1 | 1 | | 88R3546 KKR-D |
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2 | 2 | | By: Neave Criado H.B. No. 5205 |
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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 coverage for certain services relating to postpartum |
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8 | 8 | | depression under the Medicaid and CHIP perinatal programs. |
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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 62, Health and Safety Code, is amended by |
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11 | 11 | | adding Subchapter E to read as follows: |
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12 | 12 | | SUBCHAPTER E. CHIP PERINATAL PROGRAM |
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13 | 13 | | Sec. 62.201. DEFINITION. In this subchapter, "postpartum |
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14 | 14 | | depression" means a disorder with postpartum onset that is |
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15 | 15 | | categorized as a mood disorder by the American Psychiatric |
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16 | 16 | | Association in the Diagnostic and Statistical Manual of Mental |
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17 | 17 | | Disorders, 5th Edition (DSM-5), or a subsequent edition adopted by |
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18 | 18 | | rule by the executive commissioner. |
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19 | 19 | | Sec. 62.202. COVERAGE FOR POSTPARTUM DEPRESSION SCREENING |
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20 | 20 | | AND TREATMENT. (a) The covered services under the CHIP perinatal |
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21 | 21 | | program must include, for each woman who gives birth to a child who |
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22 | 22 | | is enrolled in the CHIP perinatal program before birth, screening |
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23 | 23 | | and treatment for postpartum depression for the 12-month period |
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24 | 24 | | after the date the woman gives birth to the child. |
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25 | 25 | | (b) The coverage for postpartum depression provided under |
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26 | 26 | | Subsection (a): |
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27 | 27 | | (1) must provide mental health services to a woman |
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28 | 28 | | regardless of whether the woman has been found to be a danger to |
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29 | 29 | | herself or others; and |
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30 | 30 | | (2) may not place an arbitrary or artificial limit on |
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31 | 31 | | the amount of services that may be provided. |
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32 | 32 | | (c) The executive commissioner shall adopt rules necessary |
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33 | 33 | | to implement this section. |
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34 | 34 | | SECTION 2. Section 32.024(l-1), Human Resources Code, is |
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35 | 35 | | amended to read as follows: |
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36 | 36 | | (l-1) The commission shall continue to provide medical |
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37 | 37 | | assistance to a woman who is eligible for medical assistance for |
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38 | 38 | | pregnant women for a period of not less than 12 [six] months |
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39 | 39 | | following the date the woman gives birth [delivers or experiences |
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40 | 40 | | an involuntary miscarriage]. |
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41 | 41 | | SECTION 3. Subchapter B, Chapter 32, Human Resources Code, |
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42 | 42 | | is amended by adding Section 32.02491 to read as follows: |
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43 | 43 | | Sec. 32.02491. SCREENING AND TREATMENT SERVICES FOR |
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44 | 44 | | POSTPARTUM DEPRESSION. (a) For purposes of this section, |
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45 | 45 | | "postpartum depression" has the meaning assigned by Section |
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46 | 46 | | 62.201, Health and Safety Code. |
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47 | 47 | | (b) The commission shall provide a woman who receives |
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48 | 48 | | medical assistance benefits during a pregnancy screening and |
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49 | 49 | | treatment for postpartum depression for the 12-month period after |
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50 | 50 | | the date the woman gives birth. |
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51 | 51 | | (c) The commission shall provide mental health services to a |
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52 | 52 | | woman under Subsection (b) regardless of whether the woman has been |
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53 | 53 | | found to be a danger to herself or others. |
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54 | 54 | | (d) The commission may not place an arbitrary or artificial |
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55 | 55 | | limit on the amount of services that may be provided under |
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56 | 56 | | Subsection (b). |
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57 | 57 | | (e) The executive commissioner shall adopt rules necessary |
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58 | 58 | | to implement this section. |
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59 | 59 | | SECTION 4. As soon as practicable after the effective date |
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60 | 60 | | of this Act, the executive commissioner of the Health and Human |
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61 | 61 | | Services Commission shall develop and seek a waiver or other |
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62 | 62 | | appropriate authorization from the Centers for Medicare and |
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63 | 63 | | Medicaid Services to extend the number of postpartum visits a woman |
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64 | 64 | | may receive under the CHIP perinatal program in order to implement |
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65 | 65 | | Section 62.202, Health and Safety Code, as added by this Act. |
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66 | 66 | | SECTION 5. If before implementing any provision of this Act |
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67 | 67 | | a state agency determines that an additional waiver or additional |
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68 | 68 | | authorization from a federal agency is necessary for implementation |
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69 | 69 | | of that provision, the agency affected by the provision shall |
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70 | 70 | | request the waiver or authorization and may delay implementing that |
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71 | 71 | | provision until the waiver or authorization is granted. |
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72 | 72 | | SECTION 6. This Act takes effect September 1, 2023. |
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