87R19975 JG-D
 
  By: Thierry, Hull, Neave, Rose H.B. No. 158
 
  Substitute the following for H.B. No. 158:
 
  By:  Hull C.S.H.B. No. 158
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to a pilot program to provide Medicaid coverage of doula
  services.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subchapter B, Chapter 32, Human Resources Code,
  is amended by adding Section 32.02481 to read as follows:
         Sec. 32.02481.  MEDICAL ASSISTANCE PILOT PROGRAM FOR DOULA
  SERVICES. (a) In this section:
               (1)  "Doula" means a nonmedical birthing coach who
  provides doula services and meets the qualifications for a doula as
  determined by commission rule.
               (2)  "Doula services" means nonmedical childbirth
  education, coaching, and support services, including emotional and
  physical support provided during pregnancy, labor, delivery, and
  the postpartum period, or provided intermittently during pregnancy
  and the postpartum period.
         (b)  The commission shall establish a pilot program to
  provide medical assistance reimbursement for doula services
  provided by a doula. The executive commissioner, in consultation
  with the Perinatal Advisory Council established under Section
  241.187, Health and Safety Code, by rule shall determine the
  qualifications necessary for an individual to be considered a doula
  and the doula services to be covered under the pilot program.
         (c)  Not later than September 1, 2022, the commission shall
  implement the pilot program in:
               (1)  the most populous county in this state; and
               (2)  the county with the greatest maternal health
  support needs, as determined by the county's maternal and infant
  mortality rates and the number of births in the county by Medicaid
  recipients.
         (d)  The commission shall prescribe eligibility requirements
  for participation in the pilot program.
         (e)  Not later than September 1 of each year during the
  operation of the pilot program, the commission shall prepare and
  publish on the commission's Internet website a report evaluating:
               (1)  the total costs during the preceding year of
  providing medical assistance reimbursement for doula services
  under the pilot program; and
               (2)  the impact on birth outcomes for women who receive
  doula services under the pilot program.
         (f)  Not later than September 1, 2026, the commission shall
  prepare and submit to the legislature a written report that:
               (1)  summarizes the results of the pilot program,
  including the effectiveness of the pilot program in reducing
  maternal mortality rates and racial disparities in health outcomes
  in the geographic areas of this state in which the pilot program
  operates;
               (2)  includes feedback from participating doulas and
  recipients who received doula services under the pilot program; and
               (3)  includes a recommendation on whether the pilot
  program should be continued, expanded, or terminated.
         (g)  The pilot program terminates and this section expires
  September 1, 2027.
         SECTION 2.  Notwithstanding Section 32.02481(e), Human
  Resources Code, as added by this Act, the Health and Human Services
  Commission shall prepare and publish the first report required by
  that section not later than September 1, 2023.
         SECTION 3.  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 4.  This Act takes effect September 1, 2021.