HBA-JEK, CCH C.S.H.C.R. 84 77(R)BILL ANALYSIS Office of House Bill AnalysisC.S.H.C.R. 84 By: Maxey Public Health 4/11/2001 Committee Report (Substituted) BACKGROUND AND PURPOSE Medically underserved areas are characterized by high poverty rates, high infant mortality rates, a high percentage of elderly residents, and a low percentage of primary care providers. Out of 254 Texas counties, 176 whole counties and 47 partial counties have been federally designated as medically underserved. Texas ranks among the states with the highest percentage of uninsured persons under the age of 65, due in part to immigrant households that are more than twice as likely as native-born citizens to lack health insurance. Federally funded community-based safety net programs are specifically designed to assist-low-income persons without health insurance and those who live in areas that lack health care services. Community health centers and other community-based safety net programs are cost effective because of the delivery of primary and preventive care and the reduction of inappropriate emergency visits and hospitalizations. Community-based programs are also able to address the unique challenges of particular areas such as border towns with a high percentage of immigrants. Increasing the number of community-based programs in medically underserved communities would be a tremendous benefit for Texas residents, including the 56 percent of noncitizen residents who are unable to purchase health insurance. C.S.H.C.R. 84 requests that the United States Congress increase the number of and funding for federal community-based health care centers and programs in medically underserved communities. RULEMAKING AUTHORITY It is the opinion of the Office of House Bill Analysis that this resolution does not expressly delegate any additional rulemaking authority to a state officer, department, agency, or institution. ANALYSIS C.S.H.C.R. 84 requests the United States Congress to expand the number of and funding for federally funded community health centers and other federal community-based safety-net programs specifically directed to poor and medically underserved communities in states with the highest number of uninsured residents. COMPARISON OF ORIGINAL TO SUBSTITUTE C.S.H.C.R. 84 differs from the original resolution by requesting the United States Congress to expand funding for federally funded community health centers and other federal community-based safety-net programs in states with the highest number of uninsured residents. The substitute adjusts the number of counties that are federally designated as medically underserved areas to 176 entire counties and 47 partial counties, rather than 175 counties and 41 partial counties.