Texas 2017 - 85th 1st C.S.

Texas House Bill HB329 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	85S10907 DMS-D
2	2	By: Davis of Harris H.B. No. 329
3	3
4	4
5	5	A BILL TO BE ENTITLED
6	6	AN ACT
7	7	relating to maternal health care.
8	8	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
9	9	SECTION 1. Subchapter A, Chapter 32, Health and Safety
10	10	Code, is amended by adding Section 32.022 to read as follows:
11	11	Sec. 32.022. WOMEN'S HEALTH CAMPAIGN. The commission, in
12	12	collaboration with the department and other interested parties,
13	13	shall create a campaign to educate women about the importance of
14	14	prenatal care.
15	15	SECTION 2. Section 34.005, Health and Safety Code, is
16	16	amended to read as follows:
17	17	Sec. 34.005. DUTIES OF TASK FORCE. The task force shall:
18	18	(1) study and review:
19	19	(A) cases of pregnancy-related deaths; [and]
20	20	(B) trends, rates, or disparities in
21	21	pregnancy-related deaths, postpartum depression, behavioral health
22	22	diagnoses, and [in] severe maternal morbidity;
23	23	(C) health conditions and factors that
24	24	disproportionately affect the most at-risk population as
25	25	determined in the task force's biennial report required under
26	26	Section 34.015; and
27	27	(D) best practices and programs operating in
28	28	other states that have reduced rates of pregnancy-related deaths;
29	29	(2) determine the feasibility of the task force
30	30	studying cases of severe maternal morbidity; and
31	31	(3) make recommendations to help reduce the incidence
32	32	of pregnancy-related deaths and severe maternal morbidity in this
33	33	state.
34	34	SECTION 3. Chapter 34, Health and Safety Code, is amended by
35	35	adding Sections 34.0155, 34.0156, and 34.0157 to read as follows:
36	36	Sec. 34.0155. REPORT ON PREGNANCY-RELATED DEATHS AND
37	37	POSTPARTUM DEPRESSION. The commission shall:
38	38	(1) evaluate options for reducing pregnancy-related
39	39	deaths, focusing on the most prevalent causes of pregnancy-related
40	40	deaths as identified in the task force's biennial report required
41	41	under Section 34.015, and for treating postpartum depression in
42	42	economically disadvantaged women; and
43	43	(2) submit a written report summarizing the
44	44	commission's, department's, and task force's efforts to accomplish
45	45	the tasks described by Subdivision (1) to the governor, the
46	46	lieutenant governor, the speaker of the house of representatives,
47	47	the Legislative Budget Board, and the appropriate standing
48	48	committees of the legislature not later than December 1 of each
49	49	even-numbered year.
50	50	Sec. 34.0156. REPORT ON ACTIONS TO ADDRESS MATERNAL
51	51	MORTALITY RATES. Not later than December 1 of each even-numbered
52	52	year, the commission shall submit to the governor, the lieutenant
53	53	governor, the speaker of the house of representatives, the
54	54	Legislative Budget Board, and the appropriate standing committees
55	55	of the legislature a written report summarizing the actions taken
56	56	to address maternal morbidity and reduce maternal mortality rates.
57	57	The report must include information from programs and initiatives
58	58	created to address maternal morbidity and reduce maternal mortality
59	59	rates in this state, including:
60	60	(1) Medicaid as defined by Section 531.001, Government
61	61	Code;
62	62	(2) the children's health insurance program, including
63	63	the perinatal program;
64	64	(3) the Healthy Texas Women program;
65	65	(4) the Family Planning Program;
66	66	(5) this state's program under the Maternal and Child
67	67	Health Services Block Grant Act (42 U.S.C. Section 701 et seq.);
68	68	(6) the Perinatal Advisory Council;
69	69	(7) state health plans; and
70	70	(8) the Healthy Texas Babies program.
71	71	Sec. 34.0157. PROGRAM EVALUATIONS; RESOURCE GUIDE; PILOT
72	72	PROGRAM. (a) The task force, under the direction of the
73	73	commission, shall:
74	74	(1) explore options for expanding the pilot program
75	75	for pregnancy medical homes under Section 531.0996, Government
76	76	Code;
77	77	(2) explore the possibility of increasing the benefits
78	78	provided under state-administered health programs, including
79	79	specialty care and prescriptions, for women who are at greater risk
80	80	of having a high-risk pregnancy or premature delivery;
81	81	(3) evaluate supplemental payments to obstetrics
82	82	providers for pregnancy risk assessments and evaluate the
83	83	submission of a waiver to fund managed care organization payments
84	84	for case management and care coordination services for women at
85	85	high risk of severe maternal morbidity on conclusion of their
86	86	eligibility for Medicaid as defined by Section 531.001, Government
87	87	Code;
88	88	(4) evaluate the length of time to complete the
89	89	Medicaid enrollment process for pregnant women;
90	90	(5) evaluate the use for Medicaid of Medicare codes
91	91	for care coordination; and
92	92	(6) study the impact of the programs funded from the
93	93	Teen Pregnancy Prevention Program federal grant and whether the
94	94	state should continue funding the programs.
95	95	(b) The commission shall:
96	96	(1) create and maintain an online resource guide of
97	97	mental and behavioral health providers to assist women who have
98	98	limited or no health benefit plan coverage or mental health benefit
99	99	plan coverage in finding affordable providers; and
100	100	(2) create a pilot program for managed care
101	101	organizations to use community health workers to address the needs
102	102	of women who have a high-risk condition, including:
103	103	(A) substance use disorder;
104	104	(B) cardiovascular disease; and
105	105	(C) hypertension.
106	106	SECTION 4. Chapter 34, Health and Safety Code, is amended by
107	107	adding Section 34.019 to read as follows:
108	108	Sec. 34.019. DATA COLLECTION. The task force, under the
109	109	direction of the commission, shall collect information relating to
110	110	maternity care and postpartum depression in this state, including
111	111	the:
112	112	(1) total number of births to Medicaid recipients;
113	113	(2) number of women who are screened for postpartum
114	114	depression as a Medicaid recipient;
115	115	(3) total number of births to women with health
116	116	benefit plan coverage;
117	117	(4) number of women with health benefit plan coverage
118	118	who are screened for postpartum depression;
119	119	(5) number of women with health benefit plan coverage
120	120	who are treated for postpartum depression;
121	121	(6) number of women screened for postpartum depression
122	122	under the Healthy Texas Women program;
123	123	(7) number of women treated for postpartum depression
124	124	under the Healthy Texas Women program;
125	125	(8) number of claims for postpartum depression
126	126	treatment paid by the Healthy Texas Women program;
127	127	(9) number of claims for postpartum depression
128	128	treatment rejected by the Healthy Texas Women program;
129	129	(10) postpartum depression screening and treatment
130	130	billing codes and the number of claims for each billing code under
131	131	the Healthy Texas Women program;
132	132	(11) number of days between the date of a postpartum
133	133	depression screening and the date the patient begins treatment
134	134	under Medicaid;
135	135	(12) number of days between the date of a postpartum
136	136	depression screening and the date the patient begins treatment
137	137	under the Healthy Texas Women program;
138	138	(13) number of women who screen positive for
139	139	postpartum depression under Medicaid and the length of time
140	140	following childbirth for the screening to occur;
141	141	(14) number of women with health benefit plan coverage
142	142	who screen positive for postpartum depression and the length of
143	143	time following childbirth for the screening to occur; and
144	144	(15) number of women who screen positive for
145	145	postpartum depression under the Healthy Texas Women program and the
146	146	length of time following childbirth for the screening to occur.
147	147	SECTION 5. Section 34.018, Health and Safety Code, is
148	148	amended to read as follows:
149	149	Sec. 34.018. SUNSET PROVISION. The task force is subject to
150	150	Chapter 325, Government Code (Texas Sunset Act). Unless continued
151	151	in existence as provided by that chapter, the task force is
152	152	abolished and this chapter expires September 1, 2023 [2019].
153	153	SECTION 6. This Act takes effect immediately if it receives
154	154	a vote of two-thirds of all the members elected to each house, as
155	155	provided by Section 39, Article III, Texas Constitution. If this
156	156	Act does not receive the vote necessary for immediate effect, this
157	157	Act takes effect on the 91st day after the last day of the
158	158	legislative session.