Texas 2021 - 87th Regular

Texas House Bill HB1991 Compare Versions

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

Old	New	Differences
1	1	87R1537 JG-F
2	2	By: Thierry H.B. No. 1991
3	3
4	4
5	5	A BILL TO BE ENTITLED
6	6	AN ACT
7	7	relating to the maternal mental health peer support pilot program
8	8	for perinatal mood and anxiety disorder.
9	9	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
10	10	SECTION 1. Chapter 32, Health and Safety Code, is amended by
11	11	adding Subchapter G to read as follows:
12	12	SUBCHAPTER G. MATERNAL MENTAL HEALTH PEER SUPPORT PILOT PROGRAM
13	13	Sec. 32.201. DEFINITIONS. In this subchapter:
14	14	(1) "Peer support service" means a service provided by
15	15	a peer support specialist to a person with a mental illness or
16	16	substance use condition in accordance with commission rules
17	17	regarding peer specialists.
18	18	(2) "Perinatal mood and anxiety disorder" includes any
19	19	of the following psychiatric illnesses, as defined by the American
20	20	Psychiatric Association in the Diagnostic and Statistical Manual of
21	21	Mental Disorders (DSM), that occur during pregnancy or within 12
22	22	months postpartum:
23	23	(A) bipolar disorder, including hypomanic,
24	24	manic, depressive, and mixed types;
25	25	(B) major depressive disorder, including
26	26	single-episode and recurrent types;
27	27	(C) generalized anxiety disorder;
28	28	(D) obsessive-compulsive disorder;
29	29	(E) paranoid or other psychotic disorder; and
30	30	(F) post-traumatic stress disorder.
31	31	(3) "Pilot program" means the maternal mental health
32	32	peer support pilot program established under this subchapter.
33	33	Sec. 32.202. ESTABLISHMENT OF PILOT PROGRAM. (a) The
34	34	commission shall establish and operate the maternal mental health
35	35	peer support pilot program to reduce the risk and manage the effects
36	36	of perinatal mood and anxiety disorders in women through the
37	37	delivery of peer support services at federally qualified health
38	38	centers located in the geographic areas in which the pilot program
39	39	operates.
40	40	(b) The commission shall establish the pilot program in five
41	41	counties in this state that:
42	42	(1) either:
43	43	(A) are within an area designated as a mental
44	44	health professional shortage area; or
45	45	(B) have high rates of maternal mortality and
46	46	morbidity as determined by the commission in consultation with the
47	47	Texas Maternal Mortality and Morbidity Review Committee; and
48	48	(2) include at least one rural county and one county
49	49	with a population of at least 500,000.
50	50	Sec. 32.203. OPERATION OF PILOT PROGRAM. (a) In
51	51	establishing the pilot program, the commission shall:
52	52	(1) develop a strategy for federally qualified health
53	53	centers participating in the pilot program and persons responsible
54	54	for training to collaborate on the training, certification, and
55	55	guidance of peer support specialists in accordance with existing
56	56	state procedures and programs;
57	57	(2) seek comments regarding best practices for the
58	58	design and implementation of the pilot program from relevant
59	59	interested persons, including federally qualified health centers,
60	60	mental health care providers, local mental health authorities,
61	61	certified peer support specialists and affiliated organizations,
62	62	women's health care providers, and individuals who have personal
63	63	experience with perinatal mood and anxiety disorders;
64	64	(3) develop specialized training to:
65	65	(A) identify and treat symptoms of perinatal mood
66	66	and anxiety disorders; and
67	67	(B) provide peer support services to pregnant
68	68	women and new mothers;
69	69	(4) develop a strategy for federally qualified health
70	70	centers and peer support specialists participating in the pilot
71	71	program to provide peer support services through any form of
72	72	telephonic communication;
73	73	(5) develop in collaboration with the federally
74	74	qualified health centers participating in the pilot program a
75	75	strategy to integrate the delivery of peer support services with
76	76	the health care services provided by the centers to women during
77	77	pregnancy and within one year of giving birth;
78	78	(6) create for the federally qualified health centers
79	79	participating in the pilot program a protocol for referring to peer
80	80	support services women who are diagnosed as having or identified as
81	81	being at risk of developing a perinatal mood and anxiety disorder;
82	82	(7) ensure the services provided by peer support
83	83	specialists under the pilot program are within the scope of a duty
84	84	of care prescribed by commission rule for peer support specialists
85	85	who provide similar services; and
86	86	(8) develop a method for collecting data, including by
87	87	consulting with the Texas Maternal Mortality and Morbidity Review
88	88	Committee and other relevant entities regarding the data, on:
89	89	(A) maternal health and mental health outcomes;
90	90	and
91	91	(B) substance use by women receiving peer support
92	92	services through the pilot program.
93	93	(b) A peer support specialist who provides peer support
94	94	services through the pilot program at a federally qualified health
95	95	center shall:
96	96	(1) provide peer support services to women who:
97	97	(A) based on the results of a postpartum
98	98	depression screening or other screening tool, are diagnosed as
99	99	having or identified as being at risk of developing a perinatal mood
100	100	and anxiety disorder; and
101	101	(B) are interested in receiving peer support
102	102	services; and
103	103	(2) through the use of the specialist's personal
104	104	experience with perinatal mood and anxiety disorders:
105	105	(A) provide guidance to the women;
106	106	(B) if necessary, advocate for the women to
107	107	receive mental health care services or other specialized health
108	108	care services; and
109	109	(C) provide the women with information on mental
110	110	health care resources as necessary.
111	111	Sec. 32.204. FUNDING. In addition to money appropriated by
112	112	the legislature, the commission may accept gifts, grants, and
113	113	donations from any source for establishing the pilot program and
114	114	compensating peer support specialists under the pilot program.
115	115	Sec. 32.205. REPORT. Not later than January 1, 2023, the
116	116	commission shall prepare and submit to the governor, lieutenant
117	117	governor, and legislature a written report that:
118	118	(1) evaluates the success of the pilot program in
119	119	reducing perinatal mood and anxiety disorders and substance use in
120	120	women who received peer support services under the pilot program;
121	121	and
122	122	(2) recommends whether the pilot program should be
123	123	continued, expanded, or terminated.
124	124	Sec. 32.206. EXPIRATION. This subchapter expires September
125	125	1, 2025.
126	126	SECTION 2. (a) Not later than December 31, 2021, the
127	127	executive commissioner of the Health and Human Services Commission
128	128	shall adopt rules as necessary to establish the maternal mental
129	129	health peer support pilot program as required by Subchapter G,
130	130	Chapter 32, Health and Safety Code, as added by this Act.
131	131	(b) Not later than June 30, 2022, the Health and Human
132	132	Services Commission shall establish the maternal mental health peer
133	133	support pilot program as required by Subchapter G, Chapter 32,
134	134	Health and Safety Code, as added by this Act.
135	135	SECTION 3. This Act takes effect September 1, 2021.