Texas State Library and Archives Commission

Texas Department of Health, Kidney Health Care Division:

An Inventory of Records at the Texas State Archives, 1973-1995



Overview

Creator: Texas. Kidney Health Care Division.
Title: Records
Dates: 1973-1995
Abstract: Records include correspondence and memoranda, policy statements, federal grant materials, reports and presentations, patient status reports, weekly and monthly activity reports, statistical compilations, questionnaires, surveys, budget information, executive summaries, minutes, agenda, transcripts, printed materials, travel vouchers, notes, statutes, a legislative bill, drafts, proposals, presentation materials, and forms that document the Texas Kidney Health Care Program/Division, 1973-1995.
Quantity: 4.47 cubic ft.
Language English.

Agency History

The Texas Bureau of Kidney Health Care, formerly the Division of Kidney Health Care (July 1992-1995) and the Kidney Health Care Program (1973- June 1992), was established in 1973, following the implementation of the Texas Kidney Health Care Act (House Bill 474, 63rd Legislature, Regular Session). This bureau has been operated by the Texas Department of Health first through the Bureau of Chronic Diseases (formerly the Chronic Diseases Division of the Bureau of Personal Health Services) and then through the Deputy Commissioner for Health Care Financing. The bureau assists Texas citizens who have end-stage renal disease in paying for medical treatments--dialysis and transplants, medication, and transportation costs.

The primary functions of the Bureau of Kidney Health Care are to process patient applications, provide funds, and administer expenditures. Other responsibilities include instituting and carrying out educational programs within the medical profession and for the general public, conducting research and compiling statistics relating to kidney care services, establishing and maintaining standards for the accreditation of facilities providing treatment for chronic kidney disease patients, cooperating with private and governmental agencies and organizations to facilitate the availability of care to kidney patients, and establishing rules and regulations necessary to provide adequate kidney care and treatment. A State Advisory Committee on Kidney Health Care was formed to provide the program with medical expertise. This committee was created with the assistance of the Renal Committee of the Texas Medical Association and is composed of nephrologists and other physicians, and representatives of the kidney foundations.

The Bureau of Kidney Health Care provides a specified amount of funds to patients for medical expenses--after private insurance funds have expired--until the patient becomes eligible for the Medicare Chronic Renal Disease benefits (federal). Additional funding is available for medication and transportation costs, and to patients who perform self-dialysis in their homes. Patients are required to reimburse the state a certain amount, based on income and other factors, which should be less than 5% of their adjusted gross income. The amount of funding available to patients has undergone some revisions as has the reimbursable costs paid back to the Bureau.


Scope and Contents of the Records

Records include correspondence and memoranda, policy statements, federal grant materials, reports and presentations, patient status reports, weekly and monthly activity reports, statistical compilations, questionnaires, surveys, budget information, executive summaries, minutes, agenda, transcripts, printed materials, travel vouchers, notes, statutes, a legislative bill, drafts, proposals, presentation materials, and forms that document the Texas Kidney Health Care Program/Division, 1973-1995. Establishment and operational files concern the founding and early years of the Kidney Health Care Program (KHCP), covering the period 1973-1979. Advisory Committee meeting and minute files document the proceedings of the Texas Kidney Health Care Program/Division Advisory Committee, subcommittee, and related committee meetings, 1992-1995. Subjects of concern included budgets, drug benefits, drug lists, diabetes, hypertension, prevention of end-stage renal disease, multi-vitamin, calcium, and cyclosporine distribution, patient care, and legislative bills. Legislative reports document the reports made to Texas legislative bodies by the Kidney Health Care Program, 1980-1984, concerning changes to the Kidney Health Care Act in 1980, procedural reviews by the Legislative Budget Board in 1980, a 1982 report following up on the 1980 legislative review, and further information from 1983 to 1984. Administrative and special reports, 1978-1995, document reports and special projects written and undertaken by the Texas Kidney Health Care Program, including subjects such as kidney transplants, end-stage renal disease, payment for Cyclosporin A, the establishment of a vendor drug program pilot project, future objectives of the Kidney Health Care Program, and performance reports.

To prepare this preliminary inventory, the described materials were cursorily reviewed to delineate series, to confirm the accuracy of contents lists, to provide an estimate of dates covered, and to determine record types.


 

Organization of the Records

The records are organized into four series:
Establishment and operational files, 1973-1979, 2 cubic ft.
Advisory Committee meetings and minutes, 1992-1995, 1 cubic ft.
Legislative reports, 1980-1984, 0.47 cubic ft.
Administrative and special reports, 1978-1995, 1 cubic ft.

Restrictions

Restrictions on Access

None.

Restrictions on Use

None.


Index Terms

The terms listed here were used to catalog the records. The terms can be used to find similar or related records.
Corporate Names:
Texas. Kidney Health Care Program.
Texas. Kidney Health Care Advisory Council.
Subjects:
Kidneys--Diseases--Texas.
Kidneys--Health aspects--Texas.
Chronic renal failure--Treatment--Texas.
Medical care--Texas.
Health services administration--Texas.
Kidneys--Transplantation--Texas.
Renal pharmacology.
Drugs--Prices--Texas.
Diabetes--Treatment--Texas.
Health planning--Texas.
Cyclosporine.
Document Types:
Correspondence--Texas--Kidneys--Health aspects--1973-1995.
Memorandums--Texas--Kidneys--Health aspects--1973-1995.
Grants--Texas--Kidneys--Health aspects--1973-1979.
Reports--Texas--Kidneys--Health aspects--1973-1995.
Statistics--Texas--Kidneys--Health aspects--1973-1995.
Questionnaires--Texas--Kidneys--Health aspects--1973-1979.
Surveys--Texas--Kidneys--Health aspects--1973-1979.
Budgets--Texas--Kidneys--Health aspects--1973-1979.
Minutes--Texas--Kidneys--Health aspects--1973-1979, 1992-1995.
Agendas--Texas--Kidneys--Health aspects--1980-1984, 1992-1995.
Vouchers--Texas--Kidneys--Health aspects--1992-1995.
Notes--Texas--Kidneys--Health aspects--1987-1995.
Bills (legislative records) --Texas--Kidneys--Health aspects--1980-1984.
Drafts (documents) --Texas--Kidneys--Health aspects--1978-1985.
Proposals--Texas--Kidneys--Health aspects--1978-1995.
Forms--Texas--Kidneys--Health aspects--1973-1995.
Functions:
Assisting with kidney diseases.
Education about kidney diseases.
Administering health care programs.

Related Material

None.


Administrative Information

Preferred Citation

(Identify the item and cite the series), Records, Kidney Care Division, Texas Department of Health. Archives and Information Services Division, Texas State Library and Archives Commission.

Accession Information

Accession Numbers: 1990/037, 1999/166, 1999/175

These records were transferred to the Archives and Information Services Division of the Texas State Library and Archives Commission by the Texas Department of Health on November 30, 1989 and by the Texas Department of Health, Bureau of Kidney Health Care, on June 3, 1999 and June 21, 1999.

Processing Information

Laura K. Saegert, June 1990

Nancy Enneking, June 1999, July 1999


Detailed Description of the Records

 

Establishment and operational files, 1973-1979,
2 cubic ft.

The records concern the establishment and subsequent operation of the early years of the Kidney Health Care Program (KHCP), covering the period 1973-1979. Materials found in these records include correspondence and memoranda, policy statements, federal grant materials, reports and presentations, patient status reports, weekly and monthly activity reports, statistical compilations, questionnaires, surveys, budget information, quarterly and annual reports of the KHCP, quarterly and biennial reports of the Department of Health, files from the ESRD (End-Stage Renal Disease) Network (reports and correspondence) and other organizations, and files of the Kidney Health Care Advisory Committee (minutes and correspondence). See the series Advisory Committee Meetings and Minutes and Legislative Reports for additional files of the Advisory Committee and reports.
Arrangement
Files are foldered by topic or group and ordered in a loose chronological arrangement by year.
Index Terms
The terms listed here were used to catalog the records. The terms can be used to find similar or related records.
Corporate Names:
Texas. Kidney Health Care Program.
Texas. Kidney Health Care Advisory Council.
Subjects:
Kidneys--Diseases--Texas.
Kidneys--Health aspects--Texas.
Medical care--Texas.
Health services administration--Texas.
Document Types:
Correspondence--Texas--Kidneys--Health aspects--1973-1979.
Memorandums--Texas--Kidneys--Health aspects--1973-1979.
Reports--Texas--Kidneys--Health aspects--1973-1979.
Questionnaires--Texas--Kidneys--Health aspects--1973-1979.
Grants--Texas--Kidneys--Health aspects--1973-1979.
Statistics--Texas--Kidneys--Health aspects--1973-1979.
Surveys--Texas--Kidneys--Health aspects--1973-1979.
Budgets--Texas--Kidneys--Health aspects--1973-1979.
Minutes--Texas--Kidneys--Health aspects--1973-1979.
Functions:
Assisting with kidney diseases.
Education about kidney diseases.
Administering health care programs.
box
1990/037-1 KHC - memo to the record, 1973
5% Reimbursement information, 1974
KHC set up, 1973
KHC correspondence, 1973
KHC - articles, 1973
Health Department, general info
Health Department, Board of Health
Activity reports to Dr. Mallory, 1973-74
Board meeting, September 8, 1974
Meeting at Six Flags Inn, September 21, 1974
Meeting with Regional Medical Program Renal Subcommittee on Legislation and Finance, August 1974
Patient status reports, 1974
Presentations, 1974
Task XI - Inventory of existing facilities, 1974
Quarterly reports, June 1973 - November 1974
Texas Medical Association, 1973
Councils of Government, 1973
Fiscal intermediary information, 1973-74
Legal--general information, 1974
Legal Interpretation, Section 9, 1973
Kidney Health Care policies, 1973
Regional Office correspondence, 1973-74
Manuals of Instruction, Medicare Program, 1973
SSA (Social Security Administration) program circulars, KHC, 1973
KHC - miscellaneous information, 1973
Biennial Report, 1972-74
New benefits for patients, September 16, 1975
Second wrap-up, 1974/75
Alien letter, March 31, 1975
Board of Health-- 1975
Reimbursement questionnaire, May 2, 1975
Health Department, general, 1975
Health Department, procedures, 1975
Reimbursement letter, February 12, 1975
Public Health Regions, 1975-76
Health Department, general, 1976
Report to the Board of Health Resources, 1976
KHC history - to Dr. Yerwood, 10/76
Information for Greta Rymal--Legislative Budget Office, 1976
Report to Governor's Budget Board, 1976
Validation of federal grants, 1976
Council on Health and Human Resources, 1975
Government and Personal Health Report, 1975
Texas Action Committee Against Kidney Disease meeting, August 17, 1975
Nephrologists of Texas meeting, March 1, 1975
Arkansas training workshop, November 1976
Patient status reports, 1975
Quarterly Reports (TDH), December 1974-May, 1975
Quarterly Reports (KHCP), December 1975-August 1976
Annual Report--Activity Work Load, 9/75 thru 8/76
Activity workload report--semi-annual report, September 75 - February 76
Weekly/monthly reports, 1975
Statistics, applications received, patients deceased, 1973-1976
Living Applicants by County (map), 1976
Transportation and drug benefits, 1975
Home health services benefits, 1976
Councils of Government, 1975
Health Department, general, 1977
Vendor ID numbers
Health service areas, 1977
Computer system, 1974-77
Health Bulletin articles, May thru August, 1976
Fiscal size-up, 1977
Task Force on State Health Planning, 1977
Personnel, general, 1975-77
Regional office correspondence, 1975
Social Security information, 1975
ASTHO (Association of State and Territorial Health Officers), fiscal year 1975 data collection, 1976
KHC Advisory Committee, 1975-76
Wrap-up, 1975/76
5% Reimbursement letter, June 1976
Change in benefits, April 29, 1976
Notification of increase in mileage, May 1976
Zero-base budget, 1974
Zero-base budget information, 1976
box
1990/037-2 Patient status reports, 1977
Living Applicants by County (map), 1977
Kidney Health Care Advisory Committee, 1977
Report on Advisory Committee, 1978
ESRD (End-Stage Renal Disease) Network No. 11
Kidney Health Care budget, 1977
Regional office correspondence, 1977
Governor's Budget Office, inquiry, 1977
Health facilities planning, 1977
Wrap-up, 1976-77
Benefits beginning September 1977
Benefits for home dialysis, 9/1/77
Changes in KHC Benefits beginning September 1, 1977
Translations for Dr. Moore, long-term care, 1977
Health Department, general, 1978
Report on Advisory Committees to Sunset Advisory Commission, 1979
KHC Advisory Committee meeting minutes, 1979-80
Six-year plan, 1978
Data processing, 1978
Personnel, general, 1978
Program evaluation, 1978
Special Committee on Delivery of Human Services in Texas, 1978
ASTHO Annual Survey, 1978
Semi-annual Performance Audit Report, 1978
Information to Health and Welfare Committee, 1978
Kidney Transplants in Texas, January 1, 1977 - March 31, 1978
Training Activities Survey, 1978
Home Dialysis Survey, 1978
KHC Applicants in 12 Texas Counties, 1978
Statistics, applications received, patients deceased, 1978,
Living Applicants by County (map), 1978
KHC Proposed Drug List, 1978
Kidney Health Care, general, 1978
Health Facilities Commission, 1978
Inquiries on program statistics, 1978
Request for program information, 1978
Correspondence with Legal and Claims Services, 1978
Interagency Health and Human Resources Council Task Force on Human Service Delivery, 1978
Continuous Ambulatory Peritoneal Dialysis articles, 1978-80
NAPHT (National Association of Patients on Hemodialysis and Transplantation), 1978
Kidney foundations, 1978
Patient benefits, September 1, 1978
KHC resource information, 1978
Wrap-up, 1977-78
TDH - inter-office memos, general, 1979
Pharmacy Notice to Recipients
Contents on Manual's KHC notebook (handbook of former program director)
Recent KHC data, 1979
Medicare Renal Disease Program, 1979
Transportation and drug benefits, 1977-79
Proposed staffing revision
Federal grant - Texas LIFE Program, 1979-80
NAPHT - 1979
Kidney foundations, 1979
ESRD Network #11 - Meetings, etc.
[wallet]:
box
1990/037-2 ESRD Network #11 - 1979
ESRD Network #11
ESRD Network - 1978
ESRD, 1977-79



 

Advisory Committee meetings and minutes, 1992-1995,
1 cubic ft.

Records consist of executive summaries, minutes, agenda, memoranda, correspondence, reports, statistics, transcripts, printed materials, travel vouchers, meeting acknowledgement forms, and notes documenting the proceedings of the Texas Kidney Health Care Program/Division Advisory Committee, subcommittee, and related committee meetings, 1992-1995. Subjects of concern include budgets, drug benefits, drug lists, diabetes, hypertension, prevention of end-stage renal disease, multi-vitamin, calcium, and cyclosporine distribution, and legislative bills. See the series Establishment and operational files for related materials.
Arrangement
Files arrived in roughly reverse chronological order and were arranged in precise reverse chronological order.
Index Terms
The terms listed here were used to catalog the records. The terms can be used to find similar or related records.
Corporate Names:
Texas. Kidney Health Care Program.
Texas. Kidney Health Care Advisory Council.
Subjects:
Kidneys--Diseases--Texas.
Kidneys--Health aspects--Texas.
Chronic renal failure--Treatment--Texas.
Health services administration--Texas.
Cyclosporine.
Renal hypertension--Treatment--Texas.
Renal pharmacology.
Diabetes--Treatment--Texas.
Document Types:
Correspondence--Texas--Kidneys--Health aspects--1992-1995.
Reports--Texas--Kidneys--Health aspects--1992-1995.
Memorandums--Texas--Kidneys--Health aspects--1992-1995.
Statistics--Texas--Kidneys--Health aspects--1992-1995.
Minutes--Texas--Kidneys--Health aspects--1992-1995.
Agendas--Texas--Kidneys--Health aspects--1992-1995.
Vouchers--Texas--Kidneys--Health aspects--1992-1995.
Notes--Texas--Kidneys--Health aspects--1992-1995.
Forms (documents)--Texas--Kidneys--Health aspects--1992-1995.
Functions:
Administering health care programs.
Advisory Committee meetings:
box
1999/166-1 November 10, 1995
August 11, 1995
March 10, 1995
November 11, 1994
March 3, 1994
January 28, 1994
Budget Sub-Committee January 7, 1994
Community input, January 3-7, 1994
September 10, 1993
Drug Task Force, August 26, 1993
July 9, 1993
Patients, July 1, 1993
National Kidney Foundation Affiliates, June 29, 1993
Drug Task Force, December 11, 1992
November 6, 1992
February 14, 1992



 

Legislative reports, 1980-1984,
0.47 cubic ft.

Records consist of memoranda, statistics, printed material, statutes, a legislative bill, notes, correspondence, forms, drafts, and agenda that document the reports made to Texas legislative bodies by the Kidney Health Care Program, 1980-1984. The materials concern changes to the Kidney Health Care Act in 1980, procedural reviews by the Legislative Budget Board in 1980, a 1982 report following up on the 1980 Legislative Budget Board review, and further information from 1983-1984. The 1980 review and 1982 follow-up were concerned with improving four areas, namely, the projections of patient caseloads, providing payments in a more timely manner, computerizing fiscal data, and reporting to the 68th Legislature on the feasibility of a rate-setting methodology for kidney health care based on the cost of services during 1981 and 1982.
Arrangement
Files are listed as they arrived, in chronological order.
Index Terms
The terms listed here were used to catalog the records. The terms can be used to find similar or related records.
Corporate Names:
Texas. Kidney Health Care Program.
Subjects:
Kidneys--Diseases--Texas.
Kidneys--Health aspects--Texas.
Medical care, Cost of--Texas.
Health planning--Texas.
Information storage and retrieval systems--Accounting.
Document Types:
Correspondence--Texas--Kidneys--Health aspects--1980-1984.
Reports--Texas--Kidneys--Health aspects--1980-1984.
Memorandums--Texas--Kidneys--Health aspects--1980-1984.
Statistics--Texas--Kidneys--Health aspects--1980-1984.
Agendas--Texas--Kidneys--Health aspects--1980-1984.
Notes--Texas--Kidneys--Health aspects--1980-1984.
Bills (legislative records)--Texas--Kidneys--Health aspects--1980-1984.
Forms (documents)--Texas--Kidneys--Health aspects--1980-1984.
Functions:
Administering health care programs.
box
1999/166-2 Proposed KHP legislative needs submitted to the 67th Legislature, 1980
KHP program review performed by LBB [Legislative Budget Board], 1980
Information provided to LBB [Legislative Budget Board], 1980
KHP report to LBB [Legislative Budget Board], (Final report and correspondence), September 1982
KHP report to LBB [Legislative Budget Board], (Back-up information), September 1982
Information requested by LBB [Legislative Budget Board], 1983-1984



 

Administrative and special reports, 1978-1995,
1 cubic ft.

Records comprise reports, printed material, notes, memoranda, correspondence, statistics, proposals, sample forms, presentation materials, and drafts, 1978-1995, documenting administrative reports and special projects written and undertaken by the Texas Kidney Health Care Program (KHP). Matters of significance discussed in these documents include kidney transplants, end-stage renal disease, payment for Cyclosporin A for kidney transplant patients, the establishment of a vendor drug program pilot project (as mandated by the Sunset Commission in 1984, through the Texas Department of Health (TDH)), future objectives of the Kidney Health Care Program, and performance reports.
Arrangement
Records are listed in the order in which they arrived.
Index Terms
The terms listed here were used to catalog the records. The terms can be used to find similar or related records.
Corporate Names:
Texas. Kidney Health Care Program.
Subjects:
Kidneys--Diseases--Texas.
Kidneys--Health aspects--Texas.
Chronic renal failure--Treatment--Texas.
Health services administration--Texas.
Kidneys--Transplantation--Texas.
Cyclosporine.
Drugs--Prices--Texas.
Document Types:
Correspondence--Texas--Kidneys--Health aspects--1978-1995.
Forms (documents)--Texas--Kidneys--Health aspects--1987-1995.
Reports--Texas--Kidneys--Health aspects--1978-1995.
Memorandums--Texas--Kidneys--Health aspects--1978-1995.
Statistics--Texas--Kidneys--Health aspects--1978-1995.
Notes--Texas--Kidneys--Health aspects--1978-1995.
Drafts (documents)--Texas--Kidneys--Health aspects--1978-1995.
Proposals--Texas--Kidneys--Health aspects--1978-1995.
Functions:
Administering health care programs.
Education about kidney diseases.
Assisting with kidney diseases.
box
1999/175 “A Report on End Stage Renal Disease in Texas,” by Dr. Forland and Dr. Allen, 1978-1979
Transplant project, 1979
“Interim Report on the Cost of ESRD [end-stage renal disease] Treatment,” November 2, 1982
KHP Transplant Sub-Committee, “Report of Governor's Coordinating Committee to Facilitate Organ Transplants,” 1984
KHP Encumbrance System, Development of, 1983-1984
Memos/Letters regarding KHP set-up to pay for Cyclosporin A, 1984
Letters to transplant centers outlining KHP procedures for payment of CSA [Cyclosporin A], 1984-1986
Memos and letters regarding cost of Cyclosporin A, 1984-1985
Evaluation of KHP co-pay liability requirement, report to Mr. Miller, 1988-1989
Income level study in connection with rider 24A to SB 1 (means test), 1988
UT [University of Texas] School of Pharmacy drug study, 1988-1990
Report to Mr. Miller regarding KHP provider drugs, 1988
Year 2000 health objectives, 1988-1989
Strategic planning, 1988-1992
TDH program activity self-review, February 1991
New initiatives report, monthly report to bureau, 1993
Monthly workload report, 1993-1994
Quarterly report of key performance targets, 1992-1994
Output and efficiency measures report, FY 1993-1995
Request for proposals - VDP [Vendor Drug Program], 1985-1988
Vendor drug program ad hoc committee, committee to review pilot project for a vendor drug program, 1985-1987
Vendor drug program, 1984-1986