| 1 | 1 | | By: Howard, Morales of Maverick H.B. No. 2873 |
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| 2 | 2 | | (Senate Sponsor - Blanco) |
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| 3 | 3 | | (In the Senate - Received from the House May 3, 2023; |
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| 4 | 4 | | May 5, 2023, read first time and referred to Committee on Health & |
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| 5 | 5 | | Human Services; May 19, 2023, reported favorably by the following |
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| 6 | 6 | | vote: Yeas 8, Nays 0; May 19, 2023, sent to printer.) |
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| 7 | 7 | | Click here to see the committee vote |
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| 8 | 8 | | |
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| 9 | 9 | | |
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| 10 | 10 | | A BILL TO BE ENTITLED |
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| 11 | 11 | | AN ACT |
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| 12 | 12 | | relating to a strategic plan for improving maternal health, |
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| 13 | 13 | | including the consolidation and repeal of certain planning and |
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| 14 | 14 | | reporting requirements. |
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| 15 | 15 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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| 16 | 16 | | SECTION 1. Subchapter B, Chapter 531, Government Code, is |
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| 17 | 17 | | amended by adding Section 531.0223 to read as follows: |
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| 18 | 18 | | Sec. 531.0223. MATERNAL HEALTH STRATEGIC PLAN. (a) The |
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| 19 | 19 | | commission shall develop and implement a strategic plan for |
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| 20 | 20 | | improving maternal health outcomes under programs administered by |
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| 21 | 21 | | this state that provide services to women during and following a |
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| 22 | 22 | | pregnancy. The strategic plan must include strategies for: |
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| 23 | 23 | | (1) improving access to screening, referral, |
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| 24 | 24 | | treatment, and support services for perinatal depression, |
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| 25 | 25 | | hyperemesis gravidarum, and other major pregnancy-related health |
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| 26 | 26 | | complications; |
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| 27 | 27 | | (2) improving the quality of maternal health care |
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| 28 | 28 | | provided under Medicaid, the child health plan perinatal program, |
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| 29 | 29 | | other health care programs administered by this state, and state |
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| 30 | 30 | | health plans; and |
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| 31 | 31 | | (3) reducing pregnancy-related deaths, focusing on |
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| 32 | 32 | | the most prevalent causes of those deaths. |
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| 33 | 33 | | (b) In developing the strategic plan, the commission shall |
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| 34 | 34 | | consult with the Department of State Health Services, the statewide |
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| 35 | 35 | | health coordinating council, and other maternal health experts as |
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| 36 | 36 | | the commission determines necessary. |
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| 37 | 37 | | (c) Not later than December 31 of each even-numbered year, |
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| 38 | 38 | | the commission shall provide the strategic plan developed under |
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| 39 | 39 | | this section to the governor, the lieutenant governor, the speaker |
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| 40 | 40 | | of the house of representatives, the Senate Health and Human |
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| 41 | 41 | | Services Committee, the House Public Health Committee, and the |
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| 42 | 42 | | House Human Services Committee. |
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| 43 | 43 | | SECTION 2. Section 34.0155, Health and Safety Code, is |
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| 44 | 44 | | amended to read as follows: |
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| 45 | 45 | | Sec. 34.0155. OPTIONS AND STRATEGIES FOR REDUCING [REPORT |
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| 46 | 46 | | ON] PREGNANCY-RELATED DEATHS, SEVERE MATERNAL MORBIDITY, AND |
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| 47 | 47 | | POSTPARTUM DEPRESSION. The commission shall: |
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| 48 | 48 | | (1) evaluate options for reducing pregnancy-related |
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| 49 | 49 | | deaths, focusing on the most prevalent causes of pregnancy-related |
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| 50 | 50 | | deaths as identified in the joint biennial report required under |
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| 51 | 51 | | Section 34.015, and for treating postpartum depression in |
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| 52 | 52 | | economically disadvantaged women; and |
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| 53 | 53 | | (2) in coordination with the department and the review |
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| 54 | 54 | | committee, identify strategies to: |
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| 55 | 55 | | (A) lower costs of providing medical assistance |
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| 56 | 56 | | under Chapter 32, Human Resources Code, related to severe maternal |
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| 57 | 57 | | morbidity and chronic illness; and |
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| 58 | 58 | | (B) improve quality outcomes related to the |
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| 59 | 59 | | underlying causes of severe maternal morbidity and chronic |
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| 60 | 60 | | illness[; and |
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| 61 | 61 | | [(3) not later than December 1 of each even-numbered |
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| 62 | 62 | | year, submit to the governor, the lieutenant governor, the speaker |
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| 63 | 63 | | of the house of representatives, the Legislative Budget Board, and |
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| 64 | 64 | | the appropriate standing committees of the legislature a written |
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| 65 | 65 | | report that includes: |
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| 66 | 66 | | [(A) a summary of the commission's and |
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| 67 | 67 | | department's efforts to accomplish the tasks described by |
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| 68 | 68 | | Subdivisions (1) and (2); and |
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| 69 | 69 | | [(B) a summary of the report required by Section |
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| 70 | 70 | | 34.0156]. |
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| 71 | 71 | | SECTION 3. The following provisions of the Health and |
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| 72 | 72 | | Safety Code are repealed: |
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| 73 | 73 | | (1) Section 32.046; |
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| 74 | 74 | | (2) Section 32.047; |
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| 75 | 75 | | (3) Sections 32.155(d) and (e); |
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| 76 | 76 | | (4) Section 34.0158; and |
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| 77 | 77 | | (5) Section 34.020(f). |
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| 78 | 78 | | SECTION 4. This Act takes effect September 1, 2023. |
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| 79 | 79 | | * * * * * |
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