86R1952 JG-D
	By: Farrar	H.B. No. 252

	A BILL TO BE ENTITLED
	AN ACT
	relating to increasing awareness of the dangers of exposing
	children to secondhand smoke.
	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
	SECTION 1.  Section 161.501(a), Health and Safety Code, is
	amended to read as follows:
	(a)  A hospital, birthing center, physician, nurse midwife,
	or midwife who provides prenatal care to a pregnant woman during
	gestation or at delivery of an infant shall:
	(1)  provide the woman and the father of the infant, if
	possible, or another adult caregiver for the infant, with a
	resource pamphlet that includes:
	(A)  a list of the names, addresses, and phone
	numbers of professional organizations that provide postpartum
	counseling and assistance to parents relating to postpartum
	depression and other emotional trauma associated with pregnancy and
	parenting;
	(B)  information regarding the prevention of
	shaken baby syndrome including:
	(i)  techniques for coping with anger caused
	by a crying baby;
	(ii)  different methods for preventing a
	person from shaking a newborn, infant, or other young child;
	(iii)  the dangerous effects of shaking a
	newborn, infant, or other young child; and
	(iv)  the symptoms of shaken baby syndrome
	and who to contact, as recommended by the American Academy of
	Pediatrics, if a parent suspects or knows that a baby has been
	shaken in order to receive prompt medical treatment;
	(C)  a list of diseases for which a child is
	required by state law to be immunized and the appropriate schedule
	for the administration of those immunizations;
	(D)  the appropriate schedule for follow-up
	procedures for newborn screening;
	(E)  information regarding sudden infant death
	syndrome, including current recommendations for infant sleeping
	conditions to lower the risk of sudden infant death syndrome;
	(F)  educational information in both English and
	Spanish on:
	(i)  pertussis disease and the availability
	of a vaccine to protect against pertussis, including information on
	the Centers for Disease Control and Prevention recommendation that
	parents receive Tdap during the postpartum period to protect
	newborns from the transmission of pertussis; and
	(ii)  the incidence of cytomegalovirus,
	birth defects caused by congenital cytomegalovirus, and available
	resources for the family of an infant born with congenital
	cytomegalovirus; [and]
	(G)  the danger of heatstroke for a child left
	unattended in a motor vehicle; and
	(H)  information in both English and Spanish from
	reputable sources, including the Centers for Disease Control and
	Prevention and the surgeon general of the United States Public
	Health Service, regarding the dangers of exposing a newborn,
	infant, or other child to secondhand smoke and available resources
	to assist a person who wants to stop smoking;
	(2)  if the woman is a recipient of medical assistance
	under Chapter 32, Human Resources Code, provide the woman and the
	father of the infant, if possible, or another adult caregiver with a
	resource guide that includes information in both English and
	Spanish relating to the development, health, and safety of a child
	from birth until age five, including information relating to:
	(A)  selecting and interacting with a primary
	health care practitioner and establishing a "medical home" for the
	child;
	(B)  dental care;
	(C)  effective parenting;
	(D)  child safety;
	(E)  the importance of reading to a child;
	(F)  expected developmental milestones;
	(G)  health care resources available in the state;
	(H)  selecting appropriate child care; and
	(I)  other resources available in the state;
	(3)  document in the woman's record that the woman
	received the resource pamphlet described in Subdivision (1) and the
	resource guide described in Subdivision (2), if applicable; and
	(4)  retain the documentation for at least five years
	in the hospital's, birthing center's, physician's, nurse midwife's,
	or midwife's records.
	SECTION 2.  (a)  Not later than December 1, 2019, the
	Department of State Health Services shall make the informational
	materials required by Section 161.501(a)(1), Health and Safety
	Code, as amended by this Act, available on its Internet website.
	(b)  Notwithstanding Section 161.501(a)(1)(H), Health and
	Safety Code, as added by this Act, a facility is not required to
	comply with that provision until January 1, 2020.
	SECTION 3.  This Act takes effect September 1, 2019.