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A BILL TO BE ENTITLED
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AN ACT
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relating to coverage for certain services relating to postpartum |
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depression under the medical assistance and CHIP perinatal |
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programs. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Chapter 62, Health and Safety Code, is amended by |
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adding Subchapter E to read as follows: |
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SUBCHAPTER E. CHIP PERINATAL PROGRAM |
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Sec. 62.201. DEFINITION. In this subchapter, "postpartum |
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depression" means a disorder with postpartum onset that is |
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categorized as a mood disorder by the American Psychiatric |
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Association in the Diagnostic and Statistical Manual of Mental |
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Disorders, 5th Edition (DSM-5), or a subsequent edition adopted by |
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rule by the executive commissioner of the commission. |
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Sec. 62.202. COVERAGE FOR CERTAIN SERVICES REQUIRED. (a) |
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The covered services under the CHIP perinatal program must include, |
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for each woman who gives birth to a child who is enrolled in the CHIP |
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perinatal program before birth, screening and treatment for |
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postpartum depression for the 12-month period after the date the |
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woman gives birth to the child. |
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(b) If the health care provider who is treating a woman for |
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postpartum depression under Subsection (a) determines that it is |
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medically necessary for the woman to continue receiving treatment |
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after the 12-month period of coverage ends, the health care |
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provider must refer the woman to a federally qualified health |
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center for continued treatment. |
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(c) The executive commissioner of the commission shall |
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adopt rules necessary to implement this section. |
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SECTION 2. Subchapter B, Chapter 32, Human Resources Code, |
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is amended by adding Section 32.0249 to read as follows: |
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Sec. 32.0249. SERVICES RELATED TO POSTPARTUM DEPRESSION. |
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(a) For purposes of this section, "postpartum depression" means a |
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disorder with postpartum onset that is categorized as a mood |
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disorder by the American Psychiatric Association in the Diagnostic |
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and Statistical Manual of Mental Disorders, 5th Edition (DSM-5), or |
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a subsequent edition adopted by rule by the executive commissioner |
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of the Health and Human Services Commission. |
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(b) The department shall provide to a woman who receives |
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medical assistance benefits during a pregnancy screening and |
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treatment for postpartum depression for the 12-month period after |
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the date the woman gives birth. |
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(c) If the health care provider who is treating a woman for |
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postpartum depression under Subsection (b) determines that it is |
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medically necessary for the woman to continue receiving treatment |
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after the 12-month period, the health care provider must refer the |
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woman to a federally qualified health center for continued |
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treatment. |
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(d) The executive commissioner of the Health and Human |
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Services Commission shall adopt rules necessary to implement this |
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section. |
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SECTION 3. If before implementing any provision of this Act |
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a state agency determines that a waiver or authorization from a |
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federal agency is necessary for implementation of that provision, |
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the agency affected by the provision shall request the waiver or |
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authorization and may delay implementing that provision until the |
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waiver or authorization is granted. |
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SECTION 4. This Act takes effect September 1, 2015. |