Bill Text: TX HB11 | 2017 | 85th Legislature 1st Special Session | Engrossed


Bill Title: Relating to pregnancy-related deaths and maternal morbidity, including postpartum depression.

Spectrum: Slight Partisan Bill (Democrat 31-14)

Status: (Engrossed) 2017-08-03 - Received from the House [HB11 Detail]

Download: Texas-2017-HB11-Engrossed.html
 
 
  By: Thierry, Thompson of Harris, Zerwas, H.B. No. 11
      Collier, et al.
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to pregnancy-related deaths and maternal morbidity,
  including postpartum depression.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  This Act shall be known as the Texas Moms Matter
  Act.
         SECTION 2.  Section 34.001(12), Health and Safety Code, is
  amended to read as follows:
               (12)  "Pregnancy-related death" means the death of a
  woman while pregnant or within one year of delivery or end of
  pregnancy, regardless of the duration and site of the pregnancy,
  from any cause related to or aggravated by the pregnancy or its
  management, including direct obstetric death or an underlying
  aggravating condition causing obstetric death [but not from
  accidental or incidental causes].
         SECTION 3.  Section 34.005, Health and Safety Code, is
  amended to read as follows:
         Sec. 34.005.  DUTIES OF TASK FORCE. The task force shall:
               (1)  study, [and] review, and collect data on:
                     (A)  cases of pregnancy-related deaths; [and]
                     (B)  trends, rates, health conditions and
  factors, and disparities in pregnancy-related deaths and severe
  maternal morbidity;
                     (C)  the most prevalent health conditions and
  factors that caused death in African American women as identified
  in the task force's biennial report required under Section 34.015;
  and
                     (D)  best practices and programs operating in
  other states that have reduced rates of pregnancy-related deaths;
               (2)  compare rates of pregnancy-related deaths based on
  the socioeconomic status of the mother and, contingent on available
  resources, compare rates of infant mortality based on that status;
               (3)  determine the feasibility of the task force
  studying cases of severe maternal morbidity; and
               (4) [(3)]  make recommendations to help reduce the
  incidence of pregnancy-related deaths and severe maternal
  morbidity in this state.
         SECTION 4.  Sections 34.007(a) and (b), Health and Safety
  Code, are amended to read as follows:
         (a)  The department shall determine a statistically
  significant number of cases of pregnancy-related deaths for review.
  The department shall either randomly select cases or select all
  cases for the task force to review under this subsection to reflect
  a cross-section of pregnancy-related deaths in this state.
         (b)  The department shall statistically analyze aggregate
  data of pregnancy-related deaths and severe maternal morbidity in
  this state to identify any trends, rates, or disparities.
         SECTION 5.  Section 34.015(b), Health and Safety Code, is
  amended to read as follows:
         (b)  The report must include the task force's
  recommendations under Section 34.005(4) [34.005(3)].
         SECTION 6.  Chapter 34, Health and Safety Code, is amended by
  adding Section 34.0155 to read as follows:
         Sec. 34.0155.  REPORT ON PREGNANCY-RELATED DEATHS AND
  POSTPARTUM DEPRESSION. The commission shall:
               (1)  evaluate options for reducing pregnancy-related
  deaths, focusing on the most prevalent causes of pregnancy-related
  deaths as identified in the task force's biennial report required
  under Section 34.015, and for treating postpartum depression in
  economically disadvantaged women; and
               (2)  submit a written report summarizing the
  commission's and department's efforts to accomplish the tasks
  described by Subdivision (1) to the governor, the lieutenant
  governor, the speaker of the house of representatives, the
  Legislative Budget Board, and the appropriate standing committees
  of the legislature not later than December 1 of each even-numbered
  year.
         SECTION 7.  Section 34.018, Health and Safety Code, is
  amended to read as follows:
         Sec. 34.018.  SUNSET PROVISION. The task force is subject to
  Chapter 325, Government Code (Texas Sunset Act). Unless continued
  in existence as provided by that chapter, the task force is
  abolished and this chapter expires September 1, 2023 [2019].
         SECTION 8.  Section 193.001, Health and Safety Code, is
  amended by adding Subsection (a-2) to read as follows:
         (a-2)  In prescribing the form and contents of death
  certificates, the department shall require each death certificate
  to indicate whether a female decedent was pregnant at the time of
  death or was pregnant at any time in the year preceding the
  decedent's death, if known
  .
         SECTION 9.  (a) Not later than March 1, 2018, the Department
  of State Health Services shall revise and make available the forms
  required by Section 193.001, Health and Safety Code, as amended by
  this Act.
         (b)  Section 193.001, Health and Safety Code, as amended by
  this Act applies only to a death certificate filed on or after April
  1, 2018.
         SECTION 10.  This Act takes effect immediately if it
  receives a vote of two-thirds of all the members elected to each
  house, as provided by Section 39, Article III, Texas Constitution.
  If this Act does not receive the vote necessary for immediate
  effect, this Act takes effect on the 91st day after the last day of
  the legislative session.
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