1 | 1 | | 86R10459 JG-F |
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2 | 2 | | By: Powell S.B. No. 2301 |
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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 the maternal peer support pilot program for perinatal |
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8 | 8 | | mood 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 32, Health and Safety Code, is amended by |
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11 | 11 | | adding Subchapter E to read as follows: |
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12 | 12 | | SUBCHAPTER E. MATERNAL PEER SUPPORT PILOT PROGRAM |
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13 | 13 | | Sec. 32.101. DEFINITION. In this subchapter, "pilot |
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14 | 14 | | program" means the maternal peer support pilot program established |
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15 | 15 | | under this subchapter. |
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16 | 16 | | Sec. 32.102. ESTABLISHMENT OF PILOT PROGRAM. (a) The |
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17 | 17 | | commission shall establish and operate the maternal peer support |
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18 | 18 | | pilot program to reduce the risk and manage the effects of perinatal |
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19 | 19 | | mood disorders in women through the delivery of peer support |
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20 | 20 | | services at federally qualified health centers located in the |
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21 | 21 | | geographic areas in which the pilot program operates. |
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22 | 22 | | (b) The commission shall establish the pilot program in |
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23 | 23 | | three counties in this state that: |
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24 | 24 | | (1) either: |
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25 | 25 | | (A) are within an area designated as a mental |
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26 | 26 | | health professional shortage area; or |
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27 | 27 | | (B) have high rates of maternal mortality and |
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28 | 28 | | morbidity as determined by the commission in consultation with the |
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29 | 29 | | Maternal Mortality and Morbidity Task Force established under |
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30 | 30 | | Chapter 34; and |
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31 | 31 | | (2) include at least one rural county and one county |
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32 | 32 | | with a population of at least one million. |
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33 | 33 | | Sec. 32.103. OPERATION OF PILOT PROGRAM. (a) In |
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34 | 34 | | establishing the pilot program, the commission shall: |
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35 | 35 | | (1) develop a strategy for federally qualified health |
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36 | 36 | | centers participating in the pilot program and persons responsible |
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37 | 37 | | for training to collaborate on the training, certification, and |
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38 | 38 | | guidance of peer support specialists; |
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39 | 39 | | (2) seek comments regarding best practices for the |
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40 | 40 | | design and implementation of the pilot program from relevant |
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41 | 41 | | interested persons, including mental health care providers, local |
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42 | 42 | | mental health authorities, certified peer support specialists and |
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43 | 43 | | affiliated organizations, women's health care providers, and |
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44 | 44 | | individuals who have personal experience with perinatal mood |
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45 | 45 | | disorders; |
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46 | 46 | | (3) develop specialized training to: |
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47 | 47 | | (A) identify and treat symptoms of perinatal mood |
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48 | 48 | | disorders; and |
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49 | 49 | | (B) provide peer support services to pregnant |
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50 | 50 | | women and new mothers; |
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51 | 51 | | (4) develop a strategy for peer support specialists |
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52 | 52 | | participating in the pilot program to provide peer support services |
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53 | 53 | | through telemedicine or telehealth services; |
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54 | 54 | | (5) collaborate with federally qualified health |
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55 | 55 | | centers participating in the pilot program to integrate the |
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56 | 56 | | delivery of peer support services with the health care services |
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57 | 57 | | provided by the centers to women during pregnancy and within one |
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58 | 58 | | year of giving birth; |
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59 | 59 | | (6) create a protocol for referring to peer support |
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60 | 60 | | services women who are diagnosed as having or identified as being at |
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61 | 61 | | risk of developing a perinatal mood disorder; |
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62 | 62 | | (7) ensure that services provided by peer support |
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63 | 63 | | specialists under the pilot program are within the scope of a |
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64 | 64 | | practice of care prescribed by commission rule for peer support |
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65 | 65 | | specialists who provide similar services; and |
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66 | 66 | | (8) develop a method for collecting data on: |
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67 | 67 | | (A) maternal health and mental health outcomes; |
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68 | 68 | | and |
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69 | 69 | | (B) substance use by women receiving peer support |
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70 | 70 | | services through the pilot program. |
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71 | 71 | | (b) A peer support specialist who provides peer support |
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72 | 72 | | services through the pilot program shall: |
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73 | 73 | | (1) provide peer support services to women who: |
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74 | 74 | | (A) based on the results of a postpartum |
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75 | 75 | | depression screening or other screening tool, are diagnosed as |
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76 | 76 | | having or identified as being at risk of developing a perinatal mood |
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77 | 77 | | disorder; and |
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78 | 78 | | (B) are interested in receiving peer support |
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79 | 79 | | services; and |
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80 | 80 | | (2) through the use of the specialist's personal |
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81 | 81 | | experience with perinatal mood disorders: |
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82 | 82 | | (A) provide guidance to the women; |
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83 | 83 | | (B) if necessary, advocate for the women to |
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84 | 84 | | receive mental health care services or other specialized health |
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85 | 85 | | care services; and |
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86 | 86 | | (C) provide the women with information on mental |
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87 | 87 | | health care resources as necessary. |
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88 | 88 | | Sec. 32.104. FUNDING. In addition to money appropriated by |
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89 | 89 | | the legislature, the commission may accept gifts, grants, and |
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90 | 90 | | donations from any source for the purpose of establishing the pilot |
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91 | 91 | | program and compensating peer support specialists under the pilot |
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92 | 92 | | program. |
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93 | 93 | | Sec. 32.105. REPORT. Not later than January 1, 2021, the |
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94 | 94 | | commission shall prepare and submit to the governor, lieutenant |
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95 | 95 | | governor, and legislature a written report that: |
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96 | 96 | | (1) evaluates the success of the pilot program in |
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97 | 97 | | reducing perinatal mood disorders and substance use in women who |
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98 | 98 | | received peer support services under the pilot program; and |
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99 | 99 | | (2) recommends whether the pilot program should be |
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100 | 100 | | continued, expanded, or terminated. |
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101 | 101 | | Sec. 32.106. EXPIRATION. This chapter expires September 1, |
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102 | 102 | | 2023. |
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103 | 103 | | SECTION 2. (a) Not later than December 31, 2019, the |
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104 | 104 | | executive commissioner of the Health and Human Services Commission |
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105 | 105 | | shall adopt rules as necessary to establish the pilot program as |
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106 | 106 | | required by Subchapter E, Chapter 32, Health and Safety Code, as |
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107 | 107 | | added by this Act. |
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108 | 108 | | (b) Not later than June 31, 2020, the Health and Human |
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109 | 109 | | Services Commission shall establish the pilot program as required |
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110 | 110 | | by Subchapter E, Chapter 32, Health and Safety Code, as added by |
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111 | 111 | | this Act. |
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112 | 112 | | SECTION 3. This Act takes effect September 1, 2019. |
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