83R1881 KKR-D
By: S. Davis of Harris H.B. No. 1605
A BILL TO BE ENTITLED
AN ACT
relating to the establishment of a pilot program in Harris County to
provide maternity care management to certain women enrolled in the
Medicaid managed care program.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Subchapter B, Chapter 531, Government Code, is
amended by adding Section 531.0996 to read as follows:
Sec. 531.0996. PREGNANCY MEDICAL HOME PILOT PROGRAM. (a)
The commission shall develop and implement a pilot program in
Harris County to create pregnancy medical homes that provide
coordinated evidence-based maternity care management to women who
reside in the pilot program area and are recipients of medical
assistance through a Medicaid managed care model or arrangement
under Chapter 533.
(b) In developing the pilot program, the commission shall
ensure that each pregnancy medical home created for the program
provides a maternity management team that:
(1) consists of health care providers, including
obstetricians, gynecologists, family physicians, physician
assistants, certified nurse midwives, nurse practitioners, and
social workers, in a single location;
(2) conducts a risk-classification assessment for
each pilot program participant on entry into the program to
determine whether her pregnancy is considered high- or low-risk;
(3) based on the assessment under Subdivision (2),
establishes an individual pregnancy care plan for each participant;
and
(4) follows the participant throughout her pregnancy
in order to reduce poor birth outcomes.
(c) The commission may incorporate financial incentives to
health care providers who participate in a maternity management
team as a component of the pilot program.
(d) Not later than January 1, 2015, the commission shall
report to the legislature on the progress of the pilot program. The
report must include:
(1) an evaluation of the pilot program's success in
reducing poor birth outcomes; and
(2) a recommendation as to whether the pilot program
should be continued, expanded, or terminated.
(e) The executive commissioner may adopt rules to implement
this section.
(f) This section expires September 1, 2017.
SECTION 2. If before implementing any provision of this Act
a state agency determines that a waiver or authorization from a
federal agency is necessary for implementation of that provision,
the agency affected by the provision shall request the waiver or
authorization and may delay implementing that provision until the
waiver or authorization is granted.
SECTION 3. This Act takes effect September 1, 2013.