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               A BILL TO BE ENTITLED
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               AN ACT
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            relating to a strategic plan to address hyperemesis gravidarum. | 
         
         
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                   BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | 
         
         
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                   SECTION 1.  Subchapter B, Chapter 32, Health and Safety  | 
         
         
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            Code, is amended by adding Section 32.047 to read as follows: | 
         
         
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                   Sec. 32.047.  HYPEREMESIS GRAVIDARUM STRATEGIC PLAN.  (a)   | 
         
         
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            In this section, "hyperemesis gravidarum" means a disorder that  | 
         
         
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            causes a woman to experience extreme, persistent nausea and  | 
         
         
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            vomiting during pregnancy that may lead to dehydration, weight  | 
         
         
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            loss, or electrolyte imbalance. | 
         
         
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                   (b)  The commission shall develop and implement a five-year  | 
         
         
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            strategic plan to improve the diagnosis and treatment of and raise  | 
         
         
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            public awareness of hyperemesis gravidarum.  Not later than  | 
         
         
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            September 1 of the last state fiscal year in each five-year period,  | 
         
         
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            the commission shall develop a new strategic plan for the next five  | 
         
         
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            state fiscal years that begins with the following state fiscal  | 
         
         
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            year. | 
         
         
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                   (c)  The strategic plan must provide strategies to: | 
         
         
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                         (1)  increase awareness among state-administered  | 
         
         
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            program providers who may serve women at risk of or experiencing  | 
         
         
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            hyperemesis gravidarum about the prevalence and effects of  | 
         
         
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            hyperemesis gravidarum on outcomes for women and children; | 
         
         
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                         (2)  establish a referral network of community-based  | 
         
         
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            health care providers and support services addressing hyperemesis  | 
         
         
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            gravidarum; | 
         
         
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                         (3)  increase women's access to formal and informal  | 
         
         
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            peer support services, including access to certified peer  | 
         
         
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            specialists who have successfully completed additional training  | 
         
         
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            related to hyperemesis gravidarum; | 
         
         
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                         (4)  raise public awareness of hyperemesis gravidarum;  | 
         
         
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            and | 
         
         
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                         (5)  leverage sources of funding to support existing  | 
         
         
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            community-based hyperemesis gravidarum screening, referral,  | 
         
         
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            treatment, and support services. | 
         
         
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                   (d)  The commission shall coordinate with the department and  | 
         
         
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            the statewide health coordinating council in the development of the  | 
         
         
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            strategic plan. | 
         
         
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                   (e)  The commission, in consultation with the department and  | 
         
         
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            the statewide health coordinating council, shall annually review  | 
         
         
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            the strategic plan and update the plan as necessary. | 
         
         
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                   SECTION 2.  Not later than September 1, 2022, the Health and  | 
         
         
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            Human Services Commission shall develop the initial strategic plan  | 
         
         
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            required by Section 32.047, Health and Safety Code, as added by this  | 
         
         
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            Act. | 
         
         
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                   SECTION 3.  This Act takes effect September 1, 2021. | 
         
         
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            * * * * * |