HOUSE CONCURRENT RESOLUTION 1-1 WHEREAS, There are certain state health care programs funded 1-2 by general revenue that could be improved with respect to their 1-3 funding methods and scope of coverage; and 1-4 WHEREAS, A pooling and reinvestment of certain 1-5 diagnosis-specific program funds would enhance the use of available 1-6 state and federal resources; and 1-7 WHEREAS, Improving health care coverage for many children 1-8 would reduce administrative overhead; and 1-9 WHEREAS, The State of Texas would leverage additional federal 1-10 dollars presently available to the state by modifying current 1-11 funding methods; now, therefore, be it 1-12 RESOLVED, That the 75th Legislature of the State of Texas 1-13 hereby direct the Texas Health and Human Services Commission to 1-14 develop a Section 1115(a) Medicaid waiver application, to be 1-15 submitted after the currently pending waiver application has been 1-16 approved, that sets forth a children's health insurance plan; and, 1-17 be it further 1-18 RESOLVED, That the proposed plan contain the following 1-19 features and safeguards: 1-20 (1) the plan must be revenue-neutral to the state; 1-21 (2) the plan should give priority for expansion 1-22 services to younger children; 1-23 (3) the plan should ensure safeguards in funding for 1-24 the Chronically Ill and Disabled Children's Services Program; and 2-1 (4) the commission should seek the approval of the 2-2 Legislative Budget Board and the Governor's Budget Office before 2-3 submitting the new waiver application; and, be it further 2-4 RESOLVED, That, to the extent possible, the commission: 2-5 (1) develop a cost-sharing structure that allows 2-6 parents to pay part of a child's premium; 2-7 (2) develop a program that requires copayments; 2-8 (3) develop a program that serves only a specific 2-9 number of children, based on the amount of funding available; 2-10 (4) explore a simplified eligibility program and 2-11 design the eligibility criteria to target uninsured children; and 2-12 (5) apply managed care design structure; and, be it 2-13 further 2-14 RESOLVED, That the secretary of state forward an official 2-15 copy of this resolution to the commissioner of the Health and Human 2-16 Services Commission. Berlanga Coleman _______________________________ _______________________________ President of the Senate Speaker of the House I certify that H.C.R. No. 189 was adopted by the House on May 2, 1997, by a non-record vote. _______________________________ Chief Clerk of the House I certify that H.C.R. No. 189 was adopted by the Senate on May 22, 1997, by a viva-voce vote. _______________________________ Secretary of the Senate APPROVED: _____________________ Date _____________________ Governor