MINUTES 
          
               SENATE COMMITTEE ON HOME HEALTH & ASSISTED LIVING  
                                 FACILITIES(INT) 
                              Tuesday, May 12, 1998 
                                   9:30 A. M. 
                              Tyler Junior College 
                              Rogers Student Center 
                              1400 East 5th Street 
                                  Tyler, Texas 
          
                                      ***** 
          
         Pursuant to a notice posted in accordance with Senate Rule  
         11.11, a public hearing of the Senate Committee on Home Health  
         & Assisted Living Facilities(Int) was held on Tuesday, May 12,  
         1998 at 
         Tyler Junior College in Tyler, Texas. 
          
                                      ***** 
          
         MEMBERS PRESENT:                        MEMBERS ABSENT: 
         Senator Mike Moncrief                   Senator Gonzalo  
                                                 Barrientos 
         Senator Jane Nelson                     Senator Mario  
                                                 Gallegos, Jr. 
         Senator Drew Nixon 
          
                                      ***** 
          
         The Chair called the meeting to order at 9:31 a.m.  There  
         being a quorum present, the following business was transacted.   
          
         The following members arrived after the roll was called:   
         none. 
          
         The Chair introduced and welcomed Texas House Representative  
         Bob Glaze from District 5, Gilmer, Texas. 
          
         The Chair made opening remarks, welcomed invited speakers,  
         state agency staff and the public.  The Chair announced that  
         this was the last hearing for public testimony before the  
         Committee adopts it's recommendations to give to the 76th  
         legislature.     
          
         There being a quorum present, Senator Jane Nelson moved that  
         the reading of the minutes from the last two hearings,  
         February 17-18, 1998 in Houston and April 22, 1998 in  
         Harlingen, be dispensed with and approved by unanimous  
         consent.  There being no objection, the minutes were approved. 
          
         The Chair then called Michael Crowe, Committee Director, to  
         brief the Committee about  home health rates, one of the  
  
         Committee's charges, and to respond to questions from the  
         Committee Members.  The Chair thanked and dismissed the  
         witness. 
          
         The Chair then called a panel to testify about rate setting  
         for the community based alternatives program and primary home  
         care program.  The panel members were: 
          
              Jacqueline Johnson, Assistant Deputy Commissioner of  
                   Long-Term Care Services, Texas Department of Human  
                   Services 
              Stephen Lorenzen, Rate Analysis, Texas Department of  
         Human Services 
              Coyle Kelly, Economic Consultant for the Texas  
         Association for Home Care 
              Rebekah Grantham, East Texas Operations Manager, Assisted  
         Living Concepts, Inc. 
          
         The panel testified and responded to questions from Members of  
         the Committee.  The Chair thanked and dismissed the panel. 
          
         The Chair recessed at 11:30 a.m. for 17 minutes. 
          
         The Chair reconvened the hearing and called for public  
         testimony.  The following persons provided oral  testimony: 
          
              Sheila Benson, Texas Occupational Therapy Association and  
         East Texas Medical Center,  
                   Longview, Texas 
              Lewis C. Shaw, Smith County Community Coordinator,  
                   American Association of Retired Persons, Austin,  
                   Texas 
          
         The Chair recessed at 12:13 p.m.  
          
         The Chair reconvened the hearing at 1:15 p.m.  and recalled  
         public testimony.  The following persons provided oral  
         testimony: 
          
              Judy G. Richmond, Recovery In Home Nursing Services,  
         Inc., Bullard, Texas 
              Mickey Atkins, Texas Association for Home Care, Austin,  
         Texas 
              Terry Thompson, Mental Health Association of Tarrant  
         County, Fort Worth, Texas 
              Dena B. Ketterer, LMSW, AAA Prestige Home Health Care,  
         Inc., Dallas, Texas 
              Sara Speights, Texas Association for Home Care, Austin,  
         Texas 
              Todd Hyde, Better Living Management Company, Tyler, Texas 
               
         The following persons registered, but did not testify: 
          
              Shirley Parmley, Recovery In Home Nursing Services, Inc.,  
         Bullard, Texas 
  
              Dorothy J. Becker, Self, Beaumont, Texas 
          
         The following persons submitted written testimony, but did not  
         provide oral testimony: 
          
              Elaine Nail, Self, Lubbock, Texas 
              Lauralee Harris, Mental Health Association of Tarrant  
         County, Fort Worth, Texas 
          
         There being no further business, at 2:22 p.m. Senator Drew  
         Nixon moved that the Committee stand recessed subject to the  
         call of the chair.  Without any objection, the motion was  
         adopted. 
          
         _______________________________ 
         Senator Mike Moncrief, Chair 
          
         _______________________________ 
         Judy Daugherty, Clerk