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 - Dead) 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 |
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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. |