Bill Text: TX HB2333 | 2021-2022 | 87th Legislature | Engrossed
Bill Title: Relating to the establishment of the home nursing visitation for newborn caregivers competitive grant program.
Spectrum: Partisan Bill (Democrat 3-0)
Status: (Engrossed - Dead) 2021-05-17 - Received from the House [HB2333 Detail]
Download: Texas-2021-HB2333-Engrossed.html
87R19826 KKR-F | ||
By: Howard, Rose, Guerra | H.B. No. 2333 |
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relating to the establishment of the home nursing visitation for | ||
newborn caregivers competitive grant program. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Chapter 32, Health and Safety Code, is amended by | ||
adding Subchapter G to read as follows: | ||
SUBCHAPTER G. HOME NURSING VISITATION FOR NEWBORN CAREGIVERS GRANT | ||
PROGRAM | ||
Sec. 32.201. DEFINITIONS. In this subchapter: | ||
(1) "Commissioner" means the commissioner of the | ||
Department of Family and Protective Services. | ||
(2) "Department" means the Department of Family and | ||
Protective Services. | ||
(3) "Program" means the home nursing visitation for | ||
newborn caregivers grant program established under this | ||
subchapter. | ||
(4) "Service provider" means an entity that offers | ||
free of charge home nursing visits for newborn caregivers. | ||
Sec. 32.202. ESTABLISHMENT OF PROGRAM; RULES. (a) The | ||
department shall establish and administer within the department's | ||
prevention and early intervention services division a competitive | ||
grant program through which the department awards grants to | ||
eligible service providers to provide or expand home nursing | ||
visitation services for newborn caregivers. | ||
(b) The department shall award grants under the program to | ||
eligible service providers in a manner that ensures the grant | ||
recipients: | ||
(1) operate in multiple communities geographically | ||
distributed throughout this state; | ||
(2) have the capacity to offer home nursing visitation | ||
services to all newborn caregivers within a defined service area, | ||
including a birthing hospital service area, a municipality, or a | ||
county; and | ||
(3) commit to providing ongoing services to ultimately | ||
serve the communities' entire newborn population and provide the | ||
maximum possible health impact on that population. | ||
(c) The commissioner shall adopt rules as necessary to | ||
implement this subchapter. | ||
Sec. 32.203. SERVICE REQUIREMENTS. Home nursing visitation | ||
services funded by a grant awarded under this subchapter must: | ||
(1) be offered free of charge to all newborn | ||
caregivers, including foster and adoptive families, within the | ||
grant recipient's defined service area; | ||
(2) be voluntary and may not impose negative | ||
consequences on a newborn caregiver that chooses not to | ||
participate; | ||
(3) be provided by registered nurses in the newborn | ||
caregiver's home whenever possible, using telehealth services when | ||
necessary and feasible; | ||
(4) include an evidence-based assessment of the | ||
physical, social, and emotional factors affecting the health and | ||
safety of the newborn caregiver's family; | ||
(5) include at least one registered nurse visit to the | ||
newborn caregiver not later than six weeks postpartum or six weeks | ||
after the newborn is discharged from a newborn intensive care unit, | ||
with the opportunity to receive not more than three registered | ||
nurse visits as determined by the nurse's professional judgment; | ||
(6) provide to a newborn caregiver information and | ||
referrals tailored to the caregiver's needs, as identified by a | ||
home nursing visit, and support the caregiver in navigating needed | ||
services; | ||
(7) include a follow-up call to the newborn caregiver | ||
not later than three months after the last home nursing visit to | ||
assess success in referrals and family satisfaction and to close | ||
the case; | ||
(8) strictly adhere to an evidence-based service | ||
delivery model selected by the department in accordance with | ||
criteria set by the United States Department of Health and Human | ||
Services for an early childhood home visiting service delivery | ||
model, including any clinical, programmatic, and data collection | ||
requirements under the model; | ||
(9) strive to improve outcomes in one or more of the | ||
following categories: | ||
(A) reduction of child abuse and neglect; | ||
(B) child health; | ||
(C) maternal health; | ||
(D) reduction of family violence; | ||
(E) child development; | ||
(F) family economic self-sufficiency; | ||
(G) completion of maternal follow-up and | ||
well-child visits with health care providers; | ||
(H) appropriate use of a health care facility's | ||
emergency department; and | ||
(I) increased positive parenting practices; | ||
(10) require the home nursing visits to: | ||
(A) be offered in partnership with the newborn | ||
caregiver's attending obstetrician or gynecologist, maternal | ||
health provider, or birthing hospital, if applicable; and | ||
(B) begin not later than six weeks postpartum or | ||
six weeks after a newborn is discharged from a newborn intensive | ||
care unit; and | ||
(11) continue for a period of at least two years. | ||
Sec. 32.204. APPLICATION REQUIREMENTS. (a) A public or | ||
private entity, including a county, municipality, or other | ||
political subdivision of this state, may apply for a grant under | ||
this subchapter. | ||
(b) To apply for a grant, an applicant must submit a written | ||
application to the department on a form prescribed by commissioner | ||
rule in accordance with this section. | ||
(c) The application form must: | ||
(1) require the applicant to provide: | ||
(A) information on the number of births by | ||
hospital located in the defined service area in which the applicant | ||
proposes to operate; and | ||
(B) a description of existing services available | ||
to newborn caregivers in the community; | ||
(2) describe the processes the department uses to | ||
continually monitor and evaluate grant recipients under Section | ||
32.208, including the grant recipient's obligations to: | ||
(A) collect and provide information requested by | ||
the department; and | ||
(B) adhere to the evidence-based model selected | ||
by the department; | ||
(3) require the applicant to outline the applicant's | ||
plan to collaborate and strengthen relationships with health care | ||
and social service providers to ensure the applicant's ability to | ||
effectively connect newborn caregivers and the caregivers' | ||
families to other community services when needed; and | ||
(4) describe the applicant's plan for enrolling | ||
newborn caregivers, including the applicant's partnerships with | ||
birthing hospitals and local maternal health care and pediatric | ||
health care providers. | ||
Sec. 32.205. GRANT AWARD REQUIREMENTS. In determining | ||
whether to award a grant to an applicant under this subchapter, the | ||
department shall consider the applicant's demonstrated capacity to | ||
provide home nursing visitation services to newborn caregivers in | ||
the defined service area in which the applicant proposes to provide | ||
services, which may be determined by considering: | ||
(1) the applicant's ability to: | ||
(A) participate in continued monitoring and | ||
performance evaluations under Section 32.208, including the | ||
applicant's ability to collect and provide information requested by | ||
the department; | ||
(B) comply with program standards; and | ||
(C) develop broad-based community support and | ||
leverage philanthropic support to implement or expand home nursing | ||
visitation services for newborn caregivers; and | ||
(2) the applicant's history of developing and | ||
sustaining innovative, quality home nursing visitation services | ||
for newborn caregivers that meet the needs of families and | ||
communities. | ||
Sec. 32.206. WRITTEN AGREEMENT WITH GRANT RECIPIENT | ||
REQUIRED. Before awarding a grant under this subchapter, the | ||
department shall enter into a written agreement with each applicant | ||
to be awarded a grant that requires the grant recipient to repay | ||
this state, in accordance with terms specified in the agreement, | ||
if: | ||
(1) the department determines the grant recipient has | ||
not complied with the minimum standards and reporting requirements | ||
prescribed by this subchapter or rules adopted under this | ||
subchapter or with any other applicable rules or standards | ||
prescribed by the commissioner or the department; or | ||
(2) the grant recipient fails to use the grant money | ||
for the purposes for which the grant was awarded, in accordance with | ||
Section 32.207. | ||
Sec. 32.207. USE OF GRANT MONEY. Grant money awarded under | ||
this subchapter may be used only to cover costs related to the grant | ||
recipient administering, implementing, or expanding home nursing | ||
visitation services for newborn caregivers, including costs | ||
related to: | ||
(1) administering the home nursing visitation | ||
services; | ||
(2) training and managing registered nurses and other | ||
staff who participate in providing the home nursing visitation | ||
services; | ||
(3) paying the salaries and expenses of registered | ||
nurses and other required staff members who are essential to | ||
delivering the home nursing visitation services; | ||
(4) paying for facilities and equipment for providing | ||
the home nursing visitation services; and | ||
(5) paying for technical assistance to ensure a grant | ||
recipient adheres to the evidence-based model selected by the | ||
department. | ||
Sec. 32.208. GRANT RECIPIENT MONITORING AND EVALUATION; | ||
ANNUAL REPORT. (a) The department shall: | ||
(1) adopt performance indicators designed to measure a | ||
grant recipient's performance with respect to the program standards | ||
adopted by commissioner rule that align with the evidence-based | ||
model selected by the department; and | ||
(2) use the performance indicators to continuously | ||
monitor and formally evaluate at least annually the performance of | ||
each grant recipient. | ||
(b) Not later than December 1 of each year, the department | ||
shall prepare and submit a written report to the standing | ||
committees of the legislature with primary jurisdiction over the | ||
department regarding the performance of each grant recipient during | ||
the preceding state fiscal year with respect to providing program | ||
services and improving outcomes for newborns and their families. | ||
Sec. 32.209. COMPETITIVE GRANT PROGRAM FUNDING. (a) The | ||
department shall seek and apply for any available federal and state | ||
money, including money available for Medicaid or the Children's | ||
Health Insurance Program (CHIP), to assist in financing the | ||
program. | ||
(b) The department shall consult, collaborate, and | ||
coordinate with health benefit plan issuers in this state, | ||
including Medicaid managed care organizations, to identify | ||
existing incentives and reimbursement strategies that could expand | ||
the program. | ||
(c) The department may solicit and accept gifts, grants, and | ||
donations to operate the program. | ||
SECTION 2. (a) As soon as practicable after the effective | ||
date of this Act, the Department of Family and Protective Services | ||
shall apply for any available federal money to finance the grant | ||
program established by Subchapter G, Chapter 32, Health and Safety | ||
Code, as added by this Act. If federal money is not available for | ||
that purpose and notwithstanding any provision of this Act, the | ||
department shall delay implementation of Subchapter G, Chapter 32, | ||
Health and Safety Code, as added by this Act, until federal money | ||
becomes available. | ||
(b) Not later than September 1, 2022, the Department of | ||
Family and Protective Services shall establish and implement the | ||
grant program established by Subchapter G, Chapter 32, Health and | ||
Safety Code, as added by this Act. | ||
(c) Not later than September 1, 2022, the commissioner of | ||
the Department of Family and Protective Services shall adopt rules | ||
necessary to implement Subchapter G, Chapter 32, Health and Safety | ||
Code, as added by this Act. | ||
(d) Not later than December 1, 2022, the Department of | ||
Family and Protective Services shall submit a written report to the | ||
standing committees of the legislature with primary jurisdiction | ||
over the department regarding the implementation and status of the | ||
grant program described by Subchapter G, Chapter 32, Health and | ||
Safety Code, as added by this Act. | ||
(e) Not later than December 1, 2023, the Department of | ||
Family and Protective Services shall submit the initial report | ||
required by Section 32.208, Health and Safety Code, as added by this | ||
Act. | ||
SECTION 3. This Act takes effect September 1, 2021. |