Monday, May 4, 1998 
                                     1 p.m. 
         Pursuant to a notice posted in accordance with Senate Rule  
         11.11, a public hearing of the Long-Term Care Legislative  
         Oversight Committee Subcommittee on the Continuum of Long-Term  
         Care Services was held on Monday, May 4, 1998, in E2.012 of  
         the Texas State Capitol at Austin, Texas.   
         MEMBERS PRESENT:                        MEMBERS ABSENT: 
         Representative Elliott Naishtat, Chair 
         Senator Jane Nelson 
         Dr. Ken Kramer, Public Member 
         Pat Karrh, Public Member 
         The chair called the meeting to order at 1:05 p.m.  There  
         being a quorum present, the following business was transacted.   
         The chair announced that the purpose of the meeting was to  
         hear invited testimony regarding the impact of provider  
         networks/service bundling on the long-term care service  
         delivery system. 
         The following persons provided oral and written testimony: 
              David Herndon, board chair, Texas Department of Human  
         Services, 515 Congress Ave.,  Austin, Texas 78701. 
              Jacqueline Z. Johnson, interim deputy commissioner for  
         programs, Texas Department of      Human Services, P.O. Box  
         149030, Austin, Texas 78714. 
         The following persons provided oral testimony: 
              David Latimer, vice president for governmental affairs,  
         Texas Association of Homes and     Services for the Aging,  
         2205 Hancock, Austin, Texas 78704. 
              Anita Bradberry, executive director, Texas Association  
         for Home Care, Inc., 3737 Executive     Center Dr., Suite 151,  
         Austin, Texas 78731. 
              Tom Suehs, executive director, Texas Health Care  
         Association, 4214 Medical Parkway,      Austin, Texas 78765. 
              Beth Ferris, president, Texas Advocates for Nursing Home  
         Residents, 500 E. Anderson Lane    #234W, Austin, Texas 78752. 
              Candice A. Carter, state legislative representative,  
         American Association of Retired Persons,     98 San Jacinto  
         Blvd., Suite 750, Austin, Texas 78701. 
              Laura Brown, project coordinator, Coalition of Texans  
         with Disabilities Personal Assistance   Services Task Force,  
         316 W. 12th St., Suite 406, Austin, Texas 78701. 
         The chair called the following person who registered as a  
         resource witness to provide oral testimony: 
              Pam Coleman, manager of managed care, Texas Department of  
         Human Services, 9213     Spicebrush Dr., Austin, Texas  78759. 
         With no other business to come before the subcommittee, the  
         chair recessed the subcommittee on the Continuum of Long-Term  
         Care Services at 2:50 p.m., subject to the call of the chair. 
         Representative Elliott Naishtat, Chair 
         Monica D. Cruz, Committee Clerk