H.B. No. 2131 AN ACT relating to the designation of centers of excellence to achieve healthy fetal outcomes in this state. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Chapter 32, Health and Safety Code, is amended by adding Subchapter D to read as follows: SUBCHAPTER D. CENTERS OF EXCELLENCE FOR FETAL DIAGNOSIS AND THERAPY Sec. 32.071. DESIGNATION OF CENTERS OF EXCELLENCE FOR FETAL DIAGNOSIS AND THERAPY. (a) The department, in consultation with the Perinatal Advisory Council established under Section 241.187, shall designate as centers of excellence for fetal diagnosis and therapy one or more health care entities or programs in this state, including institutions of higher education as defined by Section 61.003, Education Code, or the programs of those institutions. (b) The executive commissioner of the Health and Human Services Commission, in consultation with the department and the Perinatal Advisory Council, shall adopt the rules necessary for a health care entity or program in this state to be designated as a center of excellence for fetal diagnosis and therapy. Sec. 32.072. SUBCOMMITTEE. (a) The department, in consultation with the Perinatal Advisory Council, shall appoint a subcommittee of that advisory council to advise the advisory council and the department on the development of rules related to the designations made by the department under this subchapter. As part of its duties under this subsection, the subcommittee specifically shall advise the advisory council and the department regarding the criteria necessary for a health care entity or program in this state to receive a designation under this subchapter. (b) The subcommittee must consist of individuals with expertise in fetal diagnosis and therapy. A majority of the members of the subcommittee must practice in those areas in a health profession in this state. The subcommittee may include national and international experts. Sec. 32.073. PRIORITY CONSIDERATIONS FOR CENTER DESIGNATIONS. The rules adopted under Section 32.071(b) must prioritize awarding a designation under this subchapter to a health care entity or program that: (1) offers fetal diagnosis and therapy through an extensive multi-specialty clinical program that is affiliated and collaborates extensively with a medical school in this state and an associated hospital facility that provides advanced maternal and neonatal care in accordance with its level of care designation received under Section 241.182; (2) demonstrates a significant commitment to research in and advancing the field of fetal diagnosis and therapy; (3) offers advanced training programs in fetal diagnosis and therapy; and (4) integrates an advanced fetal care program with a program that provides appropriate long-term monitoring and follow-up care for patients. Sec. 32.074. QUALIFICATIONS FOR DESIGNATION. The rules adopted under Section 32.071(b) must ensure that a health care entity or program that receives a center of excellence designation under this subchapter: (1) provides or is affiliated with a hospital facility that provides advanced maternal and neonatal care in accordance with its level of care designation received under Section 241.182; (2) implements and maintains a multidisciplinary health care team, including maternal fetal medicine specialists, pediatric and surgical specialists, neonatologists, nurses with specialized maternal and neonatal training, and other ancillary and support staff as appropriate to provide maternal, fetal, and neonatal services; (3) establishes minimum criteria for medical staff, nursing staff, and ancillary and support personnel; (4) measures short-term and long-term patient diagnostic and therapeutic outcomes; and (5) provides to the department annual reports containing aggregate data on short-term and long-term diagnostic and therapeutic outcomes as requested or required by the department and makes those reports available to the public. SECTION 2. (a) The executive commissioner of the Health and Human Services Commission shall adopt the rules required by Section 32.071, Health and Safety Code, as added by this Act, not later than March 1, 2017. (b) Not later than September 1, 2017 , the Department of State Health Services shall begin awarding designations required by Subchapter D, Chapter 32, Health and Safety Code, as added by this Act, to health care entities establishing eligibility under that subchapter. SECTION 3. This Act takes effect September 1, 2015. ______________________________ ______________________________ President of the Senate Speaker of the House I certify that H.B. No. 2131 was passed by the House on May 13, 2015, by the following vote: Yeas 140, Nays 4, 2 present, not voting; and that the House concurred in Senate amendments to H.B. No. 2131 on May 28, 2015, by the following vote: Yeas 136, Nays 7, 2 present, not voting. ______________________________ Chief Clerk of the House I certify that H.B. No. 2131 was passed by the Senate, with amendments, on May 26, 2015, by the following vote: Yeas 30, Nays 1. ______________________________ Secretary of the Senate APPROVED: __________________ Date __________________ Governor