84R12818 KEL-D
 
  By: Davis of Harris H.B. No. 2131
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the designation of centers of excellence for fetal care
  and healthy outcomes in this state.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subchapter A, Chapter 241, Health and Safety
  Code, is amended by adding Section 241.010 to read as follows:
         Sec. 241.010.  CENTERS OF EXCELLENCE FOR FETAL CARE AND
  HEALTHY OUTCOMES. (a) The department shall designate as a center
  of excellence for fetal care and healthy outcomes one or more
  hospitals licensed under this chapter that provide comprehensive
  maternal, fetal, and neonatal health care for pregnant women with
  high-risk medical complications and for fetuses with congenital
  anomalies and genetic conditions.
         (b)  The executive commissioner of the Health and Human
  Services Commission, in consultation with the department, shall
  adopt rules establishing the criteria necessary for a hospital in
  this state to be designated in this state as a center of excellence
  for fetal care and healthy outcomes.
         (c)  The rules adopted under Subsection (b) must prioritize
  awarding a designation under this section to a hospital that:
               (1)  offers fetal diagnosis, care, and healthy outcomes
  through an extensive multi-specialty clinical and research program
  that is affiliated and collaborates extensively with a public
  medical school in this state;
               (2)  demonstrates a significant commitment to research
  and advanced training in fetal diagnosis, care, and healthy
  outcomes;
               (3)  offers one or more accredited fellowships for
  advanced training in fetal diagnosis, care, and healthy outcomes;
  and
               (4)  integrates an advanced fetal care program with a
  program that provides long-term monitoring and follow-up care for
  congenital anomalies and genetic conditions.
         (d)  The rules adopted under Subsection (b) must ensure that
  a designation under this section is based directly on a hospital's
  ability to:
               (1)  achieve cost-effectiveness in health care
  treatment;
               (2)  implement and maintain a cohesive
  multidisciplinary structure for its health care team;
               (3)  exceed critical thresholds for physician and
  patient volumes and for physician experience;
               (4)  report and monitor short-term and long-term
  patient outcomes; and
               (5)  demonstrate an improvement in short-term and
  long-term patient outcomes as compared to other hospitals offering
  fetal care and healthy outcomes in this state.
         SECTION 2.  (a) The executive commissioner of the Health and
  Human Services Commission shall adopt the rules required by Section
  241.010, Health and Safety Code, as added by this Act, not later
  than December 1, 2015.
         (b)  Not later than September 1, 2016, the Department of
  State Health Services shall begin awarding designations required by
  Section 241.010, Health and Safety Code, as added by this Act, to
  hospitals establishing eligibility under that section.
         SECTION 3.  This Act takes effect September 1, 2015.