Texas 2023 - 88th Regular

Texas House Bill HB1664 Compare Versions

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Version 2 (New)

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1	1	88R7117 LRM-D
2	2	By: Thierry H.B. No. 1664
3	3
4	4
5	5	A BILL TO BE ENTITLED
6	6	AN ACT
7	7	relating to a study on maternal mortality and morbidity among Black
8	8	women in this state.
9	9	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
10	10	SECTION 1. (a) In this section:
11	11	(1) "Department" means the Department of State Health
12	12	Services.
13	13	(2) "Review committee" means the Texas Maternal
14	14	Mortality and Morbidity Review Committee established under Chapter
15	15	34, Health and Safety Code.
16	16	(b) The review committee and the department shall jointly
17	17	conduct a study to evaluate maternal mortality and morbidity among
18	18	Black women in this state. In conducting the study, the review
19	19	committee and department shall:
20	20	(1) compare maternal mortality and morbidity rates
21	21	among Black women in this state in relation to maternal mortality
22	22	and morbidity rates among each other race and ethnicity;
23	23	(2) compare maternal mortality and morbidity rates
24	24	among Black women in this state in relation to socioeconomic status
25	25	and education level;
26	26	(3) assess the impact of social determinants of
27	27	health, including an evaluation of data on pregnancy-related
28	28	deaths, pregnancy-related complications that almost resulted in
29	29	death, and morbidities, to identify any correlation in that data to
30	30	women who are uninsured, women who receive health care coverage
31	31	under Medicaid, and women who receive health care coverage through
32	32	a private insurer;
33	33	(4) evaluate the impact of the following health
34	34	conditions on maternal mortality and morbidity:
35	35	(A) cardiac health conditions;
36	36	(B) preeclampsia, eclampsia, and other
37	37	hypertensive disorders;
38	38	(C) hemorrhage;
39	39	(D) obesity; and
40	40	(E) stress-related health conditions; and
41	41	(5) assess the extent to which implicit biases held by
42	42	health care providers against Black individuals affect maternal
43	43	mortality and morbidity among Black women.
44	44	(c) Based on the results of the study conducted under this
45	45	section, the review committee and department shall develop
46	46	recommendations to address disparities in maternal mortality and
47	47	morbidity among Black women, including recommendations on:
48	48	(1) strategies to reduce the incidence of
49	49	pregnancy-related deaths and severe maternal morbidity;
50	50	(2) patient outreach and education;
51	51	(3) health care provider training, including a
52	52	recommendation on the potential benefit of training on cultural
53	53	competency and implicit biases against Black individuals;
54	54	(4) best practices identified as successful in
55	55	reducing maternal mortality and morbidity; and
56	56	(5) the implementation in this state of programs
57	57	operating in other states that have reduced maternal mortality and
58	58	morbidity rates.
59	59	(d) Not later than September 1, 2024, the review committee
60	60	and department shall prepare and submit to the governor, lieutenant
61	61	governor, speaker of the house of representatives, and appropriate
62	62	committees of the legislature a written report that summarizes the
63	63	results of the study and includes the recommendations developed
64	64	under this section. The report may be consolidated with the
65	65	biennial report required under Section 34.015, Health and Safety
66	66	Code.
67	67	SECTION 2. This Act expires December 31, 2024.
68	68	SECTION 3. This Act takes effect immediately if it receives
69	69	a vote of two-thirds of all the members elected to each house, as
70	70	provided by Section 39, Article III, Texas Constitution. If this
71	71	Act does not receive the vote necessary for immediate effect, this
72	72	Act takes effect September 1, 2023.