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A09714 Summary:

COSPNSRGottfried, Abinanti, Burdick, Gonzalez-Rojas, Griffin, Simon, Jean-Pierre, McDonald, Woerner, Forrest
Add §2500-n, Pub Health L
Establishes the cesarean births review board; provides such board shall be comprised of multidisciplinary experts to review the rate of cesarean births at hospitals in the state; provides reporting requirements.
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A09714 Text:

                STATE OF NEW YORK
                   IN ASSEMBLY
                                     March 28, 2022
        Introduced by M. of A. PAULIN, GOTTFRIED, ABINANTI, BURDICK -- read once
          and  referred to the Committee on Health -- committee discharged, bill
          amended, ordered reprinted as amended and recommitted to said  commit-
        AN  ACT  to amend the public health law, in relation to establishing the
          cesarean births review board

          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. Cesarean births review board. 1. There is hereby established
     4  in the department the cesarean births review board, hereinafter referred
     5  to as the "board". The members  of  the  board  shall  be  comprised  of
     6  experts in the fields of maternal mortality, maternal health, and public
     7  health.    The  appointment of any member of the board shall be based in
     8  part on the objective of ensuring that the board  includes  experts  who
     9  are representative of the racial, ethnic, and socioeconomic diversity of
    10  the birthing people of the state.
    11    2.  The board should be composed of twelve members which shall include
    12  eight members to be appointed by the governor as follows:  two  licensed
    13  midwives  in  the state; two licensed and registered nurses specializing
    14  in obstetrics in the state; two physicians  specializing  in  obstetrics
    15  and gynecology licensed and registered to practice in the state; and two
    16  representatives  of a women's maternal health organization that operates
    17  in the state; and four additional members, two appointed on  the  recom-
    18  mendation  of the temporary president of the senate and two appointed on
    19  the recommendation of the speaker of the assembly.   The governor  shall
    20  designate  the  commissioner,  or their designee, as chair of the board.
    21  Members of the board shall receive no compensation  for  their  services
    22  but  may be reimbursed for necessary and actual expenses incurred in the
    23  performance of their duties hereunder.
    24    3. The board shall undertake a review of cesarean births at  hospitals
    25  in  the state. The board shall issue a final report and make recommenda-
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.

        A. 9714--A                          2
     1  tions to reduce the rate of cesarean births  in  the  state.  The  board
     2  shall consider factors including, but not limited to:
     3    (a) the primary and repeat cesarean birth rates among hospitals in the
     4  state;
     5    (b)  the hospitals in the state that allow or encourage vaginal births
     6  after cesarean births;
     7    (c) the rate of vaginal births after cesarean births  among  hospitals
     8  in the state;
     9    (d) the rate of vaginal births after cesarean births that were offered
    10  by hospitals in the state but declined by the birthing person;
    11    (e)  the  rate  of  vaginal  births  after  cesarean  births that were
    12  attempted but failed among hospitals in the state;
    13    (f) the time of day unplanned cesarean births occur in hospitals,  and
    14  whether such correlates with the rate of cesarean births in a hospital;
    15    (g)  the  number  of birthing people who elect to have midwives attend
    16  labor and delivery in hospitals in the state;
    17    (h) the frequency of midwifery care during labor in  hospitals  across
    18  the  state  and  what  impact,  if any, this has on the rate of cesarean
    19  births; and
    20    (i) the number of birthing people who were informed  by  their  health
    21  care  provider  about  the  potential  risks, benefits, and alternatives
    22  related to cesarean births before labor.
    23    4. The board may request and  shall  receive  upon  request  from  any
    24  department,  division,  board,  bureau, commission, local health depart-
    25  ments or any other agency in the state or political subdivision  thereof
    26  or  any public authority, such information, including but not limited to
    27  medical records, birth records, and any other information that will help
    28  the department under this section to properly carry out  its  functions,
    29  powers and duties.
    30    5. The board shall, within eighteen months of convening, issue a final
    31  report  on  its findings and recommendations to the governor, speaker of
    32  the assembly, and temporary president of the  senate.  The  board  shall
    33  post a copy of such report on the department's website.
    34    6.    The  board  shall keep confidential any information collected or
    35  received under this section that includes personal identifying  informa-
    36  tion  of  the birthing person, health care practitioner or practitioners
    37  or anyone else individually named in such information, as  well  as  the
    38  hospital  or  facility  that  treated the birthing person, and any other
    39  information such as geographic location that may inadvertently  identify
    40  the  birthing person, practitioner or facility, and shall use the infor-
    41  mation provided or received under this section solely for  the  purposes
    42  of improvement of the quality of maternal health care.
    43    § 2. This act shall take effect immediately.
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