Bill Text: TX SB1698 | 2015-2016 | 84th Legislature | Introduced
Bill Title: Relating to coverage for certain services relating to postpartum depression under the medical assistance and CHIP perinatal programs.
Spectrum: Partisan Bill (Republican 1-0)
Status: (Introduced - Dead) 2015-03-23 - Referred to Health & Human Services [SB1698 Detail]
Download: Texas-2015-SB1698-Introduced.html
| 84R9438 KKR-D | ||
| By: Huffman | S.B. No. 1698 | |
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| relating to coverage for certain services relating to postpartum | ||
| depression under the medical assistance and CHIP perinatal | ||
| programs. | ||
| BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
| SECTION 1. Chapter 62, Health and Safety Code, is amended by | ||
| adding Subchapter E to read as follows: | ||
| SUBCHAPTER E. CHIP PERINATAL PROGRAM | ||
| Sec. 62.201. DEFINITION. In this subchapter, "postpartum | ||
| depression" means a disorder with postpartum onset that is | ||
| categorized as a mood disorder by the American Psychiatric | ||
| Association in the Diagnostic and Statistical Manual of Mental | ||
| Disorders, 5th Edition (DSM-5), or a subsequent edition adopted by | ||
| rule by the executive commissioner of the commission. | ||
| Sec. 62.202. COVERAGE FOR CERTAIN SERVICES REQUIRED. (a) | ||
| The covered services under the CHIP perinatal program must include, | ||
| for each woman who gives birth to a child who is enrolled in the CHIP | ||
| perinatal program before birth, screening and treatment for | ||
| postpartum depression for the 12-month period after the date the | ||
| woman gives birth to the child. | ||
| (b) If the health care provider who is treating a woman for | ||
| postpartum depression under Subsection (a) determines that it is | ||
| medically necessary for the woman to continue receiving treatment | ||
| after the 12-month period of coverage ends, the health care | ||
| provider must refer the woman to a federally qualified health | ||
| center for continued treatment. | ||
| (c) The executive commissioner of the commission shall | ||
| adopt rules necessary to implement this section. | ||
| SECTION 2. Subchapter B, Chapter 32, Human Resources Code, | ||
| is amended by adding Section 32.0249 to read as follows: | ||
| Sec. 32.0249. SERVICES RELATED TO POSTPARTUM DEPRESSION. | ||
| (a) For purposes of this section, "postpartum depression" means a | ||
| disorder with postpartum onset that is categorized as a mood | ||
| disorder by the American Psychiatric Association in the Diagnostic | ||
| and Statistical Manual of Mental Disorders, 5th Edition (DSM-5), or | ||
| a subsequent edition adopted by rule by the executive commissioner | ||
| of the Health and Human Services Commission. | ||
| (b) The department shall provide to a woman who receives | ||
| medical assistance benefits during a pregnancy screening and | ||
| treatment for postpartum depression for the 12-month period after | ||
| the date the woman gives birth. | ||
| (c) If the health care provider who is treating a woman for | ||
| postpartum depression under Subsection (b) determines that it is | ||
| medically necessary for the woman to continue receiving treatment | ||
| after the 12-month period, the health care provider must refer the | ||
| woman to a federally qualified health center for continued | ||
| treatment. | ||
| (d) The executive commissioner of the Health and Human | ||
| Services Commission shall adopt rules necessary to implement this | ||
| section. | ||
| SECTION 3. If before implementing any provision of this Act | ||
| a state agency determines that a waiver or authorization from a | ||
| federal agency is necessary for implementation of that provision, | ||
| the agency affected by the provision shall request the waiver or | ||
| authorization and may delay implementing that provision until the | ||
| waiver or authorization is granted. | ||
| SECTION 4. This Act takes effect September 1, 2015. | ||
