MINUTES 
          
            SENATE COMMITTEE ON CHILDREN'S HEALTH INSURANCE (INTERIM) 
                             Thursday, July 23, 1998 
                                     9:30 am 
                                     E1.030 
          
                                      ***** 
          
         Pursuant to a notice posted in accordance with Senate Rule  
         11.11, a public hearing of the Senate Committee on Children's  
         Health Insurance (Interim) was held on Thursday, July 23, 1998  
         in E1.030, at Austin, Texas.   
            
         Note:   The public hearing was a joint hearing of the Senate  
         Interim Committee on Children's Health Insurance, the House  
         Committee on Public Health and the House Committee on  
         Appropriations.  The following reflects only information  
         relating to the Senate committee.   Minutes for the House  
         committees will be provided by the respective committee  
         staffs.  
          
                                      ***** 
          
         MEMBERS PRESENT:                        MEMBERS ABSENT: 
         Senator Mike Moncrief                   Senator Bill Ratliff 
         Senator Eliot Shapleigh 
          
                                      ***** 
          
         The Chair called the meeting to order at 9:40 am.  There being  
         a quorum present, the following business was transacted.   
          
         The Chair made opening remarks, welcomed invited speakers,  
         state agency staff and the public.  The Chair announced that  
         the purpose of the hearing was to obtain information relating  
         to the administrative structure and procurement strategy for  
         the Texas Children's Health Insurance Program (hereafter CHIP)  
         authorized  by the Federal Balanced Budget Act of 1997 and  
         Title XXI of the Social Security Act.   
          
         The Chair then called on State Medicaid Director, Linda Wertz,   
         who briefed the Committee regarding the administrative and  
         procurement approaches authorized under the Balanced Budget  
         Act of 1997.  Ms. Wertz  then responded to questions from  
         members.  The Chair thanked the witness for her testimony and  
         dismissed her. 
          
         The Chair called the Commissioner of Health and Human  
         Services, Don Gilbert,  and the Commissioner of Health,  
         William R. Archer, III,  to brief the Committee on the  
         progress of the agencies' Phase II proposal.  The  
         Commissioners responded to questions by Committee Members,  
  
         were thanked and dismissed. 
           
         The Chair recessed the Committee at 11:55 a.m. 
          
         The Chair reconvened the hearing at 1:00 p.m. at which time  
         public testimony was taken from the following persons:  
          
              Ms. Liz Newhouse, representing the Texas Respite Resource  
         Network 
              Ms. Robin Moore, representing the Texas Association of  
         Community Health Centers 
              Ms. Shirley Hutzler, representing the Texas Association  
         of Health Underwriters 
              Ms. Anne Dunkelberg, representing the Center for Public  
         Policy Priorities 
              Ms. Heather Greenwood, representing herself 
              Ms. Lisa McGiffert, representing Consumers Union 
              Dr. Stephen Schwartz, representing the Texas Dental  
         Association 
              Dr. Andy Sewell, representing the Texas Dental  
         Association 
              Dr. Beverly Zinzer, representing the Texas Dental  
         Association 
              Dr. Jerry Long, representing the Texas Dental Association 
              Ms. Susan Murphree, representing the Disability Policy  
         Consortium 
              Dr. Alma Golden, representing the Texas Medical  
                   Association, the Texas Pediatric Society and the  
                   Texas Academy of Family Physicians 
              Ms. DeAnn Friedholm, representing the Texas March of  
         Dimes and the CHIP Coalition 
                         
         The following person submitted written testimony, but did not  
         provide oral testimony to the committee: 
          
              Ms. Dale Hahn, representing the Texas Dental Hygienists  
         Association 
          
         The Chair thanked all of the witnesses who provided oral  
         testimony. 
          
         The Chair made closing comments. 
          
         At 3:15 p.m., Senator Moncrief, the Chair,  announced that the  
         Committee would stand recessed subject to call of the Chair.     
         Without objection, it was so ordered. 
          
         ____________________________________ 
         Senator Mike Moncrief, Chair 
          
         ____________________________________ 
  
         Gina Martin, Clerk