reglab/statecodes huggingface dataset:
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter E - NEWBORN SCREENING FOR CRITICAL CONGENITAL HEART DISEASE › Section 37.78 - Test Procedures and Standards

Current through Reg. 49, No. 28; July 12, 2024
(a) A
				  screening test for CCHD using pulse oximetry must be performed at a birthing
				  facility that provides care to newborn patients except as described in §
				  37.77 of this title (relating to Exemption from Screen). If another U.S.
				  Federal Drug Administration approved instrument is available, it will be posted
				  as identified in subsection (b) of this section.
(b) Testing procedures must be consistent
				  with the most current published screening algorithm and any other protocol
				  currently posted, linked, or referenced on the department's Newborn Screening
				  website at
http://www.dshs.state.tx.us/newborn/
.
(c) Pulse oximeters used to conduct CCHD
				  newborn screening must meet the standards and accuracy as determined by the
				  Food and Drug Administration for hospital use in newborns.
(d) Newborns in the NICU must receive CCHD
				  screening prior to discharge except as described in § 37.77 of this title
				  (relating to Exemption from Screen).
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter E - NEWBORN SCREENING FOR CRITICAL CONGENITAL HEART DISEASE › Section 37.79 - Reporting

Current through Reg. 49, No. 28; July 12, 2024
(a) A physician,
				  health care practitioner, health authority, birthing facility, or other
				  individual who has the information of a confirmed case of a disorder for which
				  a screening test is required, shall report a confirmed case to the
				  department.
(b) Confirmed case
				  information must be submitted to the department's Newborn Screening Unit using
				  the most current reporting method(s) located on the department's Newborn
				  Screening website at
http://www.dshs.state.tx.us/newborn/
.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter G - SPINAL SCREENING PROGRAM › Section 37.141 - Purpose

Current through Reg. 49, No. 28; July 12, 2024
The purpose of this subchapter is to implement Texas Health
					 and Safety Code, Chapter 37, concerning the detection of abnormal spinal
					 curvature in children.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter G - SPINAL SCREENING PROGRAM › Section 37.142 - Definitions

Current through Reg. 49, No. 28; July 12, 2024
The following words and terms, when used in this
					 subchapter, shall have the following meanings, unless the context clearly
					 indicates otherwise.
(1) Abnormal
				  spinal curvature--An anatomic, structural deviation from the normal spinal
				  curve, such as scoliosis or kyphosis.
(2) Certification--The process by which the
				  Department of State Health Services (department) trains individuals to conduct
				  spinal screening as well as to then provide training screening
				  procedures.
(3) Chief
				  Administrator--The principal (or designee) of a school as defined by the Texas
				  Education Agency, Title 19, Part 2, Chapter 149, Subchapter BB.
(4) Department--The Department of State
				  Health Services.
(5) Licensed
				  professional--An individual who is appropriately licensed under state law,
				  including physicians, chiropractors, physical therapists, and registered
				  nurses, and has completed a course of study in physical assessment.
(6) Professional examination--A diagnostic
				  evaluation performed by an appropriately licensed professional whose expertise
				  addresses the diagnostic needs of the individual identified as having a
				  possible abnormal spinal curvature. A professional examination is one that is
				  performed according to the requirements of this subchapter and of Texas Health
				  and Safety Code, Chapter 37.
(7)
				  School--An educational institution, public or private, that admits children who
				  are five through twenty-one years of age, which includes an individual school
				  campus.
(8) Screening--A test or
				  battery of tests for rapidly determining the need for a professional
				  examination.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter G - SPINAL SCREENING PROGRAM › Section 37.143 - Spinal Screening Procedures

Current through Reg. 49, No. 28; July 12, 2024
(a)
				  Spinal screening is required, for all children who attend public and private
				  schools, to detect abnormal spinal curvature. Spinal screening, conducted under
				  this subchapter by a person who is not a licensed professional, as the term is
				  defined in this subchapter, must be conducted following the most recent,
				  nationally accepted and peer-reviewed standards for spinal screening. The
				  spinal screening requirements are established in policy located on the
				  department's website at
http://www.dshs.texas.gov/spinal
.
(b) A person who is not a licensed
				  professional, as that term is defined in this subchapter, who conducts spinal
				  screening must be trained and certified as described in §
										37.146(a)
				  of this title (relating to Standards and Requirements for Screening
				  Certification and Instructor Training).
(c) The requirements of this section do not
				  apply when the individual is already actively under medical care by an
				  appropriate licensed professional for one or more of the spinal problems for
				  which screening is performed under this section. In order to claim this
				  exception, the individual under the scenarios described in Texas Family Code,
				  §
										32.003
				  or, if the individual is a minor, the individual's parent, managing conservator
				  or legal guardian, must submit documentation from the licensed professional to
				  the school. The documentation must be signed and dated by the licensed
				  professional, and must affirmatively state that the individual is under active,
				  ongoing medical care from the licensed professional for specific spinal
				  problems as referenced in this subsection.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter G - SPINAL SCREENING PROGRAM › Section 37.144 - School Requirements; Department Activities

Current through Reg. 49, No. 28; July 12, 2024
(a) The chief administrator of each school is
				  responsible for notifying a parent, managing conservator, or guardian of the
				  requirement to conduct spinal screening, the purpose of and the reasons for
				  spinal screening and potential risk to the child if declined, the method used
				  to perform the screening based on §
										37.143
				  of this title (related to Spinal Screening Procedures), and the method to
				  decline spinal screening based on subsection (e) of this section. For purposes
				  of this section, the notification may be in electronic format.
(b) The chief administrator of each school is
				  responsible for the school maintaining a copy of the screening results and the
				  mailing of a copy of the report to the parent, managing conservator, or
				  guardian of the individual screened if an abnormal spinal curvature is
				  suspected, based on §
										37.143(a)
				  of this title (relating to Spinal Screening Procedures).
(c) The chief administrator of each school
				  shall ensure that each individual admitted to the school complies with the
				  screening requirements of this subchapter, according to the following schedule:
(1) All children enrolled in a public or
				  private school, who meet the criteria outlined in department policy, shall be
				  screened for abnormal spinal curvature before the end of the school year. The
				  screening requirements may also be met by a professional examination as defined
				  in §
											37.142 of
				  this title (relating to Definitions).
(2) If a child is enrolled within 60 days of
				  the date a school closes for the summer, the child's spinal screening must be
				  conducted within 120 days of the beginning of the following school
				  year.
(3) Schools may offer a
				  student the opportunity for spinal screening if the student has no record of
				  having been screened previously.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter G - SPINAL SCREENING PROGRAM › Section 37.145 - Recordkeeping and Reporting

Current through Reg. 49, No. 28; July 12, 2024
(a)
				  Individuals conducting screenings under this subchapter must comply with the
				  following recordkeeping and reporting requirements:
(1) Individuals conducting screenings at the
				  school (and those other than licensed professionals conducting screenings
				  outside of the school) shall document in each child's screening record the
				  specific screening conducted, the date the screening was conducted,
				  observations made during the screening, and the final results of the screening.
				  The individual shall also ensure that the following are included in the
				  documentation: the name of the child and age or birthdate of the child. The
				  documentation required under this subsection must also be signed and dated by
				  the person who conducted the screening. For the purposes of this subchapter,
				  electronic signatures and dates are also acceptable.
(2) Individuals conducting screenings at a
				  school (and those other than licensed professionals conducting screening
				  outside of the school) shall submit the documentation referenced in this
				  subsection to the school at the time of that screening.
(3) Individuals must submit documentation to
				  the department related to certifications and refresher courses, as specified in
				  §
											37.146
				  of this title (relating to Standards and Requirements for Screening
				  Certification and Instructor Training).
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter G - SPINAL SCREENING PROGRAM › Section 37.146 - Standards and Requirements for Screening Certification and Instructor Training

Current through Reg. 49, No. 28; July 12, 2024
(a) Individuals
				  who conduct spinal screening must be certified under this section unless the
				  screening is conducted by a licensed professional. There are two options for
				  obtaining this certification:
(1) a
				  certificate issued directly by the department; or
(2) a certificate issued by an instructor who
				  has been trained and authorized by the department to issue
				  certificates.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter G - SPINAL SCREENING PROGRAM › Section 37.147 - Responsibilities of Parent, Managing Conservator, or Guardian

Current through Reg. 49, No. 28; July 12, 2024
When spinal screening indicates possible abnormal spinal
					 curvature, the child's parent, managing conservator, or guardian is responsible
					 for securing the services of a qualified licensed professional to perform a
					 professional examination to diagnose the problem.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter G - SPINAL SCREENING PROGRAM › Section 37.148 - Nondiscrimination Statement

Current through Reg. 49, No. 28; July 12, 2024
No person shall be excluded from participation, be denied
					 benefits, or be otherwise subjected to discrimination in the department's
					 Spinal Screening Program on the grounds of race, color, national origin, sex,
					 religion, disability, or age.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter H - SUDDEN INFANT DEATH SYNDROME › Section 37.171 - Purpose

Current through Reg. 49, No. 28; July 12, 2024
The purpose of these sections is to define sudden infant
					 death syndrome (SIDS) and to establish a reimbursement mechanism for autopsies
					 for children younger than 12 months of age who die unexpectedly and whose
					 primary cause of death is SIDS.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter H - SUDDEN INFANT DEATH SYNDROME › Section 37.172 - Definitions

Current through Reg. 49, No. 28; July 12, 2024
The following words and terms pertain explicitly to this
					 subchapter and shall have the following meanings, unless the context clearly
					 indicates otherwise.
(1) Autopsy--A
				  post mortem examination of the body of a person, including X-rays, toxicology
				  screen, and an examination of the internal organs and structures after
				  dissection, to determine the cause of death or the nature of any pathological
				  changes that may have contributed to the death.
(2) Infant--A child who is younger than 12
				  months of age.
(3) Sudden infant
				  death syndrome (SIDS)--Death of an infant which remains unexplained after all
				  known causes have been ruled out through a complete autopsy, death scene
				  investigation, and medical and social history including, but not limited to, a
				  family history of the infant as designated by Child Protective
				  Services.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter H - SUDDEN INFANT DEATH SYNDROME › Section 37.173 - Reimbursement for Costs of Autopsy

Current through Reg. 49, No. 28; July 12, 2024
(a)
				  The department shall reimburse the county in which an infant dies for the cost
				  of an autopsy performed as required by Health and Safety Code, §
										673.002, only if the
				  primary cause of death is SIDS.
(b)
				  Reimbursement by the department of all costs associated with an autopsy
				  performed by any person or entity shall not exceed $500.
(c) The county judge for the county in which
				  the infant died shall sign and submit to the Department of State Health
				  Services a state purchase voucher (voucher) requesting reimbursement for costs
				  of the autopsy. A county's claim for reimbursement shall be submitted within 90
				  days following the completion of the written autopsy report, and shall include
				  a copy of the signed autopsy report.
(d) The department shall process the voucher
				  and shall request that a warrant be issued for not more than $500 payable to
				  the county in which the infant died, if the primary cause of death stated on
				  the autopsy report or the death certificate is SIDS.
(e) The department shall process no more than
				  one voucher requesting reimbursement of autopsy costs for an infant.
(f) Reimbursements to counties under this
				  section shall be limited by the availability of funds.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter I - MEMORANDA OF UNDERSTANDING › Section 37.191 - Memorandum of Understanding Concerning a Coordinated Statewide Family Planning Program

Current through Reg. 49, No. 28; July 12, 2024
(a) The Texas
				  Department of Health adopts by reference a memorandum of understanding entered
				  into between the department and the Texas Department of Human Services,
				  concerning a coordinated statewide family planning program in Texas.
(b) Copies of the memorandum of understanding
				  are filed in the Bureau of Maternal and Child Health, Texas Department of
				  Health, 1100 West 49th Street, Austin, Texas 78756, and may be reviewed during
				  regular business hours.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter I - MEMORANDA OF UNDERSTANDING › Section 37.192 - Memorandum of Understanding on Multiproblem Children and Youth

Current through Reg. 49, No. 28; July 12, 2024
(a) The Texas
				  Department of Health adopts by reference a memorandum of understanding (MOU)
				  concerning community interagency staffing of services for multiproblem children
				  and youth. The MOU is entered into between the Texas Department of Health, the
				  Texas Department of Human Services, the Texas Department of Mental Health and
				  Mental Retardation, the Texas Education Agency, the Texas Commission for the
				  Blind, the Texas Juvenile Probation Commission, the Texas Rehabilitation
				  Commission, and the Texas Youth Commission.
(b) Copies of the MOU are filed in the Office
				  of the Associate Commissioner for Personal Health Services, Texas Department of
				  Health, 1100 West 49th Street, Austin, Texas, 78756 and may be reviewed during
				  regular business hours.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter I - MEMORANDA OF UNDERSTANDING › Section 37.193 - Memorandum of Understanding Covering the Delivery of Services to Persons Who Are Deaf

Current through Reg. 49, No. 28; July 12, 2024
(a) The Texas
				  Department of Health adopts by reference a memorandum of understanding (MOU)
				  covering the delivery of services to persons who are deaf. The MOU is entered
				  into between the Texas Department of Health and the Texas Commission for the
				  Deaf.
(b) Copies of the MOU are
				  filed in the office of the Associate Commissioner for Personal Health Services,
				  Texas Department of Health, 1100 West 49th Street, Austin, Texas 78756 and may
				  be reviewed during regular business hours.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter J - NEONATAL CARE › Section 37.201 - Transportation of an Infant to a Hospital's Level III Neonatal Intensive Care Unit

Current through Reg. 49, No. 28; July 12, 2024
(a) Definitions.
				  The following words and terms, when used in this section, shall have the
				  following meaning unless the context clearly indicates otherwise:
(1) Act-House Bill 893, 68th Legislature,
				  1983, covering transportation of an infant to a hospital's level III neonatal
				  intensive care unit.
(2)
				  Department-Texas Department of Health.
(3) Infant-For the purposes of this rule,
				  infant means the neonatal period, i.e., through the first 28 days of
				  life.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter M - TEXAS PERINATAL CARE SYSTEM › Section 37.251 - Purpose

Current through Reg. 49, No. 28; July 12, 2024
The purpose of these sections is to establish the
					 procedures and standards for the implementation of a statewide system for
					 perinatal health care that fosters:
(1) safe, quality, risk-appropriate perinatal
				  care for women and for their infants;
(2) continuity and comprehensiveness of
				  care;
(3) optimal and
				  cost-effective utilization of perinatal personnel and facilities; and
(4) access for women to health promotion and
				  health education from preconception through the postpartum period, and
				  parenting information through the first year of their infants' lives.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter M - TEXAS PERINATAL CARE SYSTEM › Section 37.252 - Definitions

Current through Reg. 49, No. 28; July 12, 2024
The following words and terms pertain explicitly to this
					 subchapter and shall have the following meanings, unless the context clearly
					 indicates otherwise.
(1) Basic
				  perinatal facility--An inpatient facility providing care during the prenatal
				  period for women and infants whose care is or is expected to be
				  uncomplicated.
(2)
				  Department--Texas Department of Health, 1100 West 49th Street, Austin, Texas
				  78756.
(3) Health
				  education--Provision of health information and anticipatory guidance concerning
				  nutrition, fitness, and the prevention and early recognition of perinatal risk
				  conditions and/or illnesses.
(4)
				  Health promotion--Provision of information or activities which motivate
				  individuals to adopt healthy behaviors, including the appropriate use of health
				  resources.
(5) Infant--An
				  individual from birth through the first year of life.
(6) Intrapartum--The period beginning at the
				  onset of labor or childbirth and ending with delivery.
(7) Neonate--An infant from birth through 28
				  completed days after birth.
(8)
				  Parenting information--Information provided to any person responsible for the
				  care of a child about practices which promote the child's mental and physical
				  health and quality of life.
(9)
				  Perinatal--The period which begins before conception in a woman of
				  child-bearing age and ends on the infant's first birthday.
(10) Postpartum--The six-week period
				  following delivery.
(11)
				  Prenatal--The period beginning on the date of conception and ending with the
				  commencement of labor or childbirth.
(12) Provider--A person, facility, and/or
				  organized entity that delivers or affects the delivery of perinatal
				  care.
(13) Specialty perinatal
				  facility--An inpatient facility providing care during the prenatal period for
				  women and infants whose care is or is expected to be uncomplicated as well as
				  for the majority of those women and infants who are at high risk for or who
				  require complicated care.
(14)
				  State--The State of Texas.
(15)
				  Subspecialty perinatal facility--An inpatient facility providing care during
				  the prenatal period for all pregnant women and infants, including those with
				  serious illnesses and abnormal health conditions.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter M - TEXAS PERINATAL CARE SYSTEM › Section 37.253 - Professional Standards/Guidelines

Current through Reg. 49, No. 28; July 12, 2024
(a)
				  Activities of the department and providers pursuant to this subchapter will be
				  conducted in accordance with guidelines and standards for perinatal care found
				  in the following obstetric and pediatric professional publications:
(1) Guidelines for Perinatal Care, Fourth
				  Edition (American Academy of Pediatrics, American College of Obstetricians and
				  Gynecologists, 1997).
(A) Table 1-1:
				  Ambulatory Prenatal Care Provider Capabilities and Expertise, page 3;
(B) Table 1-2: Health Screening for Women of
				  Reproductive Age, page 10;
(C)
				  Table 2-1: Recommended Nurse/Patient Ratios for Perinatal Care Services, page
				  19;
(D) Table 4-2: Risk Factors
				  Associated with Spontaneous Preterm Labor and Birth, page 89;
(E) Appendix B: Early Pregnancy Risk
				  Identification for Consultation, pages 299-300;
(F) Appendix C: Ongoing Pregnancy Risk
				  Identification for Consultation, pages 301-302;
(G) Appendix D: Federal Requirements for
				  Patient Screening and Transfer, pages 303-309;
(H) In-Hospital Perinatal Care, pages
				  4-7;
(I) Inpatient Perinatal Care
				  Services, pages 13-50;
(J)
				  Interhospital Care of the Perinatal Patient, pages 51-61;
(K) Patient Education, pages 68-70;
(L) Risk Assessment and Management, page
				  76;
(M) Intrapartum Care, pages
				  91-125; and
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter M - TEXAS PERINATAL CARE SYSTEM › Section 37.254 - Statewide Oversight of the Perinatal Care System and Interstate Cooperation

Current through Reg. 49, No. 28; July 12, 2024
(a) The
				  department shall develop and maintain a reporting and analysis system to
				  monitor outcomes of the statewide perinatal care system.
(b) The department shall request information
				  as specific issues arise from persons with expertise in the provision of
				  perinatal care, data analysis, and community networking/systems development,
				  including, but not limited to, individuals from academic institutions,
				  professional groups, advocacy groups, and other state agencies. The department
				  shall also seek ongoing input from consumers or recipients of perinatal care
				  and from representatives of their identified community-based social support
				  systems (e.g. extended families, churches).
(c) The department shall facilitate the
				  organization and operations of the perinatal resource coordinating groups
				  described in §
										37.256
				  of this title (relating to Perinatal Resource Coordinating Groups).
(d) The department shall facilitate
				  cooperation and coordination with perinatal care providers and systems in
				  adjoining states.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter M - TEXAS PERINATAL CARE SYSTEM › Section 37.256 - Perinatal Resource Coordinating Groups

Current through Reg. 49, No. 28; July 12, 2024
(a) A perinatal resource coordinating group
				  (PRCG) shall be established within each perinatal planning area (PPA) to
				  examine outcomes, to develop community-based plans for continuous improvement
				  of perinatal care services, to work with communities in order to foster
				  perinatal networks, and to develop at-risk and emergency transfer/transport
				  protocols, considering the standards/guidelines listed in §
										37.253
				  of this title (relating to Professional Standards/Guidelines).
(b) A PRCG shall be established in each PPA
				  within five years from the date this subchapter becomes effective.
(c) PRCG members shall be initially recruited
				  by the following department staff:
(1) the
				  Regional Medical Director or designee from the region in which most of the
				  counties in the PPA are located;
(2) a representative of the Emergency Medical
				  Services Division; and
(3)
				  representatives from the Medicaid and maternal and child health
				  programs.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter M - TEXAS PERINATAL CARE SYSTEM › Section 37.258 - Data Analysis and Progress Report

Current through Reg. 49, No. 28; July 12, 2024
(a)
				  Annually the department shall provide each perinatal resource coordinating
				  group (PRCG) with:
(1) information pertaining
				  to the population of women of child-bearing age and infants within its
				  perinatal planning area (PPA), including:
(A)
				  neonatal mortality rate, postneonatal (beginning after 28 completed days after
				  birth and extending through one completed year of life) mortality rate, infant
				  mortality rate, and maternal mortality rate;
(B) information collated from birth and death
				  certificates, including but not limited to:
(i) trimester of entry into prenatal
				  care;
(ii) number of prenatal
				  visits related to time of entry into prenatal care;
(iii) maternal use of tobacco, drugs, and
				  alcohol;
(iv) number of low birth
				  weight infants;
(v) number of
				  pre-term infants;
(vi) numbers and
				  rates of low birth weight and very low birth weight infants by facility of
				  birth;
(vii) causes of infant
				  deaths;
(viii) causes of maternal
				  deaths;
(ix) maternal transports
				  and infant transports; and
(C) other information available from state
				  reported data and registries upon request of the PRCG; and
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter M - TEXAS PERINATAL CARE SYSTEM › Section 37.259 - Designation of Perinatal Care Facilities

Current through Reg. 49, No. 28; July 12, 2024
(a) The department or its designee(s) shall
				  request inpatient facilities to report to the department their
				  self-designations as basic, specialty, or subspecialty perinatal care
				  facilities. Designations shall be self-reported by facilities based upon the
				  standards and guidelines in the publications listed in §
										37.253
				  of this title (relating to Professional Standards/Guidelines). Facilities shall
				  select the designation category that most accurately describes their capacity
				  to provide perinatal care.
(b) Each
				  facility providing inpatient perinatal care may voluntarily report to the
				  department its self-designated category.
(c) The department shall publish the
				  designation categories of all participating perinatal facilities in each
				  perinatal planning area annually.
(d) The department or its designees may
				  evaluate a facility to confirm the facility's self-declared designation
				  category through a random review process or upon request by a perinatal
				  resource coordinating group (PRCG), at the discretion of the
				  department.
(e) The review team for
				  specialty and subspecialty perinatal facilities may include board
				  certified/eligible specialists in obstetrics, maternal-fetal medicine,
				  pediatrics, and neonatal-perinatal medicine, as appropriate for the facility to
				  be reviewed, and one or more department representatives.
(f) The review team for basic perinatal
				  facilities may include one or more active perinatal care providers and one or
				  more department representatives.
(g) The department shall provide a copy of
				  the review report and recommendations to the reviewed facility, the review
				  team, and the PRCG.
(h) Whenever a
				  facility review is conducted, the department may confirm the self-declared
				  designation or approve a different designation.
(i) If a perinatal care facility disagrees
				  with the department's designation decision, the facility may request an
				  administrative hearing which shall be conducted according to §§
										1.51-1.55 of this
				  title (relating to Fair Hearing Procedures).
(j) A participating perinatal care facility
				  shall notify the department and its PRCG within 30 days if it is unable or
				  chooses not to continue providing perinatal care commensurate with its
				  designation category.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter P - SURVEILLANCE AND CONTROL OF BIRTH DEFECTS › Section 37.301 - Purpose

Current through Reg. 49, No. 28; July 12, 2024
These sections implement the provisions of Health and
					 Safety Code, Chapter 87, that provides the authority to adopt rules relating to
					 the surveillance and control of birth defects. The legislation directs the
					 Texas Department of Health to develop a statewide surveillance program. The
					 Texas Department of Health and the Texas Board of Health were abolished by
					 Chapter 198, §§1.18 and 1.26, 78th Legislature, Regular Session,
					 2003. Health and Safety Code, Chapter 1001, establishes the Department of State
					 Health Services (department), which now administers these programs. Government
					 Code, §
										531.0055,
					 provides authority to the Executive Commissioner of the Health and Human
					 Services Commission to adopt rules for the department.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter P - SURVEILLANCE AND CONTROL OF BIRTH DEFECTS › Section 37.302 - Policy

Current through Reg. 49, No. 28; July 12, 2024
(a) The department,
				  recognizing the sensitive and confidential nature of information collected
				  regarding birth defects and their possible causes, expects all staff to carry
				  out all duties in a professional, compassionate, and culturally sensitive
				  manner.
(b) The department shall
				  limit medical researcher contact with individuals and families identified by
				  the central registry to only those studies with high scientific merit with no
				  feasible alternate means of conducting the study.
(c) The department shall protect patient
				  information from disclosure through the legal process and Government Code,
				  Chapter 552.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter P - SURVEILLANCE AND CONTROL OF BIRTH DEFECTS › Section 37.303 - Definitions

Current through Reg. 49, No. 28; July 12, 2024
The following words and terms, when used in these sections,
					 shall have the following meanings, unless the context clearly indicates
					 otherwise.
(1) Birth defect--A
				  physical or mental functional deficit or impairment in a human embryo, fetus,
				  or newborn resulting from one or more genetic or environmental
				  causes.
(2) Birthing center--A
				  place, facility, or institution at which a woman is scheduled to give birth
				  following a normal, uncomplicated pregnancy, but does not include a hospital or
				  the residence of the woman giving birth.
(3) Case finding--The process used to
				  identify potential cases for inclusion in the central registry of the program.
				  Potential cases are obtained through review of medical and health records,
				  logs, indices, appointment rosters and other records.
(4) Central registry--Cases of birth defects
				  obtained through the surveillance activity of the program.
(5) Commissioner--The Department of State
				  Health Services Commissioner.
(6)
				  Communicable disease--An illness that occurs through the transmission of an
				  infectious agent or its toxic products from a reservoir to a susceptible host,
				  either directly, as from an infected person or animal, or indirectly through an
				  intermediate plant or animal host, a vector, or the inanimate
				  environment.
(7) Department--The
				  Department of State Health Services.
(8) Environmental cause--The sum total of all
				  the conditions and elements that make up the surroundings and influence the
				  development of an individual.
(9)
				  Harmful physical agent--A physical phenomenon, other than a toxic substance,
				  that has or may have carcinogenic, mutagenic, teratogenic, or other harmful
				  effects on humans, and includes ionizing radiation, X-rays, gamma rays,
				  ultraviolet light, or other electromagnetic radiation; and acoustical, thermal,
				  or mechanical vibration.
(10)
				  Health facility--Any of the following types of facility:
(A) a general or special hospital licensed by
				  the department under Health and Safety Code, Chapter 241;
(B) a physician-owned or physician-operated
				  clinic;
(C) a publicly or privately
				  funded medical school;
(D) a state
				  hospital maintained and managed by the Department of State Health Services and
				  a state mental retardation facility maintained and managed by the Department of
				  Aging and Disability Services;
(E)
				  a genetic evaluation and counseling center;
(F) a public health clinic conducted by a
				  local health unit, health department, or public health district organized and
				  recognized under Health and Safety Code, Chapter 121;
(G) a physician peer review
				  organization;
(H) a birthing
				  center; or
(I) a clinical or
				  medical laboratory.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter P - SURVEILLANCE AND CONTROL OF BIRTH DEFECTS › Section 37.304 - Confidentiality of Information Provided to the Department

Current through Reg. 49, No. 28; July 12, 2024
(a) Reports, records, and other information
				  collected by, or provided to the department relating to persons known to have,
				  or suspected of having a birth defect are confidential records and not public
				  information and may not be released except as described in subsection (b) of
				  this section. The confidential records include medical and other information
				  obtained as part of epidemiologic or other investigations and the records and
				  information gathered as part of the operation of the central
				  registry.
(b) The department may
				  release demographic, medical, epidemiological, or toxicological information:
(1) for statistical purposes, if released in
				  a manner that prevents the identification of any person;
(2) with the consent of each person
				  identified in the information or, if the person is unable to consent or is a
				  minor, the minor's parents, managing conservator, guardian, or other person who
				  is legally authorized to consent;
(3) to medical personnel, appropriate state
				  agencies, health authorities, regional directors, and public officers of
				  counties and municipalities relating to the identification, monitoring, and
				  referral of children with birth defects;
(4) to appropriate federal agencies such as
				  the Centers for Disease Control and Prevention of the United States Public
				  Health Service;
(5) to medical
				  personnel to the extent necessary to protect the health or life of the child
				  identified in the information; or
(6) to medical researchers conducting bona
				  fide medical research under the conditions described in §
											37.306
				  of this title (relating to Access to Information in the Central Registry), and
				  Health and Safety Code, §
											87.063.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter P - SURVEILLANCE AND CONTROL OF BIRTH DEFECTS › Section 37.305 - Surveillance of Birth Defects: Central Registry

Current through Reg. 49, No. 28; July 12, 2024
(a) The central registry shall use a birth
				  defects coding scheme used by the Centers for Disease Control and Prevention
				  (CDC) of the United States Public Health Service in their birth defects
				  monitoring programs.
(b) In order
				  for information related to a child to be included in the central registry, the
				  following conditions must be met.
(1) The
				  county of occurrence of birth or the mother's residence at the time of birth
				  must have been in Texas.
(2) The
				  child must have a structural or genetic birth defect or other specified outcome
				  that can adversely affect his or her health and development as defined in
				  subsection (a) of this section.
(3)
				  The defect must be diagnosed prenatally or within one year after delivery. In
				  certain circumstances (e.g., the diagnosis of fetal alcohol syndrome, special
				  studies and childhood genetic disorders diagnosed after infancy), the upper age
				  limit will be extended to age six.
(4) In addition, reports of Fetal Alcohol
				  Spectrum Disorders (FASD), regardless of the affected person's age, will be
				  collected under Health and Safety Code, §
											87.021(f),
				  of the statute providing for passive data collection.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter P - SURVEILLANCE AND CONTROL OF BIRTH DEFECTS › Section 37.306 - Access to Information in the Central Registry

Current through Reg. 49, No. 28; July 12, 2024
(a) An application for access to any
				  confidential data elements for individual patients identified as part of the
				  operation of the central registry must contain a protocol and be submitted to
				  the program manager. The protocol shall explain the applicant's "valid
				  scientific interest" by describing, at length:
(1) the name and qualifications of the
				  principal investigator, professional staff, and every person who will review,
				  analyze, or access the data;
(2)
				  the background justification for the study;
(3) the goals and aims of the proposed
				  study;
(4) the health outcomes of
				  interest;
(5) the methodology for
				  measuring exposures;
(6) the
				  methodology for measuring and adjusting for confounding variables;
(7) the precise statistical techniques to be
				  used in the analysis of data, including power and methods to address biases
				  inherent in the study design and data;
(8) the time tables and feasibility for
				  completion of the study;
(9) the
				  level and sources of funding for the study;
(10) an explanation of the potential benefits
				  and disadvantages involving human subjects;
(11) the plans to maintain the
				  confidentiality of the information provided by the department; and
(12) a discussion of the project's pertinence
				  to the fields of medical research, medical care, public health, epidemiology,
				  biostatistics, or maternal and child health
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter Q - REPORTING, TREATMENT AND INVESTIGATION OF CHILD BLOOD LEAD LEVELS › Section 37.331 - Purpose

Current through Reg. 49, No. 28; July 12, 2024
The purpose of these sections is to implement the
					 provisions of Texas Health and Safety Code, Chapter 88 which provides the
					 Executive Commissioner of the Health and Human Services Commission with the
					 authority to adopt rules relating to the reporting of child blood lead levels
					 and control of elevated blood lead levels in children through an understanding
					 of the prevalence and nature of the problem of childhood lead poisoning in
					 Texas.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter Q - REPORTING, TREATMENT AND INVESTIGATION OF CHILD BLOOD LEAD LEVELS › Section 37.332 - Definitions

Current through Reg. 49, No. 28; July 12, 2024
The following words and terms, when used in these sections,
					 shall have the following meanings, unless the context clearly indicates
					 otherwise.
(1) Certified lead risk
				  assessor--A person certified by the department to conduct lead risk
				  assessments, inspections, and lead-hazard screens, as defined by Subchapter I,
				  Texas Environmental Lead Reduction, in Chapter 295 of this title concerning
				  Occupational Health.
(2) Child
				  care--A school, preschool, kindergarten, nursery school, or other similar
				  activity that provides care or instruction for young children.
(3) Child care facility--A public place or a
				  residence in which a person furnishes child care.
(4) Child-occupied facility--A building or
				  part of a building, including a day-care center, preschool, or kindergarten
				  classroom, that is visited regularly by the same child, six years of age or
				  younger, at least two days in any calendar week if the visits are for at least:
(A) three hours each day; and
(B) 60 hours each year.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter Q - REPORTING, TREATMENT AND INVESTIGATION OF CHILD BLOOD LEAD LEVELS › Section 37.333 - Confidentiality of Information Provided to the Department

Current through Reg. 49, No. 28; July 12, 2024
(a) Pursuant to the Texas Health and Safety
				  Code, Chapter 88, §88.002, all data obtained is for the confidential use
				  of the department and the persons or public or private entities that the
				  department determines are necessary to carry out the intent of the Texas Health
				  and Safety Code, Chapter 88, §88.002. Reports, records, and other
				  information collected by, or maintained by, or provided to the Department of
				  State Health Services relating to children's reports of blood lead testing are
				  not public information under open records law and may not be released or made
				  public on subpoena or otherwise, except as described in subsection (b) of this
				  section.
(b) Medical,
				  epidemiologic, or toxicologic information may be released:
(1) for statistical purposes if released in a
				  manner that prevents the identification of any person;
(2) with the consent of each person
				  identified in the information;
(3)
				  to medical personnel, appropriate state agencies, health authorities, regional
				  directors, and public officers of counties and municipalities as necessary to
				  comply with this chapter and related rules;
(4) to appropriate federal agencies, such as
				  the Centers for Disease Control and Prevention or the United States Public
				  Health Service, except that the information must be limited to the information
				  requested by the agency; or
(5) to
				  medical personnel to the extent necessary in a medical emergency to protect the
				  health or life of the child identified in the information.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter Q - REPORTING, TREATMENT AND INVESTIGATION OF CHILD BLOOD LEAD LEVELS › Section 37.334 - Reportable Health Condition

Current through Reg. 49, No. 28; July 12, 2024
(a)
				  All blood lead levels in children 14 years of age or younger shall be
				  reportable to the Department of State Health Services (department). Elevated
				  blood lead levels for individuals over 14 years of age shall be reported in
				  accordance with Chapter 99 of this title (relating to Occupational Condition
				  Reporting).
(b) The department will
				  maintain a registry of children's blood lead test results.
(c) Reports shall include all information as
				  required on the Texas Child Blood Lead Level Report Form, Publication
				  #F09-11709, which can be found at http://www.dshs.state.tx.us/lead, or by
				  calling 1-800-588-1248.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter Q - REPORTING, TREATMENT AND INVESTIGATION OF CHILD BLOOD LEAD LEVELS › Section 37.335 - Persons Required to Report

Current through Reg. 49, No. 28; July 12, 2024
(a)
				  The following persons are required to report all blood lead results:
(1) a physician after the first examination
				  of a child;
(2) the person in
				  charge of:
(A) an independent clinical
				  laboratory;
(B) a hospital or
				  clinic laboratory; or
(C) any
				  facility in which a laboratory conducts blood lead testing.