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7 Document(s) [ Subject: Patients' rights ]

Committee: Senate State Affairs
Title: Interim Report
Library Catalog Title: Interim report to the 79th Legislature
Subjects: Border health | Damage award caps | Election administration | Election laws | Employee Retirement Income Security Act of 1974 | Employees Retirement System of Texas | Health insurance | Liability insurance | Managed care | Medical liability insurance | Medically uninsured | Nursing homes | Patients' rights | Quality of care | Rural health care | State employee benefits | State mandated health insurance | Teacher health insurance | Teacher Retirement System of Texas | Tort reform | Voter registration | Voting systems |
Library Call Number: L1836.78 St29a
Session: 78th R.S. (2003)
Online version: View report [0 pages]
Charges: This report should address the charges below.
1. Study the implementation of changes made to the state group health insurance plans and identify additional cost-saving measures. Study the feasibility and practicality of offering health reimbursement accounts as an alternate health insurance plan for those insured in ERS, TRS, and university plans. Provide recommendations regarding whether the current method of administering these programs is in the best interest of the State of Texas and the various insured populations, or whether such programs might be more efficiently administered in another fashion.
2. Monitor the implementation of HB 1549, 78th R.S., the Federal Help America Vote Act of 2002, to assure that Texas meets the criteria to secure the proposed federal funding. Make recommendations for statutory changes required to implement federal legislation and improve the efficiency of the process.
3. Study the implementation of SB 10, 78th R.S., and SB 541, 78th R.S., and make recommendations, as needed, to make health insurance more accessible, and affordable for all Texans.
4. Study the April 2003 United States Supreme Court decision in Kentucky Association of Health Plans v. Miller to determine its impact on Texas laws regulating health insurance plans under the Employee Retirement Income Security Act of 1974 (ERISA) and make recommendations to changes in state law to conform with recent federal court decisions.
5. Study the reimbursement methodology of health care plans operating in Texas for out-of-network claims, specifically focusing upon the reimbursement of usual and customary charges, and make recommendations on how to improve their effectiveness. The study and recommendations should encompass all plans, including those participating in Texas Medicaid managed care program and should consider federal and state laws as well as Health & Human Services Commission rules relating to the reimbursement of out-of-network claims.
6. Study the implementation of HB 4, 78th R.S., and Proposition 12 in achieving lower medical malpractice rates and providing more access to affordable health care. Monitor and report on trends in medical malpractice insurance rates and the effect of tort reform on access to health care and provider shortages in certain regions, particularly along the Border.
7. Study and report on the affordability, reasonableness, and impact of mandatory liability insurance on the nursing home industry. Assess and report on the effects of the admissibility of quality reports.
Committee: Senate Economic Development, Interim
Title: Interim report - Telecommunications and insurance
Library Catalog Title: Report on telecommunications and insurance.
Subjects: Homeowners insurance | Insurance industry | Insurance, Texas Department of | Liability | Long distance telephone service | Managed care | Open records requests and decisions | Patients' rights | Public Information Act, Texas | Public Utility Commission of Texas | Public Utility Regulatory Act | Racial discrimination | Telecommunications infrastructure | Telecommunications Infrastructure Fund | Telephone deregulation | Telephone service |
Library Call Number: L1836.75 ec74t
Session: 75th R.S. (1997)
Online version: View report [308 pages  File size: 12,707 kb]
Charges: This report should address the charges below.
1. Study the effect of property insurance form deregulation, as addressed in SB 1499, 75th R.S., passed by the Legislature during the 1997 regular session, on the affordability and availability of homeowners insurance.
2. Monitor the implementation of SB 386, 75th R.S., passed by the Legislature during the 1997 regular session, regarding managed care liability, including the development of the rules and standards governing the certification, selection, and operation of independent review organizations.
3. Study and assess the effectiveness of HB 2128, 74th R.S., passed by the Legislature during the 1995 regular session, including but not limited to: the deployment of an advanced telecommunications infrastructure in Texas; the development of competition in the local telecommunications market in Texas; and the use of the Telecommunications Infrastructure Fund in improving the capabilities of Texas schools, libraries and public hospitals. In its evaluation, the Committee should identify any remaining barriers to the development of full competition in the telecommunications market in Texas and make recommendations, if necessary, for any legislative or regulatory action.
4. Review the process used by the Texas Department of Insurance and the Attorney General in making determinations regarding public disclosure of insurance data and, if necessary, make recommendations to streamline and standardize the process.
5. Review and make recommendations, if needed, to clarify what insurance market-related data should be in the public domain and what information should be considered proprietary data to preserve competition. This review should consider both statistical data and underwriting guidelines.
Committee: Senate Managed Care and Consumer Protections, Interim
Title: Interim report
Library Catalog Title: A report to the 75th Legislature .
Subjects: Consumer protection | Emergency medical services | Health maintenance organizations | Hospital emergency rooms | Managed care | Patients' rights | Preferred provider organizations | Quality of care |
Library Call Number: L1836.74 m311r
Session: 74th R.S. (1995)
Online version: View report [168 pages  File size: 7,079 kb]
Charges: This report should address the charges below.
1. Evaluate the ability of managed care organizations to provide adequate access to medical care. Examine Health Maintenance Organization (HMO) licensing standards as they relate to physician/patient rations, specialty physician/patient ratios, scope of medical coverage and geographic coverage requirements.
2. Study the incidence of emergency room utilization and the standards used to establish eligibility by an HMO for emergency room services.
3. Evaluate the requirements of an HMO to have adequate and effective consumer appeals processes in place for denied services, prescription drugs, etc.
4. Evaluate the standards of consumer education, in terms of availability and scope, and determine the extent to which they are, or should, be governed by regulation or statue.
5. Assess the process by which "medical necessity" is determined by an HMO, who may participate in establishing the criteria, if the process is governed by current or pending regulations and if the standards need enhancement.
6. The Interim Committee should study each of the above items and make recommendations based on its findings. In making its recommendations, the Interim Committee should consider whether modifications need to be addressed through state agency rule making authority or statutorily by the Legislature.
Committee: Senate Health and Human Services, Interim
Title: Interim report - Rehabilitation services
Library Catalog Title: Private psychiatric, substance abuse, and medical rehabilitation services in Texas.
Subjects: Drug rehabilitation programs | Fraud | Hospitals | Mentally disabled persons | Mentally ill persons | Patients' rights |
Library Call Number: L1836.72 p939
Session: 72nd R.S. (1991)
Online version: View report [98 pages  File size: 3,212 kb]
Charge: This report should address the charge below.
1. The Committee shall study current laws relating to involuntary commitment of individuals to institutions.
Supporting documents
Committee: Senate Health and Human Services, Interim
Title: Committee documentation on private psychiatric and substance abuse services: interim committee meeting schedule, issues (medications, access to medical records, private psychiatric hospital standards, etc.), news articles
Library Catalog Title: Minutes
Library Call Number: L1836.72 P939M
Session: 72nd R.S. (1991)
Online version: View document [214 pages  File size: 6,057 kb]
Committee: Senate Health and Human Services, Interim
Title: Psychiatric hospital abuses: letter from Texas Department of Mental Health and Mental Retardation to Governor Ann Richards, information on abuse and neglect in private psychiatric hospitals
Library Catalog Title: Minutes
Library Call Number: L1803.9 H88 72
Session: 72nd R.S. (1991)
Online version: View document [112 pages  File size: 2,277 kb]
Committee: House Health Services
Title: Interim Report
Library Catalog Title: To the speaker and members of the House of Representatives, 68th Legislature : interim report / of the Health Services Committee, Texas House of Representatives, 67th Legislature.
Subjects: Alcoholism | Autism | California | Drug rehabilitation programs | Drug trafficking | Hazardous substances | Health care providers | Mental Health and Mental Retardation, Texas Department of | Mental health services | Mentally disabled persons | Patients' rights | Pesticides | Services for persons with disabilities | State agency budgets | Substance abuse | Underage drinking | Veterans | Veterans health care |
Library Call Number: L1836.67 h349
Session: 67th R.S. (1981)
Online version: View report [103 pages  File size: 4,438 kb]
Charges: This report should address the charges below.
1. Investigate the problems of alcohol addiction and drug abuse among youth.
2. Oversight functions shall be conducted for all appropriations-related actions of those agencies assigned to this committee for appropriative purposes during the 67th Regular Session of the Legislature. In addition, a study should be made of the impact of any federal cuts, and the differences in the operational aspect of the agencies under block vs. categorical grants. Close scrutiny should be given to each agency to ascertain if legislative intent is being carried out in the rules promulgated by the agency and if the rules are feasible and practical in their application. These agencies include: Department of Health Department of Mental Health and Mental Retardation Governor's Commission on Physical Fitness Health Facilities Commission Texas Commission on Alcoholism Board of Morticians Texas Board of Chiropractic Examiners Texas Board of Examiners in the Fitting and Dispensing of Hearing Aids Board of Nurse Examiners Texas Optometry Board State Board of Pharmacy Texas Board of Physical Therapy Examiners Texas Board of Podiatry Examiners Texas State Board of Examiners of Psychologists State Board of Dental Examiners State Board of Veterinary Medical Examiners and Texas State Board of Medical Examiners.
3. Study the operations of the Health Systems Agencies in Texas.
4. Examine California's statutes relating to freedom of choice in selecting health care services and providers and determine if similar changes should be made in Texas' statutes.
5. Coordinate efforts with the Joint Committee on Autistic Citizens to develop possible alternatives to institutionalization of mentally retarded and autistic persons.
6. Monitor the activities and progress of the programs designed to provide aid to veterans suffering from Agent Orange. Look at number of veterans served, percentages with abnormalities, costs, etc.
7. Study the impact of pesticides on health in Texas.
8. Study the proposed construction of the Houston Psychiatric Hospital.

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