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| The Senate Committee on Health and Human Services will take up the |
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| Charge #12 - Review the Medicaid HCBS waivers (CBA, STAR Plus, CLASS, |
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| MDCP, DBMT, TxHmL) and develop recommendations to assure that people with |
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| significant disabilities, regardless of disability label or age, receive |
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| needed services to remain in or transition to the community. Review should |
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| look at the delivery system, eligibility, service packages, rate |
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| structures, workforce issues and funding caps. Examine options for the |
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| provision of services for children aging out of the Medicaid system. Make |
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| recommendations for streamlining/combining these waivers, ensuring that |
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| these waivers are cost effective or create cost savings, and developing |
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| policies that contain costs in an effort to increase access to these |
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| services. The review should examine other states' community care waivers |
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| and provide recommendations relating to efforts that have been successful |
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| Charge #5 - Study the state’s current and long-range need for physicians, |
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| nurses, dentists and other allied health and long-term care professionals. |
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| Provide recommendations for ensuring sufficient numbers of health care |
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| professionals, focusing on medically underserved and rural areas of the |
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| state as well as the Border region. Consider health care delivered by |
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| Advanced Practice Nurses in terms of access, cost and patient safety and |
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| include an assessment of independent prescriptive authority with those |
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| states in which prescriptive authority is delegated by a physician. Make |
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| recommendations to enhance the efficient use of Advanced Practice Nurses |
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| Public testimony will be limited to 3 minutes. |
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| If submitting written testimony, please provide 20 copies with your name |
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