Bill Text: TX HB329 | 2017 | 85th Legislature 1st Special Session | Introduced


Bill Title: Relating to maternal health care.

Spectrum: Partisan Bill (Republican 1-0)

Status: (Introduced - Dead) 2017-07-27 - Referred to Public Health [HB329 Detail]

Download: Texas-2017-HB329-Introduced.html
  85S10907 DMS-D
 
  By: Davis of Harris H.B. No. 329
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to maternal health care.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subchapter A, Chapter 32, Health and Safety
  Code, is amended by adding Section 32.022 to read as follows:
         Sec. 32.022.  WOMEN'S HEALTH CAMPAIGN. The commission, in
  collaboration with the department and other interested parties,
  shall create a campaign to educate women about the importance of
  prenatal care.
         SECTION 2.  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:
                     (A)  cases of pregnancy-related deaths; [and]
                     (B)  trends, rates, or disparities in
  pregnancy-related deaths, postpartum depression, behavioral health
  diagnoses, and [in] severe maternal morbidity;
                     (C)  health conditions and factors that
  disproportionately affect the most at-risk population as
  determined 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)  determine the feasibility of the task force
  studying cases of severe maternal morbidity; and
               (3)  make recommendations to help reduce the incidence
  of pregnancy-related deaths and severe maternal morbidity in this
  state.
         SECTION 3.  Chapter 34, Health and Safety Code, is amended by
  adding Sections 34.0155, 34.0156, and 34.0157 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, department's, and task force'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.
         Sec. 34.0156.  REPORT ON ACTIONS TO ADDRESS MATERNAL
  MORTALITY RATES. Not later than December 1 of each even-numbered
  year, the commission shall submit 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 a written report summarizing the actions taken
  to address maternal morbidity and reduce maternal mortality rates.
  The report must include information from programs and initiatives
  created to address maternal morbidity and reduce maternal mortality
  rates in this state, including:
               (1)  Medicaid as defined by Section 531.001, Government
  Code;
               (2)  the children's health insurance program, including
  the perinatal program;
               (3)  the Healthy Texas Women program;
               (4)  the Family Planning Program;
               (5)  this state's program under the Maternal and Child
  Health Services Block Grant Act (42 U.S.C. Section 701 et seq.);
               (6)  the Perinatal Advisory Council;
               (7)  state health plans; and
               (8)  the Healthy Texas Babies program.
         Sec. 34.0157.  PROGRAM EVALUATIONS; RESOURCE GUIDE; PILOT
  PROGRAM. (a) The task force, under the direction of the
  commission, shall:
               (1)  explore options for expanding the pilot program
  for pregnancy medical homes under Section 531.0996, Government
  Code;
               (2)  explore the possibility of increasing the benefits
  provided under state-administered health programs, including
  specialty care and prescriptions, for women who are at greater risk
  of having a high-risk pregnancy or premature delivery;
               (3)  evaluate supplemental payments to obstetrics
  providers for pregnancy risk assessments and evaluate the
  submission of a waiver to fund managed care organization payments
  for case management and care coordination services for women at
  high risk of severe maternal morbidity on conclusion of their
  eligibility for Medicaid as defined by Section 531.001, Government
  Code;
               (4)  evaluate the length of time to complete the
  Medicaid enrollment process for pregnant women;
               (5)  evaluate the use for Medicaid of Medicare codes
  for care coordination; and
               (6)  study the impact of the programs funded from the
  Teen Pregnancy Prevention Program federal grant and whether the
  state should continue funding the programs.
         (b)  The commission shall:
               (1)  create and maintain an online resource guide of
  mental and behavioral health providers to assist women who have
  limited or no health benefit plan coverage or mental health benefit
  plan coverage in finding affordable providers; and
               (2)  create a pilot program for managed care
  organizations to use community health workers to address the needs
  of women who have a high-risk condition, including:
                     (A)  substance use disorder;
                     (B)  cardiovascular disease; and
                     (C)  hypertension.
         SECTION 4.  Chapter 34, Health and Safety Code, is amended by
  adding Section 34.019 to read as follows:
         Sec. 34.019.  DATA COLLECTION. The task force, under the
  direction of the commission, shall collect information relating to
  maternity care and postpartum depression in this state, including
  the:
               (1)  total number of births to Medicaid recipients;
               (2)  number of women who are screened for postpartum
  depression as a Medicaid recipient;
               (3)  total number of births to women with health
  benefit plan coverage;
               (4)  number of women with health benefit plan coverage
  who are screened for postpartum depression;
               (5)  number of women with health benefit plan coverage
  who are treated for postpartum depression;
               (6)  number of women screened for postpartum depression
  under the Healthy Texas Women program;
               (7)  number of women treated for postpartum depression
  under the Healthy Texas Women program;
               (8)  number of claims for postpartum depression
  treatment paid by the Healthy Texas Women program;
               (9)  number of claims for postpartum depression
  treatment rejected by the Healthy Texas Women program;
               (10)  postpartum depression screening and treatment
  billing codes and the number of claims for each billing code under
  the Healthy Texas Women program;
               (11)  number of days between the date of a postpartum
  depression screening and the date the patient begins treatment
  under Medicaid;
               (12)  number of days between the date of a postpartum
  depression screening and the date the patient begins treatment
  under the Healthy Texas Women program;
               (13)  number of women who screen positive for
  postpartum depression under Medicaid and the length of time
  following childbirth for the screening to occur;
               (14)  number of women with health benefit plan coverage
  who screen positive for postpartum depression and the length of
  time following childbirth for the screening to occur; and
               (15)  number of women who screen positive for
  postpartum depression under the Healthy Texas Women program and the
  length of time following childbirth for the screening to occur.
         SECTION 5.  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 6.  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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