Texas 2023 - 88th Regular

Texas House Bill HB5205 Compare Versions

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11 88R3546 KKR-D
22 By: Neave Criado H.B. No. 5205
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55 A BILL TO BE ENTITLED
66 AN ACT
77 relating to coverage for certain services relating to postpartum
88 depression under the Medicaid and CHIP perinatal programs.
99 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1010 SECTION 1. Chapter 62, Health and Safety Code, is amended by
1111 adding Subchapter E to read as follows:
1212 SUBCHAPTER E. CHIP PERINATAL PROGRAM
1313 Sec. 62.201. DEFINITION. In this subchapter, "postpartum
1414 depression" means a disorder with postpartum onset that is
1515 categorized as a mood disorder by the American Psychiatric
1616 Association in the Diagnostic and Statistical Manual of Mental
1717 Disorders, 5th Edition (DSM-5), or a subsequent edition adopted by
1818 rule by the executive commissioner.
1919 Sec. 62.202. COVERAGE FOR POSTPARTUM DEPRESSION SCREENING
2020 AND TREATMENT. (a) The covered services under the CHIP perinatal
2121 program must include, for each woman who gives birth to a child who
2222 is enrolled in the CHIP perinatal program before birth, screening
2323 and treatment for postpartum depression for the 12-month period
2424 after the date the woman gives birth to the child.
2525 (b) The coverage for postpartum depression provided under
2626 Subsection (a):
2727 (1) must provide mental health services to a woman
2828 regardless of whether the woman has been found to be a danger to
2929 herself or others; and
3030 (2) may not place an arbitrary or artificial limit on
3131 the amount of services that may be provided.
3232 (c) The executive commissioner shall adopt rules necessary
3333 to implement this section.
3434 SECTION 2. Section 32.024(l-1), Human Resources Code, is
3535 amended to read as follows:
3636 (l-1) The commission shall continue to provide medical
3737 assistance to a woman who is eligible for medical assistance for
3838 pregnant women for a period of not less than 12 [six] months
3939 following the date the woman gives birth [delivers or experiences
4040 an involuntary miscarriage].
4141 SECTION 3. Subchapter B, Chapter 32, Human Resources Code,
4242 is amended by adding Section 32.02491 to read as follows:
4343 Sec. 32.02491. SCREENING AND TREATMENT SERVICES FOR
4444 POSTPARTUM DEPRESSION. (a) For purposes of this section,
4545 "postpartum depression" has the meaning assigned by Section
4646 62.201, Health and Safety Code.
4747 (b) The commission shall provide a woman who receives
4848 medical assistance benefits during a pregnancy screening and
4949 treatment for postpartum depression for the 12-month period after
5050 the date the woman gives birth.
5151 (c) The commission shall provide mental health services to a
5252 woman under Subsection (b) regardless of whether the woman has been
5353 found to be a danger to herself or others.
5454 (d) The commission may not place an arbitrary or artificial
5555 limit on the amount of services that may be provided under
5656 Subsection (b).
5757 (e) The executive commissioner shall adopt rules necessary
5858 to implement this section.
5959 SECTION 4. As soon as practicable after the effective date
6060 of this Act, the executive commissioner of the Health and Human
6161 Services Commission shall develop and seek a waiver or other
6262 appropriate authorization from the Centers for Medicare and
6363 Medicaid Services to extend the number of postpartum visits a woman
6464 may receive under the CHIP perinatal program in order to implement
6565 Section 62.202, Health and Safety Code, as added by this Act.
6666 SECTION 5. If before implementing any provision of this Act
6767 a state agency determines that an additional waiver or additional
6868 authorization from a federal agency is necessary for implementation
6969 of that provision, the agency affected by the provision shall
7070 request the waiver or authorization and may delay implementing that
7171 provision until the waiver or authorization is granted.
7272 SECTION 6. This Act takes effect September 1, 2023.