MINUTES SENATE INTERIM COMMITTEE ON HOME HEALTH AND ASSISTED LIVING FACILITIES Tuesday, January 27, 1998 9:30 am Fort Worth Botanic Garden, Fort Worth, Texas ***** Pursuant to a notice posted in accordance with Senate Rule 11.11, a public hearing of the Senate Interim Committee on Home Health and Assisted Living Facilities was held on Tuesday, January 27, 1998 in Fort Worth Botanic Garden, Fort Worth, Texas. ***** MEMBERS PRESENT: MEMBERS ABSENT: Senator Mike Moncrief Senator Gonzalo Barrientos Senator Drew Nixon Senator Mario Gallegos, Jr. Senator Jane Nelson ***** The Chair called the meeting to order at 9:35 a.m. The following business was transacted. The following members arrived after the roll was called: none. The Chair introduced and welcomed Fort Worth Representatives Lon Burnam, District 90, and Bill G. Carter, District 9, and Council Member, Lois G. Finkelman, City of Dallas, as guests. The Chair made opening remarks, welcomed invited speakers, state agency staff and the public. The Chair announced that the purpose of the hearing was to receive testimony from Tarrant County area organizations and families regarding the Committee's charges and to review the survey and complaint process of personal care facilities and home and community support services agencies. The Chair then called the following persons who provided oral testimony on personal care facilities and home health care: Lois Finkelman, Dallas City Council, Dallas Lee S. Anderson, M. D., Tarrant County Medical Society, Fort Worth The Chair thanked Ms. Finkelman and Dr. Anderson for testifying. The Chair then called a panel to testify about Tarrant County perspectives regarding the Committee's charges. The panel members were: Pat Cheong, Director, Area Agency on Aging of Tarrant County, Fort Worth Thomas J. Fairchild, Ph. D., Director of Special Projects on Aging, University of North Texas Health Science Center, Fort Worth Lauralee Harris, Executive Director, Mental Health Association of Tarrant County, Fort Worth Terry Thompson, Long Term Care Ombudsman, Fort Worth Carlela K. Vogel, Member, Texas Board of Human Services, Fort Worth The panel testified and responded to questions from Members of the Committee. The Chair thanked and dismissed the panel. The Chair then called a panel to testify about the assisted living survey and complaint process. The panel members were: Mary Ann Brown, Resident of an assisted living facility, Fort Worth Randy Griffin, President, Legacy Living Centers, Plano Bill Jann, Resident, Fort Worth Beverly McCalmont, Adult Protective Services Supervisor, Texas Department of Protective and Regulatory Services, Fort Worth Mike Williams, Generalist Surveyor, Texas Department of Human Services, Fort Worth The following persons were called by the Chair to respond to questions from Committee Members about the assisted living survey and complaint process: Marc Gold, Manager, Long Term Care Policy, Texas Department of Human Services, Austin Chris Harper, Licensing Section Manager, Texas Department of Human Services, Austin The panel testified and responded to questions from Members of the Committee. The Chair thanked and dismissed the panel. The Chair then called a panel to testify about home health care's survey and complaint process. The panel members were: Debbie Hodson, Nurse Surveyor, Texas Department of Health, Arlington Hilda T. Ramsay, Family Member, Sherman Emily Tripp, Vice President of Home Care, Visiting Nurse Association of Texas, Dallas The panel testified and responded to questions from Members of the Committee. The Chair thanked and dismissed the panel. The Chair recessed at 1:20 P. M. The Chair reconvened the hearing at 2:02 P. M. The Chair then called for public testimony. The following persons provided oral testimony: Allan Cole, Self, Fort Worth, Texas Jim Roane, Disabled Community, Fort Worth, Texas David Ivan Perry, Self, Dallas, Texas Debra A. Green, Texas Department of Human Services, Austin, Texas Bruce Wilke, Self, Dallas, Texas Sue Collins, Health Cor, Colleyville, Texas Al Germann, Greenbriar Corporation at Denison, Denison, Texas Debi Laurents, Living At Home/Block Nurse Program, Fort Worth, Texas Linda Thompson, Self, Watauga, Texas Michael G. Rich, Grandparents, Arlington, Texas Martha E. Kissinger, League of Women Voters of Tarrant County, Fort Worth, Texas Monica Prather, United Cerebral Palsy of Tarrant County, Fort Worth, Texas David L. Griffith, Client of Home Health, Fort Worth, Texas Sid Rich, Texas Association of Residential Care Communities, Austin, Texas Mary Teeters, Meals on Wheels, Inc. of Tarrant County, Fort Worth, Texas Cindy Reynolds, Clients in Need, Fort Worth, Texas Johnnie Benson, Colonial Southwest, Inc. and Westchester Health Systems, Fort Worth, Texas Dr. Barbara Kirsch, Ph. D., National Mental Health Institute on Deafness, Euless, Texas Thomas Price, Self, Fort Worth, Texas Jerry Large, Consumer, Fort Worth, Texas Donna Grzann Helmer, Elderly, Fort Worth, Texas Florence Nagy, Self, Fort Worth, Texas LaTonne Stout, Deaf, Inc., Fort Worth, Texas Cathy J. Torres, Westchester Health Systems/Social Worker, Fort Worth, Texas Mildred Hogstel, Self, Fort Worth, Texas Velma Wayland, Sister, Fort Worth, Texas John Bryant, Self, Fort Worth, Texas Linda Waddle-Bradford, Alzheimer's and Garden Terrace Alzheimer's Center, Fort Worth, Texas Steve Wadsworth, Centratex, Inc., Brady, Texas Bob Rice, Centratex, Inc., Brady, Texas Gary Humbercon, Centratex, Inc., Brady, Texas Mary Alice Young, Self Rosemary Cox, Self, Fort Worth, Texas Vickie Patterson, Occupational Therapy Practitioners, Duncanville, Texas Colleen Colton, Senior Citizens Services/Tarrant Area Gerontological Society, Fort Worth, Texas Albert L. Diano, III, Self, Disabled Texan, Fort Worth, Texas Brenda Seawell, Disability Services of the Southwest, Fort Worth, Texas Jerry Hines, Disability Services of the Southwest, Fort Worth, Texas Anthony K. Cutrona, Self, Houston, Texas Sandralyn Hampton, Home Health Care, Osteopathic Medical Center, Fort Worth, Texas Dan Gadbury, CLASS Participant, Haltom City, Texas Kathy Maxey, Texas Association for Home Care, Austin, Texas At 6:26 P. M. Senator Nixon assumed the chair. The following persons registered, and though called by the Chair, did not testify: Joseph Vance, National Guest Homes, Nashville, Tennessee DeDe Chappell, R.N., Chappell Home Health Consulting/ Classic Care Home Health, Arlington, Texas Sharon Atchison, Chappell Home Health Consulting, Arlington, Texas Nickie Allen, Windsor House, Weatherford, Texas Heather Vasek, Texas Association for Home Care, Austin, Texas Roxann Martin, Private Nurses Using CCP, Azle, Texas Les Siter, Harris Methodist Health System-Home Care, Fort Worth, Texas S. Wayne Bazzle, Health Cor Holdings, Inc., Dallas, Texas Lisa Staples-Wherry, Ariel Nursing Service, Inc., Fort Worth, Texas Beverly Reher, Apex Home Health Care, Fort Worth, Texas Jean Van Trump, Self, Fort Worth, Texas Grumke, Charles, Kathy Grumke, Granbury, Texas Chris Gerard, Home Care Association of Tarrant County, Fort Worth, Texas David Evans, The Covenant Group, Fort Worth, Texas Wesley Anderson, AARP Chapter #14, Fort Worth, Texas Ronald G. Ammons, Wise County Home Health, Inc., Bridgeport, Texas Jerry B. Morris, Jr., Self, Fort Worth, Texas Vernon V. Edwards, Community Volunteer, Fort Worth, Texas Elsie Bradford, Super Citizen and Friends Group, Fort Worth, Texas Mazie Randle, AARP Chapter 5129, Fort Worth, Texas Miriam Serrato, Metroplex Association of Residential Care Homes, Arlington, Texas Kathleen Miller, Self, Granbury, Texas Clara Faulkner, President, Fort Worth Chapter, A. Philip Randolph Institute Organization, Fort Worth, Texas Mrs. Evelyn Beaty, AARP, Fort Worth, Texas Doris L. Brooks, Living At Home Block Nurse Program, Volunteer Guardian Program, AARP, Fort Worth, Texas Geraldine K. Jezek, Self, Fort Worth, Texas Kathy Leija, TORCH Healthcare-Morning Star, Lewisville, Texas Jim Collier, Self, Azle, Texas Troy Eubank, Tarrant County Mental Health Mental Retardation, Fort Worth, Texas The following persons submitted written testimony: Lynda Allanach, League of Women Voters of Tarrant County, Fort Worth, Texas Wesley Anderson, AARP Chapter 14, Fort Worth, Texas Dave Evans, Vice President, The Covenant Group, Fort Worth, Texas Harold Gaspar, Self, Dallas, Texas Chris Gerard, Home Care Association of Tarrant County, Fort Worth, Texas Sarah P. Jones, Ph. D., United Way of Metropolitan Tarrant County, Fort Worth, Texas Polly Orcutt, Self, Dallas, Texas Jane Phelan, Self, Dallas, Texas Irene Ramirez, Self, Dallas, Texas Glenda Roberts, Self, Dallas, Texas Bill Stevens, Self, Dallas, Texas There being no further business, at 7:20 p.m., Senator Nixon recessed the Committee subject to the call of the Chair.