NEW YORK STATE ASSEMBLY MEMORANDUM IN SUPPORT OF LEGISLATION submitted in accordance with Assembly Rule III, Sec 1(f)
BILL NUMBER: A9520
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 adjust reporting requirements for hospi-
tals in relation to obstetric hemorrhage protocols that they are
required to develop pursuant to Chapter 662 of the Laws of 2019.
SUMMARY OF SPECIFIC PROVISIONS:
Section 1 would eliminate the requirement that hospitals submit their
obstetric to the Department of Health (DOH) and would instead require
hospitals to maintain and furnish their obstetric hemorrhage protocols
to immediately, upon request.
Section 2 establishes the effective date.
Chapter 662 of the Laws of 2019 required hospitals to develop, imple-
ment, and periodically update obstetric hemorrhage protocols. This
amendment will have hospitals maintain these protocols for DOH for
review, but eliminates the automatic requirement that the information be
shared with DOH whenever a protocol is updated. This will reduce admin-
istrative burdens for hospitals and DOH in maintaining these protocols.
PRIOR LEGISLATIVE HISTORY:
None to the State.
This act shall take effect on the same date and in the same manner as a
chapter of the laws of 2019, amending the public health law relating to
the establishment of obstetric hemorrhage protocols, as proposed in
legislative bills numbers S. 4498-A and A. 6962-A, takes effect.
STATE OF NEW YORK
January 23, 2020
Introduced by M. of A. JOYNER -- read once and referred to the 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. Paragraph (c) of subdivision 1 of section 2803-n of the
2 public health law, as added by a chapter of the laws of 2019, amending
3 the public health law relating to the establishment of obstetric hemor-
4 rhage protocols, as proposed in legislative bills numbers S. 4498-A and
5 A. 6962-A, is amended and a new subdivision 3 is added to read as
7 (c) (i) [The commissioner shall provide guidance to hospitals on
8 obstetric hemorrhage protocols, in consultation with clinical experts,
9 and develop or identify an existing toolkit on obstetric hemorrhage
10 management, which may include a hemorrhage care checklist for use by
11 hospitals as part of the protocols and guidance on simulation training.
12 The commissioner shall report to the temporary president of the senate
13 and the speaker of the assembly on data reported to the department under
14 this paragraph within two years from the effective date of this para-
15 graph, and every two years thereafter.
16 (ii)] The hospital shall adopt, implement[,] and periodically update
17 [and submit to the department] standard protocols for management of
18 obstetric hemorrhage. Such protocols shall address early recognition and
19 assessment[,] and readiness to respond in a multidisciplinary manner[,
20 and data reporting to the department sufficient for the department to
21 monitor and report pursuant to this paragraph]. Such protocols shall
22 utilize risk assessment tools such as the toolkit established or identi-
23 fied by the department under [this paragraph] subdivision three of this
24 section and shall include a response plan providing for the triage and
25 transfer to higher level facilities if needed.
26 (ii) The hospital shall maintain and furnish protocols for management
27 of obstetric hemorrhage required pursuant to subparagraph (i) of this
28 paragraph to the department, immediately upon request.
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 is old law to be omitted.
A. 9520 2
1 3. The commissioner shall develop guidance to hospitals on obstetric
2 hemorrhage protocols, in consultation with clinical experts, and develop
3 or identify an existing toolkit on obstetric hemorrhage management,
4 which may include a hemorrhage care checklist for use by hospitals as
5 part of the protocols and guidance on simulation training. The commis-
6 sioner shall post the guidance and toolkit on the department's website.
7 § 2. This act shall take effect on the same date and in the same
8 manner as a chapter of the laws of 2019, amending the public health law
9 relating to the establishment of obstetric hemorrhage protocols, as
10 proposed in legislative bills numbers S. 4498-A and A. 6962-A, takes