Texas Register, Volume 13, Number 60, Pages 3791-3856, August 5, 1988 Page: 3,816
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ing made to improve the manageability of the
list for the program and for providers.
Second, new medical conditions to be added
to the programs coverage as funding permits
are included in priorities one, two, and three,
shown at the end of the list of existing condi-
tions. The program will implement pilot stud-
ies and/or cost analyses and as funding
permits, add these medical conditions to the
rehabilitation program patient eligibility crite-
ria, using the priority groupings and rank or-
der within each group as a general guideline.
This means that some priority two conditions
may be added to program eligibility before all
priority one conditions are added, due to esti-
mated available funds and costs. The Texas
Board of Health will be asked to approve
permanent coverage of medical conditions
included in the priority listings, and program
coverage of the new conditions will become
effective the first working day following the
board action.
All recommended amendments to CIDC med-
ical eligibility for rehabilitation services were
developed by department program staff with
the assistance of 19 medical task forces
comprised of active practice physicians (pri-
marily subspecialty pediatricians), therapists,
and related health care providers drawn froi
many geographic areas of Texas. The CIDC
General Advisory Committee also reviewed
the recommendations prior to submission to
the Texas Board of Health.
Stephen Seale, chief accountant Ill, has de-
termined that for the first five-year period the
section as proposed is in effect there will be
fiscal implications as result of enforcing or
administering the section. The fiscal impact
on state government will be in the form of
increased expenditures for client services re-
lated to the addition of certain ICD-9 condi-
tions as coverable conditions. The estimated
additional cost to the program will be
$250,000 for fiscal year 1988, $750,000 for
fiscal year 1989, and $2 million each year for
fiscal years 1990-1993. There will be no fiscal
implications for local government or small
businesses as a result of enforcing or admin-
istering the section as proposed.
Mr. Seale also has determined that for each
year of the first five years the section as
proposed is in effect the public benefit antici-
pated as a result of enforcing the section will
be that the CIDC Program will be able to
provide services to more eligible children.
There is no anticipated economic cost to indi-
viduals who are required to comply with the
sections as proposed.
Comments on the proposal may be submitted
to J. S. Barkley-Booher, Chief, Chronically Ill
and Disabled Children's Services Program,
Texas Department of Health, 1100 Wcst 49th
Street, Austin, Texas 78756. Public com-
ments will be accepted for 30 days after the
proposed amendment has been published in
the Texas Register. To receive a copy of the
proposed medical eligibility criteria, write or
call Chronically Ill and Disabled Children's
(CIDC) Services, Texas Department of
Health, 1100 West 49th Street, Attention:
CIDC Mailroom, Austin, Texas 78756-3179,
(512) 465-2666 (before August 5, 1588) or
(512) 458-7355 (after August 5, 1988) arid
ask for proposed CIDC medical eligibility cri-
teria.
The amendment is proposed under Texas
Civil Statutes, Article 4419c, 8, which pro-vide the Texas Board of Health with the au-
thority to adopt rules concerning the
Chronically III and Disabled Children's Ser-
vices Program; and Article 4414b, 1.05,
which provides the Texas Board of Health
with the authority to adopt rules for the perfor-
mance of every duty imposed by law on the
Texas Board of Health, the Texas Depart-
ment of Health, and the Commissioner of
Health.
37.97. Medical Eligibility Criteria. The
department adopts by reference the medical
eligibility criteria published by the depart-
mnent, approved by tie board, as amended in
October 1988 [June, 1986]. A copy of the
medical eligibility criteria is indexed and
filed in the Bureau of Chronically Ill and
Disabled Children's Services, Texas De-
partment of Health, 1101 East Anderson
Lane, Austin, Texas, and is available for
public inspection during regular working
hours.
This agency hereby certifies that the proposal
has been reviewed by legal counsel and
found to be within the agency's authority to
adopt.
Issued in Austin, Texas, on July 29, 1988.TRD-8807793
Robert A. MacLean, M.D.
Deputy Commissioner for
Professional Services
Texas Department of
HealthEarliest possible date of adoption: August 10,
1988.
For further information, please call: (512)
465-2666 (before August 5, 1988) or (512)
458-7355 (after August 5, 1988).
S
Chapter 133. Hospital
Licensing
Standards
* 25 TAC 133.21
The Texas Department of Health proposes an
amendment to 133.21, concerning hospital
licensing standards, which are adopted by
reference. The amendment is being proposed
to the adoption by reference material 11-
1.1, definitions; 11-1.2, patient transportation;
11-2.4, patients requiring emergency ser-
vices; 11-2.10, memorandum of transfer; and
11-5, enforcement, of Chapter 11, Rules Gov-
erning Hospital Patient Transfer Policies,
Hospital Licensing Standards.
The amendment will update the existing stan-
dards governing the transfer of patients be-
tween hospitals specifically to clarify the role
of the hospital in the provision of services to
patients who require emergency services and
will also require the recordation of additional
patient information on the memorandum of
transfer, e.g. race, national origin, age, sex,
etc.
The amendment requires each hospital li-
censed by the Texas Department of Health to
revise its current transfer policy to incorporate
an operational plan for patient transportation;
to require the receipt of emergency patients
from other hospitals so that confirmation to
the transferring hospital must be made in not
more than 30 minutes; and to require certain
documentation relating to the refusal by ahospital to accept the transfer of a patient
who requires emergency services; and to in-
dclude certain additional information to be fur-
nished on the memorandum of transfer form.
Stephen Seale, chief accountant Ill, has de-
termined that for the first five-year period that
the section is in effect there will be no fiscal
implications to state or local government or
small businesses as a result of administering
and enforcing the section.
Mr. Seale also has determined that for each
year of the first five years the section as
proposed is in effect the public benefit antici-
pated as a result of enforcing the section will
be more equitable transfer of patients from
one hospital to another. There is no antici-
pated cost to individuals who are required to
comply with the section as proposed.
A public hearing on the proposal is scheduled
for 10 a.m., August 12, 1988, at the Texas
Department of Health, auditorium, 1100 West
49th Street, Austin. Comments on the pro-
posal may be submitted to Maurice B. Shaw,
Chief, Bureau of Licensing and Certification,
Texas Department of Health, 1100 West 49th
Street, Austin, Texas 78756, (512) 458-7538.
Comments will be accepted for 30 days from
the date of publication of the proposed
amendment in the Texas Register.
The amendment is proposed under Texas
Civil Statutes, Article 4437f, 5, which provide
the Texas Board of Health with the authority
to adopt and implement minimum standards
governing the transfer of patients from hospi-
tal to hospital.
13321. Adoption by Reference.
(a) The Texas Department of
Health adopts by reference the rules con-
tained in the department publication effec-
tive September 1, 1985, entitled, Hospital
Licensing Standards, as amended, October
1988 [December, 1987].
(b) (No change.)
This agency hereby certifies that the proposal
has been reviewed by legal counsel and
found to be within the agency's authority to
adopt.
Issued in Austin, Texas, on July 27, 1988.
TRD-8807674 Robert A. MacLean, M.D.
Deputy Commissioner for
Professional Services
Texas Department of
Health
Proposed date of adoption: October 1, 1988.
For further information, please call: (512)
458-7538
TITLE 31. NATURAL
RESOURCES AND
CONSERVATION
Part II. Texas Parks and
Wildlife Department
Chapter 65. Wildlife
* 31 TAC 65.332-65.335
The Texas Parks and Wildlife Commission
proposes amendments to 65.332-65.335,
concerning the Late Season Migratory Game
Bird Proclamation. The proposals provide a13 TexReg 3816 August 5, 1988 Texas Register *
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Texas. Secretary of State. Texas Register, Volume 13, Number 60, Pages 3791-3856, August 5, 1988, periodical, August 5, 1988; Austin, Texas. (https://texashistory.unt.edu/ark:/67531/metapth220268/m1/26/?rotate=90: accessed July 17, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu.; crediting UNT Libraries Government Documents Department.