BILL ANALYSIS Senate Research Center C.S.S.B. 2357 89R25636 EAS-D By: Perry Health & Human Services 4/25/2025 Committee Report (Substituted) AUTHOR'S / SPONSOR'S STATEMENT OF INTENT Preventable pregnancy-related complications in Texas are significantly affected by deficiencies in clinical knowledge among healthcare providers and by inconsistent adherence to protocols for managing obstetric emergencies, including sepsis, cardiovascular complications, and infection control measures. The Texas Maternal Mortality and Morbidity Review Committee (MMMRC) has highlighted these gaps as key contributors to maternal mortality and morbidity in the state. While programs like TexasAIM have demonstrated efficacy in reducing maternal complications within participating hospitals, the lack of statewide participation and standardization contributes to variability in care delivery and patient outcomes. Bill Summary: S.B. 2357 requires the implementation of standardized maternal health training for all healthcare providers in facilities serving maternal patients, ensuring consistent application of evidence-based protocols to improve maternal health outcomes statewide. Establishes statewide training requirements based on TexasAIM maternal safety bundles and evidence-based protocols for emergencies like sepsis and hemorrhage. Incorporates maternal safety simulations to enhance provider preparedness and response. Aligns training oversight with the Department of State Health Services (DSHS) in coordination with the Texas Collaborative for Healthy Mothers and Babies (TCHMB). S.B. 2357 proactively addresses the implementation challenges to ensure widespread adoption and consistent application across all healthcare facilities in Texas. Assigns DSHS the responsibility to monitor training compliance and update curriculum in line with best practices on the solution. Reduces variability in maternal health outcomes by implementing uniform protocols and continuous professional development statewide. Committee Substitute: The committee substitute adds licensing boards alongside the Health and Human Services Commission to require healthcare providers to complete the training. C.S.S.B. 2357 amends current law relating to a maternal health training program for certain health care providers. RULEMAKING AUTHORITY Rulemaking authority is expressly granted to the executive commissioner of the Health and Human Services Commission in SECTION 1 (Sections 34A.002 and 34A.003, Health and Safety Code) of this bill. Rulemaking authority is expressly granted to each appropriate licensing authority of a health care provider in SECTION 1 (Sections 34A.002, Health and Safety Code) of this bill. SECTION BY SECTION ANALYSIS SECTION 1. Amends Subtitle B, Title 2, Health and Safety Code, by adding Chapter 34A, as follows: CHAPTER 34A. MATERNAL HEALTH TRAINING PROGRAM FOR HEALTH CARE PROVIDERS Sec. 34A.001. DEFINITIONS. Defines "health care provider," "maternal morbidity," "review committee," "TexasAIM," and "training program." Sec. 34A.002. MATERNAL HEALTH TRAINING PROGRAM. (a) Requires the Department of State Health Services (DSHS) to develop and implement a training program for health care providers providing health care services to maternal patients in this state. (b) Requires that the training program ensure health care providers providing health care services to maternal patients are equipped to deliver consistent, superior health care services. (c) Requires DSHS to collaborate with the Texas Maternal Mortality and Morbidity Review Committee (review committee) to establish the training program curriculum. Requires that the training program curriculum include evidence-based protocols for obstetric emergencies, TexasAIM maternal safety best practices for specific maternal and postpartum conditions, maternal safety simulations, and other information the review committee recommends regarding best practices for reducing maternal mortality and morbidity rates. (d) Requires the executive commissioner of the Health and Human Services Commission (executive commissioner) and each appropriate licensing authority of a health care provider by rule to require health care providers providing health care services to maternal patients to participate in the training program. Sec. 34A.003. RULES. Requires the executive commissioner to adopt rules as necessary to establish and implement the training program under this chapter, including rules regarding monitoring health care provider compliance. SECTION 2. Requires the executive commissioner and each appropriate licensing authority of a health care provider, as soon as practicable after the effective date of this Act, to adopt the rules required by Chapter 34A, Health and Safety Code, as added by this Act. SECTION 3. Effective date: September 1, 2025.
BILL ANALYSIS
Senate Research Center C.S.S.B. 2357
89R25636 EAS-D By: Perry
Health & Human Services
4/25/2025
Committee Report (Substituted)
Senate Research Center
C.S.S.B. 2357
89R25636 EAS-D
By: Perry
Health & Human Services
4/25/2025
Committee Report (Substituted)
AUTHOR'S / SPONSOR'S STATEMENT OF INTENT
Preventable pregnancy-related complications in Texas are significantly affected by deficiencies in clinical knowledge among healthcare providers and by inconsistent adherence to protocols for managing obstetric emergencies, including sepsis, cardiovascular complications, and infection control measures. The Texas Maternal Mortality and Morbidity Review Committee (MMMRC) has highlighted these gaps as key contributors to maternal mortality and morbidity in the state. While programs like TexasAIM have demonstrated efficacy in reducing maternal complications within participating hospitals, the lack of statewide participation and standardization contributes to variability in care delivery and patient outcomes.
Bill Summary:
S.B. 2357 requires the implementation of standardized maternal health training for all healthcare providers in facilities serving maternal patients, ensuring consistent application of evidence-based protocols to improve maternal health outcomes statewide.
Establishes statewide training requirements based on TexasAIM maternal safety bundles and evidence-based protocols for emergencies like sepsis and hemorrhage.
Incorporates maternal safety simulations to enhance provider preparedness and response.
Aligns training oversight with the Department of State Health Services (DSHS) in coordination with the Texas Collaborative for Healthy Mothers and Babies (TCHMB).
S.B. 2357 proactively addresses the implementation challenges to ensure widespread adoption and consistent application across all healthcare facilities in Texas.
Assigns DSHS the responsibility to monitor training compliance and update curriculum in line with best practices on the solution.
Reduces variability in maternal health outcomes by implementing uniform protocols and continuous professional development statewide.
Committee Substitute:
The committee substitute adds licensing boards alongside the Health and Human Services Commission to require healthcare providers to complete the training.
C.S.S.B. 2357 amends current law relating to a maternal health training program for certain health care providers.
RULEMAKING AUTHORITY
Rulemaking authority is expressly granted to the executive commissioner of the Health and Human Services Commission in SECTION 1 (Sections 34A.002 and 34A.003, Health and Safety Code) of this bill.
Rulemaking authority is expressly granted to each appropriate licensing authority of a health care provider in SECTION 1 (Sections 34A.002, Health and Safety Code) of this bill.
SECTION BY SECTION ANALYSIS
SECTION 1. Amends Subtitle B, Title 2, Health and Safety Code, by adding Chapter 34A, as follows:
CHAPTER 34A. MATERNAL HEALTH TRAINING PROGRAM FOR HEALTH CARE PROVIDERS
Sec. 34A.001. DEFINITIONS. Defines "health care provider," "maternal morbidity," "review committee," "TexasAIM," and "training program."
Sec. 34A.002. MATERNAL HEALTH TRAINING PROGRAM. (a) Requires the Department of State Health Services (DSHS) to develop and implement a training program for health care providers providing health care services to maternal patients in this state.
(b) Requires that the training program ensure health care providers providing health care services to maternal patients are equipped to deliver consistent, superior health care services.
(c) Requires DSHS to collaborate with the Texas Maternal Mortality and Morbidity Review Committee (review committee) to establish the training program curriculum. Requires that the training program curriculum include evidence-based protocols for obstetric emergencies, TexasAIM maternal safety best practices for specific maternal and postpartum conditions, maternal safety simulations, and other information the review committee recommends regarding best practices for reducing maternal mortality and morbidity rates.
(d) Requires the executive commissioner of the Health and Human Services Commission (executive commissioner) and each appropriate licensing authority of a health care provider by rule to require health care providers providing health care services to maternal patients to participate in the training program.
Sec. 34A.003. RULES. Requires the executive commissioner to adopt rules as necessary to establish and implement the training program under this chapter, including rules regarding monitoring health care provider compliance.
SECTION 2. Requires the executive commissioner and each appropriate licensing authority of a health care provider, as soon as practicable after the effective date of this Act, to adopt the rules required by Chapter 34A, Health and Safety Code, as added by this Act.
SECTION 3. Effective date: September 1, 2025.