Perinatal Advisory Council

The Perinatal Advisory Council, created by House Bill 15 of the 83rd Texas Legislature (Regular Session), develops and recommends criteria for designating levels of neonatal and maternal care, including specifying the minimum requirements to qualify for each level designation and a process for the assignment of levels of care to a hospital, makes recommendations for dividing the state into neonatal and maternal care regions, examines utilization trends in neonatal and maternal care, and recommends ways to improve neonatal and maternal outcomes.

House Bill 3433 of the 84th Texas Legislature (Regular Session) amended House Bill 15 by adding two new members to PAC and extended the date of its report. The council must submit a report with its recommendations to the Health and Human Services Commission and the Department of State Health Services by September 1, 2016. The report was published on time and can be found here:

PAC Report on Determinations and Recommendations (PDF)

Placenta Accreta Spectrum Disorder Subcommittee

Texas HB 1164 enacted by the Texas 87th Regular Legislative session empowers PAC, with input from subject matter experts, stakeholders, researchers, patient advocates, DSHS and other interested individuals, to develop considerations for patient safety practices and recommendations for maternal rules related to the diagnosis, referral, transport, and management of women with Placenta Accreta Spectrum Disorders. To prepare initial considerations, a PAC PASD Subcommittee has been established with intent to develop impactful and reasonable recommendations based on input from any diverse individuals with interest, lived experience, or expertise with this condition.

Read this information to learn more:


Dr. Emily Briggs, Chair
Family medicine physician who provides obstetrical care in a rural community
New Braunfels

Dr. Cynthia Blanco, Co-chair
Neonatologist in Level III or IV NICU
San Antonio

Dr. Linda Chase
Neonatologist from rural area

Dr. Sadhana Chheda
Neonatologist in Level III or IV NICU
El Paso

Stephanie Ferguson, RN
Rural Hospital representative

Dr. Ryan Van Ramshorst

Dr. Alice Gong
General hospital representative
San Antonio

Dr. Charleta Guillory

Mattie Mason
Representative from a hospital with Level II NICU

Dr. James Hill
San Antonio

Dara Lankford, RN
Nurse with expertise in perinatal health
Ft. Worth

Dr. Alyssa Molina
Family medicine physician who provides obstetrical care in a rural community
Eagle Lake

Dr. Patrick Ramsey
Maternal fetal medicine
San Antonio

Karen Rhodes, RN
Nurse with expertise in maternal health

Saundra Rivers, RN
Rural Hospital Representative

Dr. David B. Nelson
Maternal fetal medicine

Dr. Michael Stanley

Dr. Eugene Toy

Ms Patricia Carr
Children's hospital representative
Corpus Christi

Ms Tanna Pirtle
Rural hospital representative
Sulphur Springs


All meetings will be virtual via Microsoft TEAMS.

For More Information

Email us at Perinatal Advisory Council.

Learn more about the Neonatal Levels of Care Rule regarding hospital designation.

Learn more about the Maternal Levels of Care Rule regarding hospital designation.

Learn more about the Centers of Excellence for Fetal Diagnosis and Therapy rule.

Past Events

October 6, 2021

June 23, 2021

March 31, 2021

November 17, 2020

September 15, 2020