86R13908 SCL-F
By: Thierry H.B. No. 2703
A BILL TO BE ENTITLED
AN ACT
relating to the establishment of a maternal mortality and morbidity
data registry.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Chapter 34, Health and Safety Code, is amended by
adding Section 34.019 to read as follows:
Sec. 34.019. DATA REGISTRY. (a) In this section,
"registry" means the data registry established under this section.
(b) The task force, in collaboration with the commission and
participating health care providers, shall establish a data
registry on the task force's Internet website that contains data of
participating health care providers on the frequency and
characteristics of maternal mortality and morbidity during and
following delivery.
(c) A health care provider, including a public or private
hospital, medical school, or clinic, may participate in the
registry by:
(1) collecting data at the time a pregnant woman is
admitted for delivery, on the day of delivery, 42 days postpartum,
and 364 days postpartum;
(2) providing collected data to the registry on a
daily basis; and
(3) complying with all applicable federal and state
laws relating to confidentiality and quality of health care
information for data provided to the registry.
(d) Data collected by a participating health care provider
must include:
(1) discharge data cross-referenced with birth and
death certificates provided by the department;
(2) clinical data on the health status of patients and
the health care provided to those patients by a provider over time,
including:
(A) data on the most common high-risk conditions,
such as hemorrhaging and pregnancy-induced hypertension; and
(B) notifiable deaths, including stillbirths,
infants born alive who die within 12 months of birth, and women who
die during pregnancy or were pregnant in the 12 months preceding
death;
(3) demographic data from a provider's admission
information;
(4) data quality indicators to ensure the data is not
missing or inconsistent; and
(5) provider statistics, including:
(A) total live births;
(B) maternal age distributions;
(C) maternal and infant race and ethnicity
distributions;
(D) health benefit plan issuer distributions;
(E) incidence of diabetes, hypertension, and
hemorrhage among patients;
(F) gestational age distributions;
(G) birth weight distributions;
(H) total preterm birth rate;
(I) rate of vaginal deliveries; and
(J) rate of cesarean sections.
(e) The task force shall ensure the registry's data is
updated at the time a participating provider enters data into the
registry.
(f) The task force shall annually analyze the data collected
for the registry and prepare and submit a report on the analysis to
the department and all participating health care providers. The
task force shall publish the report on the task force's Internet
website.
(g) The task force shall fund the registry using existing
resources and grants and donations provided for the registry.
(h) The executive commissioner shall adopt rules necessary
to implement this section.
SECTION 2. (a) The executive commissioner of the Health and
Human Services Commission shall adopt rules necessary to implement
Section 34.019, Health and Safety Code, as added by this Act, not
later than December 1, 2019.
(b) The Maternal Mortality and Morbidity Task Force shall
establish the data registry under Section 34.019, Health and Safety
Code, as added by this Act, not later than December 1, 2019.
SECTION 3. This Act takes effect September 1, 2019.