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7 Document(s) [ Subject: Pregnancy ]

Committee:	House Opioids and Substance Abuse, Select
Title:	Interim Report
Subjects:	Child Protective Services | Criminal justice | Drug courts | Drug rehabilitation programs | Emergency medical services | Homelessness | Juvenile justice system | Law enforcement | Mentally ill persons | Opioids | Penalties and sentences (Criminal justice) | Pregnancy | Prescription drugs | Specialty courts | State agencies | Substance abuse | Synthetic drugs | Veterans |
Library Call Number:	L1836.85 Op3
Session:	85th R.S. (2017)
Online version:	View report [117 pages]
Charges:	This report should address the charges below.
1.	Study the prevalence and impact of substance use and substance use disorders in Texas, including co-occurring mental illness. Study the prevalence and impact of opioids and synthetic drugs in Texas. Review the history of overdoses and deaths due to overdoses. Also review other health-related impacts due to substance abuse. Identify substances that are contributing to overdoses, related deaths and health impacts, and compare the data to other states. During the review, identify effective and efficient prevention and treatment responses by health care systems, including hospital districts and coordination across state and local governments. Recommend solutions to prevent overdoses and related health impacts and deaths in Texas.
2.	Review the prevalence of substance abuse and substance use disorders in pregnant women, veterans, homeless individuals, and people with co-occurring mental illness. In the review, study the impact of opioids and identify available programs specifically targeted to these populations and the number of people served. Consider whether the programs have the capacity to meet the needs of Texans. In addition, research innovative programs from other states that have reduced substance abuse and substance use disorders, and determine if these programs would meet the needs of Texans. Recommend strategies to increase the capacity to provide effective services.
3.	Review policies and guidelines used by state agencies to monitor for and prevent abuse of prescription drugs in state-funded or state-administered programs. Include in this review policies implemented by the Texas Medicaid Program, the Division of Workers’ Compensation of the Texas Department of Insurance, the Teacher Retirement System, and the Employee Retirement System. Make recommendations regarding best practices.
4.	Monitor and evaluate the implementation of legislation passed by the 85th Legislature regarding the Prescription Monitoring Program. In addition, review the prescribing of addictive drugs by physicians and other health care providers within various geographic regions of this state. Determine the role of health care professionals in preventing overutilization and diversion of addictive prescriptions. Provide recommendations that will improve efforts to prevent overutilization and diversion of addictive prescriptions.
5.	Identify how opioids have impacted the normal scope of work for law enforcement, first responders, and hospital emergency department personnel.
6.	Examine the impact of substance abuse and substance use disorders on Texans who are involved in the adult or juvenile criminal justice system and/or the Child Protective Services system. Identify barriers to treatment and the availability of treatment in various areas of the state. Recommend solutions to improve state and local policy, including alternatives to justice system involvement, and ways to increase access to effective treatment and recovery options.
7.	Examine the impact of overdose reporting defense laws known as "Good Samaritan" laws.
8.	Identify the specialty courts in Texas that specialize in substance use disorders. Determine the effectiveness of these courts and consider solutions to increase the number of courts in Texas.
Supporting documents
Committee:	House Opioids and Substance Abuse, Select
Title:	Committee meeting handouts and testimony, April 17, 2018 (Overview of opioids and substance abuse, prevalence of substance use disorders in special populations, review of policies and guidelines of state agencies, opioids and substance abuse impact on children and foster care).
Library Call Number:
Session:	85th R.S. (2017)
Online version:	View document [140 pages  File size: 7,655 kb]
Committee:	Senate Health and Human Services
Title:	Interim Report
Subjects:	Abortion | Adoption | Adult day care | Assisted living facilities | Birth defects | Child abuse | Child abuse prevention | Child Protective Services | Family and Protective Services, Texas Department of | Foster care | Liability | Long-term care | Managed care | Medicaid | Mental health services | Mentally ill inmates | Nursing homes | Office of Inspector General, Health and Human Services Commission, Texas | Organ and tissue donations | Planned Parenthood | Pregnancy | Refugees and asylees | Senior citizens | Services for persons with disabilities | State employee turnover | Sunset review process | Telemedicine | Women's health |
Library Call Number:	L1836.84 H349
Session:	84th R.S. (2015)
Online version:	View report [152 pages]
Charges:	This report should address the charges below.
1.	Examine the business practices and regulatory structure of Planned Parenthood affiliates in Texas, and investigate whether state or federal laws are being broken by Planned Parenthood and/or its affiliates in Texas in regards to the donation and/or sale of fetal tissue. Consider recommendations to strengthen regulations on abortion providers, including further restrictions on the sale of fetal tissue by these entities. *
2.	Protecting the Unborn: Part I: Examine and make recommendations on the use of fetal tissue provided for research purposes and how related laws governing abortion procedures are interpreted and enforced. Part II: Examine the cause of action known as “wrongful birth.” The study should examine (1) its history in Texas, (2) its effect on the practice of medicine, and (3) its effect on children with disabilities and their families. Examine related measures proposed or passed in other states.
3.	Protection of Children Part I: Reducing Recurrence of Child Abuse and Neglect: Examine the current process that Child Protective Services uses to track recurrence of child abuse and neglect, and make recommendations to improve data tracking and the use of that data to assist in preventing recurrence. The study should examine the differences in recurrence among families who received services, families who received no services and had their cases closed, and families who had their children removed from the home. Part II: Addressing High-Acuity Needs of Foster Care Children: Study the increase in higher acuity children with trauma and mental illness in the state foster care system, and recommend ways to ensure children have timely access to appropriate treatment and placement options. Part III: Strengthening Adoptions: Examine the frequency, causes, and effects of disrupted foster care adoptions and make recommendations to improve the long-term success of adoptive placements. Study and make recommendations on ways to ensure a smooth transition for foster care children who are exiting the system.
4.	Healthy Aging: Part I: Study and make recommendations on innovative methods and best practices to promote healthy aging for the state’s population and reduce chronic medical and behavioral health conditions. Identify opportunities for improved collaboration to promote healthy aging in the health and human services system at the state, regional and local levels. Part II: Examine and recommend ways to improve quality and oversight in long-term care settings, including nursing homes and ICF/HCS programs. Monitor the implementation of legislation addressed by the Senate Committee on Health and Human Services during the 84th Regular Session related to the revocation of nursing home licenses for repeated serious violations.
5.	Medicaid Reform and State Innovation: Study the impact of the Section 1115 Texas Healthcare Transformation and Quality Improvement Program Waiver on improving health outcomes, reducing costs, and providing access to health care for the uninsured, and monitor the renewal process of the waiver. Explore other mechanisms and make recommendations to control costs and increase quality and efficiency in the Medicaid program, including the pursuit of a block grant or a Section 1332 Medicaid State Innovation Waiver for the existing Medicaid program.
6.	Inpatient Mental Health System Reform: Study and make recommendations on establishing collaborative partnerships between state-owned mental health hospitals and university health science centers to improve inpatient state mental health services, maximize the state mental health workforce, and reduce healthcare costs.
7.	Mental Health Diversion and Forensic Capacity: Study the impact of recent efforts by the legislature to divert individuals with serious mental illness from criminal justice settings and prevent recidivism. Study and make recommendations to address the state's ongoing need for inpatient forensic capacity, including the impact of expanding community inpatient psychiatric beds.
8.	Improving Access to Care through TeleHealth: Study and make recommendations on the appropriate use, scope and application of tele-monitoring and telemedicine services to improve management and outcomes for adults and children with complex medical needs and for persons confined in correctional facilities. Examine barriers to implementation of these services and any impact on access to health care services in rural areas of the state.
9.	Review of Refugee Resettlement Program: Study the impact to the state of the increasing number of refugees relocating to Texas, including the range of health and human services provided. Examine the authority of the state to reduce its burden under the Refugee Resettlement Program, and any state-funded services.
10.	Monitoring Charge: Monitor the implementation of legislation and riders related to health and human services that were considered by the 84th R.S. and make recommendations for any legislation needed to improve, enhance, and/or complete implementation, including but not limited to: ? The impact of changes made by the Department of Family and Protective Services, Child Protective Services on child safety, workforce retention, prevention, and permanency; ? Initiatives to reduce Medicaid fraud, waste and abuse, and other cost containment strategies, including examining the processes and procedures used by managed care organizations to address Medicaid fraud, waste and abuse; and The consolidation and expansion of women's health programs at the Health and Human Services Commission.
Committee:	House Public Health
Title:	Interim Report
Subjects:	Cancer | Communicable diseases | Contraceptives | Diabetes | Disease management | Disease prevention | Emergency communications | Emergency management | Employees Retirement System of Texas | Family planning | Healthy Texas Women | Heart disease | Infant mortality | Kidney disease | Obesity | Pregnancy | Premature infants | Prenatal care | Public health | Respiratory diseases | Teacher Retirement System of Texas | Telemedicine |
Library Call Number:	L1836.84 H349h
Session:	84th R.S. (2015)
Online version:	View report [45 pages]
Charges:	This report should address the charges below.
1.	Study and assess the state’s preparedness for public health threats and emergencies including responding to natural disasters and highly infectious diseases. Review current protocols and examine public health resources to determine if they are sufficient. Identify weaknesses within the public health response framework and make recommendations for improvements.
2.	Study the impact of chronic disease in Texas and identify the major regional chronic health challenges. Review the types of health data collected by the state related to chronic disease and how the data is utilized to improve health care. Study state programs targeting chronic disease, including the Texas Health Improvement Network, and identify the direct and indirect costs associated with obesity, tobacco, and other related chronic health conditions including impacts to Medicaid, Employees Retirement System, Teacher Retirement System, University of Texas System, and Texas A&M University System. Identify public health interventions for chronic disease and preventative healthcare services that improve health outcomes and reduce cost.
3.	Examine the history of telemedicine in Texas and the adequacy of the technological infrastructure for use between Texas healthcare providers. Review the benefits of using telemedicine in rural and underserved areas and current reimbursement practices. Explore opportunities to expand and improve the delivery of healthcare and identify methods to increase awareness by provider groups, including institutions of higher education, and payers of telemedicine activities being reimbursed in Texas.
4.	Review programs focused on improving birth outcomes including evaluating the effectiveness and identifying any cost avoidance associated with them. Study barriers pregnant women face enrolling in services and receiving regular prenatal care. Identify factors, including substance abuse, associated with preterm birth and review services available for mothers postpartum.
5.	Study the trauma system in the State of Texas including financing, service delivery, planning, and coordination between Emergency Medical Services providers, Trauma Services Area Regional Advisory Councils, The Emergency Medical Task Force, and hospitals. Determine strengths and weaknesses including challenges for rural areas of the state. Make recommendations to reduce any duplicated services, improve the coordination of services, and advance the delivery of trauma services in Texas. (Joint charge with the House Committee on Appropriations)
6.	Conduct legislative oversight and monitoring of the agencies and programs under the committee's jurisdiction and the implementing of relevant legislation passed by the 84th Legislature. In conducting this oversight, the committee should: a. consider any reforms to state agencies to make them more responsive to Texas taxpayers and citizens; b. identify issues regarding the agency or its governance that may be appropriate to investigate, improve, remedy, or eliminate; c. determine whether an agency is operating in a transparent and efficient manner; and d. identify opportunities to streamline programs and services while maintaining the mission of the agency and its programs.
Supporting documents
Committee:	House Public Health
Title:	Committee meeting handouts and testimony, May 19, 2016 (Interim charge, Better birth outcomes)
Library Call Number:
Session:	84th R.S. (2015)
Online version:	View document [84 pages  File size: 3,914 kb]
Committee:	House Public Health
Title:	Interim Report
Subjects:	Border crossings | Border issues | Border security | Dental Examiners, Texas State Board of | Dentists | Ebola | Food and Drug Administration, U.S. | Foster care | Immunizations | Medical records | Pharmaceutical industry | Pharmacies | Pregnancy | Prenatal care | Prescription drugs | Psychoactive drugs | Substance abuse | Unaccompanied minors | Undocumented immigrants | Workers' compensation | Workforce Commission, Texas |
Library Call Number:	L1836.83 H349h
Session:	83rd R.S. (2013)
Online version:	View report [82 pages]
Charges:	This report should address the charges below.
1.	Assess the prevalence of nonmedical prescription drug use in the state (including opioid analgesics, stimulants, tranquilizers, and sedatives). Identify adverse health impacts. Recommend strategies to curb emerging substance abuse trends among children, pregnant women, and adults, as well as to reduce health care costs and mortality.
2.	Study and make recommendations for improvements to the licensing, regulation, and monitoring of compounding pharmacies, including a review of the joint cooperative efforts between the Texas State Board of Pharmacy, Department of State Health Services, and U.S. Food and Drug Administration. Consider the impact of the passage of SB 1100, 83rd R.S., additional appropriations made by the 83rd Legislature to strengthen inspections, and any relevant federal legislation.
3.	Identify strategies to support the efficient exchange of electronic health information with Texas Health and Human Services enterprise agencies. Examine legal and technical issues around the accessibility of information held in registries maintained by state agencies to authorized health care providers. Identify issues related to health information exchange and providers' liability, as well as concerns related to transitioning patient data in cases where a provider selects a new electronic health record vendor.
4.	Examine the current practice for dispensation of biologic and follow-on biologic (biosimilar) pharmaceutical products in our state. Review any practices for interchangeability of drugs that might pertain to these particular medicines. Review and make recommendations regarding the substitution of biosimilar and biologic medicines.
5.	Monitor transition of the state's immunization registry to a new system. Determine whether the registry can be better utilized to prevent and/or respond to communicable disease outbreaks, including pertussis. Identify potential factors contributing to the rise in the number of pertussis cases and strategies to prevent future outbreaks.
6.	Conduct legislative oversight and monitoring of the agencies and programs under the committee’s jurisdiction and the implementation of relevant legislation passed by the 83rd Legislature, including HB 15, 83rd R.S.. In conducting this oversight, the committee should: a. consider any reforms to state agencies to make them more responsive to Texas taxpayers and citizens; b. identify issues regarding the agency or its governance that may be appropriate to investigate, improve, remedy, or eliminate; c. determine whether an agency is operating in a transparent and efficient manner; and d. identify opportunities to streamline programs and services while maintaining the mission of the agency and its programs.
Committee:	House Public Health
Title:	Interim Report
Library Catalog Title:	House Committee on Public Health, Texas House of Representatives interim report, 2004 : a report to the House of Representatives, 79th Texas Legislature
Subjects:	Children's health care | Diabetes | Fetal rights | Immunizations | Medicaid Vendor Drug Program | Organ and tissue donations | Pregnancy | Prenatal care |
Library Call Number:	L1836.78 H349h
Session:	78th R.S. (2003)
Online version:	View report [80 pages  File size: 309 kb]
Charges:	This report should address the charges below.
1.	Examine the demographics and costs of diabetes in Texas. Assess the impact diabetes will have on Texas' population, budget and health care system in the future and recommend appropriate policy changes.
2.	Investigate the practice of allowing corneal tissue to be taken and used for transplantation without prior consent. Recommend appropriate state policy changes.
3.	Collect, review and report on the statistics and statewide impact of drug and alcohol abuse by pregnant women on the unborn.
4.	Review the current operations of the Texas Immunization and Kidney Health Care programs. The review should determine if the operational and administrative changes made to the Medicaid Vendor Drug Program will continue to meet the needs of Texans who do not qualify for Medicaid, Children's Health Insurance Program or private insurance and recommend any necessary changes.
5.	Monitor the agencies and programs under the committee's jurisdiction.

* This represents an abstract of the report contents. Charge text is incomplete or unavailable.

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