By: Davis of Harris, Zerwas, Burkett H.B. No. 2131
        (Senate Sponsor - Huffman)
         (In the Senate - Received from the House May 14, 2015;
  May 18, 2015, read first time and referred to Committee on Health
  and Human Services; May 22, 2015, reported favorably by the
  following vote:  Yeas  9, Nays 0; May 22, 2015, sent to printer.)
Click here to see the committee vote
 
 
A BILL TO BE ENTITLED
 
AN ACT
 
  relating to the designation of centers of excellence to achieve
  healthy fetal outcomes in this state.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Chapter 32, Health and Safety Code, is amended by
  adding Subchapter D to read as follows:
  SUBCHAPTER D. CENTERS OF EXCELLENCE
  FOR FETAL DIAGNOSIS AND THERAPY
         Sec. 32.071.  DESIGNATION OF CENTERS OF EXCELLENCE FOR FETAL
  DIAGNOSIS AND THERAPY. (a) The department, in consultation with
  the Perinatal Advisory Council established under Section 241.187,
  shall designate as centers of excellence for fetal diagnosis and
  therapy one or more health care entities in this state that provide
  comprehensive maternal, fetal, and neonatal health care for
  pregnant women with high-risk pregnancies complicated by one or
  more fetuses with anomalies, with genetic conditions, or with
  compromise caused by a pregnancy condition or by exposure.
         (b)  The executive commissioner of the Health and Human
  Services Commission, in consultation with the department and the
  Perinatal Advisory Council, shall adopt the rules necessary for a
  health care entity in this state to be designated as a center of
  excellence for fetal diagnosis and therapy.
         Sec. 32.072.  SUBCOMMITTEE. (a) The department, in
  consultation with the Perinatal Advisory Council, shall appoint a
  subcommittee of that advisory council to advise the advisory
  council and the department on the development of rules related to
  the designations made by the department under this subchapter. As
  part of its duties under this subsection, the subcommittee
  specifically shall advise the advisory council and the department
  regarding the criteria necessary for a health care entity in this
  state to receive a designation under this subchapter.
         (b)  The subcommittee must consist of individuals with
  expertise in fetal diagnosis and therapy. A majority of the members
  of the subcommittee must practice in those areas in a health
  profession in this state. The subcommittee may include national and
  international experts.
         Sec. 32.073.  PRIORITY CONSIDERATIONS FOR CENTER
  DESIGNATIONS. The rules adopted under Section 32.071(b) must
  prioritize awarding a designation under this subchapter to a health
  care entity that:
               (1)  offers fetal diagnosis and therapy through an
  extensive multi-specialty clinical program that is affiliated and
  collaborates extensively with a medical school in this state and an
  associated hospital facility that provides advanced maternal and
  neonatal care in accordance with the rules established under
  Section 241.183(a)(1);
               (2)  demonstrates a significant commitment to research
  in and advancing the field of fetal diagnosis and therapy;
               (3)  offers advanced training programs in fetal
  diagnosis and therapy; and
               (4)  integrates an advanced fetal care program with a
  program that provides appropriate long-term monitoring and
  follow-up care for patients.
         Sec. 32.074.  QUALIFICATIONS FOR DESIGNATION.  The rules
  adopted under Section 32.071(b) must ensure that a designation
  under this subchapter is based directly on a health care entity's
  ability to:
               (1)  implement and maintain a cohesive
  multidisciplinary structure for its health care team;
               (2)  monitor short-term and long-term patient
  diagnostic and therapeutic outcomes; and
               (3)  provide to the department annual reports
  containing aggregate data on short-term and long-term diagnostic
  and therapeutic outcomes as requested or required by the department
  and make those reports available to the public.
         SECTION 2.  (a) The executive commissioner of the Health and
  Human Services Commission shall adopt the rules required by Section
  32.071, Health and Safety Code, as added by this Act, not later than
  March 1, 2018.
         (b)  Not later than September 1, 2018, the Department of
  State Health Services shall begin awarding designations required by
  Subchapter D, Chapter 32, Health and Safety Code, as added by this
  Act, to health care entities establishing eligibility under that
  subchapter.
         SECTION 3.  This Act takes effect September 1, 2015.
 
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