New York State Assembly

 
•  Summary 
 
•  Actions 
 
•  Committee Votes 
 
•  Floor Votes 
 
•  Memo 
 
•  Text 
 
•  LFIN 
 
•  Chamber Video/Transcript 

A06962 Summary:

A06962 Actions:

A06962 Committee Votes:

Committee:HEALTH   Chair:Gottfried      
DATE:04/02/2019AYE/NAY:24/0  Action: Favorable         
Gottfried
Aye
Raia
Aye
Schimminger
Aye
McDonough
Aye
Galef
Aye
Ra
Aye
Dinowitz
Aye
Garbarino
Aye
Cahill
Aye
Byrne
Aye
Paulin
Aye
Byrnes
Aye
Cymbrowitz
Aye
Ashby
Aye
Gunther
Excused
Rosenthal
Aye
Hevesi
Excused
Jaffee
Aye
Steck
Aye
Abinanti
Aye
Braunstein
Aye
Kim
Aye
Solages
Aye
Bichotte
Aye
Barron
Aye
Sayegh
Aye

A06962 Floor Votes:

A06962 Memo:

NEW YORK STATE ASSEMBLY
MEMORANDUM IN SUPPORT OF LEGISLATION
 submitted in accordance with Assembly Rule III, Sec 1(f)



 
BILL NUMBER: A6962A
 
SPONSOR: Joyner

 
TITLE OF BILL:  An act to amend the public health law, in relation to
the establishment of obstetric hemorrhage protocols
 
 
PURPOSE OR GENERAL IDEA OF BILL:
 
The purpose of this bill is to improve birth outcomes and patient care
for expecting mothers through the adoption and use of protocols and
management strategies by hospitals.
 
 
SUMMARY OF SPECIFIC PROVISIONS:
 
This bill would direct the Commissioner of Health in conjunction with
clinical experts to develop or identify management protocols and strate-
gies related to obstetric hemorrhages to be utilized by hospitals.
Hospitals would be directed to adopt, implement, and regularly update
their protocols related to obstetric hemorrhages, including a response
plan for emergency transfers to facilities that can provide a higher
level of care. The Commissioner of Health would be directed to produce a
biannual report to the Legislature on the protocols and strategies
developed and implemented by this bill.
 
 
JUSTIFICATION:
 
In recent years New York has experienced a steady increase in the number
of maternal deaths. Clear racial disparities can be seen in the underly-
ing data showing a disproportionately large impact on women in minority
communities. This bill will begin to address this mounting crisis by
having the Department of Health work to create and make available stand-
ards and tools for preventing and reducing the number of complications
that may arise during a pregnancy or delivery. Making sure our hospitals
have access to the appropriate tools will help to ensure that the grow-
ing number of negative birth outcomes is stopped and eventually
reversed.
 
This bill will also help to State to become a more effective partner in
combating the increasing number of maternal deaths and other negative
birth outcomes. The information gathered under this legislation will aid
in properly informing future discussions and activities by the state in
addressing these pressing issues.
 
 
PRIOR LEGISLATIVE HISTORY:
 
New Legislation.
 
 
FISCAL IMPLICATIONS:
 
Minimal fiscal impact to the State.
 
 
EFFECTIVE DATE:
Six months succeeding enactment.

A06962 Text:

 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                         6962--A
 
                               2019-2020 Regular Sessions
 
                   IN ASSEMBLY
 
                                     March 27, 2019
                                       ___________
 
        Introduced  by  M.  of A. JOYNER, GOTTFRIED -- read once and referred to
          the Committee on Health -- committee discharged, bill amended, ordered
          reprinted as amended and recommitted to said committee
 
        AN ACT to amend the public health law, in relation to the  establishment
          of obstetric hemorrhage protocols

          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:
 
     1    Section 1. Subdivision 1 of section 2803-n of the public health law is
     2  amended by adding a new paragraph (c) to read as follows:
     3    (c) (i) The  commissioner  shall  provide  guidance  to  hospitals  on
     4  obstetric  hemorrhage  protocols, in consultation with clinical experts,
     5  and develop or identify an  existing  toolkit  on  obstetric  hemorrhage
     6  management,  which  may  include a hemorrhage care checklist  for use by
     7  hospitals as part of the protocols and guidance on simulation  training.
     8  The  commissioner  shall report to the temporary president of the senate
     9  and the speaker of the assembly on data reported to the department under
    10  this paragraph within two years from the effective date  of  this  para-
    11  graph, and every two years thereafter.
    12    (ii)  The  hospital  shall  adopt,  implement, periodically update and
    13  submit to the department standard protocols for management of  obstetric
    14  hemorrhage.  Such  protocols shall address early recognition and assess-
    15  ment, readiness to respond  in  a  multidisciplinary  manner,  and  data
    16  reporting to the department sufficient for the department to monitor and
    17  report  pursuant  to  this  paragraph. Such protocols shall utilize risk
    18  assessment tools such as the toolkit established or  identified  by  the
    19  department  under  this  paragraph  and  shall  include  a response plan
    20  providing for the triage and transfer  to  higher  level  facilities  if
    21  needed.
    22    §  2. This act shall take effect six months after it shall have become
    23  a law. Effective immediately, the  commissioner  of  health  shall  make
    24  regulations  and  take  other  actions reasonably necessary to implement
    25  this act on that date.
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD10979-02-9

A06962 LFIN:

 
NO LFIN

A06962 Chamber Video/Transcript: