Enacts the "children and recovering mothers (CHARM) act" to provide guidance, education and assistance to healthcare providers caring for expectant mothers with substance use disorder; provides for the screening of newborns for substance abuse exposure.
STATE OF NEW YORK
________________________________________________________________________
4337
2021-2022 Regular Sessions
IN ASSEMBLY
February 1, 2021
___________
Introduced by M. of A. WALKER -- read once and referred to the Committee
on Health
AN ACT to amend the public health law, in relation to children and
recovering mothers
The People of the State of New York, represented in Senate and Assem-bly, do enact as follows:
1 Section 1. Short title. This act shall be known and may be cited as
2 the "children and recovering mothers (CHARM) act".
3 § 2. Article 25 of the public health law is amended by adding a new
4 title 4-A to read as follows:
5 TITLE 4-A
6 CHILDREN AND RECOVERING MOTHERS
7 Section 2576. Recovering expectant mother program.
8 2577. Newborn screening.
9 2578. Provider education.
10 2579. Workgroup.
11 § 2576. Recovering expectant mother program. There shall be estab-
12 lished a recovering expectant mothers program within the department
13 whereby the commissioner, in consultation with the commissioner of alco-
14 holism and substance abuse services, shall provide guidance, education
15 and assistance to providers caring for recovering expectant mothers,
16 which shall include, but not be limited to:
17 1. establishing, in consultation with relevant health care providers,
18 guidance on universal screening techniques for substance use disorder at
19 prenatal visits. Such guidance shall rely on validated screening tools
20 and questionnaires and utilize language to help reduce stigma;
21 2. providing information regarding use of medication assisted treat-
22 ment for pregnant women, which shall include information regarding
23 buprenorphine training, tools for providers on effective management of
24 women with opioid use disorder in pregnancy, and a referral list of
25 certified providers;
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD07635-01-1
A. 4337 2
1 3. providing referral information for substance abuse counseling,
2 social support and basic needs referrals, which shall also include guid-
3 ance on referring women to home visiting services that they may be
4 eligible for after birth; and
5 4. developing a system for rapid consultation and referral linkage
6 services for obstetricians and primary care providers statewide who
7 provide care for expectant mothers with substance use disorder.
8 § 2577. Newborn screening. The commissioner, in conjunction with the
9 commissioner of alcoholism and substance abuse services, shall develop
10 guidance for hospitals and midwifery birth centers on neonatal absti-
11 nence syndrome which shall include, but not be limited to, appropriate
12 treatment methods for neonatal abstinence syndrome and information on
13 home visiting services that recovering mothers may be eligible for, as
14 well as other substances abuse services, social supports and basic need
15 referrals in the community.
16 § 2578. Provider education. The commissioner shall develop or approve
17 a continuing medical education course for neonatal nurses, obstetri-
18 cians, midwives, pediatricians, and other health care providers regard-
19 ing treatment of expectant mothers and new mothers suffering from
20 substance use disorder, and the treatment of newborns suffering from
21 neonatal abstinence syndrome, which may include federally approved
22 buprenorphine training, in order to facilitate comprehensive prenatal
23 and postpartum care to this population.
24 § 2579. Workgroup. The commissioner, in conjunction with the commis-
25 sioner of alcoholism and substance abuse services, shall convene a work-
26 group of stakeholders, including but not limited to, hospitals, local
27 health departments, obstetricians, midwives, pediatricians, and
28 substance abuse providers to study and evaluate current barriers and
29 challenges in identifying and treating expectant mothers, newborns, and
30 new parents with substance use disorder. The workgroup shall report on
31 its findings and recommendations to the commissioner, the speaker of the
32 assembly and the temporary president of the senate within one year of
33 the effective date of this section.
34 § 3. This act shall take effect on the ninetieth day after it shall
35 have become a law. Effective immediately the addition, amendment and/or
36 repeal of any rule or regulation necessary for the implementation of
37 this act on its effective date are authorized to be made and completed
38 on or before such date.
