Bill Text: TX HB2618 | 2019-2020 | 86th Legislature | Comm Sub


Bill Title: Relating to the maternal mental health peer support pilot program for perinatal mood and anxiety disorder.

Spectrum: Partisan Bill (Democrat 4-0)

Status: (Introduced) 2019-05-01 - Committee report sent to Calendars [HB2618 Detail]

Download: Texas-2019-HB2618-Comm_Sub.html
  86R28898 JG-F
 
  By: Walle, Thierry, Morales, Ortega H.B. No. 2618
 
  Substitute the following for H.B. No. 2618:
 
  By:  Thompson of Harris C.S.H.B. No. 2618
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the maternal mental health peer support pilot program
  for perinatal mood and anxiety disorder.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Chapter 32, Health and Safety Code, is amended by
  adding Subchapter E to read as follows:
  SUBCHAPTER E. MATERNAL MENTAL HEALTH PEER SUPPORT PILOT PROGRAM
         Sec. 32.101.  DEFINITIONS. In this subchapter:
               (1)  "Peer support service" means a service provided by
  a peer support specialist to a person with mental illness or
  substance abuse conditions in accordance with commission rules
  regarding peer specialists.
               (2)  "Perinatal mood and anxiety disorder" includes any
  of the following psychiatric illnesses, as defined by the American
  Psychiatric Association in the Diagnostic and Statistical Manual
  (DSM), that occur during pregnancy or within 12 months postpartum:
                     (A)  bipolar disorder, including hypomanic,
  manic, depressive, and mixed types;
                     (B)  major depressive disorder, including
  single-episode and recurrent types;
                     (C)  generalized anxiety disorder;
                     (D)  obsessive-compulsive disorder;
                     (E)  paranoid or other psychotic disorder; and
                     (F)  post-traumatic stress disorder.
               (3)  "Pilot program" means the maternal mental health
  peer support pilot program established under this subchapter.
         Sec. 32.102.  ESTABLISHMENT OF PILOT PROGRAM. (a) The
  commission shall establish and operate the maternal mental health
  peer support pilot program to reduce the risk and manage the effects
  of perinatal mood and anxiety disorders in women through the
  delivery of peer support services at federally qualified health
  centers located in the geographic areas in which the pilot program
  operates.
         (b)  The commission shall establish the pilot program in five
  counties in this state that:
               (1)  either:
                     (A)  are within an area designated as a mental
  health professional shortage area; or
                     (B)  have high rates of maternal mortality and
  morbidity as determined by the commission in consultation with the
  Maternal Mortality and Morbidity Task Force established under
  Chapter 34; and
               (2)  include at least one rural county and one county
  with a population of at least 500,000.
         Sec. 32.103.  OPERATION OF PILOT PROGRAM. (a) In
  establishing the pilot program, the commission shall:
               (1)  develop a strategy for federally qualified health
  centers participating in the pilot program and persons responsible
  for training to collaborate on the training, certification, and
  guidance of peer support specialists in accordance with existing
  state procedures and programs;
               (2)  seek comments regarding best practices for the
  design and implementation of the pilot program from relevant
  interested persons, including federally qualified health centers,
  mental health care providers, local mental health authorities,
  certified peer support specialists and affiliated organizations,
  women's health care providers, and individuals who have personal
  experience with perinatal mood and anxiety disorders;
               (3)  develop specialized training to:
                     (A)  identify and treat symptoms of perinatal mood
  and anxiety disorders; and
                     (B)  provide peer support services to pregnant
  women and new mothers;
               (4)  develop a strategy for federally qualified health
  centers and peer support specialists participating in the pilot
  program to provide peer support services through any form of
  telephonic communication;
               (5)  develop a strategy with federally qualified health
  centers participating in the pilot program to integrate the
  delivery of peer support services with the health care services
  provided by the centers to women during pregnancy and within one
  year of giving birth;
               (6)  create a protocol within federally qualified
  health centers participating in the pilot program for referring to
  peer support services women who are diagnosed as having or
  identified as being at risk of developing a perinatal mood and
  anxiety disorder;
               (7)  ensure that services provided by peer support
  specialists under the pilot program are within the scope of a duty
  of care prescribed by commission rule for peer support specialists
  who provide similar services; and
               (8)  develop a method for collecting data, including by
  consulting with the Maternal Mortality and Morbidity Task Force and
  other relevant entities regarding the data, on:
                     (A)  maternal health and mental health outcomes;
  and
                     (B)  substance use by women receiving peer support
  services through the pilot program.
         (b)  A peer support specialist who provides peer support
  services through the pilot program at a federally qualified health
  center shall:
               (1)  provide peer support services to women who:
                     (A)  based on the results of a postpartum
  depression screening or other screening tool, are diagnosed as
  having or identified as being at risk of developing a perinatal mood
  and anxiety disorder; and
                     (B)  are interested in receiving peer support
  services; and
               (2)  through the use of the specialist's personal
  experience with perinatal mood and anxiety disorders:
                     (A)  provide guidance to the women;
                     (B)  if necessary, advocate for the women to
  receive mental health care services or other specialized health
  care services; and
                     (C)  provide the women with information on mental
  health care resources as necessary.
         Sec. 32.104.  FUNDING. In addition to money appropriated by
  the legislature, the commission may accept gifts, grants, and
  donations from any source for the purpose of establishing the pilot
  program and compensating peer support specialists under the pilot
  program.
         Sec. 32.105.  REPORT. Not later than January 1, 2021, the
  commission shall prepare and submit to the governor, lieutenant
  governor, and legislature a written report that:
               (1)  evaluates the success of the pilot program in
  reducing perinatal mood and anxiety disorders and substance use in
  women who received peer support services under the pilot program;
  and
               (2)  recommends whether the pilot program should be
  continued, expanded, or terminated.
         Sec. 32.106.  EXPIRATION. This subchapter expires September
  1, 2023.
         SECTION 2.  (a) Not later than December 31, 2019, the
  executive commissioner of the Health and Human Services Commission
  shall adopt rules as necessary to establish the pilot program as
  required by Subchapter E, Chapter 32, Health and Safety Code, as
  added by this Act.
         (b)  Not later than June 30, 2020, the Health and Human
  Services Commission shall establish the pilot program as required
  by Subchapter E, Chapter 32, Health and Safety Code, as added by
  this Act.
         SECTION 3.  This Act takes effect September 1, 2019.
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