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S09084 Summary:

BILL NOS09084
 
SAME ASSAME AS A09651
 
SPONSORPERSAUD
 
COSPNSR
 
MLTSPNSR
 
Add §2500-n, Pub Health L
 
Establishes a maternal health monitoring pilot program within the department of health to offer eligible participants improved maternal health care through remote patient monitoring for maternal hypertension and maternal diabetes; requires delivery of a report.
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S09084 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          9084
 
                    IN SENATE
 
                                    January 30, 2026
                                       ___________
 
        Introduced  by  Sen. PERSAUD -- read twice and ordered printed, and when
          printed to be committed to the Committee on Women's Issues
 
        AN ACT to amend the public health law, in  relation  to  establishing  a
          maternal health monitoring pilot program
 
          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:

     1    Section 1. The public health law is amended by adding  a  new  section
     2  2500-n to read as follows:
     3    § 2500-n. Maternal health monitoring pilot program. 1. As used in this
     4  section:
     5    (a)  "Eligible  participant"  means  a  patient  who  meets all of the
     6  following criteria:
     7    (i) the patient is a recipient of medical assistance;
     8    (ii) the patient is a member of a participating managed care organiza-
     9  tion; and
    10    (iii) the patient is pregnant.
    11    (b) "Escalation pathway" means an agreement between the  participating
    12  managed  care  organizations  and  the technology vendor on a process to
    13  follow when an eligible participant's measurements  are  concerning  and
    14  warrant further review and investigation.
    15    (c)  "Health  care  provider"  means an obstetrician or maternal fetal
    16  medicine physician who meet all of the following criteria:
    17    (i) such person is licensed in the state of New York;
    18    (ii) such person is  an  in-network  provider  for  the  participating
    19  managed care organizations; and
    20    (iii)  such  person  provides  care for an eligible participant during
    21  pregnancy.
    22    (d) "Participating managed care organization"  means  a  managed  care
    23  organization selected by the department to administer the pilot program.
    24    (e) "Pilot program" means the maternal health monitoring pilot program
    25  established by this section.
    26    (f)  "Remote  monitoring  clinical care team" means a group made up of
    27  nurses licensed to practice in New York state, dietitians, and certified
    28  diabetes education specialists who are monitoring eligible participants'
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD14280-01-5

        S. 9084                             2
 
     1  measurements, and providing nutrition guidance, diabetes  and  hyperten-
     2  sion  condition  management  counseling,  and  pregnancy  and postpartum
     3  advice.
     4    (g)  "Remote patient monitoring for maternal hypertension and maternal
     5  diabetes" means technology provided by the technology vendor that:
     6    (i) collects health data from an eligible  participant  and  electron-
     7  ically transmits that information securely for interpretation and recom-
     8  mendation;
     9    (ii) uses devices that are authorized by the U.S. Food and Drug Admin-
    10  istration;
    11    (iii)  monitors  health  data, including blood pressure, weight, blood
    12  glucose levels, or other physiological health data as determined by  the
    13  eligible participant's health care provider;
    14    (iv) transmits health data through cellular networks; and
    15    (v)  provides  preprogrammed  equipment specifically for each eligible
    16  participant.
    17    (h) "Technology vendor" means a technology  company  selected  by  the
    18  department to contract with the participating managed care organizations
    19  in administering the pilot program.
    20    2.  (a)  A  maternal  health monitoring pilot program is hereby estab-
    21  lished within the department to  offer  eligible  participants  improved
    22  maternal  health  care  through  remote  patient monitoring for maternal
    23  hypertension and maternal diabetes. The department shall select  one  or
    24  more  participating managed care organizations and one technology vendor
    25  to administer the pilot program in a manner  to  be  determined  by  the
    26  department.
    27    (b)  Each  participating  managed  care  organization  shall  contract
    28  directly with the technology vendor to offer remote  patient  monitoring
    29  for maternal hypertension and maternal diabetes and ensure that eligible
    30  participants have access to the pilot program.
    31    (c)  The  technology vendor shall meet the following requirements when
    32  offering remote patient monitoring for maternal hypertension and  mater-
    33  nal diabetes to an eligible participant under the pilot program:
    34    (i)  ensuring that remote patient monitoring for maternal hypertension
    35  and maternal diabetes is possible during pregnancy and for up  to  three
    36  months postpartum;
    37    (ii)  ensuring that a remote patient monitoring device is delivered to
    38  each eligible participant;
    39    (iii) ensuring that each eligible participant is trained on how to use
    40  the remote patient monitoring device;
    41    (iv) assigning a program manager to  support  the  implementation  and
    42  administration of the program and to coordinate efforts with the partic-
    43  ipating managed care organizations and the department; and
    44    (v)  employing  a remote monitoring clinical care team that is capable
    45  of:
    46    (A) monitoring and reviewing eligible participant's health data;
    47    (B) creating an escalation pathway with the participating managed care
    48  organizations if the eligible participant's  remote  patient  monitoring
    49  readings,  in  conjunction  with  the  eligible  participant's symptoms,
    50  require additional medical attention;
    51    (C) providing health coaching to  participants  in  matters  including
    52  nutrition, condition management, and healthy behavior modification; and
    53    (D)  coordinating with the eligible participant's health care provider
    54  as needed.
    55    3. (a) The department shall implement the pilot  program  in  as  many
    56  counties  as  necessary  to  ensure  participation of up to five hundred

        S. 9084                             3
 
     1  eligible participants.  The  program  must  include  counties  that  are
     2  considered  maternity  care  deserts  based on the March of Dimes latest
     3  maternity care desert report.
     4    (b)  The  pilot program shall be operational no later than one hundred
     5  eighty days after the contract date between  the  participating  managed
     6  care  organization  and  the  technology  vendor. The pilot program will
     7  conclude two years after the pilot program is operational.
     8    4. The department shall pay a fee to the  participating  managed  care
     9  organizations to administer the pilot program. The participating managed
    10  care  organizations  shall  use  the  fee  payment to cover the costs of
    11  contracting with the  technology  vendor  and  administering  the  pilot
    12  program.  The  department  shall provide six hundred thousand dollars to
    13  offset the costs of the pilot program.
    14    5. (a) Within two years of the  pilot  program's  implementation,  the
    15  department  shall collaborate with the participating managed care organ-
    16  izations and any other relevant stakeholders  to  develop  a  report  on
    17  evaluating  the  outcomes  of the pilot program. The report will look at
    18  available data of program participants,  including  claims  data,  vital
    19  stats data, EHR/EMR data, to determine the pilot program's impact on the
    20  following  maternal,  fetal  and  neonatal  health outcomes to determine
    21  whether the program improves maternal, fetal  and  neonatal  health  and
    22  whether the program will lead to savings to Medicaid.
    23    (b)  Maternal outcomes to be considered shall include maternal mortal-
    24  ity rate, severe maternal morbidity rate,  incidences  of  preeclampsia,
    25  the cesarian section rate, the mean length of the eligible participants'
    26  hospital  stays, the intensive care unit admission rate, the mean length
    27  of the intensive care unit stay, and the postpartum hospital readmission
    28  rate. Fetal/Neonatal outcomes to be considered shall include  the  fetal
    29  mortality  rate,  the  rate  of  fetal  growth restriction, the neonatal
    30  mortality rate, the NICU admissions rate, the mean length of NICU  stay,
    31  the  rate  of  neonatal hypoglycemia, the preterm birth rate, the gesta-
    32  tional age at delivery, and the birthweight.
    33    (c) The report will  include  recommendations  regarding  whether  the
    34  pilot program should be expanded throughout New York.
    35    (d) The department shall submit the report to the governor, the presi-
    36  dent of the senate, the speaker of the assembly, the chair of the assem-
    37  bly  committee  on health, the chair of the assembly committee on insur-
    38  ance, the chair of the senate committee on  health,  the  chair  of  the
    39  senate  committee  on insurance and the chair of the senate committee on
    40  women's issues.
    41    § 2. This act shall take effect on the sixtieth  day  after  it  shall
    42  have become a law.
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