Bill Text: TX HB329 | 2017 | 85th Legislature 1st Special Session | Introduced
Bill Title: Relating to maternal health care.
Spectrum: Partisan Bill (Republican 1-0)
Status: (Introduced - Dead) 2017-07-27 - Referred to Public Health [HB329 Detail]
Download: Texas-2017-HB329-Introduced.html
| 85S10907 DMS-D | ||
| By: Davis of Harris | H.B. No. 329 | |
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| relating to maternal health care. | ||
| BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
| SECTION 1. Subchapter A, Chapter 32, Health and Safety | ||
| Code, is amended by adding Section 32.022 to read as follows: | ||
| Sec. 32.022. WOMEN'S HEALTH CAMPAIGN. The commission, in | ||
| collaboration with the department and other interested parties, | ||
| shall create a campaign to educate women about the importance of | ||
| prenatal care. | ||
| SECTION 2. Section 34.005, Health and Safety Code, is | ||
| amended to read as follows: | ||
| Sec. 34.005. DUTIES OF TASK FORCE. The task force shall: | ||
| (1) study and review: | ||
| (A) cases of pregnancy-related deaths; [ |
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| (B) trends, rates, or disparities in | ||
| pregnancy-related deaths, postpartum depression, behavioral health | ||
| diagnoses, and [ |
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| (C) health conditions and factors that | ||
| disproportionately affect the most at-risk population as | ||
| determined in the task force's biennial report required under | ||
| Section 34.015; and | ||
| (D) best practices and programs operating in | ||
| other states that have reduced rates of pregnancy-related deaths; | ||
| (2) determine the feasibility of the task force | ||
| studying cases of severe maternal morbidity; and | ||
| (3) make recommendations to help reduce the incidence | ||
| of pregnancy-related deaths and severe maternal morbidity in this | ||
| state. | ||
| SECTION 3. Chapter 34, Health and Safety Code, is amended by | ||
| adding Sections 34.0155, 34.0156, and 34.0157 to read as follows: | ||
| Sec. 34.0155. REPORT ON PREGNANCY-RELATED DEATHS AND | ||
| POSTPARTUM DEPRESSION. The commission shall: | ||
| (1) evaluate options for reducing pregnancy-related | ||
| deaths, focusing on the most prevalent causes of pregnancy-related | ||
| deaths as identified in the task force's biennial report required | ||
| under Section 34.015, and for treating postpartum depression in | ||
| economically disadvantaged women; and | ||
| (2) submit a written report summarizing the | ||
| commission's, department's, and task force's efforts to accomplish | ||
| the tasks described by Subdivision (1) to the governor, the | ||
| lieutenant governor, the speaker of the house of representatives, | ||
| the Legislative Budget Board, and the appropriate standing | ||
| committees of the legislature not later than December 1 of each | ||
| even-numbered year. | ||
| Sec. 34.0156. REPORT ON ACTIONS TO ADDRESS MATERNAL | ||
| MORTALITY RATES. Not later than December 1 of each even-numbered | ||
| year, the commission shall submit to the governor, the lieutenant | ||
| governor, the speaker of the house of representatives, the | ||
| Legislative Budget Board, and the appropriate standing committees | ||
| of the legislature a written report summarizing the actions taken | ||
| to address maternal morbidity and reduce maternal mortality rates. | ||
| The report must include information from programs and initiatives | ||
| created to address maternal morbidity and reduce maternal mortality | ||
| rates in this state, including: | ||
| (1) Medicaid as defined by Section 531.001, Government | ||
| Code; | ||
| (2) the children's health insurance program, including | ||
| the perinatal program; | ||
| (3) the Healthy Texas Women program; | ||
| (4) the Family Planning Program; | ||
| (5) this state's program under the Maternal and Child | ||
| Health Services Block Grant Act (42 U.S.C. Section 701 et seq.); | ||
| (6) the Perinatal Advisory Council; | ||
| (7) state health plans; and | ||
| (8) the Healthy Texas Babies program. | ||
| Sec. 34.0157. PROGRAM EVALUATIONS; RESOURCE GUIDE; PILOT | ||
| PROGRAM. (a) The task force, under the direction of the | ||
| commission, shall: | ||
| (1) explore options for expanding the pilot program | ||
| for pregnancy medical homes under Section 531.0996, Government | ||
| Code; | ||
| (2) explore the possibility of increasing the benefits | ||
| provided under state-administered health programs, including | ||
| specialty care and prescriptions, for women who are at greater risk | ||
| of having a high-risk pregnancy or premature delivery; | ||
| (3) evaluate supplemental payments to obstetrics | ||
| providers for pregnancy risk assessments and evaluate the | ||
| submission of a waiver to fund managed care organization payments | ||
| for case management and care coordination services for women at | ||
| high risk of severe maternal morbidity on conclusion of their | ||
| eligibility for Medicaid as defined by Section 531.001, Government | ||
| Code; | ||
| (4) evaluate the length of time to complete the | ||
| Medicaid enrollment process for pregnant women; | ||
| (5) evaluate the use for Medicaid of Medicare codes | ||
| for care coordination; and | ||
| (6) study the impact of the programs funded from the | ||
| Teen Pregnancy Prevention Program federal grant and whether the | ||
| state should continue funding the programs. | ||
| (b) The commission shall: | ||
| (1) create and maintain an online resource guide of | ||
| mental and behavioral health providers to assist women who have | ||
| limited or no health benefit plan coverage or mental health benefit | ||
| plan coverage in finding affordable providers; and | ||
| (2) create a pilot program for managed care | ||
| organizations to use community health workers to address the needs | ||
| of women who have a high-risk condition, including: | ||
| (A) substance use disorder; | ||
| (B) cardiovascular disease; and | ||
| (C) hypertension. | ||
| SECTION 4. Chapter 34, Health and Safety Code, is amended by | ||
| adding Section 34.019 to read as follows: | ||
| Sec. 34.019. DATA COLLECTION. The task force, under the | ||
| direction of the commission, shall collect information relating to | ||
| maternity care and postpartum depression in this state, including | ||
| the: | ||
| (1) total number of births to Medicaid recipients; | ||
| (2) number of women who are screened for postpartum | ||
| depression as a Medicaid recipient; | ||
| (3) total number of births to women with health | ||
| benefit plan coverage; | ||
| (4) number of women with health benefit plan coverage | ||
| who are screened for postpartum depression; | ||
| (5) number of women with health benefit plan coverage | ||
| who are treated for postpartum depression; | ||
| (6) number of women screened for postpartum depression | ||
| under the Healthy Texas Women program; | ||
| (7) number of women treated for postpartum depression | ||
| under the Healthy Texas Women program; | ||
| (8) number of claims for postpartum depression | ||
| treatment paid by the Healthy Texas Women program; | ||
| (9) number of claims for postpartum depression | ||
| treatment rejected by the Healthy Texas Women program; | ||
| (10) postpartum depression screening and treatment | ||
| billing codes and the number of claims for each billing code under | ||
| the Healthy Texas Women program; | ||
| (11) number of days between the date of a postpartum | ||
| depression screening and the date the patient begins treatment | ||
| under Medicaid; | ||
| (12) number of days between the date of a postpartum | ||
| depression screening and the date the patient begins treatment | ||
| under the Healthy Texas Women program; | ||
| (13) number of women who screen positive for | ||
| postpartum depression under Medicaid and the length of time | ||
| following childbirth for the screening to occur; | ||
| (14) number of women with health benefit plan coverage | ||
| who screen positive for postpartum depression and the length of | ||
| time following childbirth for the screening to occur; and | ||
| (15) number of women who screen positive for | ||
| postpartum depression under the Healthy Texas Women program and the | ||
| length of time following childbirth for the screening to occur. | ||
| SECTION 5. Section 34.018, Health and Safety Code, is | ||
| amended to read as follows: | ||
| Sec. 34.018. SUNSET PROVISION. The task force is subject to | ||
| Chapter 325, Government Code (Texas Sunset Act). Unless continued | ||
| in existence as provided by that chapter, the task force is | ||
| abolished and this chapter expires September 1, 2023 [ |
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| SECTION 6. This Act takes effect immediately if it receives | ||
| a vote of two-thirds of all the members elected to each house, as | ||
| provided by Section 39, Article III, Texas Constitution. If this | ||
| Act does not receive the vote necessary for immediate effect, this | ||
| Act takes effect on the 91st day after the last day of the | ||
| legislative session. | ||
