Health and Human Services Commission Executive Council Agenda

June 24, 2021 - 10:00 am

United States

Meeting Site:
Microsoft Teams Live Event

Due to the COVID-19 pandemic, this meeting will be conducted virtually using Microsoft Teams Live Events only. There is not a physical location for this meeting. Join the meeting here.  

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Attendees who would like to provide public comment should see the Public Comment section below.

  1. Welcome and Opening Remarks
    1. Call to order
    2. Roll call
    3. Explanation of proceedings using Microsoft Teams live event
    4. Executive Commissioner’s welcome and remarks
    5. Chief Officers’ remarks
    6. Department of State Health Services Commissioner’s remarks
    7. Inspector General’s Quarterly Report
    8. Health and Human Services Commission (HHSC) 87th Legislative Session update
    9. HHSC Appropriations update
    10. 1115 Texas Healthcare Transformation Quality Improvement Program Waiver Extension Application
  2. Home and Community-based Services federal medical assistance percentage increase*
  3. Rule proposals*
    1. Administrative Procedure Act (APA) public comment period has closed†
      None
    2. Submitted to the Texas Register – APA public comment period has not closed‡
      1. HHSC proposes a new rule in TAC, Title 1, Part 15, Chapter 355, Reimbursement Rates, Subchapter J, Division 11, §355.8217, concerning Payments to Public Health Providers for Charity Care
      2. HHSC proposes the amendments to rules in TAC, Title 1, Part 15, Chapter 353, Medicaid Managed Care, Subchapter O, §353.1302 and §353.1304, concerning Quality Incentive Payment Program Accelerated Payment and Metric Rule Change
      3. HHSC proposes the amendment to a rule in TAC, Title 1, Part 15, Chapter 355, Reimbursement Rates, Subchapter J, Division 4, §355.8052, concerning Inpatient Hospital Reimbursement
      4. HHSC proposes the amendment to a rule in TAC, Title 25, Part 1, Chapter 417, Agency and Facility Responsibilities, Subchapter A, §417.47; and proposes the amendments to rules in Title 40, Part 1, Chapter 3, Responsibilities of State Facilities, Subchapter D, §§3.401 - 3.403, concerning Training Requirements
    3. Not yet submitted to the Texas Register for APA public comment
      1. Department of State Health Services proposes the amendments to rules in TAC, Title 25, Part 1, Chapter 295, Occupational Health, Subchapter I, 295.202 and §295.212, concerning Texas Environmental Lead Reduction
      2. HHSC proposes the amendments to rules in TAC, Title 1, Part 15, Chapter 354, Medicaid Health Services, Subchapter F, Division 8, §354.1941 and §354.1942, concerning Texas Drug Utilization Review Board and Conflict of Interest
      3. HHSC proposes the amendments to rules in TAC, Title 26, Part 1, Chapter 554, Nursing Facility Requirements for Licensure and Medicaid Certification, Subchapters D, K, M, and Q, concerning Infection Control Requirements, Consent for Antipsychotic Medications, and Facility Construction Rule Clarification
  4. eHealth Advisory Committee Recommendations*
  5. Recent Rule Adoptions - Information item not for discussion
    1. Adoptions submitted to the Texas Register that are not yet effective
      1. 20R101 Minimum Standards for Child-Placing Agencies, effective 6/27/21 https://www.sos.texas.gov/texreg/archive/June42021/Adopted%20Rules/26.HEALTH%20AND%20HUMAN%20SERVICES.html#94
      2. 21R078 Disproportionate Share Hospital Reimbursement Methodology, published in Texas Register 6/25/21; effective 6/28/21
      3. 21R070 Public Health Provider – Charity Care Program, published in Texas Register 6/25/21; effective 7/1/21
    2. Adoptions that are effective
      1. 20R081 Pediatric Tele-Connectivity Resource Program for Rural Texas, effective 3/15/21 https://www.sos.texas.gov/texreg/archive/March122021/Adopted%20Rules/26.HEALTH%20AND%20HUMAN%20SERVICES.html#115
      2. 21R028 Physician Directed Payment Program, effective 3/21/21 https://www.sos.texas.gov/texreg/archive/March122021/Adopted%20Rules/1.ADMINISTRATION.html#60
      3. 21R027 Uniform Hospital Rate Increase Program Reforms, effective 3/28/21 https://www.sos.texas.gov/texreg/archive/March262021/Adopted%20Rules/1.ADMINISTRATION.html#104
      4. 18R061 Specialized Telecommunications Assistance Program, effective 3/30/21 https://www.sos.texas.gov/texreg/archive/March262021/Adopted%20Rules/40.SOCIAL%20SERVICES%20AND%20ASSISTANCE.html#204
        https://www.sos.texas.gov/texreg/archive/March262021/Adopted%20Rules/26.HEALTH%20AND%20HUMAN%20SERVICES.html#185
      5. 20R010 Medical Error Reporting, effective 4/1/21 https://www.sos.texas.gov/texreg/archive/March262021/Adopted%20Rules/25.HEALTH%20SERVICES.html#179
        https://www.sos.texas.gov/texreg/archive/March262021/Adopted%20Rules/26.HEALTH%20AND%20HUMAN%20SERVICES.html#187
      6. 20R030 Radiation Control Regulations for Radiation Machines Used in Veterinary Medicine, effective 4/15/21 https://www.sos.texas.gov/texreg/archive/April92021/Adopted%20Rules/25.HEALTH%20SERVICES.html#130
      7. 20R045 Medical and Health Care Billing, effective 4/15/21 https://www.sos.texas.gov/texreg/archive/April92021/Adopted%20Rules/25.HEALTH%20SERVICES.html#120
        https://www.sos.texas.gov/texreg/archive/April92021/Adopted%20Rules/25.HEALTH%20SERVICES.html#122
        https://www.sos.texas.gov/texreg/archive/April92021/Adopted%20Rules/25.HEALTH%20SERVICES.html#124
        https://www.sos.texas.gov/texreg/archive/April92021/Adopted%20Rules/25.HEALTH%20SERVICES.html#126
        https://www.sos.texas.gov/texreg/archive/April92021/Adopted%20Rules/25.HEALTH%20SERVICES.html#128
        https://www.sos.texas.gov/texreg/archive/April92021/Adopted%20Rules/26.HEALTH%20AND%20HUMAN%20SERVICES.html#134
        https://www.sos.texas.gov/texreg/archive/April92021/Adopted%20Rules/26.HEALTH%20AND%20HUMAN%20SERVICES.html#136
        https://www.sos.texas.gov/texreg/archive/April92021/Adopted%20Rules/26.HEALTH%20AND%20HUMAN%20SERVICES.html#138
        https://www.sos.texas.gov/texreg/archive/April92021/Adopted%20Rules/26.HEALTH%20AND%20HUMAN%20SERVICES.html#140
        https://www.sos.texas.gov/texreg/archive/April92021/Adopted%20Rules/26.HEALTH%20AND%20HUMAN%20SERVICES.html#179

         

      8. 21R038 Community Mental Health Center Directed Payment Program, effective 4/21/21 https://www.sos.texas.gov/texreg/archive/April162021/Adopted%20Rules/1.ADMINISTRATION.html#47
      9. 21R040 Rural Health Clinic Directed Payment Program, effective 4/25/21 https://www.sos.texas.gov/texreg/archive/April232021/Adopted%20Rules/1.ADMINISTRATION.html#64
      10. 20R026 Regulation of Child-Care Facilities, effective 4/25/21 https://www.sos.texas.gov/texreg/archive/April92021/Adopted%20Rules/26.HEALTH%20AND%20HUMAN%20SERVICES.html#181
        https://www.sos.texas.gov/texreg/archive/April92021/Adopted%20Rules/26.HEALTH%20AND%20HUMAN%20SERVICES.html#245
        https://www.sos.texas.gov/texreg/archive/April92021/Adopted%20Rules/26.HEALTH%20AND%20HUMAN%20SERVICES.html#256
        https://www.sos.texas.gov/texreg/archive/April92021/Adopted%20Rules/26.HEALTH%20AND%20HUMAN%20SERVICES.html#270
        https://www.sos.texas.gov/texreg/archive/April92021/Adopted%20Rules/26.HEALTH%20AND%20HUMAN%20SERVICES.html#277
      11. 20R039 Legislative and Other Updates for Chapter 745 and Chapter 748, effective 4/25/21 https://www.sos.texas.gov/texreg/archive/April92021/Adopted%20Rules/26.HEALTH%20AND%20HUMAN%20SERVICES.html#192
        https://www.sos.texas.gov/texreg/archive/April92021/Adopted%20Rules/26.HEALTH%20AND%20HUMAN%20SERVICES.html#267
      12. 19R069 Licensing Standards for Home and Community Support Services Agencies, effective 4/25/21 https://www.sos.texas.gov/texreg/archive/April92021/Adopted%20Rules/26.HEALTH%20AND%20HUMAN%20SERVICES.html#142
      13. 21R029 Reimbursement Methodology for Ambulance Services, effective 4/27/21 https://www.sos.texas.gov/texreg/archive/April232021/Adopted%20Rules/1.ADMINISTRATION.html#66
      14. 20R115 Purchase of Goods and Services by the Texas Health and Human Services Commission, effective 5/12/21 https://www.sos.texas.gov/texreg/archive/May72021/Adopted%20Rules/1.ADMINISTRATION.html#65
      15. 20R051 Grade Specifications and Requirements for Milk, and Grade A Raw Milk and Raw Milk Products, effective 5/17/21 https://www.sos.texas.gov/texreg/archive/May142021/Adopted%20Rules/25.HEALTH%20SERVICES.html#76
      16. 18R040 Standards of Care in Crisis Stabilization Units, effective 5/27/21 https://www.sos.texas.gov/texreg/archive/May212021/Adopted%20Rules/25.HEALTH%20SERVICES.html#73
        https://www.sos.texas.gov/texreg/archive/May212021/Adopted%20Rules/26.HEALTH%20AND%20HUMAN%20SERVICES.html#92
      17. 20R008 Voluntary Admission for Psychiatric Services, effective 5/27/21 https://www.sos.texas.gov/texreg/archive/May212021/Adopted%20Rules/25.HEALTH%20SERVICES.html#54
        https://www.sos.texas.gov/texreg/archive/May212021/Adopted%20Rules/26.HEALTH%20AND%20HUMAN%20SERVICES.html#103
      18. 20R031 Home Delivered Meals, effective 6/3/21 https://www.sos.texas.gov/texreg/archive/May282021/Adopted%20Rules/26.HEALTH%20AND%20HUMAN%20SERVICES.html#151
      19. 21R062 Reviewing Applications for Heightened Monitoring History, effective 6/13/21 https://www.sos.texas.gov/texreg/archive/June42021/Adopted%20Rules/26.HEALTH%20AND%20HUMAN%20SERVICES.html#91
  6. Adjourn

*Public comment will be taken on these agenda items during this meeting.

†The public comment period required by Sec. 2001.029, Tex. Gov’t Code, has ended as of the date of this meeting and written comments may no longer be submitted as provided by that statute and the posting of the rule proposals in the Texas Register. However, comments may be provided at this meeting pursuant to Sec. 531.0051, Tex. Gov’t Code.

‡The public comment period required by Sec. 2001.029, Tex. Gov’t Code, has not ended as of the date of this meeting and written comments may be submitted as provided by that statute and the posting of the rule proposals in the Texas Register. Comments may also be provided at this meeting pursuant to Sec. 531.0051, Tex. Gov’t Code.

The HHSC Executive Council will only review items listed on the agenda.

Public Comment: The Texas Health and Human Services Commission (HHSC) welcomes public comments pertaining to topics related to the above agenda items. Members of the public who would like to provide public comment are asked to complete a Public Comment Form at http://texashhsmeetings.org/HHSCEC_PCReg_June2021.

If you would like to register to provide oral comments, please mark the correct box on the Public Comment form. Instructions for providing oral comment will be emailed to you. Registration should be completed no later than 5:00 p.m. Tuesday, June 22, 2021. Members of the public may also use the Microsoft Teams Live Event Q&A section during the meeting to submit a request to provide public comment. The request must contain your name and the organization you are representing or that you are speaking as a private citizen, and your direct phone number. Public comment is limited to three minutes. Speakers must state their name and either the organization you are representing or that you are speaking as a private citizen. Do not include confidential information or protected health information in comments.

Contact: Questions regarding agenda items, content, or meeting arrangements should be directed to Susanna Sparkman, Health and Human Services Commission Executive Council Liaison 512-438-2897, ACCO_CommitteeFacilitation@hhs.texas.gov.

This meeting is open to the public. No reservations are required, and there is no cost to attend this meeting.

People with disabilities who wish to attend the meeting and require auxiliary aids or services should contact Sparkman, Health and Human Services Commission Executive Council Liaison, 512-438-2897 or by email at ACCO_CommitteeFacilitation@hhs.texas.gov at least 72 hours before the meeting so appropriate arrangements can be made.