MINUTES 
          
                     SENATE INTERIM COMMITTEE ON HOME HEALTH 
                         AND ASSISTED LIVING FACILITIES 
                            Wednesday, April 22, 1998 
                                     9:30 am 
                            Harlingen Public Library 
                                  410  76 Drive 
                             Harlingen, Texas 78550 
          
                                      ***** 
          
         Pursuant to a notice posted in accordance with Senate Rule  
         11.11, a public hearing of the Senate Interim Committee on  
         Home Health and Assisted Living Facilities was held on  
         Wednesday, April 22, 1998, in the Harlingen Public Library at  
         Harlingen, Texas.   
          
                                      ***** 
          
         MEMBERS PRESENT:                        MEMBERS ABSENT: 
         Senator Mike Moncrief                   Senator Gonzalo  
         Barrientos 
         Senator Mario Gallegos, Jr.             Senator Jane Nelson 
                                                 Senator Drew Nixon 
          
                                      ***** 
          
         The Chair called the meeting to order at 9:35 am.  The  
         following business was transacted.   
          
         The following members arrived after the roll was called:   
         none. 
          
         The Chair introduced and welcomed Senator Eddie Lucio, Jr.,  
         from District 27, Brownsville, Texas. 
         The Chair thanked Senator Lucio for his commitment to  
         improving healthcare in the state of Texas. 
          
         The Chair made opening remarks, welcomed invited speakers,  
         state agency staff and the public.  The Chair announced that  
         the meeting would begin with a staff update regarding issues  
         that are forming  as the Committee begins to look at making  
         recommendations to the 76th legislature. 
          
         The Chair called Michael Crowe, Committee Director, and Lara  
         Laneri, Committee Policy Analyst,  
         to give an update of Committee activities regarding home  
         health care and assisted living facilities and to respond to  
         questions from the Committee Members.  After the presentation,  
         the Chair thanked and dismissed the witnesses.   
          
         The Chair then called a panel of the Commissioners of the  
  
         state agencies that are involved in the regulation of  
         long-term care services, particularly home health and assisted  
         living.  The panel members were: 
          
              Eric M. Bost, Commissioner, Texas Department of Human  
         Services 
              Don A. Gilbert, Commissioner, Texas Department of Mental  
         Health and Mental Retardation 
              Jim Hine, Executive Director, Texas Department of  
         Protective and Regulatory Services 
              Max Arrell, Commissioner, Texas Rehabilitation Commission 
              Reyn Archer, M. D., Commissioner, Texas Department of  
         Health 
          
         The panel testified and responded to questions from Members of  
         the Committee.  The Chair thanked and dismissed the panel. 
          
         The Chair recessed at 12:30 p.m. 
          
         The Chair reconvened the hearing at 1:22 p.m. and called a  
         panel to give testimony regarding local perspectives on home  
         health and assisted living.  The panel members were: 
          
              Mario Espinosa, President, Rio Grande Valley Home Health  
         Alliance 
              Linda Salazar, President, The Remnant Group, Inc. 
              Nancy Busse, Member, Texas Assisted Living Association 
          
         The panel testified and responded to questions from Members of  
         the Committee.  The Chair thanked and dismissed the panel. 
          
         The Chair then called for public testimony.  The following  
         persons provided oral testimony: 
          
              Randy M. Griffin, Lake Worth Village, Plano, Texas 
              Diana Deaton, Texas Assisted Living Association, Austin,  
         Texas 
              Fred Worley, Texas Department of Human Services, Austin,  
         Texas 
              Martha B. Sorensen, Independent Senior Citizen, Lyford,  
         Texas 
              Betty Castleman, Texas Assisted Living Association,  
         Houston, Texas 
              Jeff DeWeese, Embree Healthcare Group, Georgetown, Texas 
              Grant R. Bell, Self, Arlington, Texas 
              Carol Bell, Community Assisted Living of Grand Prairie,  
         Grand Prairie, Texas 
               
         The following persons registered, but did not testify: 
          
              Robert L. Griffis, Greenbriar Corporation, Addison, Texas 
              Nance Stearman, Texas Department of Health, Austin, Texas 
              C. Thomas Camp, Texas Department of Health, Austin, Texas 
          
         The following persons submitted written testimony, but did not  
  
         provide oral testimony: 
          
              Elaine Nail, Self, Lubbock, Texas 
              Lauro A. Munoz, Texas Occupational Therapy Association,  
         McAllen, Texas 
              Sonia Rivera, Valley Association for Independent Living,  
         Edinburg, Texas 
              Skip Comsia, TLC Properties, Inc., Houston, Texas 
          
         There being no further business, at 3:44 p.m. Senator Moncrief  
         announced that the Committee would stand recessed subject to  
         the call of the Chair.  Without objection, it was so ordered. 
          
         ________________________ 
         Senator Mike Moncrief, Chair  
          
         ________________________ 
         Judy Daugherty, Clerk