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79R4363 CME-D
By: Villarreal H.R. No. 257
R E S O L U T I O N
WHEREAS, More than three million Texans reside in 121
federally designated whole county health professional shortage
areas, and 3.3 million Texans were living in an additional 47
partial county and 47 special population health professional
shortage areas as of June 2004, according to the Health Resources
and Services Administration; the federal government has also
identified 359 medically underserved areas and medically
underserved populations in Texas; and
WHEREAS, These designations indicate a statewide scarcity in
health care resources and reveal the public health of Texans to be
at risk; health professional shortage areas include geographic
areas and population groups recognized as having an acute shortage
of health care personnel, and medically underserved status is
assigned according to four demand and resource indicators:
percentage of elderly population, poverty rate, infant mortality
rate, and ratio of primary care providers per 1,000 population; and
WHEREAS, Moreover, the issue of access to health care is
complicated by the fact that nearly 5.5 million Texans are living
without health insurance and often must resort to seeking primary
care in hospital emergency departments, further encumbering
inadequate medical resources; and
WHEREAS, Unfortunately, Texans are also faced with the
increasing cost of health care, typified by the escalating price of
prescription drugs; U.S. per capita spending on prescriptions has
been projected to rise between 2000 and 2010 at an average annual
rate of 11.2 percent based on U.S. Department of Health and Human
Services data; with the average price of retail prescriptions
filled in Texas increasing by nearly six percent between 2002 and
2003 alone, the potential impact to individual Texans is alarming;
and
WHEREAS, The rising expense of health care and high rates of
uninsured are equally consequential to the fiscal well-being of
local, county, and state governments; in state fiscal year 2001,
health care expenditures alone accounted for approximately 40
percent of total net expenditures in Texas, and public hospital
districts reported $1.2 billion in unreimbursed care; and
WHEREAS, In an attempt to redress many of these issues and
recognizing the shared interest of public health and the value of
collaboration among all levels of government, the 76th Texas
Legislature passed House Bill 1444 to administer a program of
grants for counties, municipalities, public health districts, and
other political subdivisions to provide essential public health
services; however, in light of persistent obstacles to the
successful delivery of critical health services, revisiting these
efforts could prevent a crisis in public health for Texas; now,
therefore, be it
RESOLVED, That the House of Representatives of the 79th Texas
Legislature hereby request the speaker to provide for an interim
house study to make recommendations to the legislature relating to
how public health and medical care services can be more effectively
delivered through regional planning involving all relevant
stakeholders in urban counties and the surrounding rural or
suburban communities; specifically, the study should include
recommendations to: (1) identify incentives and resources
necessary to promote personal responsibility, encourage preventive
care, and expand use of available primary care services; (2)
identify cost-effective technological innovations to improve
health care access and coordination; (3) improve access to
secondary and tertiary care in rural communities; (4) identify how
health care services can be improved through collaboration across
funding streams; (5) identify how public health can be improved in
Texas through incentives tied to the Centers for Disease Control
National Public Health Performance Standards; (6) develop
multicounty public health entities authorized to collaborate to
ensure that the essential public health services outlined in
Subchapter E, Chapter 121, Health and Safety Code, are available to
all Texans; and (7) create regional planning authorities or
designate existing organizations to assume responsibilities for
the foregoing purposes; and, be it further
RESOLVED, That the speaker assign the study to a select or
standing committee at his discretion, exercising authority granted
to the speaker by House Rule 1, Section 17, Interim Studies, and
House Rule 4, Chapter F, Interim Study Committees.