Texas 2011 - 82nd Regular

Texas House Bill HB1983 Compare Versions

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1	1	By: Kolkhorst, Walle, et al. H.B. No. 1983
2	2	(Senate Sponsor - Nelson)
3	3	(In the Senate - Received from the House May 6, 2011;
4	4	May 9, 2011, read first time and referred to Committee on Health
5	5	and Human Services; May 13, 2011, reported favorably by the
6	6	following vote: Yeas 7, Nays 0; May 13, 2011, sent to printer.)
7	7
8	8
9	9	A BILL TO BE ENTITLED
10	10	AN ACT
11	11	relating to certain childbirths occurring before the 39th week of
12	12	gestation.
13	13	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
14	14	SECTION 1. Subchapter B, Chapter 32, Human Resources Code,
15	15	is amended by adding Section 32.0313 to read as follows:
16	16	Sec. 32.0313. INDUCED DELIVERIES OR CESAREAN SECTIONS
17	17	BEFORE 39TH WEEK. (a) The department shall achieve cost savings
18	18	with improved outcomes by adopting and implementing quality
19	19	initiatives that are evidence-based, tested, and fully consistent
20	20	with established standards of clinical care and that are designed
21	21	to reduce the number of elective or nonmedically indicated induced
22	22	deliveries or cesarean sections performed at a hospital on a
23	23	medical assistance recipient before the 39th week of gestation.
24	24	(b) The department shall coordinate with physicians,
25	25	hospitals, managed care organizations, and the department's
26	26	billing contractor for the medical assistance program to develop a
27	27	process for collecting information regarding the number of induced
28	28	deliveries and cesarean sections described by Subsection (a) that
29	29	occur during prescribed periods.
30	30	SECTION 2. Subchapter A, Chapter 241, Health and Safety
31	31	Code, is amended by adding Section 241.007 to read as follows:
32	32	Sec. 241.007. INDUCED DELIVERIES OR CESAREAN SECTIONS
33	33	BEFORE 39TH WEEK. A hospital that provides obstetrical services
34	34	shall collaborate with physicians providing services at the
35	35	hospital to develop quality initiatives to reduce the number of
36	36	elective or nonmedically indicated induced deliveries or cesarean
37	37	sections performed at the hospital on a woman before the 39th week
38	38	of gestation.
39	39	SECTION 3. (a) The Health and Human Services Commission
40	40	shall conduct a study to assess the effects of the quality
41	41	initiatives adopted under Section 32.0313, Human Resources Code, as
42	42	added by this Act, and Section 241.007, Health and Safety Code, as
43	43	added by this Act, on infant health and frequency of infant
44	44	admissions to neonatal intensive care units and hospital
45	45	readmissions for mothers and infants.
46	46	(b) Not later than December 1, 2012, the Health and Human
47	47	Services Commission shall submit a written report containing the
48	48	findings of the study conducted under this section together with
49	49	the commission's recommendations to the standing committees of the
50	50	senate and house of representatives having primary jurisdiction
51	51	over public health.
52	52	SECTION 4. If before implementing any provision of this Act
53	53	a state agency determines that a waiver or authorization from a
54	54	federal agency is necessary for implementation of that provision,
55	55	the agency affected by the provision shall request the waiver or
56	56	authorization and may delay implementing that provision until the
57	57	waiver or authorization is granted.
58	58	SECTION 5. This Act takes effect September 1, 2011.
59	59	* * * * *