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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

FAILED TO PASS - did not receive committee hearing

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

FAILED TO PASS - passed committee but did not receive House vote

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

PASSED - Signed by the Governor; effective 9/1/19

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. Topic not tracked by the Michael & Susan Dell Center during the previous session
HB 1041 State Rep. Armando Lucio Walle

FAILED TO PASS - passed committee but did not receive House vote

Requires employers to provide break time and a place (other than a bathroom) where an employee can express breast milk. Topic not tracked by the Michael & Susan Dell Center during the previous session

Maternal Health Care Services

Bill # Author Status Brief Description Past Bills (2017)
HB 253 State Rep. Jessica Farrar PASSED - Signed by the Governor; effective 9/1/19 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. Topic not tracked by the Michael & Susan Dell Center during the previous session
HB 1879 State Rep. Sarah Davis FAILED TO PASS - passed committee but did not receive House vote 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. Topic not tracked by the Michael & Susan Dell Center during the previous session
HB 2028 State Rep. Eric Johnson FAILED TO PASS - passed committee but did not receive House vote

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

Topic not tracked by the Michael & Susan Dell Center during the previous session
HB 2029 State Rep. Eric Johnson FAILED TO PASS - left pending in committee Requires that a woman who has been on CHIP be automatically enrolled in the Texas Healthy Women program after delivery. Topic not tracked by the Michael & Susan Dell Center during the previous session
SB 147 State Sen. Jose Rodriguez FAILED TO PASS - did not receive committee hearing Medicaid eligible women who suffer a miscarriage would be covered for up to 12 months. Companion Bills: HB 241SB 308, HB 411HB 610HB 744 Topic not tracked by the Michael & Susan Dell Center during the previous session
HB 241 State Rep. Jessica Cristina Farrar FAILED TO PASS - did not receive committee hearing 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 Topic not tracked by the Michael & Susan Dell Center during the previous session
SB 308 State Sen. Kirk Watson FAILED TO PASS - did not receive committee hearing 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 Topic not tracked by the Michael & Susan Dell Center during the previous session
HB 411 State Rep. Shawn Nicole Thierry FAILED TO PASS - did not receive committee hearing
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 Topic not tracked by the Michael & Susan Dell Center during the previous session
HB 610 State Rep. Armando Lucio Walle FAILED TO PASS - did not receive committee hearing 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 Topic not tracked by the Michael & Susan Dell Center during the previous session
HB 744 State Rep. Toni Rose FAILED TO PASS - did not receive committee hearing 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 Topic not tracked by the Michael & Susan Dell Center during the previous session

Other Maternal & Child Health Related Bills

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

FAILED TO PASS - passed committee but did not receive Senate vote

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.
Topic not tracked by the Michael & Susan Dell Center during the previous session
SB 436 State Sen. Jane Nelson

PASSED - Signed by the Governor; effective 6/7/19

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 Topic not tracked by the Michael & Susan Dell Center during the previous session
HB 1292 State Rep. Four Price

FAILED TO PASS - did not receive committee hearing

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 Topic not tracked by the Michael & Susan Dell Center during the previous session
SB 747 State Sen. Lois Kolkhorst

PASSED - Signed by the Governor; effective 9/1/19

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 Topic not tracked by the Michael & Susan Dell Center during the previous session
HB 2582 State Rep. Eddie Lucio III

FAILED TO PASS - did not receive committee hearing

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 Topic not tracked by the Michael & Susan Dell Center during the previous session
SB 750 State Sen. Lois Kolkhorst

PASSED - Signed by the Governor; effective 6/10/19

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. Topic not tracked by the Michael & Susan Dell Center during the previous session
SB 748 State Sen. Lois Kolkhorst

PASSED Signed by Governor; effective 9/1/19

Requires the HHS Commission to establish fees for newborn testing, which cover costs. Creates and protects a designated account for newborn screening funds. Topic not tracked by the Michael & Susan Dell Center during the previous session
HB 1428 State Rep. Bobby Guerra

FAILED TO PASS - did not receive committee hearing

Creates a grant program to fund a pilot of TexasAIM (Alliance for Innovation in Maternal Health) in a rural/underserved area of the state. Topic not tracked by the Michael & Susan Dell Center during the previous session
HB 405 State Rep. Ina Minjarez

PASSED Signed by Governor; effective 9/1/19

Designates June as Neonatal Abstinence Syndrome Awareness Month. Topic not tracked by the Michael & Susan Dell Center during the previous session
HB 2832 State Rep. Dade Phelan FAILED TO PASS - left pending in committee Amends Section 265.101 of the Family Code to provide a framework for referring pregnant women to partner organizations. Topic not tracked by the Michael & Susan Dell Center during the previous session


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
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