Proposed Policy

BUILD NURSING HOMES IN TEXAS

Salman MotiHPA 430, Summer 2013University of Illinois, ChicagoSchool of Public Health

Problem: Shortage of Nursing Homes in Texas

The demand for nursing home beds is expected outpace supply in the five most populous cities in the State of Texas [Austin, Dallas, Fort Worth, Houston, and San Antonio] by 2030. This shortage will have a significant adverse impact, especially on the state’s seniors aged 65+.

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Data

85.8% of nursing home residents are aged 65+

Between 2010 and 2030 the number of citizens aged 65+ is expected to increase drastically

Between 2010 and 2030 the number of nursing home residents in Austin, Dallas, Fort Worth, Houston, and San Antonio is expected to increase drastically

Population 65+Year Austin Dallas Fort Worth Houston San Antonio2010 57,707 105,195 66,200 170,898 136,1712020 108,557 168,569 121,686 303,975 210,5262030 184,974 240,117 211,181 462,380 301,154

Number of Nursing Home ResidentsYear Austin Dallas Fort Worth Houston San Antonio2010 2,758 5,027 3,163 8,166 6,5072020 5,187 8,055 5,815 14,526 10,0602030 8,839 11,474 10,091 22,095 14,391

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Data

Presently there are only 220 nursing home facilities located in the cities of Austin, Dallas, Fort Worth, Houston, and San Antonio

These 220 facilities offer a total of 25,743 certified nursing home beds

To keep pace with demand the supply of certified nursing home beds must increase by 60% before year 2030

If the supply of certified nursing beds fails to increase, significant bed shortages are expected

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Number of Nursing Home ResidentsYear Austin Dallas Fort Worth Houston San Antonio Total Bed Shortage2010 2,758 5,027 3,163 8,166 6,507 25,621 -2020 5,187 8,055 5,815 14,526 10,060 43,643 17,8972030 8,839 11,474 10,091 22,095 14,391 66,890 41,144

Proposed Solution: PREPARE

The PREPARE campaign aims to urge state lawmakers and constituents to financially incentivize the building of and investment in nursing homes in the five most populous cities in the State of Texas by introducing an amendment to the Texas Administration Code.

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Policy Entry Point

The PREPARE campaign aims to garner support for an amendment to Texas Administration Code, Title 40, Part 1, Chapter 19, Subchapter D, Rule §19.344 which would allow financial incentivization for new nursing home construction and expansions.

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Language of Proposed Amendment

The Prepare Campaign seeks to introduce an amendment to Section (1A-1G) of the Texas Administration Code, Title 40, Part 1, Chapter 19, Subchapter D, Rule §19.344. This section of the administration code outlines the process to be followed by applicants seeking to build or expand nursing homes within the State of Texas and under the jurisdiction of the Texas Department of Human Services (DHS).

Language of Proposed AmendmentBetween 01-01-2015 and 12-31-2020 organizations may apply for a reimbursement of previously approved building or renovation costs incurred under the Prepare initiative.

Reimbursement only applies to nursing homes built within the city limits of:

- Austin- Dallas- Fort Worth- Houston- San Antonio

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Language of Proposed Amendment

The percentage of costs reimbursed by the state is based on the completion date of the new construction or renovation project. The final building plans must be approved by the Texas Department of Human Services for reimbursement prior to the beginning of construction activity. In addition to approval by the Texas Department of Human Services, the project must comply with all other standard state, county, and city building codes and ordinances. Facilities seeking reimbursement are subject to routine inspection to ensure minimum guidelines are being met.

Funds for this incentive program are limited and available on a “first come first served” basis. Once the funds have been exhausted applications for reimbursement will no longer be accepted.

Project Completion Date and Maximum Reimbursement Percentage

Date Range %01-01-2015 to 12-31-

201630

01-01-2017 to 12-31-2018

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01-01-2019 to 12-31-2020

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Policy Paramours

State Rep. Richard Pena Raymond – House Committee on Human Services, Chair

State Rep. Lois W. Kolkhorst – House Committee on Public Health, Chair

State Rep. Mike Villarreal – House Committee on Investments and Financial Services, Chair

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Non-Governmental Stakeholders

Current and future nursing home residents concerned about availability of skilled care facilities

Insurance companies concerned about the declining health of its policy holders and the inability to provide options for skilled care facilities

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Department of State Health Services

Department of Aging and Disability Services

Governmental Stakeholders

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Marketing

AARP & Retirement Planning Magazines

Robert Wood Johnson Foundation Policy Podcast

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Marketing

Entrepreneur & Investment Publications

Professional Organization Partnerships

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Branding & Promotion

T-shirts Hats

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Branding & Promotion

Call Your State Representative

Billboards Bus Stop Signage

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References & Contact Information

Salman Moti, PREPARE Directorwww.PrepareTexas.weebly.com(817) 319 – 2459SMoti2@uic.edu

Centers for Medicare & Medicaid Serviceshttps://data.medicare.gov/data/nursing-home-compare

U. S. Department of Commercehttp://quickfacts.census.gov/qfd/states/48000.html

Texas 2012 State Plan Population Projectionshttp://www.twdb.state.tx.us/waterplanning/data/projections/2012/popproj.asp

Texas State Data Centerhttp://txsdc.utsa.edu/data/TPEPP/Projections/Index.aspx

Texas Comptroller of Public Accountshttp://www.window.state.tx.us/specialrpt/tif/population.html

CMS Nursing Home Data Compendiumhttp://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/CertificationandComplianc/downloads/nursinghomedatacompendium_508.pdf

U.S. Department of Health and Human Services, Administration on Aginghttp://www.aoa.gov/Aging_Statistics/Profile/2011/docs/2011profile.pdf

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DisclaimerLegal

This presentation is designed for course HPA 430 at the University of Illinois at Chicago. This presentation is for educational purposes only. The information contained herein may not be used for any other purpose. The images contained herein are property of their respective companies. These companies and their affiliates are not endorsed by the University of Illinois at Chicago.