H.B. No. 1605
  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.
         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;
               (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
  Secretary of the Senate   
  APPROVED: __________________