Bill Text: TX HB2618 | 2019-2020 | 86th Legislature | Comm Sub
Bill Title: Relating to the maternal mental health peer support pilot program for perinatal mood and anxiety disorder.
Spectrum: Partisan Bill (Democrat 4-0)
Status: (Introduced - Dead) 2019-05-01 - Committee report sent to Calendars [HB2618 Detail]
Download: Texas-2019-HB2618-Comm_Sub.html
86R28898 JG-F | |||
By: Walle, Thierry, Morales, Ortega | H.B. No. 2618 | ||
Substitute the following for H.B. No. 2618: | |||
By: Thompson of Harris | C.S.H.B. No. 2618 |
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relating to the maternal mental health peer support pilot program | ||
for perinatal mood and anxiety disorder. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Chapter 32, Health and Safety Code, is amended by | ||
adding Subchapter E to read as follows: | ||
SUBCHAPTER E. MATERNAL MENTAL HEALTH PEER SUPPORT PILOT PROGRAM | ||
Sec. 32.101. DEFINITIONS. In this subchapter: | ||
(1) "Peer support service" means a service provided by | ||
a peer support specialist to a person with mental illness or | ||
substance abuse conditions in accordance with commission rules | ||
regarding peer specialists. | ||
(2) "Perinatal mood and anxiety disorder" includes any | ||
of the following psychiatric illnesses, as defined by the American | ||
Psychiatric Association in the Diagnostic and Statistical Manual | ||
(DSM), that occur during pregnancy or within 12 months postpartum: | ||
(A) bipolar disorder, including hypomanic, | ||
manic, depressive, and mixed types; | ||
(B) major depressive disorder, including | ||
single-episode and recurrent types; | ||
(C) generalized anxiety disorder; | ||
(D) obsessive-compulsive disorder; | ||
(E) paranoid or other psychotic disorder; and | ||
(F) post-traumatic stress disorder. | ||
(3) "Pilot program" means the maternal mental health | ||
peer support pilot program established under this subchapter. | ||
Sec. 32.102. ESTABLISHMENT OF PILOT PROGRAM. (a) The | ||
commission shall establish and operate the maternal mental health | ||
peer support pilot program to reduce the risk and manage the effects | ||
of perinatal mood and anxiety disorders in women through the | ||
delivery of peer support services at federally qualified health | ||
centers located in the geographic areas in which the pilot program | ||
operates. | ||
(b) The commission shall establish the pilot program in five | ||
counties in this state that: | ||
(1) either: | ||
(A) are within an area designated as a mental | ||
health professional shortage area; or | ||
(B) have high rates of maternal mortality and | ||
morbidity as determined by the commission in consultation with the | ||
Maternal Mortality and Morbidity Task Force established under | ||
Chapter 34; and | ||
(2) include at least one rural county and one county | ||
with a population of at least 500,000. | ||
Sec. 32.103. OPERATION OF PILOT PROGRAM. (a) In | ||
establishing the pilot program, the commission shall: | ||
(1) develop a strategy for federally qualified health | ||
centers participating in the pilot program and persons responsible | ||
for training to collaborate on the training, certification, and | ||
guidance of peer support specialists in accordance with existing | ||
state procedures and programs; | ||
(2) seek comments regarding best practices for the | ||
design and implementation of the pilot program from relevant | ||
interested persons, including federally qualified health centers, | ||
mental health care providers, local mental health authorities, | ||
certified peer support specialists and affiliated organizations, | ||
women's health care providers, and individuals who have personal | ||
experience with perinatal mood and anxiety disorders; | ||
(3) develop specialized training to: | ||
(A) identify and treat symptoms of perinatal mood | ||
and anxiety disorders; and | ||
(B) provide peer support services to pregnant | ||
women and new mothers; | ||
(4) develop a strategy for federally qualified health | ||
centers and peer support specialists participating in the pilot | ||
program to provide peer support services through any form of | ||
telephonic communication; | ||
(5) develop a strategy with federally qualified health | ||
centers participating in the pilot program to integrate the | ||
delivery of peer support services with the health care services | ||
provided by the centers to women during pregnancy and within one | ||
year of giving birth; | ||
(6) create a protocol within federally qualified | ||
health centers participating in the pilot program for referring to | ||
peer support services women who are diagnosed as having or | ||
identified as being at risk of developing a perinatal mood and | ||
anxiety disorder; | ||
(7) ensure that services provided by peer support | ||
specialists under the pilot program are within the scope of a duty | ||
of care prescribed by commission rule for peer support specialists | ||
who provide similar services; and | ||
(8) develop a method for collecting data, including by | ||
consulting with the Maternal Mortality and Morbidity Task Force and | ||
other relevant entities regarding the data, on: | ||
(A) maternal health and mental health outcomes; | ||
and | ||
(B) substance use by women receiving peer support | ||
services through the pilot program. | ||
(b) A peer support specialist who provides peer support | ||
services through the pilot program at a federally qualified health | ||
center shall: | ||
(1) provide peer support services to women who: | ||
(A) based on the results of a postpartum | ||
depression screening or other screening tool, are diagnosed as | ||
having or identified as being at risk of developing a perinatal mood | ||
and anxiety disorder; and | ||
(B) are interested in receiving peer support | ||
services; and | ||
(2) through the use of the specialist's personal | ||
experience with perinatal mood and anxiety disorders: | ||
(A) provide guidance to the women; | ||
(B) if necessary, advocate for the women to | ||
receive mental health care services or other specialized health | ||
care services; and | ||
(C) provide the women with information on mental | ||
health care resources as necessary. | ||
Sec. 32.104. FUNDING. In addition to money appropriated by | ||
the legislature, the commission may accept gifts, grants, and | ||
donations from any source for the purpose of establishing the pilot | ||
program and compensating peer support specialists under the pilot | ||
program. | ||
Sec. 32.105. REPORT. Not later than January 1, 2021, the | ||
commission shall prepare and submit to the governor, lieutenant | ||
governor, and legislature a written report that: | ||
(1) evaluates the success of the pilot program in | ||
reducing perinatal mood and anxiety disorders and substance use in | ||
women who received peer support services under the pilot program; | ||
and | ||
(2) recommends whether the pilot program should be | ||
continued, expanded, or terminated. | ||
Sec. 32.106. EXPIRATION. This subchapter expires September | ||
1, 2023. | ||
SECTION 2. (a) Not later than December 31, 2019, the | ||
executive commissioner of the Health and Human Services Commission | ||
shall adopt rules as necessary to establish the pilot program as | ||
required by Subchapter E, Chapter 32, Health and Safety Code, as | ||
added by this Act. | ||
(b) Not later than June 30, 2020, the Health and Human | ||
Services Commission shall establish the pilot program as required | ||
by Subchapter E, Chapter 32, Health and Safety Code, as added by | ||
this Act. | ||
SECTION 3. This Act takes effect September 1, 2019. |