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A BILL TO BE ENTITLED
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AN ACT
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relating to the establishment of a pilot program in Harris County to |
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provide maternity care management to certain women enrolled in the |
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Medicaid managed care program. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Subchapter B, Chapter 531, Government Code, is |
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amended by adding Section 531.0996 to read as follows: |
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Sec. 531.0996. PREGNANCY MEDICAL HOME PILOT PROGRAM. (a) |
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The commission shall develop and implement a pilot program in |
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Harris County to create pregnancy medical homes that provide |
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coordinated evidence-based maternity care management to women who |
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reside in the pilot program area and are recipients of medical |
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assistance through a Medicaid managed care model or arrangement |
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under Chapter 533. |
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(b) In developing the pilot program, the commission shall |
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ensure that each pregnancy medical home created for the program |
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provides a maternity management team that: |
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(1) consists of health care providers, including |
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obstetricians, gynecologists, family physicians, physician |
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assistants, certified nurse midwives, nurse practitioners, and |
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social workers, in a single location; |
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(2) conducts a risk-classification assessment for |
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each pilot program participant on entry into the program to |
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determine whether her pregnancy is considered high- or low-risk; |
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(3) based on the assessment under Subdivision (2), |
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establishes an individual pregnancy care plan for each participant; |
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and |
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(4) follows the participant throughout her pregnancy |
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in order to reduce poor birth outcomes. |
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(c) The commission may incorporate financial incentives to |
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health care providers who participate in a maternity management |
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team as a component of the pilot program. |
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(d) Not later than January 1, 2015, the commission shall |
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report to the legislature on the progress of the pilot program. The |
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report must include: |
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(1) an evaluation of the pilot program's success in |
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reducing poor birth outcomes; and |
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(2) a recommendation as to whether the pilot program |
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should be continued, expanded, or terminated. |
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(e) The executive commissioner may adopt rules to implement |
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this section. |
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(f) This section expires September 1, 2017. |
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SECTION 2. If before implementing any provision of this Act |
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a state agency determines that a waiver or authorization from a |
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federal agency is necessary for implementation of that provision, |
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the agency affected by the provision shall request the waiver or |
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authorization and may delay implementing that provision until the |
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waiver or authorization is granted. |
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SECTION 3. This Act takes effect September 1, 2013. |