1 | 1 | | 87R5114 SRA-D |
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2 | 2 | | By: Buckingham S.B. No. 2009 |
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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 designation of centers of excellence for the |
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8 | 8 | | management and treatment of placenta accreta spectrum 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 G to read as follows: |
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12 | 12 | | SUBCHAPTER G. CENTERS OF EXCELLENCE FOR MANAGEMENT AND TREATMENT |
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13 | 13 | | OF PLACENTA ACCRETA SPECTRUM DISORDER |
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14 | 14 | | Sec. 32.201. DEFINITION. In this subchapter, "placenta |
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15 | 15 | | accreta spectrum disorder" includes placenta accreta, placenta |
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16 | 16 | | increta, and placenta percreta. |
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17 | 17 | | Sec. 32.202. DESIGNATION OF CENTERS OF EXCELLENCE. (a) The |
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18 | 18 | | department, in consultation with the Texas Maternal Mortality and |
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19 | 19 | | Morbidity Review Committee established under Chapter 34, shall |
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20 | 20 | | designate as centers of excellence for the management and treatment |
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21 | 21 | | of placenta accreta spectrum disorder one or more health care |
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22 | 22 | | entities or programs in this state, including any institution or |
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23 | 23 | | community hospital with the appropriate resources and personnel, as |
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24 | 24 | | determined by the department and the review committee. |
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25 | 25 | | (b) The executive commissioner, in consultation with the |
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26 | 26 | | department and the Texas Maternal Mortality and Morbidity Review |
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27 | 27 | | Committee, shall adopt rules necessary for a health care entity or |
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28 | 28 | | program in this state to be designated as a center of excellence for |
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29 | 29 | | management and treatment of placenta accreta spectrum disorder. |
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30 | 30 | | Sec. 32.203. SUBCOMMITTEE. (a) The department, in |
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31 | 31 | | consultation with the Texas Maternal Mortality and Morbidity Review |
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32 | 32 | | Committee, shall appoint a subcommittee of the review committee to |
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33 | 33 | | advise the executive commissioner on the adoption of rules under |
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34 | 34 | | Section 32.202. As part of the subcommittee's duties under this |
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35 | 35 | | subsection, the subcommittee specifically shall advise the |
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36 | 36 | | executive commissioner on the criteria necessary for a health care |
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37 | 37 | | entity or program in this state to be awarded a designation under |
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38 | 38 | | this subchapter. |
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39 | 39 | | (b) The subcommittee must consist of individuals with |
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40 | 40 | | expertise in the management and treatment of placenta accreta |
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41 | 41 | | spectrum disorder. A majority of the members of the subcommittee |
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42 | 42 | | must practice in those areas in a health profession in this state. |
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43 | 43 | | The subcommittee may include national and international experts. |
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44 | 44 | | Sec. 32.204. PRIORITY CONSIDERATIONS FOR CENTER |
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45 | 45 | | DESIGNATIONS. The rules adopted under Section 32.202 must |
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46 | 46 | | prioritize awarding a designation under this subchapter to a health |
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47 | 47 | | care entity or program that: |
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48 | 48 | | (1) offers specialized management services for |
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49 | 49 | | placenta accreta spectrum disorder through a multi-specialty |
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50 | 50 | | clinical program and an associated hospital that provides advanced |
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51 | 51 | | neonatal and maternal care in accordance with the hospital's level |
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52 | 52 | | of care designation assigned under Section 241.182; |
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53 | 53 | | (2) demonstrates a significant commitment to research |
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54 | 54 | | in and advancing the field of care for placenta accreta spectrum |
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55 | 55 | | disorder; |
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56 | 56 | | (3) fosters telemedicine, referral, and transport |
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57 | 57 | | relationships with rural hospitals in this state; and |
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58 | 58 | | (4) integrates an advanced placenta accreta spectrum |
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59 | 59 | | disorder management program with a program that provides |
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60 | 60 | | appropriate long-term monitoring and follow-up care for patients. |
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61 | 61 | | Sec. 32.205. REQUIREMENTS FOR CENTER DESIGNATION. The |
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62 | 62 | | rules adopted under Section 32.202 must ensure that a health care |
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63 | 63 | | entity or program in this state that receives a center of excellence |
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64 | 64 | | designation under this subchapter: |
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65 | 65 | | (1) provides or is affiliated with a hospital that |
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66 | 66 | | provides advanced neonatal and maternal care in accordance with the |
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67 | 67 | | hospital's level of care designation assigned under Section |
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68 | 68 | | 241.182; |
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69 | 69 | | (2) establishes minimum criteria for medical, |
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70 | 70 | | nursing, ancillary, and support staff, in addition to any other |
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71 | 71 | | criteria required under Section 32.202; |
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72 | 72 | | (3) measures short-term and long-term patient |
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73 | 73 | | diagnostic and therapeutic outcomes; and |
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74 | 74 | | (4) submits to the department annual reports |
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75 | 75 | | containing aggregate data on short-term and long-term diagnostic |
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76 | 76 | | and therapeutic outcomes as requested or required by the department |
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77 | 77 | | and makes those reports available to the public on the entity's or |
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78 | 78 | | program's Internet website. |
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79 | 79 | | SECTION 2. (a) Not later than December 1, 2021, the |
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80 | 80 | | Department of State Health Services, in consultation with the Texas |
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81 | 81 | | Maternal Mortality and Morbidity Review Committee established |
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82 | 82 | | under Chapter 34, Health and Safety Code, shall appoint members to |
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83 | 83 | | the subcommittee as required by Section 32.203, Health and Safety |
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84 | 84 | | Code, as added by this Act. |
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85 | 85 | | (b) Not later than September 1, 2022, the executive |
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86 | 86 | | commissioner of the Health and Human Services Commission shall |
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87 | 87 | | adopt rules as required by Section 32.202, Health and Safety Code, |
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88 | 88 | | as added by this Act. |
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89 | 89 | | (c) Not later than September 1, 2022, the Department of |
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90 | 90 | | State Health Services shall begin awarding designations of centers |
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91 | 91 | | of excellence as required by Subchapter G, Chapter 32, Health and |
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92 | 92 | | Safety Code, as added by this Act. |
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93 | 93 | | SECTION 3. This Act takes effect September 1, 2021. |
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