Texas 2021 - 87th Regular

Texas House Bill HB2333 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1	1		87R19826 KKR-F
2	2		By: Howard, Rose, Guerra H.B. No. 2333
	3	+	Substitute the following for H.B. No. 2333:
	4	+	By: Klick C.S.H.B. No. 2333
3	5
4	6
5	7		A BILL TO BE ENTITLED
6	8		AN ACT
7	9		relating to the establishment of the home nursing visitation for
8	10		newborn caregivers competitive grant program.
9	11		BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
10	12		SECTION 1. Chapter 32, Health and Safety Code, is amended by
11	13		adding Subchapter G to read as follows:
12	14		SUBCHAPTER G. HOME NURSING VISITATION FOR NEWBORN CAREGIVERS GRANT
13	15		PROGRAM
14	16		Sec. 32.201. DEFINITIONS. In this subchapter:
15	17		(1) "Commissioner" means the commissioner of the
16	18		Department of Family and Protective Services.
17	19		(2) "Department" means the Department of Family and
18	20		Protective Services.
19	21		(3) "Program" means the home nursing visitation for
20	22		newborn caregivers grant program established under this
21	23		subchapter.
22	24		(4) "Service provider" means an entity that offers
23	25		free of charge home nursing visits for newborn caregivers.
24	26		Sec. 32.202. ESTABLISHMENT OF PROGRAM; RULES. (a) The
25	27		department shall establish and administer within the department's
26	28		prevention and early intervention services division a competitive
27	29		grant program through which the department awards grants to
28	30		eligible service providers to provide or expand home nursing
29	31		visitation services for newborn caregivers.
30	32		(b) The department shall award grants under the program to
31	33		eligible service providers in a manner that ensures the grant
32	34		recipients:
33	35		(1) operate in multiple communities geographically
34	36		distributed throughout this state;
35	37		(2) have the capacity to offer home nursing visitation
36	38		services to all newborn caregivers within a defined service area,
37	39		including a birthing hospital service area, a municipality, or a
38	40		county; and
39	41		(3) commit to providing ongoing services to ultimately
40	42		serve the communities' entire newborn population and provide the
41	43		maximum possible health impact on that population.
42	44		(c) The commissioner shall adopt rules as necessary to
43	45		implement this subchapter.
44	46		Sec. 32.203. SERVICE REQUIREMENTS. Home nursing visitation
45	47		services funded by a grant awarded under this subchapter must:
46	48		(1) be offered free of charge to all newborn
47	49		caregivers, including foster and adoptive families, within the
48	50		grant recipient's defined service area;
49	51		(2) be voluntary and may not impose negative
50	52		consequences on a newborn caregiver that chooses not to
51	53		participate;
52	54		(3) be provided by registered nurses in the newborn
53	55		caregiver's home whenever possible, using telehealth services when
54	56		necessary and feasible;
55	57		(4) include an evidence-based assessment of the
56	58		physical, social, and emotional factors affecting the health and
57	59		safety of the newborn caregiver's family;
58	60		(5) include at least one registered nurse visit to the
59	61		newborn caregiver not later than six weeks postpartum or six weeks
60	62		after the newborn is discharged from a newborn intensive care unit,
61	63		with the opportunity to receive not more than three registered
62	64		nurse visits as determined by the nurse's professional judgment;
63	65		(6) provide to a newborn caregiver information and
64	66		referrals tailored to the caregiver's needs, as identified by a
65	67		home nursing visit, and support the caregiver in navigating needed
66	68		services;
67	69		(7) include a follow-up call to the newborn caregiver
68	70		not later than three months after the last home nursing visit to
69	71		assess success in referrals and family satisfaction and to close
70	72		the case;
71	73		(8) strictly adhere to an evidence-based service
72	74		delivery model selected by the department in accordance with
73	75		criteria set by the United States Department of Health and Human
74	76		Services for an early childhood home visiting service delivery
75	77		model, including any clinical, programmatic, and data collection
76	78		requirements under the model;
77	79		(9) strive to improve outcomes in one or more of the
78	80		following categories:
79	81		(A) reduction of child abuse and neglect;
80	82		(B) child health;
81	83		(C) maternal health;
82	84		(D) reduction of family violence;
83	85		(E) child development;
84	86		(F) family economic self-sufficiency;
85	87		(G) completion of maternal follow-up and
86	88		well-child visits with health care providers;
87	89		(H) appropriate use of a health care facility's
88	90		emergency department; and
89	91		(I) increased positive parenting practices;
90	92		(10) require the home nursing visits to:
91	93		(A) be offered in partnership with the newborn
92	94		caregiver's attending obstetrician or gynecologist, maternal
93	95		health provider, or birthing hospital, if applicable; and
94	96		(B) begin not later than six weeks postpartum or
95	97		six weeks after a newborn is discharged from a newborn intensive
96	98		care unit; and
97	99		(11) continue for a period of at least two years.
98	100		Sec. 32.204. APPLICATION REQUIREMENTS. (a) A public or
99	101		private entity, including a county, municipality, or other
100	102		political subdivision of this state, may apply for a grant under
101	103		this subchapter.
102	104		(b) To apply for a grant, an applicant must submit a written
103	105		application to the department on a form prescribed by commissioner
104	106		rule in accordance with this section.
105	107		(c) The application form must:
106	108		(1) require the applicant to provide:
107	109		(A) information on the number of births by
108	110		hospital located in the defined service area in which the applicant
109	111		proposes to operate; and
110	112		(B) a description of existing services available
111	113		to newborn caregivers in the community;
112	114		(2) describe the processes the department uses to
113	115		continually monitor and evaluate grant recipients under Section
114	116		32.208, including the grant recipient's obligations to:
115	117		(A) collect and provide information requested by
116	118		the department; and
117	119		(B) adhere to the evidence-based model selected
118	120		by the department;
119	121		(3) require the applicant to outline the applicant's
120	122		plan to collaborate and strengthen relationships with health care
121	123		and social service providers to ensure the applicant's ability to
122	124		effectively connect newborn caregivers and the caregivers'
123	125		families to other community services when needed; and
124	126		(4) describe the applicant's plan for enrolling
125	127		newborn caregivers, including the applicant's partnerships with
126	128		birthing hospitals and local maternal health care and pediatric
127	129		health care providers.
128	130		Sec. 32.205. GRANT AWARD REQUIREMENTS. In determining
129	131		whether to award a grant to an applicant under this subchapter, the
130	132		department shall consider the applicant's demonstrated capacity to
131	133		provide home nursing visitation services to newborn caregivers in
132	134		the defined service area in which the applicant proposes to provide
133	135		services, which may be determined by considering:
134	136		(1) the applicant's ability to:
135	137		(A) participate in continued monitoring and
136	138		performance evaluations under Section 32.208, including the
137	139		applicant's ability to collect and provide information requested by
138	140		the department;
139	141		(B) comply with program standards; and
140	142		(C) develop broad-based community support and
141	143		leverage philanthropic support to implement or expand home nursing
142	144		visitation services for newborn caregivers; and
143	145		(2) the applicant's history of developing and
144	146		sustaining innovative, quality home nursing visitation services
145	147		for newborn caregivers that meet the needs of families and
146	148		communities.
147	149		Sec. 32.206. WRITTEN AGREEMENT WITH GRANT RECIPIENT
148	150		REQUIRED. Before awarding a grant under this subchapter, the
149	151		department shall enter into a written agreement with each applicant
150	152		to be awarded a grant that requires the grant recipient to repay
151	153		this state, in accordance with terms specified in the agreement,
152	154		if:
153	155		(1) the department determines the grant recipient has
154	156		not complied with the minimum standards and reporting requirements
155	157		prescribed by this subchapter or rules adopted under this
156	158		subchapter or with any other applicable rules or standards
157	159		prescribed by the commissioner or the department; or
158	160		(2) the grant recipient fails to use the grant money
159	161		for the purposes for which the grant was awarded, in accordance with
160	162		Section 32.207.
161	163		Sec. 32.207. USE OF GRANT MONEY. Grant money awarded under
162	164		this subchapter may be used only to cover costs related to the grant
163	165		recipient administering, implementing, or expanding home nursing
164	166		visitation services for newborn caregivers, including costs
165	167		related to:
166	168		(1) administering the home nursing visitation
167	169		services;
168	170		(2) training and managing registered nurses and other
169	171		staff who participate in providing the home nursing visitation
170	172		services;
171	173		(3) paying the salaries and expenses of registered
172	174		nurses and other required staff members who are essential to
173	175		delivering the home nursing visitation services;
174	176		(4) paying for facilities and equipment for providing
175	177		the home nursing visitation services; and
176	178		(5) paying for technical assistance to ensure a grant
177	179		recipient adheres to the evidence-based model selected by the
178	180		department.
179	181		Sec. 32.208. GRANT RECIPIENT MONITORING AND EVALUATION;
180	182		ANNUAL REPORT. (a) The department shall:
181	183		(1) adopt performance indicators designed to measure a
182	184		grant recipient's performance with respect to the program standards
183	185		adopted by commissioner rule that align with the evidence-based
184	186		model selected by the department; and
185	187		(2) use the performance indicators to continuously
186	188		monitor and formally evaluate at least annually the performance of
187	189		each grant recipient.
188	190		(b) Not later than December 1 of each year, the department
189	191		shall prepare and submit a written report to the standing
190	192		committees of the legislature with primary jurisdiction over the
191	193		department regarding the performance of each grant recipient during
192	194		the preceding state fiscal year with respect to providing program
193	195		services and improving outcomes for newborns and their families.
194	196		Sec. 32.209. COMPETITIVE GRANT PROGRAM FUNDING. (a) The
195	197		department shall seek and apply for any available federal and state
196	198		money, including money available for Medicaid or the Children's
197	199		Health Insurance Program (CHIP), to assist in financing the
198	200		program.
199	201		(b) The department shall consult, collaborate, and
200	202		coordinate with health benefit plan issuers in this state,
201	203		including Medicaid managed care organizations, to identify
202	204		existing incentives and reimbursement strategies that could expand
203	205		the program.
204	206		(c) The department may solicit and accept gifts, grants, and
205	207		donations to operate the program.
206	208		SECTION 2. (a) As soon as practicable after the effective
207	209		date of this Act, the Department of Family and Protective Services
208	210		shall apply for any available federal money to finance the grant
209	211		program established by Subchapter G, Chapter 32, Health and Safety
210	212		Code, as added by this Act. If federal money is not available for
211	213		that purpose and notwithstanding any provision of this Act, the
212	214		department shall delay implementation of Subchapter G, Chapter 32,
213	215		Health and Safety Code, as added by this Act, until federal money
214	216		becomes available.
215	217		(b) Not later than September 1, 2022, the Department of
216	218		Family and Protective Services shall establish and implement the
217	219		grant program established by Subchapter G, Chapter 32, Health and
218	220		Safety Code, as added by this Act.
219	221		(c) Not later than September 1, 2022, the commissioner of
220	222		the Department of Family and Protective Services shall adopt rules
221	223		necessary to implement Subchapter G, Chapter 32, Health and Safety
222	224		Code, as added by this Act.
223	225		(d) Not later than December 1, 2022, the Department of
224	226		Family and Protective Services shall submit a written report to the
225	227		standing committees of the legislature with primary jurisdiction
226	228		over the department regarding the implementation and status of the
227	229		grant program described by Subchapter G, Chapter 32, Health and
228	230		Safety Code, as added by this Act.
229	231		(e) Not later than December 1, 2023, the Department of
230	232		Family and Protective Services shall submit the initial report
231	233		required by Section 32.208, Health and Safety Code, as added by this
232	234		Act.
233	235		SECTION 3. This Act takes effect September 1, 2021.