Perinatal Advisory Council

The Perinatal Advisory Council, created by House Bill 15 of the 83rd Texas Legislature (Regular Session), developed and recommended 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, and made recommendations for dividing the state into neonatal and maternal care regions. The Perinatal Advisory Council continues to examine 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 submitted a report with its recommendations to the Health and Human Services Commission and the Department of State Health Services in September, 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.

The subcommittee met several times with stakeholders and experts then presented maternal rule language revisions in two PAC meetings which resulted in these two documents being submitted to Commissioner John Hellerstedt, MD on October 20, 2021.


Dr. Patrick Ramsey, Chair
Maternal fetal medicine
San Antonio

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

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

Ms. Patricia Carr
Children's hospital representative
Corpus Christi

Dr. Linda Chase
Neonatologist from rural area

Stephanie Ferguson, RN
Rural Hospital representative

Dr. Alice Gong
General hospital representative
San Antonio

Dr. Vinayak Govande
Neonatologist in Level III or IV NICU
Round Rock

Dr. James Hill
San Antonio

Dr. Sangeeta Jain
League City

Dara Lankford, RN
Nurse with expertise in perinatal health
Fort Worth

Mattie Mason
Representative from a hospital with Level II NICU

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

Dr. David B. Nelson
Maternal fetal medicine

Karen Rhodes, RN
Nurse with expertise in maternal health

Dr.  Kirsten Robinson

Emily Rocha

Dr. Michael Stanley

Rural hospital representative


All meetings will be virtual via Microsoft Teams.

For More Information

Email us at Perinatal Advisory Council.

Learn more about Perinatal Draft Rules.

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.


March 23, 2023

December 7, 2022

October 26, 2022

July 27, 2022

March 30, 2022

February 7, 2022

December 1, 2021

Reports & Presentations

Note: These files are in PDF format unless otherwise noted.