MINUTES SENATE COMMITTEE ON FINANCE Wednesday, February 7, 2001 8:00 a.m. Capitol Extension, Room E1.036 ***** Pursuant to a notice posted in accordance with Senate Rule 11.18, a public hearing of the Senate Committee on Finance was held on Wednesday, February 7, 2001, in the Capitol Extension, Room E1.036, at Austin, Texas. ***** MEMBERS PRESENT: MEMBERS ABSENT: Senator Rodney Ellis None Senator Chris Harris Senator Gonzalo Barrientos Senator Robert Duncan Senator Troy Fraser Senator Tom Haywood Senator Mike Jackson Senator Jon Lindsay Senator Eddie Lucio, Jr. Senator Steve Ogden Senator Carlos Truan Senator John Whitmire Senator Judith Zaffirini ***** The chair called the meeting to order at 8:05 a.m. There being a quorum present, the following business was transacted: The Chair recognized the following witnesses to give testimony on the Legislative Budget Board (LBB) recommendations: Medicaid Overview Federal Funding Overview Kathy Eckstein, Federal Funds, LBB Analyst Larry Temple, Director, Welfare Reform Office - Texas Workforce Commission Answered questions on TANF and other issues affecting welfare recipients. Medicaid John Keel, Director, LBB Kelly Furgeson, LBB Analyst Paul Priest, LBB Analyst Tobacco Settlement Proceeds - ART. XII Anita D'Souza, LBB Analyst Kelly Furgeson, LBB Analyst John Keel, Director, LBB At 10:29 a.m. Senator Ellis moved that the committee stand recessed until 30 minutes after adjournment of the Senate; without objection, it was so ordered. Reconvened at 12:32 p.m. Health & Human Services Commission Kelly Furgeson, LBB Analyst Amanda Jones, LBB Analyst Jason Cooke, Director, State CHIP Program Don Gilbert, Commissioner Mr. Gilbert referred to the HHSC Funding Priority's for Fiscal Year 2002-03 handout given to members. Answered many questions from committee. At 2:50, Mr. Gilbert started speaking to the exceptional items in the budget for the Health & Human Services Commission (Handout). Howard Balwin, Deputy Attorney General for Child Support Answered questions from Committee during Mr. Gilbert's testimony. Senator Zaffirini assumed the chair during Mr. Gilbert's testimony. The Chair recognized the following witnesses to give Public Testimony: Raul Acosta, Texas Council for Developmental Disabilities Fred Genco, Texas Council for Developmental Disabilities, the ARC of Texas & Advocacy, Inc. Karen Greebon, self, ADAPT Colleen Horton, Texas Advocates Supporting Kids with Disabilities Jennifer McPhail, self, ADAPT Susan Murphree, Advocacy, Inc. & Disability Advocates Wayne Spahn, self, ADAPT James Templeton, ADAPT Stephanie Thomas, ADAPT of Texas Karen R. Johnson, President, United Way of Texas, supports funding for 2 1 1 Texas Jose E. Camacho, Ex. Director, Texas Assoc. of Community Health Centers Bob Kafka, ADAPT Danny Sanze, ADAPT Pam Williford, Ex. Director, Coalition for the Homeless of Houston & Harris Co., supports funding for 2 1 1. Texas Department of Health Paul Priest, LBB Analyst Regina Martin, LBB Analyst Senator Ellis resumed the chair at 4:13 p.m., during LBB testimony. Larry Alwin, State Auditor Dennis Bushnell, SAO Ben Delgado, Texas Department of Health Answered questions. Sidney Shelton, State Employee Answered questions. J. C. Chambers, Chairman of the Board Announced that since there was a quorum of board members in attendance, according to the requirements of the open meeting law, he was required to call a meeting. Chairman Chambers called the board meeting to order. Mr. Chambers introduced the members in attendance. Mr. Chambers stated there were three things he wanted to say as Board Chair: the first was to assure the committee that the board is active and involved, they realize it is their responsibility and certainly their intention to see that the department continues to follow legislative policy and direction, the second is to let you know that the board has all the confidence in the world in Dr. Bell, he has shown remarkable leadership in the transition period, and thirdly how proud the board is of the employees. Adjourned meeting. Answered questions. Dr. Charles Bell, Executive Director Gave a brief overview of exceptional items in proposed budget and then answered questions concerning Tier One and Tier Two issues. Jack Baum, Associate Commissioner for Family Health Spoke to the Title V exceptional item, Special Health Care item (Tier One) Deborah Blount, Deputy Commissioner of Finance Spoke to exceptional items in Tier One and Tier Two programs. Debra C. Stabeno, Deputy Commissioner, Public Health Programs Spoke to exception item (Access for Dental Health for Children) in proposed budget. Registering, but not testifying: Sharilyn Stanley, M.D., Associate Commissioner - The Chair recognized the following witnesses to give Public Testimony: Tim Conger, Vice President for Public Advocacy, American Heart Association Jim Donovan, Americaid Community Care Program Sindi Rosales, Executive Director, Epilepsy Coalition of Texas (Written) Donna Stahlhut, Executive Director, Epilepsy Foundation of SE Texas, mother of epileptic child Ann Dunkelberg, Senior Policy Analyst, Center for Public Policy Priorities (Written) Frank Genco, Texas Council for Developmental Disabilities, ARC, Advocacy, Inc. Diane Gillit, Deputy Executive Director, South Plains Community Action Association, Inc. (Written) Janet P. Realini, M.D., M.P.H., Chair, Medical Advisory Committee, Women's Health & Family Planning (Written) Peggy Romberg, CEO/ Executive Director, Women's Health & Family Planning Kelly Headrick, Vice President for Governmental Relations, American Cancer Society Jose E. Camacho, Executive Director, Texas Association of Community Health & Chairman of the Board, Superior Health Plan Stella Roland, self, spoke against TCADA Craig Tounrget, Director, Governmental Relations, Texas PTA Registering, but not testifying: Tom Banning, Medicaid Access Coalition (Written) Ed Berger, Vice President, Advocacy & Public Policy, Seton Healthcare Network (Written) Jennifer Bilbrey, Director, Governmental Affairs, Planned Parenthood of San Antonio & South Central Texas (Written) Kelly Hart, Public Affairs, Planned Parenthood of N.Texas (Written) Jacqueline Martin, President, United Way of the Texas Gulf Coast (Written) Ellen Sable, Volunteer, Texas Campaign for Women's Health & National Council of Jewish Women (Written) Danielle Tierney, Planned Parenthood of the Texas Capital Region (Written) Jenny Young, Health Policy Analyst, Texas Medical Association (Written) Andrea Chilton Greer, Legislative Director, Planned Parenthood of Houston & SE Texas, Inc. Julie Marsden, Volunteer, League of Women's Voters of Texas Cyndie Schmitt, Texas Council of Community MHMR Centers, Inc. Written testimony only: Associated Catholic Charities Chinese Community Center Shari Koziol, Executive Director, Crisis Intervention of Houston Steve Walder, Executive Director, Understanding Disabilities, Creating Opportunities, UCP of Greater Houston, Inc. Texas Health Care Informational Council Jim Loyd, Executive Director Gave an overview of what the Texas Health Care Informational Council does. Spoke to exceptional items in proposed budget. Answered questions. Center for Rural Health Initiatives Mike Easley, MPA, Executive Director Gave an overview of what the Center for Rural Health Initiatives does. Spoke to exceptional items in proposed budget. Answered questions. Children's Trust Fund Nancy Millard, LBB Analyst John Chacon, Executive Director Introduced Gigi Edwards, Vice Chair. Gave an overview of the plan for the 2002-03 biennium and spoke to items not recommended by LBB. Answered questions. Registering, but not testifying: Gig Edwards, Vice Chair There being no further business, at 6:30 p.m. Senator Ellis moved that the Committee stand recessed subject to the call of the chair. Without objection, it was so ordered. ______________________ Senator Rodney Ellis, Chair ______________________ Myra J. Schmitt, Clerk