Bill Text: TX SB1657 | 2019-2020 | 86th Legislature | Introduced
Bill Title: Relating to level of care designations for rural hospitals that provide maternal care.
Spectrum: Partisan Bill (Republican 1-0)
Status: (Introduced - Dead) 2019-03-14 - Referred to Health & Human Services [SB1657 Detail]
Download: Texas-2019-SB1657-Introduced.html
2019S0340-1 03/05/19 | ||
By: Campbell | S.B. No. 1657 |
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relating to level of care designations for rural hospitals that | ||
provide maternal care. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Subchapter H, Chapter 241, Health and Safety | ||
Code, is amended by adding Section 241.1831 to read as follows: | ||
Sec. 241.1831. LEVEL OF CARE DESIGNATIONS FOR MATERNAL CARE | ||
IN RURAL HOSPITALS. (a) In this section: | ||
(1) "Rural hospital" means a hospital that has fewer | ||
than 50 beds and: | ||
(A) is: | ||
(i) designated by the Centers for Medicare | ||
and Medicaid Services as a critical access hospital, sole community | ||
hospital, or rural referral center; and | ||
(ii) not located in an area defined by the | ||
federal Office of Management and Budget as a metropolitan | ||
statistical area; or | ||
(B) is located in a county with a population of | ||
not more than 60,000. | ||
(2) "Telemedicine medical service" has the meaning | ||
assigned by Section 111.001, Occupations Code. | ||
(b) A rural hospital must have available at all times for | ||
consultation, either in person or as a telemedicine medical | ||
service, a family medicine physician, an obstetrics and gynecology | ||
physician, or a maternal fetal medicine physician who: | ||
(1) for a rural hospital assigned a Level I level of | ||
care designation: | ||
(A) is licensed by the Texas Medical Board; | ||
(B) has obstetrics training and experience; and | ||
(C) has maternal care and obstetrical surgical | ||
privileges; or | ||
(2) for a rural hospital assigned a Level II level of | ||
care designation: | ||
(A) is licensed by the Texas Medical Board; | ||
(B) has obstetrics training and experience; | ||
(C) has maternal care and obstetrical surgical | ||
privileges; and | ||
(D) is available to provide medical services or | ||
telemedicine medical services to a patient of the hospital not | ||
later than 30 minutes after the time the hospital contacts the | ||
physician. | ||
(c) This section does not affect the authority of a | ||
physician to delegate to a certified registered nurse anesthetist | ||
under Section 157.058, Occupations Code. | ||
(d) The department by rule shall establish a process by | ||
which a rural hospital may appeal its level of care designation to | ||
the department. | ||
(e) Except as specifically provided by this section, a rural | ||
hospital is subject to all other requirements for a level of care | ||
designation under this chapter. | ||
SECTION 2. As soon as practicable after the effective date | ||
of this Act, the Department of State Health Services shall adopt | ||
rules as necessary to implement Section 241.1831, Health and Safety | ||
Code, as added by this Act. | ||
SECTION 3. This Act takes effect September 1, 2019. |