| |
| |
| |
|
|
AN ACT
|
|
|
relating to the establishment of a pilot program in Harris County to |
|
|
provide maternity care management to certain women enrolled in the |
|
|
Medicaid managed care program. |
|
|
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
|
|
SECTION 1. Subchapter B, Chapter 531, Government Code, is |
|
|
amended by adding Section 531.0996 to read as follows: |
|
|
Sec. 531.0996. PREGNANCY MEDICAL HOME PILOT PROGRAM. (a) |
|
|
The commission shall develop and implement a pilot program in |
|
|
Harris County to create pregnancy medical homes that provide |
|
|
coordinated evidence-based maternity care management to women who |
|
|
reside in the pilot program area and are recipients of medical |
|
|
assistance through a Medicaid managed care model or arrangement |
|
|
under Chapter 533. |
|
|
(b) In developing the pilot program, the commission shall |
|
|
ensure that each pregnancy medical home created for the program |
|
|
provides a maternity management team that: |
|
|
(1) consists of health care providers, including |
|
|
obstetricians, gynecologists, family physicians or primary care |
|
|
providers, physician assistants, certified nurse midwives, |
|
|
advanced practice registered nurses, and social workers, in a |
|
|
single location; |
|
|
(2) conducts a risk-classification assessment for |
|
|
each pilot program participant on entry into the program to |
|
|
determine whether her pregnancy is considered high- or low-risk; |
|
|
(3) based on the assessment under Subdivision (2), |
|
|
establishes an individual pregnancy care plan for each participant; |
|
|
and |
|
|
(4) follows the participant throughout her pregnancy |
|
|
in order to reduce poor birth outcomes. |
|
|
(c) The commission may incorporate financial incentives to |
|
|
health care providers who participate in a maternity management |
|
|
team as a component of the pilot program. |
|
|
(d) Not later than January 1, 2015, the commission shall |
|
|
report to the legislature on the progress of the pilot program. The |
|
|
report must include: |
|
|
(1) an evaluation of the pilot program's success in |
|
|
reducing poor birth outcomes; and |
|
|
(2) a recommendation as to whether the pilot program |
|
|
should be continued, expanded, or terminated. |
|
|
(e) The executive commissioner may adopt rules to implement |
|
|
this section. |
|
|
(f) This section expires September 1, 2017. |
|
|
SECTION 2. 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 3. This Act takes effect September 1, 2013. |
| |
| |
| |
______________________________ |
______________________________ |
| |
President of the Senate |
Speaker of the House |
| |
| |
|
|
I certify that H.B. No. 1605 was passed by the House on April |
|
|
25, 2013, by the following vote: Yeas 133, Nays 3, 2 present, not |
|
|
voting; and that the House concurred in Senate amendments to H.B. |
|
|
No. 1605 on May 23, 2013, by the following vote: Yeas 132, Nays 12, |
|
|
2 present, not voting. |
|
|
|
|
|
______________________________ |
|
|
Chief Clerk of the House |
| |
|
|
I certify that H.B. No. 1605 was passed by the Senate, with |
|
|
amendments, on May 20, 2013, by the following vote: Yeas 30, Nays |
|
|
1. |
|
|
|
|
|
______________________________ |
|
|
Secretary of the Senate |
|
|
APPROVED: __________________ |
|
|
Date |
|
|
|
|
|
__________________ |
|
|
Governor |