1 | 1 | | 89R2825 JDK-D |
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2 | 2 | | By: Ward Johnson H.B. No. 3339 |
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3 | 3 | | |
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4 | 4 | | |
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5 | 5 | | |
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6 | 6 | | |
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7 | 7 | | A BILL TO BE ENTITLED |
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8 | 8 | | AN ACT |
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9 | 9 | | relating to a study on maternal mortality and morbidity among Black |
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10 | 10 | | women in this state. |
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11 | 11 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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12 | 12 | | SECTION 1. (a) In this section: |
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13 | 13 | | (1) "Department" means the Department of State Health |
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14 | 14 | | Services. |
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15 | 15 | | (2) "Review committee" means the Texas Maternal |
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16 | 16 | | Mortality and Morbidity Review Committee established under Chapter |
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17 | 17 | | 34, Health and Safety Code. |
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18 | 18 | | (b) The review committee and the department shall jointly |
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19 | 19 | | conduct a study to evaluate maternal mortality and morbidity among |
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20 | 20 | | Black women in this state. In conducting the study, the review |
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21 | 21 | | committee and department shall: |
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22 | 22 | | (1) compare maternal mortality and morbidity rates |
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23 | 23 | | among Black women in this state to maternal mortality and morbidity |
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24 | 24 | | rates among each other race and ethnicity; |
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25 | 25 | | (2) compare maternal mortality and morbidity rates |
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26 | 26 | | among Black women in this state in relation to their socioeconomic |
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27 | 27 | | status and education level; |
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28 | 28 | | (3) assess the impact of social determinants of |
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29 | 29 | | health, including an evaluation of data on pregnancy-related |
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30 | 30 | | deaths, pregnancy-related complications almost resulting in death, |
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31 | 31 | | and morbidities, to identify any correlation in that data to women |
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32 | 32 | | who are uninsured, receive health care coverage under Medicaid, or |
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33 | 33 | | receive health care coverage through a private health benefit plan |
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34 | 34 | | issuer; |
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35 | 35 | | (4) evaluate the impact of the following health |
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36 | 36 | | conditions on maternal mortality and morbidity: |
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37 | 37 | | (A) cardiac health conditions; |
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38 | 38 | | (B) preeclampsia, eclampsia, and other |
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39 | 39 | | hypertensive disorders; |
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40 | 40 | | (C) hemorrhage; |
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41 | 41 | | (D) obesity; and |
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42 | 42 | | (E) stress-related health conditions; and |
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43 | 43 | | (5) assess the effect on maternal mortality and |
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44 | 44 | | morbidity among Black women of implicit biases held by health care |
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45 | 45 | | providers against Black individuals. |
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46 | 46 | | (c) Based on the results of the study conducted under this |
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47 | 47 | | section, the review committee and department shall develop |
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48 | 48 | | recommendations to address disparities in maternal mortality and |
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49 | 49 | | morbidity among Black women, including recommendations on: |
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50 | 50 | | (1) strategies to reduce the incidence of |
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51 | 51 | | pregnancy-related deaths and severe maternal morbidity; |
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52 | 52 | | (2) patient outreach and education; |
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53 | 53 | | (3) health care provider training, including a |
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54 | 54 | | recommendation on the potential benefit of training on cultural |
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55 | 55 | | competency and implicit biases against Black individuals; |
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56 | 56 | | (4) best practices identified as successful in |
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57 | 57 | | reducing maternal mortality and morbidity; and |
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58 | 58 | | (5) the implementation in this state of programs |
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59 | 59 | | operating in other states that have reduced maternal mortality and |
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60 | 60 | | morbidity rates. |
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61 | 61 | | (d) Not later than September 1, 2026, the review committee |
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62 | 62 | | and department shall prepare and submit to the governor, lieutenant |
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63 | 63 | | governor, speaker of the house of representatives, and appropriate |
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64 | 64 | | standing committees of the legislature a written report summarizing |
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65 | 65 | | the results of the study and including the recommendations |
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66 | 66 | | developed under this section. The report may be consolidated with |
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67 | 67 | | the biennial report required under Section 34.015, Health and |
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68 | 68 | | Safety Code. |
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69 | 69 | | SECTION 2. This Act expires December 31, 2026. |
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70 | 70 | | SECTION 3. This Act takes effect immediately if it receives |
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71 | 71 | | a vote of two-thirds of all the members elected to each house, as |
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72 | 72 | | provided by Section 39, Article III, Texas Constitution. If this |
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73 | 73 | | Act does not receive the vote necessary for immediate effect, this |
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74 | 74 | | Act takes effect September 1, 2025. |
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