November 19, 2020 Health and Human Services Commission Executive Council
»
1. Welcome and Opening Remarks » - a. Call to order b. Roll call c. Explanation of proceedings using Microsoft Teams live event d. Executive Commissioner’s welcome and remarks e. Chief Officers’ remarks f. Commissioner of Health’s remarks g. Inspector General’s Quarterly Report
1. Welcome and Opening Remarks »
a. Call to order b. Roll call
c. Explanation of proceedings using Microsoft Teams live event
d. Executive Commissioner’s welcome and remarks
e. Chief Officers’ remarks
f. Commissioner of Health’s remarks
g. Inspector General’s Quarterly Report
»
2. Legislative Appropriations Request Update*
2. Legislative Appropriations Request Update*
»
3. Rule proposals* » b. Submitted to the Texas Register – APA public comment period has not closed‡ » - i. Texas Health and Human Services Commission (HHSC) proposes the amendment to a rule in TAC, Title 1, Part 15, Chapter 355, Reimbursement Rates, Subchapter J, Division 11, §355.8201, concerning Uncompensated Care Secondary Reconciliation for Demonstration Years 6-8 ii. HHSC proposes a new rule TAC, Title 1, Part 15, Chapter 355, Reimbursement Rates, Subchapter B, §355.205, concerning COVID-19 Rate Increase Attestation Process iii. HHSC proposes the amendment to a rule in TAC, Title 1, Part 15, Chapter 355, Reimbursement Rates, Subchapter J, Division 14, §355.8261, concerning Federally Qualified Health Center Services Reimbursement iv. HHSC proposes the amendments to rules, new rules, and repeal of rules in TAC, Title 26, Part 1, Chapter 744, Minimum Standards for School-Age and Before or After-School Programs, Chapter 746, Minimum Standards for Child-Care Centers, and Chapter 747, Minimum Standards for Child-Care Homes, concerning Physical Activity, Nutrition, and Screen Time for Licensed Day Care Operations, Child-Care Centers, and Registered Child-Care Homes v. HHSC proposes new rules in TAC, Title 26, Part 1, Chapter 742, Minimum Standards for Listed Family Homes, Subchapters A – H, concerning Regulation of Listed Family Homes
3. Rule proposals* » b. Submitted to the Texas Register – APA public comment period has not closed‡ »
i. Texas Health and Human Services Commission (HHSC) proposes the amendment to a rule in TAC, Title 1, Part 15, Chapter 355, Reimbursement Rates, Subchapter J, Division 11, §355.8201, concerning Uncompensated Care Secondary Reconciliation for Demonstration Years 6-8 ii. HHSC proposes a new rule TAC, Title 1, Part 15, Chapter 355, Reimbursement Rates, Subchapter B, §355.205, concerning COVID-19 Rate Increase Attestation Process
iii. HHSC proposes the amendment to a rule in TAC, Title 1, Part 15, Chapter 355, Reimbursement Rates, Subchapter J, Division 14, §355.8261, concerning Federally Qualified Health Center Services Reimbursement
iv. HHSC proposes the amendments to rules, new rules, and repeal of rules in TAC, Title 26, Part 1, Chapter 744, Minimum Standards for School-Age and Before or After-School Programs, Chapter 746, Minimum Standards for Child-Care Centers, and Chapter 747, Minimum Standards for Child-Care Homes, concerning Physical Activity, Nutrition, and Screen Time for Licensed Day Care Operations, Child-Care Centers, and Registered Child-Care Homes
v. HHSC proposes new rules in TAC, Title 26, Part 1, Chapter 742, Minimum Standards for Listed Family Homes, Subchapters A – H, concerning Regulation of Listed Family Homes
»
3. Rule proposals* » c. Not yet submitted to the Texas Register for APA public comment » - i. The Department of State Health Services proposes the amendments to rules, new rules, and repeal of rules in Texas Administrative Code (TAC), Title 25, Part 1, Chapter 217, Milk and Dairy, Subchapter A, §§217.1, 217.2, and Subchapter B, §§217.21 – 217.34, concerning Grade Specifications and Requirements for Milk, and Grade A Raw Milk and Raw Milk Products ii. HHSC proposes the repeal of rules in TAC, Title 40, Part 2, Chapter 109, Office for Deaf and Hard of Hearing Services, Subchapter C, and proposes new rules in Title 26, Part 1, Chapter 360, Office of Deaf and Hard of Hearing Services, Subchapter C, concerning the Specialized Telecommunications Assistance Program iii. HHSC proposes the amendments to rules in TAC, Title 1, Part 15, Chapter 354, Medicaid Health Services, Subchapter A, Division 22, §354.1311 and §354.1312, concerning Medicaid Substance Use Disorder iv. HHSC proposes new rules in TAC, Title 26, Part 1, Chapter 280, §§280.1, 280.3, and 280.5, concerning the Pediatric Tele-Connectivity Resource Program for Rural Texas v. HHSC proposes new rules in TAC, Title 26, Part 1, Chapter 368, Subchapters A- H, concerning Intellectual and Developmental Disabilities Habilitative Specialized Services vi. HHSC proposes the amendments to rules and a new rule in TAC, Title 1, Part 15, Chapter 393, Informal Dispute Resolution and Informal Reconsideration, §§393.1 – 393.3, concerning Informal Dispute Resolution vii. HHSC proposes the amendments to rules, new rules, and repeal of a rule in TAC, Title 26, Part 1, Chapter 558, Subchapters A - H, concerning Licensing Standards for Home and Community Support Services Agencies viii. HHSC proposes the repeal of rules in TAC, Title 25, Part 1, Chapter 131, Subchapters A - G, and proposes new rules in Title 26, Part 1, Chapter 509, Subchapters A - E, concerning Freestanding Emergency Medical Care Facilities ix. HHSC proposes the repeal of rules in TAC, Title 25, Part 1, Chapter 411, State Mental Health Authority Responsibilities, Subchapter J, and proposes new rules in Title 26, Part 1, Chapter 568, Standards of Care and Treatment in Psychiatric Hospitals, Subchapters A - H, concerning Voluntary Admission for Psychiatric Services x. HHSC proposes the amendments to rules and new rules in TAC, Title 25, Part 1, Chapter 133, Hospital Licensing, Subchapter C, Chapter 135, Ambulatory Surgical Centers, Subchapter A, Chapter 137, Birthing Centers, Subchapter D, Chapter 139, Abortion Facility Reporting and Licensing, Subchapter D, Chapter 229, Food and Drug, Subchapter J, and in Title 26, Part 1, Chapter 506, Special Care Facilities, Subchapter C, Chapter 507, End Stage Renal Disease Facilities, Subchapter D, Chapter 509, Freestanding Emergency Medical Care Facilities, Subchapter C, Chapter 510, Private Psychiatric Hospitals and Crisis Stabilization Units, Subchapter C, and Chapter 564, Treatment Facilities for Individuals with Substance-related Disorders, Subchapter B, concerning Medical and Health Care Billing xi. HHSC proposes the amendments to rules and new rules, in TAC, Title 26, Part 1, Chapter 744, Minimum Standards for School-Age and Before or After-School Programs, Chapter 746, Minimum Standards for Child-Care Centers, Chapter 747, Minimum Standards for Child-Care Homes, Chapter 748, Minimum Standards for General Residential Operations, and Chapter 749, Minimum Standards for Child-Placing Agencies, concerning Regulation of Child-Care Facilities xii. HHSC proposes the amendments to rules, new rules, and repeal of rules in TAC, Title 26, Part 1, Chapter 745, Licensing, and Chapter 748, Minimum Standards for General Residential Operations, concerning Legislative and Other Updates for Chapter 745 and Chapter 748
3. Rule proposals* » c. Not yet submitted to the Texas Register for APA public comment »
i. The Department of State Health Services proposes the amendments to rules, new rules, and repeal of rules in Texas Administrative Code (TAC), Title 25, Part 1, Chapter 217, Milk and Dairy, Subchapter A, §§217.1, 217.2, and Subchapter B, §§217.21 – 217.34, concerning Grade Specifications and Requirements for Milk, and Grade A Raw Milk and Raw Milk Products ii. HHSC proposes the repeal of rules in TAC, Title 40, Part 2, Chapter 109, Office for Deaf and Hard of Hearing Services, Subchapter C, and proposes new rules in Title 26, Part 1, Chapter 360, Office of Deaf and Hard of Hearing Services, Subchapter C, concerning the Specialized Telecommunications Assistance Program
iii. HHSC proposes the amendments to rules in TAC, Title 1, Part 15, Chapter 354, Medicaid Health Services, Subchapter A, Division 22, §354.1311 and §354.1312, concerning Medicaid Substance Use Disorder
iv. HHSC proposes new rules in TAC, Title 26, Part 1, Chapter 280, §§280.1, 280.3, and 280.5, concerning the Pediatric Tele-Connectivity Resource Program for Rural Texas
v. HHSC proposes new rules in TAC, Title 26, Part 1, Chapter 368, Subchapters A- H, concerning Intellectual and Developmental Disabilities Habilitative Specialized Services
vi. HHSC proposes the amendments to rules and a new rule in TAC, Title 1, Part 15, Chapter 393, Informal Dispute Resolution and Informal Reconsideration, §§393.1 – 393.3, concerning Informal Dispute Resolution
vii. HHSC proposes the amendments to rules, new rules, and repeal of a rule in TAC, Title 26, Part 1, Chapter 558, Subchapters A - H, concerning Licensing Standards for Home and Community Support Services Agencies
viii. HHSC proposes the repeal of rules in TAC, Title 25, Part 1, Chapter 131, Subchapters A - G, and proposes new rules in Title 26, Part 1, Chapter 509, Subchapters A - E, concerning Freestanding Emergency Medical Care Facilities
ix. HHSC proposes the repeal of rules in TAC, Title 25, Part 1, Chapter 411, State Mental Health Authority Responsibilities, Subchapter J, and proposes new rules in Title 26, Part 1, Chapter 568, Standards of Care and Treatment in Psychiatric Hospitals, Subchapters A - H, concerning Voluntary Admission for Psychiatric Services
x. HHSC proposes the amendments to rules and new rules in TAC, Title 25, Part 1, Chapter 133, Hospital Licensing, Subchapter C, Chapter 135, Ambulatory Surgical Centers, Subchapter A, Chapter 137, Birthing Centers, Subchapter D, Chapter 139, Abortion Facility Reporting and Licensing, Subchapter D, Chapter 229, Food and Drug, Subchapter J, and in Title 26, Part 1, Chapter 506, Special Care Facilities, Subchapter C, Chapter 507, End Stage Renal Disease Facilities, Subchapter D, Chapter 509, Freestanding Emergency Medical Care Facilities, Subchapter C, Chapter 510, Private Psychiatric Hospitals and Crisis Stabilization Units, Subchapter C, and Chapter 564, Treatment Facilities for Individuals with Substance-related Disorders, Subchapter B, concerning Medical and Health Care Billing
xi. HHSC proposes the amendments to rules and new rules, in TAC, Title 26, Part 1, Chapter 744, Minimum Standards for School-Age and Before or After-School Programs, Chapter 746, Minimum Standards for Child-Care Centers, Chapter 747, Minimum Standards for Child-Care Homes, Chapter 748, Minimum Standards for General Residential Operations, and Chapter 749, Minimum Standards for Child-Placing Agencies, concerning Regulation of Child-Care Facilities
xii. HHSC proposes the amendments to rules, new rules, and repeal of rules in TAC, Title 26, Part 1, Chapter 745, Licensing, and Chapter 748, Minimum Standards for General Residential Operations, concerning Legislative and Other Updates for Chapter 745 and Chapter 748
»
a. Palliative Care Interdisciplinary Advisory Council
a. Palliative Care Interdisciplinary Advisory Council
»
b. STAR Kids Managed Care Advisory Committee
b. STAR Kids Managed Care Advisory Committee
»
c. Texas Autism Council
c. Texas Autism Council
»
d. Texas Brain Injury Advisory Council
d. Texas Brain Injury Advisory Council
»
Items 5 & 6 » - 5. Recent Rule Adoptions - Information item not for discussion a. Adoptions submitted to the Texas Register that are not yet effective i. Annual Reporting of Employees Leaving Child-Care Centers, effective 12/15/20 ii. Delivery System Reform Incentive Payment Program Demonstration Years 9-10, effective 12/2/20 iii. Human Trafficking Prevention Training Requirements, effective 12/2/20 iv. Data Request Process for Public Health Practice Purposes, effective 2/1/21 b. Adoptions that are effective i. Texas HIV Medication Advisory Committee, effective 10/5/20https://www.sos.state.tx.us/texreg/archive/October22020/Adopted%20Rules/25.HEALTH%20SERVICES.html#175 ii. Certificate of Public Advantage, effective 10/25/20https://www.sos.state.tx.us/texreg/archive/October232020/Adopted%20Rules/26.HEALTH%20AND%20HUMAN%20SERVICES.html#84 6. Adjourn
Items 5 & 6 »
5. Recent Rule Adoptions - Information item not for discussion a. Adoptions submitted to the Texas Register that are not yet effective
i. Annual Reporting of Employees Leaving Child-Care Centers, effective 12/15/20
ii. Delivery System Reform Incentive Payment Program Demonstration Years 9-10, effective 12/2/20
iii. Human Trafficking Prevention Training Requirements, effective 12/2/20
iv. Data Request Process for Public Health Practice Purposes, effective 2/1/21
b. Adoptions that are effective
i. Texas HIV Medication Advisory Committee, effective 10/5/20https://www.sos.state.tx.us/texreg/archive/October22020/Adopted%20Rules/25.HEALTH%20SERVICES.html#175
ii. Certificate of Public Advantage, effective 10/25/20https://www.sos.state.tx.us/texreg/archive/October232020/Adopted%20Rules/26.HEALTH%20AND%20HUMAN%20SERVICES.html#84
6. Adjourn
