KATHY HUTTO GOVERNMENTAL AFFAIRS CONSULTANT JACKSON WALKER L.L.P. PRESENTATION AT TOTA MOUNTAIN...
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Transcript of KATHY HUTTO GOVERNMENTAL AFFAIRS CONSULTANT JACKSON WALKER L.L.P. PRESENTATION AT TOTA MOUNTAIN...
KATHY HUTTO
GOVERNMENTAL AFFAIRS CONSULTANT
JACKSON WALKER L.L.P.
PRESENTATION AT TOTA MOUNTAIN CENTRAL CONFERENCE 11/7/14
IT’S A NEW BALL GAME!
WHAT TO EXPECT FROM THE TEXAS LEGISLATURE
NEW LEADERSHIP
Republicans swept statewide offices for the 10th consecutive electionGovernor - Greg Abbott 1st new Governor in 14 years
Lt. Governor – Dan Patrick
THE ONLY RETURNING PLAYER
Speaker of the House Joe Straus 1st elected to the House in 2005 1st elected Speaker in 2009, so this will be
4th Session Will be challenged, but should be easily re-elected
House viewed as the calm port in the upcoming storm.
CHANGE IN LINEUP
HOUSE23 new membersIf Rep. Lois Kolkhorst wins Glenn Hegar’s old
Senate seat, will have 24 new House members98 Rs v. 53 Ds (gain of 3 by Rs)10 Chairmen not returning including some on
key committees to OTs :AppropriationsPublic HealthHigher Education
LINEUP CHANGES GREATER IN SENATE
8 of 31 Senators will be Freshman. More conservative
13 of 31 will have 2 years or less experience
6 Chairman not returning plus threat to not appoint any “D” Chairs
would knock out 6 more
LOOMING ISSUE
School Finance Judge John Dietz, 250th District Court, on 8/28/14 declared the
Texas school finance system violates the Texas Constitution on the issues of equity, adequacy, and a state property tax, but does not violate the “taxpayer equity” provision of the Constitution. Judge Dietz’ ruling enjoins the state from distributing any funds under Chapters 41 and 42 and Section 12.106 (charter schools) after July 1, 2015 if the constitutional violations are not remedied by the Legislature.
The case was appealed directly to the Texas Supreme Court by Attorney General Abbott— which automatically stays the injunction — and most likely we will not see a ruling from the Supreme Court until next summer, after the 84th Legislature adjourns.
If the Texas Supreme Court upholds the findings on equity and a state property tax, it will not necessarily require the state to spend additional money on public education, though the legislature has typically responded with higher funding. If the Supreme Court upholds the finding on adequacy, it would more than likely necessitate and increase in state funding.
OTHER BIG ISSUES
WaterTransportationImmigration/Border SecuritySchool ChoiceGun Rights – campus carry/open carryTransparency in spending/end fund
diversionsSocial issues
ONGOING CHALLENGE
HHSC directed to achieve Medicaid savings of $400 million in General Revenue from 25 cost containment initiatives
One initiative = phase down Medicaid rates which are above Medicare rates
Also, develop a more appropriate fee schedule for therapy services, requiring providers to submit their NPI on each claim (at a minimum, name of provider)
Pediatric Study Forthcoming
HHSC has commissioned A&M to perform an independent review comparing Texas Medicaid’s authorization policies, rates and utilizations patterns for pediatric acute therapy (OT, PT and Speech) to those in other state Medicaid programs and commercial insurance plans.
Findings expected this Fall and will impact the budget as HHSC will be expected to come up with more cost savings.
SUNSET
All Health and Human Services agencies under reviewo Health and Human Services Commission
(HHSC)o Department on Aging & Disability
Serviceso Department of State Health Services
(DSHS)o Department of Assistive & Rehabilitative
Serviceso Department of Family & Protective
Services
DSHS SUNSET RECOMMENDATION
To allow DSHS to focus on public health matters instead of occupational licensing, transfer 12 regulatory programs from DSHS to the Texas Department of Licensing and Regulation (TDLR), and require TDLR to create associated advisory committees for each profession in place of existing boards and committees. In absorbing these functions, TDLR should create a focused health section to ensure development of related expertise. Phase 1 (FY 2016–2017)a. Athletic Trainersb. Dietitiansc. Hearing Fitters and Dispensersd. Midwiferye. Orthotics and Prostheticsf. Speech-language Pathologists and Audiologists Phase 2 (FY 2018–2019)g. Code Enforcement Officersh. Laser Hair Removali. Massage Therapistsj. Mold Assessors and Remediatorsk. Offender Education Providersl. Sanitarians
DSHS RECOMMENDATION (CON’T)
Four boards are being transferred to the Texas Medical Boarda. Medical Physicists b. Medical Radiologic Technologists c. Perfusionists d. Respiratory Care Practitioners
Four will be retained at DSHS, but their placement will be considered during the Sunset review of the structure of the mental and behavioral health components of the health and human services system. a. Chemical Dependency Counselors b. Marriage and Family Therapists c. Professional Counselors d. Social Workers. Based on the lack of need for continued state intervention in certain activities and occupations, the Legislature should deregulate 11 programs, including: Dyslexia Therapists and Practitioners Opticians
IMPLICATION FOR OTs AND COTAs
1st phase of move of health care licensing agencies to TDLR begins September 1, 2015.
Sunset review of TBOTE, TBPTE, & ECPTOTE begins with self-evaluation report in summer of 2015.
Sunset date for TBOTE, TBPTE and the Executive Council of PT & OT Examiners is September 1, 2017.
FOCUS FOR TOTA IN UPCOMING SESSION
Role of OT as Mental Health ProfessionalBIG CHALLENGE – NO ONE AT THE
CAPITOL THINKS OF OTs AS HAVING A MH ROLE
EDUCATING LEGISLATORS & THEIR STAFF AS TO WHAT THAT ROLE IS AND
YOUR EDUCATIONAL PREPARATION WILL BE KEY TO OUR SUCCESS.
IT TAKES A VILLAGE!
OT’S ROLE IN MENTAL HEALTH SERVICES
Help individuals modify behaviors that interfere with effective emotional, social or intellectual functioning
Increase individual’s ability to live as independently as possible while engaging in meaningful & productive life roles
Work with clients to establish goals related to improving participation in one’s home, school, workplace, and community.
Teach and facilitate skills in the areas of problem solving, medication management, home and community safety, social skills, activities of daily living, vocational and leisure interests, stress management, and more.
WHY IS OT IMPORTANT IN MH SERVICES?
Improves symptom and medication management as well as increases social skills, social participation, and personal well-being
Decreases negative psychological symptoms, hospital admissions and readmissions, poor treatment compliance, and social exclusion