1-1 By: Barrientos S.C.R. No. 56
1-2 (In the Senate - Filed March 18, 1993; March 22, 1993, read
1-3 first time and referred to Committee on Health and Human Services;
1-4 April 28, 1993, reported favorably by the following vote: Yeas 9,
1-5 Nays 0; April 28, 2993, sent to printer.)
1-6 COMMITTEE VOTE
1-7 Yea Nay PNV Absent
1-8 Zaffirini x
1-9 Ellis x
1-10 Madla x
1-11 Moncrief x
1-12 Nelson x
1-13 Patterson x
1-14 Shelley x
1-15 Truan x
1-16 Wentworth x
1-17 SENATE CONCURRENT RESOLUTION
1-18 WHEREAS, Approximately 94,700 Texans resided in nursing homes
1-19 in 1992; and
1-20 WHEREAS, Of that number, approximately 64,700 have their care
1-21 paid for by Medicaid; and
1-22 WHEREAS, Acuity of illness affects the intensity and type of
1-23 care needed by a nursing home resident; and
1-24 WHEREAS, The population in Texas is aging, with the
1-25 proportion of persons over 65 years of age projected to be 11.4
1-26 percent or more than two million persons by the year 2000; and
1-27 WHEREAS, As people are living longer and medical technologies
1-28 are becoming more advanced, nursing home residents' needs become
1-29 more specialized with age; and
1-30 WHEREAS, It is projected that 40 percent of all people who
1-31 live beyond 65 years of age will spend some time in a nursing home;
1-32 and
1-33 WHEREAS, Projections are that 77,220 Texans will require
1-34 Medicaid nursing home care in the year 2000; and
1-35 WHEREAS, Texas is one of only three states in the United
1-36 States which still reimburses nursing homes by a flat rate system;
1-37 and
1-38 WHEREAS, Many of those persons in nursing homes dependent on
1-39 Medicaid funds must now cope with serious debilitating illnesses
1-40 such as Alzheimer's disease and AIDS; and
1-41 WHEREAS, Approximately 50 percent of all nursing home
1-42 patients are victims of Alzheimer's disease; and
1-43 WHEREAS, Diseases such as Alzheimer's and AIDS require
1-44 intensive behavioral intervention and rehabilitative services
1-45 available at nursing homes; now, therefore, be it
1-46 RESOLVED, That the 73rd Legislature respectfully direct the
1-47 Texas Department of Human Services to develop and implement an
1-48 appropriate case-mix reimbursement system that adequately meets the
1-49 needs of all subacute and cognitively impaired patients, such as
1-50 those suffering from Alzheimer's disease, dementia, and AIDS.
1-51 * * * * *
1-52 Austin,
1-53 Texas
1-54 April 28, 1993
1-55 Hon. Bob Bullock
1-56 President of the Senate
1-57 Sir:
1-58 We, your Committee on Health and Human Services to which was
1-59 referred S.C.R. No. 56, have had the same under consideration, and
1-60 I am instructed to report it back to the Senate with the
1-61 recommendation that it do pass and be printed.
1-62 Zaffirini,
1-63 Chair
1-64 * * * * *
1-65 WITNESSES
1-66 FOR AGAINST ON
1-67 ___________________________________________________________________
1-68 Name: Sue S. Wilson x
2-1 Representing: TDHS
2-2 City: Austin
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2-4 Name: John W. Holterman x
2-5 Representing: Tx Silver Haired Leg
2-6 City: San Marcos
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2-8 Name: Lycille Biegel x
2-9 Representing: Tx Silver Haired Leg
2-10 City: Canyon Lake
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