| 1 | 1 | | 86R7922 EAS-F |
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| 2 | 2 | | By: Price H.B. No. 1292 |
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| 3 | 3 | | |
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| 4 | 4 | | |
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| 5 | 5 | | A BILL TO BE ENTITLED |
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| 6 | 6 | | AN ACT |
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| 7 | 7 | | relating to statewide initiatives to improve maternal and newborn |
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| 8 | 8 | | health for women with opioid use disorder. |
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| 9 | 9 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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| 10 | 10 | | SECTION 1. Chapter 34, Health and Safety Code, is amended by |
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| 11 | 11 | | adding Section 34.0158 to read as follows: |
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| 12 | 12 | | Sec. 34.0158. OPIOID USE DISORDER MATERNAL AND NEWBORN |
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| 13 | 13 | | HEALTH INITIATIVES. (a) The department, in collaboration with the |
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| 14 | 14 | | task force, shall develop and implement initiatives to: |
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| 15 | 15 | | (1) improve screening procedures to better identify |
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| 16 | 16 | | and care for women with opioid use disorder; |
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| 17 | 17 | | (2) improve continuity of care for women with opioid |
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| 18 | 18 | | use disorder by ensuring that health care providers refer the women |
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| 19 | 19 | | to appropriate treatment and verify the women receive the |
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| 20 | 20 | | treatment; |
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| 21 | 21 | | (3) optimize health care provided to pregnant women |
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| 22 | 22 | | with opioid use disorder; |
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| 23 | 23 | | (4) optimize health care provided to newborns with |
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| 24 | 24 | | neonatal abstinence syndrome by encouraging maternal engagement; |
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| 25 | 25 | | (5) increase access to medication-assisted treatment |
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| 26 | 26 | | for women with opioid use disorder during pregnancy and the |
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| 27 | 27 | | postpartum period; and |
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| 28 | 28 | | (6) prevent opioid use disorder by reducing the number |
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| 29 | 29 | | of opioid drugs prescribed before, during, and following a |
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| 30 | 30 | | delivery. |
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| 31 | 31 | | (b) Before implementing the initiatives described by |
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| 32 | 32 | | Subsection (a), the department may conduct a limited pilot program |
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| 33 | 33 | | in one or more geographic areas of this state to implement the |
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| 34 | 34 | | initiatives at hospitals licensed under Chapter 241 with expertise |
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| 35 | 35 | | in caring for newborns with neonatal abstinence syndrome or related |
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| 36 | 36 | | conditions. The pilot program must conclude not later than March 1, |
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| 37 | 37 | | 2020. This subsection expires September 1, 2021. |
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| 38 | 38 | | (c) Using existing resources, the department, in |
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| 39 | 39 | | collaboration with the task force, shall promote and facilitate the |
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| 40 | 40 | | use among health care providers in this state of maternal health |
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| 41 | 41 | | informational materials, including tools and procedures related to |
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| 42 | 42 | | best practices in maternal health to improve obstetrical care for |
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| 43 | 43 | | women with opioid use disorder. |
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| 44 | 44 | | SECTION 2. Not later than December 1, 2020, the Department |
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| 45 | 45 | | of State Health Services shall prepare and submit to the presiding |
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| 46 | 46 | | officers of the standing committees of each house of the |
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| 47 | 47 | | legislature with primary jurisdiction over public health a written |
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| 48 | 48 | | report that evaluates the success of the initiatives developed and |
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| 49 | 49 | | implemented under Section 34.0158, Health and Safety Code, as added |
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| 50 | 50 | | by this Act, and, if applicable, the pilot program conducted under |
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| 51 | 51 | | that section. The report submitted under this section may be |
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| 52 | 52 | | submitted with the report required under Section 34.0156, Health |
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| 53 | 53 | | and Safety Code. |
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| 54 | 54 | | SECTION 3. This Act takes effect immediately if it receives |
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| 55 | 55 | | a vote of two-thirds of all the members elected to each house, as |
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| 56 | 56 | | provided by Section 39, Article III, Texas Constitution. If this |
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| 57 | 57 | | Act does not receive the vote necessary for immediate effect, this |
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| 58 | 58 | | Act takes effect September 1, 2019. |
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