Texas 2019 - 86th Regular

Texas House Bill HB2618 Compare Versions

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Old	New		Differences
1		-	86R28898 JG-F
2		-	By: Walle, Thierry, Morales, Ortega H.B. No. 2618
3		-	Substitute the following for H.B. No. 2618:
4		-	By: Thompson of Harris C.S.H.B. No. 2618
	1	+	86R10459 JG-F
	2	+	By: Walle H.B. No. 2618
5	3
6	4
7	5		A BILL TO BE ENTITLED
8	6		AN ACT
9		-	relating to the maternal ~~mental health~~ peer support pilot program
10		-	~~for perinatal~~ mood ~~and anxiety~~ disorder.
	7	+	relating to the maternal peer support pilot program for perinatal
	8	+	mood disorder.
11	9		BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
12	10		SECTION 1. Chapter 32, Health and Safety Code, is amended by
13	11		adding Subchapter E to read as follows:
14		-	SUBCHAPTER E. MATERNAL MENTAL HEALTH PEER SUPPORT PILOT PROGRAM
15		-	Sec. 32.101. DEFINITIONS. In this subchapter:
16		-	(1) "Peer support service" means a service provided by
17		-	a peer support specialist to a person with mental illness or
18		-	substance abuse conditions in accordance with commission rules
19		-	regarding peer specialists.
20		-	(2) "Perinatal mood and anxiety disorder" includes any
21		-	of the following psychiatric illnesses, as defined by the American
22		-	Psychiatric Association in the Diagnostic and Statistical Manual
23		-	(DSM), that occur during pregnancy or within 12 months postpartum:
24		-	(A) bipolar disorder, including hypomanic,
25		-	manic, depressive, and mixed types;
26		-	(B) major depressive disorder, including
27		-	single-episode and recurrent types;
28		-	(C) generalized anxiety disorder;
29		-	(D) obsessive-compulsive disorder;
30		-	(E) paranoid or other psychotic disorder; and
31		-	(F) post-traumatic stress disorder.
32		-	(3) "Pilot program" means the maternal mental health
33		-	peer support pilot program established under this subchapter.
	12	+	SUBCHAPTER E. MATERNAL PEER SUPPORT PILOT PROGRAM
	13	+	Sec. 32.101. DEFINITION. In this subchapter, "pilot
	14	+	program" means the maternal peer support pilot program established
	15	+	under this subchapter.
34	16		Sec. 32.102. ESTABLISHMENT OF PILOT PROGRAM. (a) The
35		-	commission shall establish and operate the maternal mental health
36		-	peer support pilot program to reduce the risk and manage the effects
37		-	of perinatal mood and anxiety disorders in women through the
38		-	delivery of peer support services at federally qualified health
39		-	centers located in the geographic areas in which the pilot program
40		-	operates.
41		-	(b) The commission shall establish the pilot program in five
42		-	counties in this state that:
	17	+	commission shall establish and operate the maternal peer support
	18	+	pilot program to reduce the risk and manage the effects of perinatal
	19	+	mood disorders in women through the delivery of peer support
	20	+	services at federally qualified health centers located in the
	21	+	geographic areas in which the pilot program operates.
	22	+	(b) The commission shall establish the pilot program in
	23	+	three counties in this state that:
43	24		(1) either:
44	25		(A) are within an area designated as a mental
45	26		health professional shortage area; or
46	27		(B) have high rates of maternal mortality and
47	28		morbidity as determined by the commission in consultation with the
48	29		Maternal Mortality and Morbidity Task Force established under
49	30		Chapter 34; and
50	31		(2) include at least one rural county and one county
51		-	with a population of at least ~~500,000~~.
	32	+	with a population of at least one million.
52	33		Sec. 32.103. OPERATION OF PILOT PROGRAM. (a) In
53	34		establishing the pilot program, the commission shall:
54	35		(1) develop a strategy for federally qualified health
55	36		centers participating in the pilot program and persons responsible
56	37		for training to collaborate on the training, certification, and
57		-	guidance of peer support specialists in accordance with existing
58		-	state procedures and programs;
	38	+	guidance of peer support specialists;
59	39		(2) seek comments regarding best practices for the
60	40		design and implementation of the pilot program from relevant
61		-	interested persons, including ~~federally qualified~~ health ~~centers~~,
62		-	~~mental health care providers, local~~ mental health authorities,
63		-	~~certified peer support specialists and~~ affiliated organizations,
64		-	~~women's health care providers, and~~ individuals who have personal
65		-	~~experience with perinatal mood and anxiety~~ disorders;
	41	+	interested persons, including mental health care providers, local
	42	+	mental health authorities, certified peer support specialists and
	43	+	affiliated organizations, women's health care providers, and
	44	+	individuals who have personal experience with perinatal mood
	45	+	disorders;
66	46		(3) develop specialized training to:
67	47		(A) identify and treat symptoms of perinatal mood
68		-	~~and anxiety~~ disorders; and
	48	+	disorders; and
69	49		(B) provide peer support services to pregnant
70	50		women and new mothers;
71		-	(4) develop a strategy for federally qualified health
72		-	centers and peer support specialists participating in the pilot
73		-	program to provide peer support services through any form of
74		-	telephonic communication;
75		-	(5) develop a strategy with federally qualified health
	51	+	(4) develop a strategy for peer support specialists
	52	+	participating in the pilot program to provide peer support services
	53	+	through telemedicine or telehealth services;
	54	+	(5) collaborate with federally qualified health
76	55		centers participating in the pilot program to integrate the
77	56		delivery of peer support services with the health care services
78	57		provided by the centers to women during pregnancy and within one
79	58		year of giving birth;
80		-	(6) create a protocol within federally qualified
81		-	health centers participating in the pilot program for referring to
82		-	peer support services women who are diagnosed as having or
83		-	identified as being at risk of developing a perinatal mood and
84		-	anxiety disorder;
	59	+	(6) create a protocol for referring to peer support
	60	+	services women who are diagnosed as having or identified as being at
	61	+	risk of developing a perinatal mood disorder;
85	62		(7) ensure that services provided by peer support
86		-	specialists under the pilot program are within the scope of a duty
87		-	of care prescribed by commission rule for peer support specialists
88		-	who provide similar services; and
89		-	(8) develop a method for collecting data, including by
90		-	consulting with the Maternal Mortality and Morbidity Task Force and
91		-	other relevant entities regarding the data, on:
	63	+	specialists under the pilot program are within the scope of a
	64	+	practice of care prescribed by commission rule for peer support
	65	+	specialists who provide similar services; and
	66	+	(8) develop a method for collecting data on:
92	67		(A) maternal health and mental health outcomes;
93	68		and
94	69		(B) substance use by women receiving peer support
95	70		services through the pilot program.
96	71		(b) A peer support specialist who provides peer support
97		-	services through the pilot program at a federally qualified health
98		-	center shall:
	72	+	services through the pilot program shall:
99	73		(1) provide peer support services to women who:
100	74		(A) based on the results of a postpartum
101	75		depression screening or other screening tool, are diagnosed as
102	76		having or identified as being at risk of developing a perinatal mood
103		-	~~and anxiety~~ disorder; and
	77	+	disorder; and
104	78		(B) are interested in receiving peer support
105	79		services; and
106	80		(2) through the use of the specialist's personal
107		-	experience with perinatal mood ~~and anxiety~~ disorders:
	81	+	experience with perinatal mood disorders:
108	82		(A) provide guidance to the women;
109	83		(B) if necessary, advocate for the women to
110	84		receive mental health care services or other specialized health
111	85		care services; and
112	86		(C) provide the women with information on mental
113	87		health care resources as necessary.
114	88		Sec. 32.104. FUNDING. In addition to money appropriated by
115	89		the legislature, the commission may accept gifts, grants, and
116	90		donations from any source for the purpose of establishing the pilot
117	91		program and compensating peer support specialists under the pilot
118	92		program.
119	93		Sec. 32.105. REPORT. Not later than January 1, 2021, the
120	94		commission shall prepare and submit to the governor, lieutenant
121	95		governor, and legislature a written report that:
122	96		(1) evaluates the success of the pilot program in
123		-	reducing perinatal mood and anxiety disorders and substance use in
124		-	women who received peer support services under the pilot program;
125		-	and
	97	+	reducing perinatal mood disorders and substance use in women who
	98	+	received peer support services under the pilot program; and
126	99		(2) recommends whether the pilot program should be
127	100		continued, expanded, or terminated.
128		-	Sec. 32.106. EXPIRATION. This ~~subchapter~~ expires September
129		-	1, 2023.
	101	+	Sec. 32.106. EXPIRATION. This chapter expires September 1,
	102	+	2023.
130	103		SECTION 2. (a) Not later than December 31, 2019, the
131	104		executive commissioner of the Health and Human Services Commission
132	105		shall adopt rules as necessary to establish the pilot program as
133	106		required by Subchapter E, Chapter 32, Health and Safety Code, as
134	107		added by this Act.
135		-	(b) Not later than June 30, 2020, the Health and Human
	108	+	(b) Not later than June 31, 2020, the Health and Human
136	109		Services Commission shall establish the pilot program as required
137	110		by Subchapter E, Chapter 32, Health and Safety Code, as added by
138	111		this Act.
139	112		SECTION 3. This Act takes effect September 1, 2019.