Agenda of the Advisory Committee on Medical Care (ACAC)


November 10, 2021 – 9:00 a.m.

Texas Health and Human Services Commission (HHSC), John H. Winters Building, Public Hearing Room 125, First Floor

701 West 51st Street

Austin, Emission 78751

Webcast available

This meeting will be webcast. Members of the public can attend the meeting in person at the above address or access a live broadcast of the meeting at Select the tab for the Winters Live Public Courtroom on the date and time for that meeting. Please send an email to [email protected] if you have any problem with the webcast feature.

This meeting will also take place by videoconference in accordance with the requirements of article 551.127 of the Government Code. The Committee member chairing the meeting will be physically present at the location specified above.

Participants wishing to provide public comment should see the Public comment heading below.

  1. Welcome, introductions and opening remarks
  2. Review of the draft minutes of the August 12, 2021 meeting (Vote required)
  3. Medicaid and Children’s Health Insurance Program (CHIP) Activities
  4. Update on House Bill (HB) 4, 87th Legislature, Ordinary Session, 2021

Action item:

  1. Long-Term Care Provider Standing Rules for Emergencies (to implement the following Bills of the 87th Legislature, Ordinary Session, 2021: HB 797, Senate Bill (SB) 25, SB 572)
    Diana Conces, HHSC Long Term Care Policy and Rules Director, Medicaid / CHIP Services

    This proposal will create provider rules that apply to Assisted Living (ALF), Day Activity Health Services (DAHS), Home and Community Support Service Agencies (HCSSA), Extended Care Centers prescribed pediatrics (PPECC), nursing homes (NF), intermediate care. Facilities for people with intellectual and developmental disabilities or related conditions (ICF / IID), home and community service program providers (HCS) and Texas Home Living program providers (TxHmL) during an outbreak of contagious disease, epidemic or pandemic. The proposed rules implement Chapter 260B of the Texas Health & Safety Code, Right to Essential Caregiver Visits for Certain Residents, created by SB 25, which states that all residents of an ALF, NF or ICF / IID and those receiving services through an HCS program provider in a residence have the right to designate and have visits with an essential caregiver. A facility or program provider may not prohibit in-person visits with an essential caregiver, except for certain limited periods, as provided in the chapter. The proposed rules also implement Chapter 260C of the Texas Health and Safety Code, In-Person Visits with a Religious Advisor, created by SB 572, which prohibits an HCSSA, NF, or ALF from preventing a resident or client to receive in-person visits with a religious. counsel during a public health emergency, unless a federal law or agency prohibits in-person visits during that time. The intent of the proposed rules is to provide minimum standards for what a facility, DAHS, HCSAA, PPECC, and program provider must do during a contagious disease outbreak, epidemic, or disease outbreak. a pandemic related to visiting, testing, screening, reporting, quarantining or isolating residents and individuals, and other infection prevention and control measures.

  1. Public comment
  2. Next proposed meeting: February 10, 2022, at 9:00 a.m.
  3. Adjourn

Public comment: HHSC welcomes public comment on matters related to eligibility, health and medical services, and policies that govern the administration of the Texas Medicaid program. Members of the public who wish to provide public comment can choose from the following options:

  1. Oral comments provided virtually: Members of the public should register in advance to provide oral comments virtually during the meeting by completing a public comment registration form at no later than 5:00 p.m. on Monday, November 8, 2021. Please check the correct box on the public comment registration form and provide your name, either the organization you represent or speak to as a private citizen, and your direct phone number. If you have completed the public comment sign-up form, you will receive an email the day before the meeting with instructions for providing virtual public comments. Public comments are limited to three minutes. Each speaker providing oral public comment virtually must ensure that their face is visible and their voice is audible to other participants as they speak. Each speaker should state their name and on whose behalf they are speaking (if applicable). If you register in advance to speak and wish to provide a document prior to the meeting, please submit an electronic copy in an accessible PDF format which will be distributed by HHS staff to MCAC members and state staff. Documents are limited to two pages (paper size: 8.5 “by 11”, single side). Documents should be emailed to [email protected] immediately after pre-registration, but no later than 5:00 p.m. on Monday, November 8, 2021, and include the name of the person commenting. Do not include health information or other confidential information in your comments or documents. Staff will not read documents aloud during the meeting, but documents will be provided to MCAC members and government staff.
  2. Written comments: Members of the public can provide written public comments by completing a public comment registration form at A member of the public who wishes to provide written public comments should email the comments to [email protected] no later than 5:00 p.m. on Monday, November 8, 2021. Please include your name and the organization you represent . or that you speak as a private citizen. Written comments should be emailed to HHSC immediately after pre-registration and include the name of the person who will comment. Written comments are limited to two pages (paper size: 8.5 “by 11”, one side only). Do not include health information or other confidential information in your comments. Staff will not read written comments aloud during the meeting, but comments will be provided to MCAC members and state staff.
  3. Oral comments provided in person at the meeting location: Members of the public can provide oral public comments during the in-person meeting at the meeting venue either by pre-registering using the form above, or without pre-registering by completing a form at the meeting location. entrance to the meeting room. Do not include health information or other confidential information in your comments.

Note: These procedures may be revised at the discretion of HHSC.

Contact: Questions regarding agenda items, content or meeting arrangements should be directed to Caroline Sunshine, Advisory Committee Coordinator, Medicaid and CHIP Services Department, 512-438-4330, [email protected] .gov.

This meeting is open to the public. No reservations are required and there is no charge to attend this meeting.

Persons with disabilities who wish to attend the meeting and require aids or ancillary services should contact Sunshine at 512-438-4330 or [email protected] at least 72 hours prior to the meeting so that appropriate arrangements can be made. can be taken.


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