DOCSLIB.ORG

Interim Report to the St Texas Legislature

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Interim Report to the St Texas Legislature Interim Report to the st Texas Legislature House Select Committee on Services for Individuals Eligible for Intermediate Care Facility Services December 2008 HOUSE SELECT COMMITTEE ON SERVICES FOR INDIVIDUALS ELIGIBLE FOR INTERMEDIATE CARE FACILITY SERVICES TEXAS HOUSE OF REPRESENTATIVES INTERIM REPORT 2008 A REPORT TO THE HOUSE OF REPRESENTATIVES 81ST TEXAS LEGISLATURE LARRY PHILLIPS CHAIRMAN COMMITTEE CLERK DOISE MIERS POLICY ANALYSTS AMANDA BRANT COURTNEY REID Select Committee On Services for Individuals Eligible for Intermediate Care Facility Services December 11, 2008 Larry Phillips P.O. Box 2910 Chairman Austin, Texas 78768-2910 The Honorable Tom Craddick Speaker, Texas House of Representatives Members of the Texas House of Representatives Texas State Capitol, Rm. 2W.13 Austin, Texas 78701 Dear Mr. Speaker and Fellow Members: The Select Committee on Services for Individuals Eligible for Intermediate Care Facility Services of the Eightieth Legislature hereby submits its interim report including recommendations and drafted legislation for consideration by the Eighty-first Legislature. Respectfully submitted, _______________________ Larry Phillips, Chairman _______________________ ______________________ John Zerwas, Vice-Chairman Myra Crownover _______________________ ______________________ Susan King Armando Martinez _______________________ ______________________ Dora Olivo Joe Pickett _______________________ ______________________ Patrick Rose Vicki Truitt John Zerwas Vice-Chairman Members: Myra Crownover, Susan King, Armando Martinez, Dora Olivo, Joe Pickett, Patrick Rose, Vicki Truitt Table of Contents I. Introduction ............................................................................................... 1 II. Overview of Current System .................................................................. 1 The Department of Aging and Disability Services (DADS) ...................................2 Organizational Structure ..............................................................................2 Programs and Services under DADS Authority ..........................................3 The Department of Family and Protective Services (DFPS)...................................3 The Department of State Health Services (DSHS)..................................................3 The Department of Assistive and Rehabilitative Services (DARS) ........................4 The Health and Human Services Commission (HHSC)..........................................4 The Texas Education Agency (TEA).......................................................................4 Local Mental Retardation Authorities (MRA's) ......................................................4 Services provided by MRA's .......................................................................4 MRA Relationships with other Agencies ....................................................5 MRA Challenges and Issues ........................................................................5 MRA Catchment Areas................................................................................6 Private Providers......................................................................................................8 Types of Facilities........................................................................................8 III. Texas Population Eligible for ICF/MR Services................................. 8 Severity of Mental Retardation................................................................................8 Pervasive Developmental Disorders & Related Conditions ....................................9 Level of Need (LON).............................................................................................10 Medical Fragility....................................................................................................11 Dual Diagnosis.......................................................................................................11 Behavioral Management Needs .............................................................................12 IV. Services and Supports.......................................................................... 12 Non-Medicaid Services..........................................................................................12 Mental Retardation General Revenue Services .........................................12 In-Home Family Support for Persons with Mental Retardation................14 Medicaid Entitlement Services ..............................................................................14 Primary Home Care ...................................................................................15 Community Attendant Services .................................................................15 Comprehensive Care Program ...................................................................16 Early Childhood Intervention ....................................................................16 Intermediate Care Facilities for Person with Mental Retardation .............17 Waiver Services .....................................................................................................19 Community Based Alternatives .................................................................20 i Home and Community-Based Services .....................................................20 Community Living Assistance and Support Services................................21 Deaf Blind Multiple Disabilities................................................................22 Medically Dependent Children Program ...................................................22 Consolidated Waiver Program...................................................................23 Texas Home Living....................................................................................23 V. Residential Facilities .............................................................................. 24 Intermediate Care Facilities for Persons with Mental Retardation........................24 Group Homes through Home and Community-Based Services ............................27 Foster/Companion Care .........................................................................................28 State Mental Retardation Facilities........................................................................28 Admission Categories and Criteria ............................................................31 State Schools and Centers......................................................................................33 Abilene State School..................................................................................33 Austin State School....................................................................................34 Brenham State School................................................................................34 Corpus Christi State School.......................................................................34 Denton State School...................................................................................35 El Paso State Center...................................................................................35 Lubbock State School ................................................................................35 Lufkin State School....................................................................................36 Mexia State School ....................................................................................36 Richmond State School..............................................................................37 Rio Grande State Center ............................................................................37 San Angelo State School............................................................................37 San Antonio State School ..........................................................................38 VI. Quality Assurance ................................................................................ 39 Quality Assurance and Improvement Unit Projects...............................................39 Regulatory and Investigatory Responsibilities ......................................................40 VII. Legislative and Legal Background.................................................... 41 Legal Background..................................................................................................41 Lelsz vs. Kavanagh, 1974..........................................................................41 Olmstead vs. L.C., 1999.............................................................................42 Legislative Background .........................................................................................42 SB 700, 65th Legislature............................................................................42 ICF/MR Waiver Program Established, 1985.............................................43 SB 257, 70th Legislature............................................................................43 HB 2377, 74th Legislature.........................................................................43 SB 367, 77th Legislature............................................................................43 SB 368, 77th Legislature............................................................................43 Executive Order RP-13..............................................................................44 Rider 55, HB 1, 78th Legislature...............................................................44 HB 2292, 78th Legislature.........................................................................44
Load more

Recommended publications
  • Policy Report Texas Fact Book 2010
    Texas Fact Book 2010 Legislative Budget Board LEGISLATIVE BUDGET BOARD EIGHTY-FIRST TEXAS LEGISLATURE 2009 – 2010 DAVID DEWHURST, JOINT CHAIR Lieutenant Governor JOE STRAUS, JOINT CHAIR Representative District 121, San Antonio Speaker of the House of Representatives STEVE OGDEN Senatorial District 5, Bryan Chair, Senate Committee on Finance ROBERT DUNCAN Senatorial District 28, Lubbock JOHN WHITMIRE Senatorial District 15, Houston JUDITH ZAFFIRINI Senatorial District 21, Laredo JIM PITTS Representative District 10, Waxahachie Chair, House Committee on Appropriations RENE OLIVEIRA Representative District 37, Brownsville Chair, House Committee on Ways and Means DAN BRANCH Representative District 108, Dallas SYLVESTER TURNER Representative District 139, Houston JOHN O’Brien, Director COVER PHOTO COURTESY OF HOUSE PHOTOGRAPHY CONTENTS STATE GOVERNMENT STATEWIDE ELECTED OFFICIALS . 1 MEMBERS OF THE EIGHTY-FIRST TEXAS LEGISLATURE . 3 The Senate . 3 The House of Representatives . 4 SENATE STANDING COMMITTEES . 8 HOUSE OF REPRESENTATIVES STANDING COMMITTEES . 10 BASIC STEPS IN THE TEXAS LEGISLATIVE PROCESS . 14 TEXAS AT A GLANCE GOVERNORS OF TEXAS . 15 HOW TEXAS RANKS Agriculture . 17 Crime and Law Enforcement . 17 Defense . 18 Economy . 18 Education . 18 Employment and Labor . 19 Environment and Energy . 19 Federal Government Finance . 20 Geography . 20 Health . 20 Housing . 21 Population . 21 Science and Technology . 22 Social Welfare . 22 State and Local Government Finance . 22 Transportation . 23 Border Facts . 24 STATE HOLIDAYS, 2010 . 25 STATE SYMBOLS . 25 POPULATION Texas Population Compared with the U .s . 26 Texas and the U .s . Annual Population Growth Rates . 27 Resident Population, 15 Most Populous States . 28 Percentage Change in Population, 15 Most Populous States . 28 Texas Resident Population, by Age Group .
    [Show full text]
  • Policy Report Texas Fact Book 2008
    Texas Fact Book 2 0 0 8 L e g i s l a t i v e B u d g e t B o a r d LEGISLATIVE BUDGET BOARD EIGHTIETH TEXAS LEGISLATURE 2007 – 2008 DAVID DEWHURST, JOINT CHAIR Lieutenant Governor TOM CRADDICK, JOINT CHAIR Representative District 82, Midland Speaker of the House of Representatives STEVE OGDEN Senatorial District 5, Bryan Chair, Senate Committee on Finance ROBERT DUNCAN Senatorial District 28, Lubbock JOHN WHITMIRE Senatorial District 15, Houston JUDITH ZAFFIRINI Senatorial District 21, Laredo WARREN CHISUM Representative District 88, Pampa Chair, House Committee on Appropriations JAMES KEFFER Representative District 60, Eastland Chair, House Committee on Ways and Means FRED HILL Representative District 112, Richardson SYLVESTER TURNER Representative District 139, Houston JOHN O’Brien, Director COVER PHOTO COURTESY OF SENATE MEDIA CONTENTS STATE GOVERNMENT STATEWIDE ELECTED OFFICIALS . 1 MEMBERS OF THE EIGHTIETH TEXAS LEGISLATURE . 3 The Senate . 3 The House of Representatives . 4 SENATE STANDING COMMITTEES . 8 HOUSE OF REPRESENTATIVES STANDING COMMITTEES . 10 BASIC STEPS IN THE TEXAS LEGISLATIVE PROCESS . 14 TEXAS AT A GLANCE GOVERNORS OF TEXAS . 15 HOW TEXAS RANKS Agriculture . 17 Crime and Law Enforcement . 17 Defense . 18 Economy . 18 Education . 18 Employment and Labor . 19 Environment and Energy . 19 Federal Government Finance . 20 Geography . 20 Health . 20 Housing . 21 Population . 21 Social Welfare . 22 State and Local Government Finance . 22 Technology . 23 Transportation . 23 Border Facts . 24 STATE HOLIDAYS, 2008 . 25 STATE SYMBOLS . 25 POPULATION Texas Population Compared with the U .s . 26 Texas and the U .s . Annual Population Growth Rates . 27 Resident Population, 15 Most Populous States .
    [Show full text]
  • Human Services December 2010
    InterIm report to the 82nd texas LegisLature House Committee on Human ServiceS December 2010 HOUSE COMMITTEE ON HUMAN SERVICES TEXAS HOUSE OF REPRESENTATIVES INTERIM REPORT 2010 A REPORT TO THE HOUSE OF REPRESENTATIVES 82ND TEXAS LEGISLATURE PATRICK ROSE CHAIRMAN COMMITTEE CLERK MICHAEL RUGGIERI Committee On Human Services December 21, 2010 Patrick Rose P.O. Box 2910 Chairman Austin, Texas 78768-2910 The Honorable Joe Straus Speaker, Texas House of Representatives Members of the Texas House of Representatives Texas State Capitol, Rm. 2W.13 Austin, Texas 78701 Dear Mr. Speaker and Fellow Members: The Committee on Human Services of the Eighty-first Legislature hereby submits its interim report including recommendations and drafted legislation for consideration by the Eighty-second Legislature. Respectfully submitted, _______________________ Patrick Rose _______________________ ______________________ Abel Herrero, Vice Chair Bryan Hughes _______________________ ______________________ Drew Darby Ken Legler _______________________ ______________________ Gary Elkins Elliott Naishtat _______________________ ______________________ Ana E. Hernandez Armando Walle [Abel Herrero] Vice-Chairman Members: [Drew Darby, Gary Elkins, Ana Hernandez, Bryan Hughes, Ken Legler, Elliot Naishtat, Armando Walle] TABLE OF CONTENTS INTRODUCTION ...........................................................................................................................1 INTERIM STUDY CHARGES.......................................................................................................2
    [Show full text]
  • 80Th Legislative Session
    The 80th Legislature, Regular Session Cumulative End of Session Report The Texas A&M University System Office of Governmental Relations July 2007 Table of Contents Overview of the 80th Regular Session......................................1 Overview of the State Budget Overview ............................................................................................... 9 Higher Education Funding ................................................................... 13 General Academics Institutions.......................................................... 14 Texas A&M System Research & Service Agencies .......................... 19 Health Related Institutions................................................................. 21 Employee Benefits................................................................................ 25 Riders: Article III Special Provisions ................................................ 27 Riders: Article IX General Provisions ............................................... 30 Bill Facts .............................................................................................. 33 TAMUS Institution-Specific Legislation ...................................... 34 Overview of Key Higher Education Legislation......................... 44 Other Bills of Interest That Passed............................................... 82 Bills of Interest Not Passing ........................................................... 87 Bill Analysis Task Force Members............................................... 128 Governmental Relations
    [Show full text]
  • Water Issues of the 81St Legislative Session
    GBRA River Run A publication of the GUADALUPE-BLANCO RIVER AUTHORITY Fall 2008/Winter 2009 Water Issues of the 81st Legislative Session GBRA Marks 75 Years Outreach Award Earned Conservation Easements From the GM Water Issues for the 81st Legislature The 81st Texas Legislature is facing many challenges this year including serious water issues to consider. In these tough economic times, how to pay for water-related projects will certainly be one of them. While the Edwards Aquifer Recovery Implementation Program (RIP) was a product of the 80th Session, the current House and Senate natural resources committees will be assessing the efforts of that process. Environmental flows adequate to maintain a healthy estuary and bay system remains a concern. Water conservation, new water reservoirs, ground water management, and water quality issues are sure to be addressed as we continue in a period of extreme drought. This edition of the River Run provides an overview of the water concerns facing the Texas Legislature this session. I urge you to become familiar with the water situation in your area and let your legislators know how much you value wise management of this precious resource. There is also an informative article about the GBRA drought and new water projects briefing recently held for constituents throughout the Guadalupe River Basin. It provides a good background on the current state of the Basin and our future water management plans and challenges. As with many other private companies and governmental entities across the country, the economic situation has caused GBRA to look carefully at its expenses.
    [Show full text]
  • Texas House of Representatives
    Texas House of Representatives CA=Indicates Co-Author on HB 1893 as of 04/09/09 (Thank those who have signed on & urge those who haven’t to do so TODAY!) Asterisk (*) & BOLD=Calendars Committee Members (Urge them to set HB 1893 for a House floor vote!) # & BOLD=Public Safety Committee Member Who Voted YES on HB 1893 (Thank them for their support!) You may also send EMAIL to House Members by visiting http://www.house.state.tx.us/members/welcome.php Capitol Ph# District Representative Hometown (512) 463- Status on Bill 001 Stephen Frost Atlanta x0692 #, CA 002 Dan Flynn Van x0880 CA 003 Mark Homer Paris x0650 CA 004 Betty Brown Terrell x0458 CA 005 Bryan Hughes Mineola x0271 CA 006 Leo Berman Tyler x0584 CA 007 Tommy Merritt Longview x0750 #, CA 008 Byron Cook Corsicana x0730 *, CA 009 Wayne Christian Center x0556 CA 010 Jim Pitts Waxahachie x0516 011 Chuck Hopson Jacksonville x0592 CA 012 Jim McReynolds Lufkin x0490 *, CA 013 Lois Kolkhorst Brenham x0600 *, CA 014 Fred Brown College Station x0698 015 Rob Eissler The Woodlands x0797 CA 016 Brandon Creighton Conroe x0726 * 017 Tim Kleinschmidt Lexington x0682 CA 018 John Otto Dayton x0570 CA 019 Mike Hamilton Mauriceville x0412 CA 020 Dan Gattis Georgetown x0309 CA 021 Allan Ritter Nederland x0706 * 022 Joe Deshotel Beaumont x0662 CA 023 Craig Eiland Galveston x0502 024 Larry Taylor Friendswood x0729 CA 025 Dennis Bonnen Angleton x0564 CA 026 Charlie Howard Sugar Land x0710 CA 027 Dora Olivo Rosenberg x0494 028 John Zerwas Richmond x0657 CA 029 Randy Weber Pearland x0707 CA 030 Geanie Morrison Victoria x0456 031 Ryan Guillen Rio Grande City x0416 CA 032 Todd Hunter Corpus Christi x0672 CA 033 Solomon Ortiz, Jr.
    [Show full text]
  • Travis County Commissioners Court
    MINUTES OF MEETING – MAY 2, 2006 TRAVIS COUNTY COMMISSIONERS’ COURT On Tuesday, the 2nd day of May 2006, the Commissioners’ Court convened the regular Voting Session at 9:13 AM in the Commissioners’ Courtroom, 1st Floor of the Ned Granger Administration Building, 314 West 11th Street, Austin, Texas. Dana DeBeauvoir, County Clerk, was represented by Deputy Gillian Porter. The Commissioners Court retired to Executive Session at 11:35 AM. The Commissioners Court reconvened the Voting Session at 11:56 AM. The Commissioners Court recessed the Voting Session at 11:57 AM. The Commissioners Court, meeting as the Northwest Travis County Road District #3 (Golden Triangle); convened at 1:38 PM and adjourned at 1:38 PM. The Commissioners Court, meeting as the Travis County Housing Finance Corporation; convened at 1:38 PM and adjourned at 1:38 PM. The Commissioners Court, meeting as the Capital Industrial Development Corporation; Capital Health Facilities Development Corporation; Travis County Development Authority; and the Travis County Cultural Education Facilities Finance Corporation convened at 1:38 PM and adjourned at 1:39 PM. The Commissioners Court reconvened the Voting Session at 1:39 PM. The Commissioners Court adjourned the Voting Session at 5:16 PM. MAY 2, 2006 VOTING SESSION PAGE 2 PUBLIC HEARINGS 1. RECEIVE COMMENTS REGARDING A PLAT FOR RECORDING IN PRECINCT THREE: RESUBDIVISION OF LOT 44, BLOCK D, WERKENTHIN SECTION FIVE (SHORT FORM PLAT – 2 LOTS – 1.517 ACRES – OESTRICK LANE – NO FISCAL REQUIRED – ON-SITE SEWAGE SERVICE TO BE PROVIDED BY TRAVIS COUNTY – CITY OF AUSTIN ETJ). (COMMISSIONER DAUGHERTY) (ACTION ITEM #25) (9:14 AM) Clerk’s Note: This Item is a public hearing to receive comments.
    [Show full text]