Maternal & Child Health

2019 Legislative Session bills that are relevant to maternal and child health research taking place at the Michael & Susan Dell Center for Healthy Living can be viewed below.

Infant Feeding

Bill # Author Status Brief Description Past Bills (2017)
SB 45 State Sen. Judith Zaffirini

Referred to Business & Commerce - 2/1/19

Details the provision of a private place in the Capitol, other than a bathroom, where a woman may nurse or express milk. Requires that public employers (contractors) do the same.
Similar to SB 279 (2017).  Failed to pass, did not receive committee hearing.
HB 243 State Rep. Jessica Farrar

Out of House Committee - 4/26/19

Defines the right to breastfeed to exist in any place where the mother and child is otherwise allowed or authorized. Allows civil suit if the right to breastfeed is restricted. Requires state agencies to develop "mother-friendly" policies, and the comptroller to develop and distribute materials informing mothers of their right to breastfeed. Similar to HB 742 (2017), HB 232 (2015) and HB 1706 (2013); Failed, passed out of committee but did not receive a House vote.
HB 541 State Rep. Mary E. Gonzalez

Out of Senate Committee - 5/14/19

Adds the right to express breast milk (in addition to the right to breastfeed) in any place where the mother and child is otherwise allowed or authorized.
HB 1041 State Rep. Armando Lucio Walle

Out of House Committee - 4/26/19

Requires employers to provide break time and a place (other than a bathroom) where an employee can express breast milk.

Maternal Health Care Services

Bill # Author Status Brief Description Past Bills (2017)
HB 253 State Rep. Jessica Farrar Voted on by Senate - 5/15/19 Creates a 5-year plan to improve access to postpartum screening, referral, treatment and support for postpartum depression. Also provides for increasing public awareness of postpartum depression.
HB 1879 State Rep. Sarah Davis Out of House Committee- 5/3/19 Requires that women who otherwise qualify for Healthy Texas Women program be enrolled. Women who are enrolled in HTW, eligible for CHIP, and who become pregnant will automatically be enrolled in CHIP.
HB 2028 State Rep. Eric Johnson Out of House Committee- 4/10/19

Requires that women who are enrolled in the Healthy Texas Women program receive information about participating healthcare providers in their area.

HB 2029 State Rep. Eric Johnson Left pending in committee - 3/20/19 Requires that a woman who has been on CHIP be automatically enrolled in the Texas Healthy Women program after delivery.
SB 147 State Sen. Jose Rodriguez Referred to Health & Human Services - 2/1/19 Medicaid eligible women who suffer a miscarriage would be covered for up to 12 months. Companion Bills: HB 241SB 308, HB 411HB 610HB 744
HB 241 State Rep. Jessica Cristina Farrar Referred to Human Services - 2/19/19 Medicaid eligible women who suffer a miscarriage would be covered for up to 12 months. Companion Bills: SB 147, SB 308, HB 411, HB 610HB 744
SB 308 State Sen. Kirk Watson Referred to Health & Human Services - 2/7/19 Medicaid eligible women who suffer a miscarriage would be covered for up to 12 months. Companion Bills: SB 147, HB 241, HB 411, HB 610HB 744
HB 411 State Rep. Shawn Nicole Thierry Referred to Human Services - 2/20/19 Medicaid eligible women who suffer a miscarriage would be covered for up to 12 months. Companion Bills: SB 147, HB 241SB 308, HB 610HB 744
HB 610 State Rep. Armando Lucio Walle Referred to Human Services - 2/21/19 Medicaid eligible women who suffer a miscarriage would be covered for up to 12 months. Companion Bills: SB 147, HB 241SB 308, HB 411HB 744
HB 744 State Rep. Toni Rose Voted on by House - 5/13/19 Medicaid eligible women who suffer a miscarriage would be covered for up to 12 months. Companion Bills: SB 147, HB 241SB 308, HB 411HB 610

Other Maternal & Child Health Related Bills

Bill # Author Status Brief Description Past Bills (2017)
HB 1111 State Rep. Sarah Davis

Voted on by House - 4/30/19

Provides for a pilot study to assess the costs and benefits of providing prenatal and postpartum care via telehealth and telemedicine services. Also creates a Pregnancy Medical Home Pilot Program to study the efficacy of this care model. Creates a dedicated account for Newborn Screening funds.
SB 436 State Sen. Jane Nelson

Out of House Committee - 5/13/19

Adds opioid use disorder maternal and newborn health initiatives to the Health and Safety Code. Requires improved screening, continuity of care, access to care, prevention for women and newborns with opioid use disorder. Companion Bill HB 1292
HB 1292 State Rep. Four Price

Referred to Public Health - 2/27/19

Adds opioid use disorder maternal and newborn health initiatives to the Health and Safety Code. Requires improved screening, continuity of care, access to care, prevention for women and newborns with opioid use disorder. Companion Bill SB 436
SB 747 State Sen. Lois Kolkhorst

Voted on by House - 5/14/19

Ensures that DSHS publicly posts and updates the costs of required newborn screenings. Prohibits health insurance plans from limiting reimbursement for newborn tests. Companion Bill HB 2582
HB 2582 State Rep. Eddie Lucio III

Companion considered in lieu of committee - 4/16/19

Ensures that DSHS publicly posts and updates the costs of required newborn screenings. Prohibits health insurance plans from limiting reimbursement for newborn tests. Companion Bill SB 747
SB 750 State Sen. Lois Kolkhorst

Out of House Committee - 5/15/19

Requires the Texas Education Code to be updated to include best practice guidelines for maternal and neonatal medical residency programs, and to improve care for pregnant women with opioid use disorder and their newborn children.
SB 748 State Sen. Lois Kolkhorst

Out of House Committee - 5/15/19

Requires the HHS Commission to establish fees for newborn testing, which cover costs. Creates and protects a designated account for newborn screening funds.
HB 1428 State Rep. Bobby Guerra

Referred to Public Health - 2/27/19

Creates a grant program to fund a pilot of TexasAIM (Alliance for Innovation in Maternal Health) in a rural/underserved area of the state.
HB 405 State Rep. Ina Minjarez

Voted on by Senate - 5/10/19

Designates June as Neonatal Abstinence Syndrome Awareness Month.
HB 2832 State Rep. Dade Phelan Left pending in committee - 4/2/19 Amends Section 265.101 of the Family Code to provide a framework for referring pregnant women to partner organizations.


Maternal & Child Health Resources

  1. World Health Organization recommendations on exclusive breastfeeding for optimal growth, development and health of infants; e-library from WHO including evidence and guidelines

  2. TexasMotherFriendly.org; website run by the Texas Department of State Health Services with extensive information and resources about worksite lactation policies. The Texas Mother-Friendly Worksite Program seeks to reduce barriers to breastfeeding by increasing the proportion of employers who have worksite lactation support policies and programs.

  3. Being a Texas Mother-Friendly Worksite; 2016 infographic from the Texas Mother-Friendly Worksite Program

  4. Exclusive breastfeeding to reduce the risk of childhood overweight and obesity; summary and library of references from the World Health Organization.

  5. Healthy Texas Babies; webpage with information on workplace breastfeeding, including links to best practices, from the Texas Department of State Health Services

  6. Breastfeeding: Why It Matters; webpage run by the Centers for Disease Control and Prevention with information about breastfeeding including an overview, recommendations, special circumstances, data, and resources

  7. Maternal and Child Health Overview; webpage run by the Centers for Disease Control and Prevention with information about global Maternal and Child Health

  8. Reproductive Health: Maternal and Infant Health Overview; webpage run by the Centers for Disease Control and Prevention with information about reproductive health, maternal health, and infant health