Texas Health and Human Services Digest: May 13, 2020

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Previous meetings have made alternative arrangements like phone-in capability or have been canceled. These meetings are on the calendar as of today.
May 19, 2020

May 22, 2020

May 27, 2020

The Administrative Procedure Act (Texas Government Code, Chapter 2001(link is external)) requires the notice published in the Texas Register to include a brief explanation of the proposed rule and a request for comments from any interested person. The notice also includes instructions for submitting comments regarding the rule to the agency, including the date by which comments must be submitted. Agencies must give interested persons “a reasonable opportunity” to submit comments. The public comment period begins on the day after the notice of a proposed rule is published in the Texas Register and lasts for a minimum of 30 calendar days.

The Administrative Procedure Act (Texas Government Code, Chapter 2001(link is external)) requires the notice published in the Texas Register to include a brief explanation of the proposed rule and a request for comments from any interested person. The notice also includes instructions for submitting comments regarding the rule to the agency, including the date by which comments must be submitted. Agencies must give interested persons “a reasonable opportunity” to submit comments. The public comment period begins on the day after the notice of a proposed rule is published in the Texas Register and lasts for a minimum of 30 calendar days.

TitleProject No., DescriptionContactComment End Date
Title 25, Chapter 300 Manufacture, Distribution, and Retail Sale of Consumable Hemp Products (link is external)#19R074: Consumable Hemp ProductsDSHS Hemp Program6/8/20
Title 1, Chapter 377 Children’s Advocacy Programs, Subchapter C Standards of Operation for Local Children’s Advocacy Centers (link is external)#20R017: Children’s Advocacy ProgramsHHSC Rules Coordination Office6/8/20
Title 1, Chapter 372 Temporary Assistance for Needy Families and Supplemental Nutrition Assistance Programs, Subchapter F Benefits (link is external)#20R028: SNAP Benefits DistributionHHSC Access and Eligibility Services6/8/20
Title 1, Chapter 353, Subchapter O, Section 353.1305 Uniform Hospital Rate Increase Program (link is external)#20R046: IMDs Eligible for Uniform Hospital Rate Increase ProgramHHSC Hospital Finance and Waiver Programs5/26/20
Title 1, Chapter 355, Subchapter J, Division 11, Section 355.8212 Waiver Payments to Hospitals for Uncompensated Charity Care (link is external)#20R047: Waiver Payments to Hospitals for Uncompensated Charity CareHHSC Hospital Finance and Waiver Programs5/26/20

Draft Rules Informal Comments
Informal opportunities to comment occur before a rule is published in the Texas Register. HHS staff may solicit informal public and stakeholder input by:

  • inviting stakeholders to submit comments on potential rule changes during rule development.
  • sharing a draft rule with stakeholders for review.
  • using existing HHS advisory committees to comment on rules.
Word format unless otherwise noted.
TitleProject No.ContactComment
Start Date
Comment

End Date

Title 26, Chapter 553 Licensing Standards for Assisted Living Facilities#19R066HHSC Policy Rules and Training5/7/205/21/20

The Laboratory Outreach Communication System (LOCS) is managed by the Division of Laboratory Systems (DLS) in the Center for Surveillance, Epidemiology, and Laboratory Services (CSELS). Currently, LOCS is a functional CDC mailbox (LOCS@cdc.gov) designed to provide updates and answer questions from clinical laboratories through coordination with professional organizations, CDC programs, and state public health laboratories.

The mailbox is managed and monitored by DLS staff and is active during regular business hours. Information and updates are sent to clinical laboratories through professional organizations. This system is available to other CDC programs and may also be used during emergency responses to disseminate information in collaboration with CDC’s Joint Information Center in the Emergency Operations Center.

HHSC Announces the Release of the Following Report: Texas Women’s Health Programs Report Fiscal Year 2019 .

The Texas Women’s Health Programs Report Fiscal Year 2019 is submitted in accordance with the 2020-21 General Appropriations Act, House Bill (H.B.) 1, 86th Legislature, Regular Session, 2019 (Article II, Health and Human Services Commission [HHSC], Rider 74). The report provides a summary of program enrollment, service utilization, and cost savings for the Healthy Texas Women (HTW) program, the Family Planning Program (FPP), and the Breast and Cervical Cancer Services (BCCS) program.

HTW and FPP offer women’s health and family planning services at no, or low, cost to eligible individuals in Texas. Specifically, HTW and FPP seek to increase access to women’s health and family planning services to avert unintended pregnancies, positively affect the outcome of future pregnancies, and positively impact the health and well-being of women and their families. BCCS provides no-cost breast and cervical cancer screenings, diagnostics, and patient navigation to eligible Texas women. A summary of program results for fiscal year 2019 includes:

  • HTW client enrollment totals;
  • number of clients served by program;
  • provider categories and enrollment totals;
  • most commonly utilized procedure codes by program;
  • cost savings;
  • outreach efforts;
  • HTW and FPP long-acting reversible contraceptive (LARC) utilization;
  • expenditures by method of finance and program; and
  • Medicaid for Pregnant Women to HTW auto-enrollment numbers.

Key findings for fiscal year 2019 include:

  • a 16.2 percent increase from fiscal year 2018 in HTW client enrollment;
  • an 11 percent increase from fiscal year 2018 in clients served in HTW;
  • a 6 percent decrease from fiscal year 2018 in clients served in FPP;
  • a 4 percent decrease from fiscal year 2018 in clients served in BCCS;
  • $13 million net savings to the state due to births averted by HTW; and
  • $6.6 million net savings to the state due to births averted by FPP.

HHSC is committed to serving Texas women through HTW, FPP, and BCCS. These programs offer a variety of family planning, cancer screening, and women’s health services to women and men throughout the state. HHSC continues to seek feedback to improve or enhance program operations and outcomes and better ensure access to care for eligible Texans

Rider 74 requires HHSC to submit a report on the savings and performance of the Texas women’s health programs annually, by May 1, to the Legislative Budget Board and the Governor’s office. The report provides a summary of Healthy Texas Women (HTW), the Family Planning Program (FPP), and the Breast and Cervical Cancer Services (BCCS) program.

Per the rider, HHSC must submit a report that includes the following information:
(a) Enrollment levels of targeted low-incoming women and service utilization by geographic region, including total number of unduplicated patients served, delivery system, and age from the prior two fiscal years;
(b) Savings or expenditures in the Medicaid program that are attributable to enrollment levels as reported in section (a);
(c) Descriptions of all outreach activities undertaken for the reporting period;
(d) The total number of providers, by geographic region, enrolled in HTW and FPP networks, and providers from legacy Women’s Health Programs (including Texas Women’s Health Program), not to include duplications of providers or ancillary providers;
(e) The average and median numbers of program clients, and the total number of unduplicated patients served, detailed by provider;
(f) The count of women in HTW and FPP receiving a LARC;
(g) The service utilization by procedure code. The annual report submitted as required above must satisfy federal reporting requirements that mandate the most specific, accurate, and complete coding and reporting for the highest level of specificity;
(h) Total expenditures, by method of finance and program; and
(i) Number of unduplicated women auto-enrolled into HTW from Medicaid for Pregnant Women.

It is the intent of the Legislature that if the findings of the report show a reduction in women enrolled or of service utilization of greater than 10 percent relative to the prior two fiscal years, the agency shall, within existing resources, undertake corrective measures to expand capacity and/or client outreach and enrollment efforts. For HTW, this report includes information on fiscal year 2019 medical and pharmacy services combined, where applicable, including updates to fiscal year 2018 data. FPP does not have separate pharmacy benefits, so data for that program represent medical services only. BCCS does not have separate pharmacy benefits either; however, patient navigation is a specific service that is reimbursed by the program. BCCS data represent medical services and patient navigation.

Follow this link for complete report