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Highlights 77th Texas Legislature - Senate

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HEALTH AND HUMAN<br />

SERVICES<br />

Care<br />

ERVICES/Long-Term<br />

77 th <strong>Texas</strong> <strong>Legislature</strong><br />

Prohibits the inclusion of coverage for punitive damages assessed against a physician or health care<br />

provider in a policy of medical liability insurance issued to or renewed for a physician or health care<br />

provider by JUA.<br />

Provides that if the incurred losses and expenses from physicians or any single category of health care<br />

provider result in a net underwriting loss and exceed 25 percent of the stabilization reserve fund as valued<br />

for that year, then the commissioner is authorized to direct the initiation or continuation of the stabilization<br />

reserve fund until the fund recovers its losses.<br />

Expediting Licensing for Nursing Facility Operators - S.B. 772<br />

by Senators Harris and Zaffirini<br />

House Sponsor: Representative Naishtat<br />

The <strong>Texas</strong> Department of Human Services (DHS) is responsible for reviewing and approving an application<br />

to operate a nursing home in <strong>Texas</strong>. Until the application is approved, the facility cannot receive Medicaid<br />

and Medicare funding. There is currently no mechanism in place for DHS to gather and use information on<br />

good nursing home operators to enable those operators to expeditiously gain approval for a license to<br />

operate another existing institution.<br />

Requires DHS to keep a current list of license holders that have excellent operating records and provides<br />

for the expedited approval of a change of ownership license to current license holders that have compiled<br />

excellent operating records according to information available to DHS.<br />

Requires DHS to establish a procedure under which a listed license holder may be granted expedited<br />

approval in obtaining a change of ownership license to operate another existing institution in this state.<br />

Specifies that any requirement relating to inspections or an accreditation review applies only to institutions<br />

operated by the license holder at the time the application is made for the change of ownership license.<br />

Program for All-Inclusive Care for the Elderly (PACE) - S.B. 908<br />

by Senator Shapleigh, et al.<br />

House Sponsors: Representatives Isett and Chavez<br />

The Program for All-Inclusive Care for the Elderly (PACE) is a nationwide alternative to nursing home care<br />

for the elderly. PACE programs cost the state less than traditional Medicaid payments for those who are<br />

eligible for nursing home placement. Currently, the only PACE program site in <strong>Texas</strong> is Bienvivir in El Paso.<br />

Requires the Health and Human Services Commission (HHSC) to develop and implement PACE statewide.<br />

<strong>Senate</strong> Research Center 132

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