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ecording and evaluation; physical exams; health screenings, including diabetes and certaincancers; counseling and education on contraceptive methods; provision of contraceptives; riskassessment; and referral of medical problems.The bill would state that a woman is eligible to participate in the project if she is at least 18 yearsold; has a net family income at or below 185% FPL; participates in or receives benefits underHHS programs, i.e, Medicaid, Food Stamps, TANF, and WIC; is presumed eligible for one ofthe above programs; or is a member of a family that contains at least one person who participatesin or receives benefits under one of these programs.The bill would require the department to submit a report to the legislature regarding the progressin establishing and operating the project, no later than December 1 of each even-numbered year.The bill would require that the department ensure that money spent under the project is not usedfor abortions.The effective date is September 1, 2005.MethodologyHHSC states the waiver application process would take roughly six months, so the project wouldbegin February 1, 2006.Cost for family planning services: The cost estimate assumes that over 1.8 million women peryear would be eligible for the waiver, with roughly 500,000 women enrolled and participatingduring each year. The number of eligible women is adjusted by the number of women estimatedto receive family planning services at the Department of State Health Services (DSHS). The costper client is estimated to be $360 per year. The FY 2006 cost is phased in, for a cost of $81.3million in All Funds. Family Planning services receive a 90% federal match.Savings from averted Medicaid costs: The above cost is offset by the savings that result from theaverted cost of Medicaid-funded births, which are estimated to be 15,814 in fiscal year 2006.This figure results from the 1.8 million estimated caseload, times a 7.61 fertility rate, times 50%for the number of potential eligibles who will enroll in the waiver, times 50% for the number ofthese women who participate in family planning services, times 92%, which is the assumedaverage effective rate of contraception. The cost of delivery and newborn care is estimated to be$8,448 in each year. The FY 2006 savings are phased in, for a savings of $133.6 million in AllFunds. Medicaid services receive a 60% federal match.TechnologyThere is no significant impact to the agency’s information technology.Local Government ImpactThe expansion of Medicaid-funded services could benefit local health districts and hospitals.B-56
Source Agencies: 529 Health and Human Services Commission, 537 Department of State HealthServicesLBB Staff: JOB, CL, PP, MB, KFAppendix Source: Texas Legislative Budget Board, Fiscal Note for SB747 (March 22, 2005), available athttp://www.capitol.state.tx.us/cgi-bin/tlo/textframe.cmd?LEG=79&SESS=R&CHAMBER=S&BILLTYPE=B&BILLSUFFIX=00747&VERSION=1&TYPE=F, accessed March 22, 2005.B-57
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Appendix ATask Force Members and St
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Hector Balcazar, Ph.D.Regional Dean
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Charles Haley, M.D., M.S.Medical Di
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Michael McKinney, M.D.Senior Execut
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M. Roy Wilson, M.D.PresidentTexas T
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Appendix BMedicaid and the State Ch
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services. There are two broad types
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Mandatory and Optional Covered Popu
Page 20 and 21: • Nurse-midwife services;• Fede
Page 22 and 23: Disproportionate Share Hospital Pro
Page 24 and 25: March 13, 2001, that limited the am
Page 26 and 27: year from FFY 2002-2004, $4.05 bill
Page 28 and 29: Medicaid beneficiaries. Section 191
Page 30 and 31: started in 2001 and 2002 to curb in
Page 32 and 33: urban and with fewer than 250,000 p
Page 34 and 35: Protection Act of 2000 and the Medi
Page 36 and 37: orientation). Recipients of Supplem
Page 38 and 39: enrollee is assigned a primary care
Page 40 and 41: Table 7. Texas Medicaid Policy Chan
Page 42 and 43: Table 8. Texas SCHIP Policy Changes
Page 44 and 45: families (through the employer’s
Page 46 and 47: share of the match must come from t
Page 48 and 49: Reinstating the Medically Needy Spe
Page 50 and 51: Endnotes1 Texas Health and Human Se
Page 52 and 53: 35 Powers, Pyles, Sutter, and Vervi
Page 54 and 55: 73 Office of Management and Budget,
Page 56 and 57: 113 TexCare, Children’s Health In
Page 58 and 59: 150 Lyndon B. Johnson School of Pub
Page 60 and 61: States by Groupings with Current El
Page 62 and 63: Medicaid and the State Children’s
Page 64 and 65: Graduate Medical Education ProgramA
Page 66 and 67: needs, however, there is a shortage
Page 68 and 69: 15 Texas Association of Counties,
Page 72 and 73: Medicaid and the State Children’s
Page 74 and 75: ReferencesAmerican Academy of Pedia
Page 76 and 77: downloads/bipa.pdf#search='Medicare
Page 78 and 79: Texas Health and Human Services Com
Page 80 and 81: Appendix CAn Analysis of Reform Opt
Page 82 and 83: Encouraged by these low rates, Cong
Page 84 and 85: Establishing state-only tax incenti
Page 86 and 87: New York passed the Health Care Ref
Page 88 and 89: Hospital Cost Containment — Maryl
Page 90 and 91: dollar spent. 237 Texas spent almos
Page 92 and 93: Another option for small businesses
Page 94 and 95: • Medical equipment and supplies,
Page 96 and 97: pay the premiums for Medicaid benef
Page 98 and 99: Medicaid to children born after Sep
Page 100 and 101: Bill of Rights or “TABOR”; and
Page 102 and 103: The federal share for CHP+ is 65 pe
Page 104 and 105: SCHIP: increased eligibility in CHP
Page 106 and 107: • Medical equipment and supplies
Page 108 and 109: 6. Funds obtained through the recov
Page 110 and 111: Status ReportMaineCare Program Expa
Page 112 and 113: the federal poverty level. 404 Sinc
Page 114 and 115: need their jobs as a source of empl
Page 116 and 117: Endnotes191 Deborah Chollet, Issue
Page 118 and 119: 225 Ibid.226 Maryland Health Care C
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259 Kaiser Family Foundation, State
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SCHIP&subcategory=Medicaid+Spending
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325 Kaiser Family Foundation, State
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361 State Coverage Initiatives, Sta
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SCHIP&subcategory=SCHIP&topic=Feder
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An Analysis of Reform Options Devel
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ReferencesAdvantage Insurance and F
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Donnell-Kay Foundation. “Amendmen
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Kaiser Family Foundation. Demograph
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State Coverage Initiatives. Profile
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Appendix DLocal Initiatives to Expa
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with more coordinated services that
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FinancingSources of revenue include
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AdministrationThe Health and Hospit
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Until 1993, Denver Health (DH) was
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different benefit plans are offered
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Cost SharingPatient cost-sharing is
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management programs. I-Care promote
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the county indigent care plan. Bene
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Firstplan xxvi,12Moore County, Mich
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Benefits and ServicesEnrollees can
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EligibilityAs of 2005, enrollment i
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etween $23 and $120 per month. Ther
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Healthcare Accountability Act xxxvi
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Coordination - When health care age
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subsidized initiatives offer exposu
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arriers, two health plans attempted
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xxi Simmons, Sandy Coe, Gionfriddo,
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Table 1 (Continued). Local Care Ini
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Table 2 (Continued). Local Coverage
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Appendix EEducation and Health:A Re
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The human capital approach suggests
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etween standardized test scores (St
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INTRODUCTIONEducation plays a wide
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of children with chronic health con
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Implications. Given the current pre
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DiabetesPrevalence. Diabetes in chi
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Limitations. The cross-sectional de
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chronic lung disease, cystic fibros
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significant differences between tho
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Table 1. Prevalence of Selected Chr
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findings of lower test scores are b
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al (McKewen et al., 1998) report a
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Section 3. School-Based Interventio
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mathematics, science and oral expre
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Table 4. Summary of Research Findin
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etween SES and health is a dose-res
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Self-Rated Health. Evidence accumul
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economic hardship. One of the skill
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Education also improves the stabili
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sex in the expectation of a more pr
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TABLE 6. SUMMARY OF EXPLANATIONS FO
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According to the Census 2000 data,
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Policy Reports Recommendations (Tot
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Section 2. Recommendations on Schoo
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Childhood ConditionsSchool-based Pr
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Childhood ConditionsDiabetes (n=11)
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eduction in reading test scores com
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Table 10. Estimates of the Cost of
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National Asthma Education and Preve
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REFERENCESAck, M., Miller, I., & We
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Elo, I. T., & Preston, S. H. (1996)
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Kaemingk, K. L., Pasvogel, A. E., G
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Miller, D. S., & Miller, T. Q. (199
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Ross, C. E., & Wu, C. L. (1996). Ed
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Williams, D. R. (1990). Socioeconom
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SAMPLE, DESIGN, & INTERVENTIONACHIE
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SAMPLE, DESIGN, & INTERVENTIONStudy
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SICKLE CELL ANEMIAArmstrong(1996)SA
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SAMPLE, DESIGN, & INTERVENTIONSickl
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SAMPLE, DESIGN, & INTERVENTIONhemog
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SAMPLE, DESIGN, & INTERVENTIONStudy
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Curriculum Content: Statute §28.00
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• HEALTH PROMOTING ENVIRONMENTSch
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• COORDINATION/IMPLEMENTATIONCoor
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Education and Health: A Review and
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Appendix FState Regulation of Healt
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coverage they offer. 14 By 2004 onl
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poor health may make coverage more
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account for most, or even much, of
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More active state intervention in t
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Table 3 (GAO Appendix IV) shows whi
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Appendix GEmergency and Trauma Care
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The treatment of shock prior to sur
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the EMS needs in rural areas of the
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Level IV trauma centers should be a
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Table 2. Trends in Trauma Severity,
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the hospitals were on diversion or
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Representative Delisi was successfu
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Mental Health Access ChallengesCare
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fhttp://www.techproservices.net/his
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oohttp://www.saveourers.org/reports
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Appendix HBrief: Consulate ClinicDe
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In addition, the roundtable discuss
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clinic(s) affiliated with medical s
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Appendix ICommon Abbreviations
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HMOHRQOLHRSAICF/MRIHCTAIOMISSLBBLIU
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Appendix JPresentersDate/Location:
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Appendix KProvider Taxes: A Differe
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were previously categorized as char
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