1 | 1 | | 89R9324 KKR-F |
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2 | 2 | | By: Johnson H.B. No. 3940 |
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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 the provision of certain information about Medicaid |
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10 | 10 | | benefits in relation to newborn children. |
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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. Subchapter B, Chapter 32, Human Resources Code, |
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13 | 13 | | is amended by adding Section 32.0631 to read as follows: |
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14 | 14 | | Sec. 32.0631. ANNUAL NOTICE TO CERTAIN PROVIDERS REGARDING |
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15 | 15 | | USE OF MEDICAID IDENTIFICATION NUMBERS WITH RESPECT TO NEWBORN |
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16 | 16 | | CHILDREN. The commission shall annually provide written notice to |
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17 | 17 | | each managed care organization and health care provider, including |
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18 | 18 | | hospitals and other health care facilities participating in |
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19 | 19 | | Medicaid that regularly provide health care services to medical |
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20 | 20 | | assistance recipients who are pregnant women or newborn children: |
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21 | 21 | | (1) reminding the organizations and providers that |
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22 | 22 | | when a newborn child of a recipient has not been assigned a Medicaid |
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23 | 23 | | identification number, the provider may accept or use the |
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24 | 24 | | recipient's Medicaid identification number on any claim for |
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25 | 25 | | reimbursement under Medicaid; and |
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26 | 26 | | (2) encouraging organizations and providers to |
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27 | 27 | | educate recipients who are mothers or the prospective mothers of |
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28 | 28 | | newborn children that the recipient may use the recipient's |
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29 | 29 | | Medicaid identification number until the recipient's newborn child |
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30 | 30 | | is enrolled in Medicaid. |
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31 | 31 | | SECTION 2. Section 161.501(a), Health and Safety Code, is |
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32 | 32 | | amended to read as follows: |
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33 | 33 | | (a) A hospital, birthing center, physician, nurse midwife, |
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34 | 34 | | or midwife who provides prenatal care to a pregnant woman during |
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35 | 35 | | gestation or at delivery of an infant shall: |
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36 | 36 | | (1) provide the woman and the father of the infant, if |
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37 | 37 | | possible, or another adult caregiver for the infant, with a |
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38 | 38 | | resource pamphlet that includes: |
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39 | 39 | | (A) a list of the names, addresses, and phone |
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40 | 40 | | numbers of professional organizations that provide postpartum |
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41 | 41 | | counseling and assistance to parents relating to postpartum |
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42 | 42 | | depression and other emotional trauma associated with pregnancy and |
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43 | 43 | | parenting; |
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44 | 44 | | (B) information regarding the prevention of |
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45 | 45 | | shaken baby syndrome including: |
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46 | 46 | | (i) techniques for coping with anger caused |
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47 | 47 | | by a crying baby; |
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48 | 48 | | (ii) different methods for preventing a |
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49 | 49 | | person from shaking a newborn, infant, or other young child; |
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50 | 50 | | (iii) the dangerous effects of shaking a |
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51 | 51 | | newborn, infant, or other young child; and |
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52 | 52 | | (iv) the symptoms of shaken baby syndrome |
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53 | 53 | | and who to contact, as recommended by the American Academy of |
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54 | 54 | | Pediatrics, if a parent suspects or knows that a baby has been |
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55 | 55 | | shaken in order to receive prompt medical treatment; |
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56 | 56 | | (C) a list of diseases for which a child is |
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57 | 57 | | required by state law to be immunized and the appropriate schedule |
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58 | 58 | | for the administration of those immunizations; |
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59 | 59 | | (D) the appropriate schedule for follow-up |
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60 | 60 | | procedures for newborn screening; |
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61 | 61 | | (E) information regarding sudden infant death |
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62 | 62 | | syndrome, including current recommendations for infant sleeping |
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63 | 63 | | conditions to lower the risk of sudden infant death syndrome; |
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64 | 64 | | (F) educational information in both English and |
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65 | 65 | | Spanish on: |
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66 | 66 | | (i) pertussis disease and the availability |
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67 | 67 | | of a vaccine to protect against pertussis, including information on |
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68 | 68 | | the Centers for Disease Control and Prevention recommendation that |
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69 | 69 | | parents receive Tdap during the postpartum period to protect |
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70 | 70 | | newborns from the transmission of pertussis; and |
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71 | 71 | | (ii) the incidence of cytomegalovirus, |
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72 | 72 | | birth defects caused by congenital cytomegalovirus, and available |
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73 | 73 | | resources for the family of an infant born with congenital |
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74 | 74 | | cytomegalovirus; [and] |
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75 | 75 | | (G) the danger of heatstroke for a child left |
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76 | 76 | | unattended in a motor vehicle; and |
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77 | 77 | | (H) information about Medicaid benefits for |
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78 | 78 | | children, including eligibility requirements and the process for |
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79 | 79 | | applying for those benefits; |
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80 | 80 | | (2) if the woman is a recipient of medical assistance |
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81 | 81 | | under Chapter 32, Human Resources Code, provide the woman and the |
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82 | 82 | | father of the infant, if possible, or another adult caregiver with: |
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83 | 83 | | (A) a resource guide that includes information in |
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84 | 84 | | both English and Spanish relating to the development, health, and |
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85 | 85 | | safety of a child from birth until age five, including information |
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86 | 86 | | relating to: |
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87 | 87 | | (i) [(A)] selecting and interacting with a |
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88 | 88 | | primary health care practitioner and establishing a "medical home" |
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89 | 89 | | for the child; |
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90 | 90 | | (ii) [(B)] dental care; |
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91 | 91 | | (iii) [(C)] effective parenting; |
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92 | 92 | | (iv) [(D)] child safety; |
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93 | 93 | | (v) [(E)] the importance of reading to a |
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94 | 94 | | child; |
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95 | 95 | | (vi) [(F)] expected developmental |
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96 | 96 | | milestones; |
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97 | 97 | | (vii) [(G)] health care resources |
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98 | 98 | | available in the state; |
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99 | 99 | | (viii) [(H)] selecting appropriate child |
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100 | 100 | | care; [and] |
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101 | 101 | | (ix) [(I)] other resources available in the |
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102 | 102 | | state; and |
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103 | 103 | | (x) how to contact the commission to report |
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104 | 104 | | the child's birth for the purpose of enrolling the newborn child in |
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105 | 105 | | Medicaid; and |
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106 | 106 | | (B) a written notice developed by the commission |
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107 | 107 | | informing the woman, father, or other caregiver that the newborn |
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108 | 108 | | child is automatically eligible for Medicaid and that the woman's |
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109 | 109 | | Medicaid identification number may be used on reimbursement claims |
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110 | 110 | | for services provided to the woman's newborn child until the child |
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111 | 111 | | is enrolled in Medicaid and assigned a separate Medicaid |
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112 | 112 | | identification number; |
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113 | 113 | | (3) document in the woman's record that the woman |
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114 | 114 | | received the resource pamphlet described in Subdivision (1) and the |
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115 | 115 | | resource guide and notice described in Subdivision (2), if |
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116 | 116 | | applicable; and |
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117 | 117 | | (4) retain the documentation for at least five years |
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118 | 118 | | in the hospital's, birthing center's, physician's, nurse midwife's, |
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119 | 119 | | or midwife's records. |
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120 | 120 | | SECTION 3. (a) Not later than December 1, 2025: |
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121 | 121 | | (1) the Department of State Health Services shall |
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122 | 122 | | include the information required by Sections 161.501(a)(1)(H) and |
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123 | 123 | | (a)(2)(A)(x), Health and Safety Code, as added by this Act, in the |
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124 | 124 | | informational materials required by that section; and |
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125 | 125 | | (2) the Health and Human Services Commission shall |
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126 | 126 | | develop the notice required by Section 161.501(a)(2)(B), Health and |
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127 | 127 | | Safety Code, as added by this Act. |
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128 | 128 | | (b) Notwithstanding Section 161.501(a), Health and Safety |
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129 | 129 | | Code, as amended by this Act, a hospital, birthing center, |
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130 | 130 | | physician, nurse midwife, or midwife who provides prenatal care to |
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131 | 131 | | a pregnant woman during gestation or at delivery of an infant is not |
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132 | 132 | | required to comply with that provision until January 1, 2026. |
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133 | 133 | | SECTION 4. This Act takes effect September 1, 2025. |
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