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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 maternal mortality and morbidity |
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data registry. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Chapter 34, Health and Safety Code, is amended by |
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adding Section 34.019 to read as follows: |
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Sec. 34.019. DATA REGISTRY. (a) In this section, |
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"registry" means the data registry established under this section. |
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(b) The task force, in collaboration with the commission and |
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participating health care providers, shall establish a data |
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registry on the task force's Internet website that contains data of |
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participating health care providers on the frequency and |
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characteristics of maternal mortality and morbidity during and |
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following delivery. |
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(c) A health care provider, including a public or private |
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hospital, medical school, or clinic, may participate in the |
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registry by: |
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(1) collecting data at the time a pregnant woman is |
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admitted for delivery, on the day of delivery, 42 days postpartum, |
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and 364 days postpartum; |
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(2) providing collected data to the registry on a |
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daily basis; and |
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(3) complying with all applicable federal and state |
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laws relating to confidentiality and quality of health care |
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information for data provided to the registry. |
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(d) Data collected by a participating health care provider |
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must include: |
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(1) discharge data cross-referenced with birth and |
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death certificates provided by the department; |
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(2) clinical data on the health status of patients and |
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the health care provided to those patients by a provider over time, |
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including: |
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(A) data on the most common high-risk conditions, |
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such as hemorrhaging and pregnancy-induced hypertension; and |
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(B) notifiable deaths, including stillbirths, |
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infants born alive who die within 12 months of birth, and women who |
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die during pregnancy or were pregnant in the 12 months preceding |
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death; |
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(3) demographic data from a provider's admission |
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information; |
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(4) data quality indicators to ensure the data is not |
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missing or inconsistent; and |
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(5) provider statistics, including: |
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(A) total live births; |
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(B) maternal age distributions; |
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(C) maternal and infant race and ethnicity |
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distributions; |
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(D) health benefit plan issuer distributions; |
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(E) incidence of diabetes, hypertension, and |
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hemorrhage among patients; |
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(F) gestational age distributions; |
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(G) birth weight distributions; |
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(H) total preterm birth rate; |
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(I) rate of vaginal deliveries; and |
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(J) rate of cesarean sections. |
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(e) The task force shall ensure the registry's data is |
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updated at the time a participating provider enters data into the |
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registry. |
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(f) The task force shall annually analyze the data collected |
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for the registry and prepare and submit a report on the analysis to |
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the department and all participating health care providers. The |
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task force shall publish the report on the task force's Internet |
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website. |
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(g) The task force shall fund the registry using existing |
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resources and grants and donations provided for the registry. |
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(h) The executive commissioner shall adopt rules necessary |
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to implement this section. |
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SECTION 2. (a) The executive commissioner of the Health and |
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Human Services Commission shall adopt rules necessary to implement |
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Section 34.019, Health and Safety Code, as added by this Act, not |
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later than December 1, 2019. |
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(b) The Maternal Mortality and Morbidity Task Force shall |
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establish the data registry under Section 34.019, Health and Safety |
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Code, as added by this Act, not later than December 1, 2019. |
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SECTION 3. This Act takes effect September 1, 2019. |