodology for Early and Periodic Screening, Diagnosis, and Treatment services (known in Texas as Texas Health Steps). Briefing Package. A briefing package describing the proposed payment rates will be available at http://www.hhsc.state.tx.us/rad/rate-packets.shtml on or after October 28, 2014. Those interested may obtain a copy of the briefing package before the hearing by contacting Rate Analysis by telephone at 512-730-7401; by fax at 512-730-7475; or by email at RADAcuteCare@hhsc.state.tx.us. The briefing package will also be available at the public hearing. Written Comments. Written comments regarding the proposed payment rates may be submitted instead of, or in addition to, oral testimony until 5 p.m. the day of the hearing. Written comments may be sent by U.S. mail, overnight mail, special delivery mail, hand delivery, fax, or email: U.S. Mail Health and Human Services Commission Attention: Rate Analysis, Mail Code H-400 P.O. Box 149030 Austin, Texas 78714-9030 Overnight mail, special delivery mail, or hand delivery Health and Human Services Commission Attention: Rate Analysis, Mail Code H-400 Brown-Heatly Building 4900 North Lamar Austin, Texas 78751 Phone number for package delivery: 512-730-7401 Fax Attention: Rate Analysis at 512-730-7475 Email RADAcuteCare@hhsc.state.tx.us
Texas Health and Human Services Commission
November 12, 2014 – 01:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd., Austin
Proposed Medicaid Payment Rate for the Blind Children’s Vocational Discovery and Development Program. Hearing. Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on the proposed Medicaid Payment Rate for the Blind Children’s Vocational Discovery and Development Program. The hearing will be held in compliance with Texas Human Resources Code §32.0282 and the Texas Administrative Code, Title 1 (1 TAC), §355.201, which require public notice of and hearings on proposed Medicaid reimbursements. HHSC also will broadcast the public hearing; the broadcast can be accessed at http://www.hhsc.state.tx.us/news/meetings.asp. The broadcast will be archived and can be accessed on demand at the same website. Proposal. The payment rate for the Blind Children’s Vocational Discovery and Development Program is proposed to be effective September 1, 2014. Methodology and Justification. The proposed payment rate was calculated in accordance with the program’s state plan, which addresses the reimbursement methodology for case management services for children who are blind and visually impaired. Briefing Package. A briefing package describing the proposed payment rate will be available at http://www.hhsc.state.tx.us/rad/rate-packets.shtml on or after October 28, 2014. Those interetsed 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 rate may be submitted instead of, or in addition to, oral testimony until 5 p.m. the day of the hearing. Written comments may be sent by U.S. mail, overnight mail, special delivery mail, hand delivery, fax, or email: U.S. Mail Health and Human Services Commission Attention: Rate Analysis, Mail Code H-400 P.O. Box 149030 Austin, Texas 78714-9030 Overnight mail, special delivery mail, or hand delivery Health and Human Services Commission Attention: Rate Analysis, Mail Code H-400 Brown-Heatly Building 4900 North Lamar Austin, Texas 78751 Phone number for package delivery: 512-730-7401 Fax Attention: Rate Analysis at 512-730-7475 Email RADAcuteCare@hhsc.state.tx.us
Texas Health and Human Services Commission
November 12, 2014 – 01:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd., Austin
Proposed Medicaid Payment Rates for Third Quarter 2014 Healthcare Common Procedure Coding System Updates. Hearing. Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed Medicaid payment rates for the third Quarter 2014 Healthcare Common Procedure Coding System (HCPCS) Updates. The hearing will be held in compliance with Human Resources Code §32.0282 and the Texas Administrative Code, Title 1 (1 TAC), §355.201, which require public notice of and hearings on proposed Medicaid reimbursements. HHSC also will broadcast the public hearing; the broadcast can be accessed at http://www.hhsc.state.tx.us/news/meetings.asp. The broadcast will be archived and can be accessed on demand at the same website. Proposal. The payment rates for the third Quarter 2014 HCPCS Updates are proposed to be effective January 1, 2015. Methodology and Justification. The proposed payment rates were calculated in accordance with 1 TAC: §355.8085, which addresses the reimbursement methodology for physicians and other practitioners; and §355.8441, which addresses the reimbursement methodology for Early and Periodic Screening, Diagnosis, and Treatment services (known in Texas as Texas Health Steps). Briefing Package. A briefing package describing the proposed payment rates will be available at http://www.hhsc.state.tx.us/rad/rate-packets.shtml on or after October 28, 2014. Those interested may obtain a copy of the briefing package before the hearing by contacting Rate Analysis by telephone at 512-730-7401; by fax at 512-730-7475; or by email at RADAcuteCare@hhsc.state.tx.us. The briefing package will also be available at the public hearing. Written Comments. Written comments regarding the proposed payment rates may be submitted instead of, or in addition to, oral testimony until 5 p.m. the day of the hearing. Written comments may be sent by U.S. mail, overnight mail, special delivery mail, hand delivery, fax, or email: U.S. Mail Health and Human Services Commission Attention: Rate Analysis, Mail Code H-400 P.O. Box 149030 Austin, Texas 78714-9030 Overnight mail, special delivery mail, or hand delivery Health and Human Services Commission Attention: Rate Analysis, Mail Code H-400 Brown-Heatly Building 4900 North Lamar Austin, Texas 78751 Phone number for package delivery: 512-730-7401 Fax Attention: Rate Analysis at 512-730-7475 Email RADAcuteCare@hhsc.state.tx.us
11/13/2014
Texas Board of Chiropractic Examiners
November 13, 2014 – 08:30 AM
333 Guadalupe, Tower II, Room 225, Austin
Texas Board of Chiropractic Examiners 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 August 21, 2014 Board Meeting 3. Public comments forum for licensees, the general public or other interested stakeholders to address the Board 4. Executive Committee business Cynthia Tays, D.C. 4.1 President's Report Dr. Cynthia Tays may make a brief oral report to the Board on matters of current interest, including committee assignments. 4.2 Executive Director's Report Executive Director Yvette Yarbrough will present written and oral reports to the Board concerning recent agency activities, statistical reports, audit outcomes, revenues and expenditures, licensing information, enforcement information and issues from the legislative session. Mrs. Yarbrough will answer questions from the board members concerning any agency operations, legislative issues and other matters of concern to the Board. 4.3 Discussion of Possible Restructure of Enforcement Committee Dr. Cynthia Tays will lead a discussion about a possible restructure of the Enforcement Committee. 5. Executive Session 5.1 The Board may meet in Executive Session for consultation with counsel pursuant to Section 551.071, Government Code, wherein the Board and essential staff will receive a briefing from assigned Assistant Attorney General and General Counsel concerning pending or contemplated litigation and settlement offers including but not limited to: 5.1.1 Texas Medical Association lawsuit against the Board, including remand, concerning Diagnosis. 5.1.2 Texas Medical Association lawsuit against the Board regarding Rule 75.17 Scope allowing DCs to perform Vestibular-Ocular-Nystagmus testing and challenge to diagnosis, as well as TMA challenge to definitions of musculoskeletal system and subluxation complex. 5.1.3 Eric VanderWerff, DC vs. TBCE – Lawsuit and appeal brought by Dr. VanderWerff challenging a Board Order issued in an enforcement case 5.1.4 Texas Association of Acupuncture and Oriental Medicine lawsuit against the Board, regarding the Board allowing certain chiropractors to perform acupuncture within scope of practice. 5.2 Additionally, the Board may meet in Executive Session for deliberation on the appointment, employment, evaluation, or duties of the Executive Director, pursuant to Section 551.074, Government Code. The Board will reconvene in open session after Executive Session to vote on items considered in Executive Session as necessary. 6. Consideration of motions related to items discussed in Executive Session Board members will have the opportunity to offer motions related to any items discussed in Executive Session. 6.1 Consideration of Motions Related to Executive Session 7. Licensure and educational standards committee business 7.1 Request for Approval to Sit for the Texas Jurisprudence Exam 7.1.1 Charles Karam, New Applicant 7.1.2 Phillip Oller, New Applicant 7.2 Discussion and comments from Committee Chair concerning Committee business, activities or issues. 8. Rules Committee business 8.1 Discussion and Consideration of Rules Modifications and Repeals 8.1.1 Discussion and consideration to propose an amendment to Rule 75.2 to require all DCs to take and record blood pressure prior to providing any services. 8.1.2 Discussion and consideration to propose the repeal of Rule 75.23. 8.1.3 Discussion and consideration to adopt the comprehensive rule restructure and codification that was published on September 26, 2014. 8.2 Discussion and comments from Committee Chair concerning Committee business, activities or issues 9. Enforcement Committee business 10. Miscellaneous 10.1 Call for future items for discussion and/or consideration by the Board 10.2 Future Meeting Dates: The planned Board meeting dates for Calendar Year 2015 are: (1) February 19, 2015 (3) August 20, 2015 (2) May 21, 2015 (4) November 19, 2015 Note: All planned board meeting dates after November 2015 may be found on the agency's website (under Calendar) at: www.tbce.state.tx.us. All dates are tentative until posted in the Texas Register. The next Enforcement Committee dates apart from the board meetings are scheduled for: (1) January 13, 2015 (3) April 14, 2015 (2) February 18, 2015 (4) May 20, 2015 10.3 Adjournment. Additional Information Contact: Jo Manning, 512/305-6906
Sunset Advisory Commission
November 13, 2014 – 09:00 AM
Capitol Extension, Room E1.036 , Austin
1. Call to Order 2. Approval of Minutes 3. Staff Presentation and Agency Response (Invited Testimony Only) Texas Council for Developmental Disabilities Governor's Committee on People with Disabilities Texas Council on Purchasing from People with Disabilities Texas Health Services Authority Health and Human Services Commission and System Issues (includes Interagency Task Force for Children With Special Needs) Office of Inspector General (Health and Human Services Commission) DFPS: Presentation on the Child Protective Services Transformation Report to the Sunset Commission Texas Education Agency (includes State Board for Educator Certification) Entry Criteria for Self-Directed Semi-Independent Agencies 9:00 a.m., Thursday, November 13 4. Public Testimony (see instructions on second page) Texas Council for Developmental Disabilities Governor's Committee on People with Disabilities Texas Council on Purchasing from People with Disabilities Texas Health Services Authority Health and Human Services Commission and System Issues (includes Interagency Task Force for Children With Special Needs) Office of Inspector General (Health and Human Services Commission) Texas Education Agency (includes State Board for Educator Certification) Entry Criteria for Self-Directed Semi-Independent Agencies 5. Other Business 6. Adjournment. Additional Information Contact: Cee Hartley, 512/463-1300
Texas Board of Chiropractic Examiners
November 13, 2014 – 09:00 AM
333 Guadalupe, Tower II, Room 225, Austin
Licensure and Education Committee Meeting. The Committee may meet from time-to-time in executive session with respect to the agenda items as authorized by the Texas Open Meetings Act, Chapter 551 of the Government Code. 7. Licensure and educational standards committee business 7.1 Request for Approval to Sit for the Texas Jurisprudence Exam 7.1.1 Charles Karam, New Applicant 7.1.2 Phillip Oller, New Applicant 7.2 Discussion and comments from Committee Chair concerning Committee business, activities or issues. 7.3 Adjournment. Additional Information Contact: Jo Manning, 512/305-6906
Texas Board of Chiropractic Examiners
November 13, 2014 – 10:00 AM
333 Guadalupe, Tower II, Room 225, Austin
Rules Committee Meeting. The Committee may meet from time-to-time in executive session with respect to the agenda items as authorized by the Texas Open Meetings Act, Chapter 551 of the Government Code. 8. Rules Committee business 8.1 Discussion and Consideration of Rules Modifications and Repeals 8.1.1 Discussion and consideration to propose an amendment to Rule 75.2 to require all DCs to take and record blood pressure prior to providing any services. 8.1.2 Discussion and consideration to propose the repeal of Rule 75.23. 8.1.3 Discussion and consideration to adopt the comprehensive rule restructure and codification that was published on September 26, 2014. 8.2 Discussion and comments from Committee Chair concerning Committee business, activities or issues 8.3 Adjournment. Additional Information Contact: Jo Manning, 512/305-6906
Texas Board of Chiropractic Examiners
November 13, 2014 – 01:00 PM
333 Guadalupe, Tower II, Room 225, Austin
Texas Board of Chiropractic Examiners. The Board may meet from time-to-time in executive session with respect to the agenda items as authorized by the Texas Open Meetings Act, Chapter 551 of the Government Code. 1. Call to order, roll call & establishment of a quorum call to Order, Roll Call and Establishment of a Quorum. Vote as necessary on excusing any absent board members. 2. Approval of minutes approval of Minutes from the August 21, 2014 Board Meeting 3. Public comments forum for licensees, the general public or other interested stakeholders to address the Board 4. Executive Committee business Cynthia Tays, D.C. 4.1 President's Report Dr. Cynthia Tays may make a brief oral report to the Board on matters of current interest, including committee assignments. 4.2 Executive Director's Report Executive Director Yvette Yarbrough will present written and oral reports to the Board concerning recent agency activities, statistical reports, audit outcomes, revenues and expenditures, licensing information, enforcement information and issues from the legislative session. Mrs. Yarbrough will answer questions from the board members concerning any agency operations, legislative issues and other matters of concern to the Board. 4.3 Discussion of Possible Restructure of Enforcement Committee Dr. Cynthia Tays will lead a discussion about a possible restructure of the Enforcement Committee. 5. Executive Session 5.1 The Board may meet in Executive Session for consultation with counsel pursuant to Section 551.071, Government Code, wherein the Board and essential staff will receive a briefing from assigned Assistant Attorney General and General Counsel concerning pending or contemplated litigation and settlement offers including but not limited to: 5.1.1 Texas Medical Association lawsuit against the Board, including remand, concerning Diagnosis. 5.1.2 Texas Medical Association lawsuit against the Board regarding Rule 75.17 Scope allowing DCs to perform Vestibular-Ocular-Nystagmus testing and challenge to diagnosis, as well as TMA challenge to definitions of musculoskeletal system and subluxation complex. 5.1.3 Eric VanderWerff, DC vs. TBCE – Lawsuit and appeal brought by Dr. VanderWerff challenging a Board Order issued in an enforcement case 5.1.4 Texas Association of Acupuncture and Oriental Medicine lawsuit against the Board, regarding the Board allowing certain chiropractors to perform acupuncture within scope of practice. 5.2 Additionally, the Board may meet in Executive Session for deliberation on the appointment, employment, evaluation, or duties of the Executive Director, pursuant to Section 551.074, Government Code. The Board will reconvene in open session after Executive Session to vote on items considered in Executive Session as necessary. 6. Consideration of motions related to items discussed in Executive Session Board members will have the opportunity to offer motions related to any items discussed in Executive Session. 6.1 Consideration of Motions Related to Executive Session 7. Licensure and educational standards committee business 7.1 Request for Approval to Sit for the Texas Jurisprudence Exam 7.1.1 Charles Karam, New Applicant. Additional Information Contact: Jo Manning, 512/305-6906
11/14/2014
Texas Health and Human Services Commission
November 14, 2014 – 10:00 AM
1100 Congress Ave. (Texas Capitol Extension, Room E2.020), Austin
Texas Office for Prevention of Developmental Disabilities Executive Committee Meeting (TOPDD) 1. Call to Order: Roll call of Members/Establish Quorum. 2. Greetings and Introductions: Richard Garnett, Ph.D. 3. Approval of Minutes from August 22, 2014 Meeting. 4. Sunset Recommendation. 5. Child Safety and Injury Prevention: Ashley Givens. 6. Fetal Alcohol Spectrum Disorder Collaborative: Mary Tijerina, Ph.D., MSSW. 7. Executive Director Report: Janet Sharkis. 8. Scheduling of Next Meeting: Richard Garnett, Ph.D. 9. Public Comment. 10. Adjourn. Additional Information Contact: Angela Morales, 512/206-4544
Department of Aging and Disability Services
November 14, 2014 – 10:30 AM
701 W 51st St, John H. Winters Bldg, Pub. Hearing Rm 125 W&C, Austin
Nursing Facility Administrators Advisory Committee (NFAAC) 1. Approval of minutes of May 16, 2014 meeting 2. Review nursing facility administrator cases referred 3. Election of Officers 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
11/20/2014
Texas Health and Human Services Commission
November 20, 2014 – 10:00 AM
4900 North Lamar Blvd. (HHSC, Brown-Heatly Bldg., Public Hearing Room 1420), Austin
Children's Policy Council (CPC) This meeting will be webcast. To access the webcast, go to http://www.hhsc.state.tx.us/news/meetings.asp the day and time of the meeting. 1. Welcome and Introduction. 2. Approval of August 20, 2014 Meeting Minutes. 3. Presentation and Discussion of Committee Reports. a. Leadership i. Election of New Chair and Vice Chair b. Membership c. Communications d. Legislative e. Mental Health f. Transition g. STAR Kids h. CPC member activities i. Emerging Issues 4. Presentation: Sherri Hammack (HHSC), System of Care. 5. Review of the 2015 Legislative Presentation. a. Discussion of member role in legislative process b. Sunset Report 6. Public Comment. 7. Adjourn. Additional Information Contact: Sherry Broberg, 512/420-2856
Texas Health and Human Services Commission
November 20, 2014 – 10:00 AM
701 W 51st St. (DADS, Winters Bldg., Public Hearing Room), Austin
Drug Utilization Review Board 1. Call to Order 2. Approval of Minutes from August 21, 2014, Drug Utilization Review (DUR) Board Meeting (Vote Required) 3. Approval of DUR Board By-Laws (Vote Required) 4. Outcome Report on Overutilization of Antibiotics Intervention: Larry Dent, Pharm. D., BCPS 5. Report on Recent Retrospective DUR Proposals: Larry Dent, Pharm. D., BCPS a. Atypical Antipsychotics: Coordination of Care b. Hypertension Management c. Hyperlipidemia Management 6. Retrospective DUR Proposals* (Vote Required): Larry Dent, Pharm. D., BCPS a. Medication Adherence b. Nonsteroidal Anti-inflammatory Drugs (NSAIDs): Drug Use Evaluation 7. Prospective Prior Authorization Proposals* (Clinical Edits) (Vote Required): Christina Faulkner, Pharm. D. a. Antipsychotic Edit Update b. Long Acting Beta Agonist (LABA) – Duplicate Therapy Update c. Injectable Pulmonary Hypertension Agents Edit Update d. Androgenic Agents e. Copaxone f. Cytokine and CAM Antagonists g. H. P. Acthar Gel 8. Retrospective Drug Use Criteria for Outpatient Use in the Vendor Drug Program* (Vote Required): Jennifer Seltzer, Pharm. D. a. Tramadol, Sedative/hypnotics, Oral anti-diabetic agents (revisions based on August 2014 DUR Board Meeting comments) b. Angiotensin Receptor Blockers c. Cox-2 Inhibitors d. Hydrocodone e. Meter Dose Inhalers: Long-Acting Beta2 Agonists f. Non-sedating Antihistamines g. Oral/Rectal Non-steroidal Anti-inflammatory Drugs (NSAIDs) h. Skeletal Muscle Relaxants 9. Texas Sunset Commission 2014-15 Review of HHSC: Andy Vasquez, Medicaid/CHIP Deputy Director, Vendor Drug Program 10. Next Meeting Date: Thursday, January 29, 2015 11. Adjourn. Additional Information Contact: Joe Urtado, 512/707-6099
11/21/2014
Texas Health and Human Services Commission
November 21, 2014 – 09:00 AM
701 West 51st St. (DADS, Winters Bldg., Public Hearing Rm), Austin
Pharmaceutical & Therapeutics Committee 1. Call to Order. 2. Approval of Minutes from August 22, 2014 Pharmaceutical & Therapeutics (P&T) Committee meeting (Vote Required). 3. Old Business: Report on HHSC decisions on acceptance of the P&T Committee recommendations from the August 22, 2014, meeting. 4. New Business: Drug Classes to be reviewed for the Medicaid Preferred Drug List (PDL) (Drug Classes Listed Below): a. Androgenic Agents b. Antibiotics, GI c. Antibiotics, Topical d. Antibiotics, Vaginal e. Antiemetic /Antivertigo Agents f. Antifungals, Oral g. Antifungals, Topical h. Antihyperuricemics i. Antiparasitics, Topical j. Antipsychotics k. Antivirals, Topical l. Bone Resorption Suppression and Related Agents m. Colony Stimulating Factors n. Cytokine & CAM Antagonists o. Epinephrine, Self-Injected p. Growth Hormone q. Hypoglycemics, Incretin Mimetics / Enhancers r. Hypoglycemics, Insulin and Related Agents s. Hypoglycemics, Meglitinides t. Hypoglycemics, SGLT2 u. Hypoglycemics, TZD v. Irritable Bowel Syndrome w. Macrolides-Ketolides x. Opiates Dependence Treatments y. Penicillins z. Tetracyclines 5. New drugs to be reviewed for the Medicaid PDL (Drugs Listed Below): a. Acne Agents, Topical / Neuac b. Acne Agents, Topical / Ovace Plus lotion c. Acne Agents, Topical / Retin-A Micro 0.08% pump d. Antivirals, Oral / Sitavig e. Beta Blockers / Hemangeol f. Lincosamides /Oxazolidinones / Streptogramins / Sivextro g. Platelet Aggregation Inhibitors / Zontivity h. Proton Pump Inhibitors / Nexium OTC i. Steroids, Topical Very High / Clodan kit 6. Therapeutic and Clinical Drug Reviews and Updates: Chris Andrews, Pharm.D., Magellan Medicaid Administration. 7. Texas Sunset Commission 2014-15 Review of HHSC: Andy Vasquez, Medicaid/CHIP Deputy Director, Vendor Drug Program. 8. Executive Work Session. Pursuant to Texas Government Code, Chapter 531, and in accordance with Title 1Texas Administrative Code, Part 15, Subchapter F, s354.1928, the Pharmaceutical & Therapeutics Committee may meet in Executive Session on one or more items listed under New Business. 9. Announcements of Drugs Recommended for the Medicaid PDL. 10. Adjourn. 11. Next Meeting Date: Friday, January 30, 2015. Additional Information Contact: Joe Urtado, 512/707-6099