Bill Text: TX HB2703 | 2019-2020 | 86th Legislature | Comm Sub


Bill Title: Relating to a work group on the establishment of a maternal mortality and morbidity data registry.

Spectrum: Partisan Bill (Democrat 4-0)

Status: (Introduced) 2019-05-02 - Committee report sent to Calendars [HB2703 Detail]

Download: Texas-2019-HB2703-Comm_Sub.html
  86R27217 JG-F
 
  By: Thierry, et al. H.B. No. 2703
 
  Substitute the following for H.B. No. 2703:
 
  By:  Thompson of Harris C.S.H.B. No. 2703
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to a work group on the establishment of a maternal
  mortality and morbidity data registry.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Chapter 34, Health and Safety Code, is amended by
  adding Section 34.019 to read as follows:
         Sec. 34.019.  DEVELOPMENT OF WORK GROUP ON ESTABLISHMENT OF
  MATERNAL MORTALITY AND MORBIDITY DATA REGISTRY. (a) In this
  section, "maternal mortality and morbidity data registry" means an
  Internet website or database established to collect individualized
  patient information and aggregate statistical reports on the health
  status, health behaviors, and service delivery needs of maternal
  patients.
         (b)  The department shall establish a work group to provide
  advice and consultation services to the department on the report
  and recommendations required by Subsection (e). The work group
  consists of the following members appointed by the commissioner
  unless otherwise provided:
               (1)  one member with appropriate expertise appointed by
  the governor;
               (2)  two members with appropriate expertise appointed
  by the lieutenant governor;
               (3)  two members with appropriate expertise appointed
  by the speaker of the house of representatives;
               (4)  the chair of the Texas Hospital Association or the
  chair's designee;
               (5)  the president of the Texas Medical Association or
  the president's designee;
               (6)  the president of the Texas Nurses Association or
  the president's designee;
               (7)  one member who is a physician specializing in
  obstetrics and gynecology;
               (8)  one member who is a physician specializing in
  maternal and fetal medicine;
               (9)  one member who is a registered nurse specializing
  in labor and delivery;
               (10)  one member who is a representative of a hospital
  located in a rural area of this state;
               (11)  one member who is a representative of a hospital
  located in a county with a population of four million or more;
               (12)  one member who is a representative of a hospital
  located in an urban area of this state in a county with a population
  of less than four million;
               (13)  one member who is a representative of a public
  hospital;
               (14)  one member who is a representative of a private
  hospital;
               (15)  one member who is an epidemiologist;
               (16)  one member who is a statistician;
               (17)  one member who is a public health expert; and
               (18)  any other member with appropriate expertise as
  the commissioner determines necessary.
         (c)  The work group shall elect from among the membership a
  presiding officer.
         (d)  The work group shall meet periodically and at the call
  of the presiding officer.
         (e)  With the goals of improving the quality of maternal care
  and combating maternal mortality and morbidity and with the advice
  of the work group established under this section, the department
  shall assess and prepare a report and recommendations on the
  establishment of a secure maternal mortality and morbidity data
  registry to record information submitted by participating health
  care providers on the health status of maternal patients over
  varying periods, including the frequency and characteristics of
  maternal mortality and morbidity during pregnancy and the
  postpartum period.
         (f)  In developing the report and recommendations required
  by Subsection (e), the department shall:
               (1)  consider individual maternal patient information
  related to health status and health care received over varying
  periods that should be submitted to the registry;
               (2)  review existing and developing registries used in
  and outside this state that serve the same or a similar purpose as a
  maternal mortality and morbidity data registry;
               (3)  review ongoing health data collection efforts and
  initiatives in this state to avoid duplication and ensure
  efficiency;
               (4)  review and consider existing laws that govern data
  submission and sharing, including laws governing the
  confidentiality and security of individually identifiable health
  information; and
               (5)  evaluate the clinical period during which known
  and available information should be submitted to a maternal
  mortality and morbidity data registry by a health care provider,
  including information:
                     (A)  from a maternal patient's first appointment
  with an obstetrician and each subsequent appointment until the date
  of delivery;
                     (B)  for the 42 days following a patient's
  delivery; and
                     (C)  until the 364th day following a patient's
  delivery.
         (g)  If the department recommends the establishment of a
  maternal mortality and morbidity data registry, the report under
  Subsection (e) must include specific recommendations on the
  relevant individual patient information and categories of
  information to be submitted to the registry, including
  recommendations on the intervals for submission of information.
  The categories of individual patient information described by this
  subsection must include:
               (1)  notifiable maternal deaths, including
  individualized patient data on:
                     (A)  patients who die during pregnancy; and
                     (B)  patients who were pregnant at any point in
  the 12 months preceding their death;
               (2)  individualized patient information on each
  pregnancy and birth;
               (3)  individualized patient data on the most common
  high-risk conditions for maternal patients and severe cases of
  maternal morbidity;
               (4)  nonidentifying demographic data from the
  provider's patient admissions records, including age, race, and
  patient health benefit coverage status; and
               (5)  a statistical summary based on an aggregate of
  individualized patient data that includes the following:
                     (A)  total live births;
                     (B)  maternal age distributions;
                     (C)  maternal race and ethnicity distributions;
                     (D)  health benefit plan issuer distributions;
                     (E)  incidence of diabetes, hypertension, and
  hemorrhage among patients;
                     (F)  gestational age distributions;
                     (G)  birth weight distributions;
                     (H)  total preterm birth rate;
                     (I)  rate of vaginal deliveries; and
                     (J)  rate of cesarean sections.
         (h)  If the department establishes a maternal mortality and
  morbidity data registry, a health care provider submitting
  information to the registry shall comply with all applicable
  federal and state laws relating to patient confidentiality and
  quality of health care information.
         (i)  The report and recommendations required under
  Subsection (e) must outline potential uses of a maternal mortality
  and morbidity data registry, including:
               (1)  periodic analysis by the department of information
  submitted to the registry; and
               (2)  the feasibility of preparing and issuing reports,
  using aggregated information, to each health care provider
  participating in the registry to improve the quality of maternal
  care.
         (j)  Not later than September 1, 2020, the department shall
  prepare and submit to the governor, lieutenant governor, speaker of
  the house of representatives, Legislative Budget Board, and each
  standing committee of the legislature having primary jurisdiction
  over the department and post on the department's Internet website
  the report and recommendations required under Subsection (e).
         (k)  This section expires September 1, 2021.
         SECTION 2.  The executive commissioner of the Health and
  Human Services Commission shall adopt rules as necessary to
  implement Section 34.019, Health and Safety Code, as added by this
  Act, not later than December 1, 2019.
         SECTION 3.  This Act takes effect September 1, 2019.
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