- Summary
- Actions
- Committee Votes
- Floor Votes
- Memo
- Text
- LFIN
- Chamber Video/Transcript
A00217 Summary:
BILL NO | A00217 |
  | |
SAME AS | SAME AS S02736 |
  | |
SPONSOR | Paulin |
  | |
COSPNSR | Gottfried, Galef, Barron, Dickens, Colton, Cook, Epstein, Seawright, Taylor, Woerner, McDonough, Jean-Pierre, Fernandez, Walker, Hyndman, Buttenschon, Jacobson, Griffin, Ashby, Simon, Otis, Sayegh, Gonzalez-Rojas, Jackson, Rajkumar, Rosenthal L, McDonald, Forrest |
  | |
MLTSPNSR | Thiele |
  | |
Add 2500-l, Pub Health L | |
  | |
Relates to informing maternity patients about the risks associated with cesarean section. |
A00217 Actions:
BILL NO | A00217 | |||||||||||||||||||||||||||||||||||||||||||||||||
  | ||||||||||||||||||||||||||||||||||||||||||||||||||
01/06/2021 | referred to health | |||||||||||||||||||||||||||||||||||||||||||||||||
01/20/2021 | reported | |||||||||||||||||||||||||||||||||||||||||||||||||
01/21/2021 | advanced to third reading cal.34 | |||||||||||||||||||||||||||||||||||||||||||||||||
02/01/2021 | passed assembly | |||||||||||||||||||||||||||||||||||||||||||||||||
02/01/2021 | delivered to senate | |||||||||||||||||||||||||||||||||||||||||||||||||
02/01/2021 | REFERRED TO WOMEN'S ISSUES | |||||||||||||||||||||||||||||||||||||||||||||||||
01/05/2022 | DIED IN SENATE | |||||||||||||||||||||||||||||||||||||||||||||||||
01/05/2022 | RETURNED TO ASSEMBLY | |||||||||||||||||||||||||||||||||||||||||||||||||
01/05/2022 | ordered to third reading cal.11 | |||||||||||||||||||||||||||||||||||||||||||||||||
01/25/2022 | passed assembly | |||||||||||||||||||||||||||||||||||||||||||||||||
01/25/2022 | delivered to senate | |||||||||||||||||||||||||||||||||||||||||||||||||
01/25/2022 | REFERRED TO WOMEN'S ISSUES |
A00217 Committee Votes:
Gottfried | Aye | Byrne | Aye | ||||||
Galef | Aye | McDonough | Aye | ||||||
Dinowitz | Aye | Byrnes | Aye | ||||||
Cahill | Aye | Ashby | Aye | ||||||
Paulin | Aye | Miller | Aye | ||||||
Cymbrowitz | Aye | Salka | Aye | ||||||
Gunther | Aye | Jensen | Aye | ||||||
Rosenthal L | Aye | ||||||||
Hevesi | Aye | ||||||||
Steck | Aye | ||||||||
Abinanti | Aye | ||||||||
Braunstein | Aye | ||||||||
Solages | Aye | ||||||||
Bichotte Hermel | Aye | ||||||||
Barron | Aye | ||||||||
Sayegh | Aye | ||||||||
Rosenthal D | Aye | ||||||||
McDonald | Aye | ||||||||
Reyes | Aye | ||||||||
Go to top
A00217 Floor Votes:
Yes
Abbate
Yes
Clark
Yes
Frontus
Yes
Lalor
Yes
Paulin
Yes
Sillitti
Yes
Abinanti
Yes
Colton
Yes
Galef
Yes
Lavine
Yes
Peoples-Stokes
Yes
Simon
Yes
Anderson
Yes
Conrad
Yes
Gallagher
Yes
Lawler
Yes
Perry
Yes
Simpson
Yes
Angelino
Yes
Cook
Yes
Gallahan
Yes
Lemondes
Yes
Pheffer Amato
Yes
Smith
Yes
Ashby
Yes
Cruz
Yes
Gandolfo
Yes
Lunsford
Yes
Pichardo
Yes
Smullen
Yes
Aubry
Yes
Cusick
Yes
Giglio JA
Yes
Lupardo
Yes
Pretlow
Yes
Solages
Yes
Barclay
Yes
Cymbrowitz
Yes
Giglio JM
Yes
Magnarelli
Yes
Quart
Yes
Steck
Yes
Barnwell
Yes
Darling
Yes
Glick
Yes
Mamdani
Yes
Ra
Yes
Stern
Yes
Barrett
Yes
Davila
Yes
Gonzalez-Rojas
Yes
Manktelow
Yes
Rajkumar
Yes
Stirpe
Yes
Barron
Yes
De La Rosa
Yes
Goodell
Yes
McDonald
Yes
Ramos
Yes
Tague
Yes
Benedetto
Yes
DeStefano
Yes
Gottfried
Yes
McDonough
Yes
Reilly
Yes
Tannousis
Yes
Bichotte Hermel
Yes
Dickens
Yes
Griffin
Yes
McMahon
Yes
Reyes
Yes
Taylor
Yes
Blankenbush
Yes
Dilan
Yes
Gunther
Yes
Meeks
Yes
Richardson
Yes
Thiele
Yes
Brabenec
Yes
Dinowitz
Yes
Hawley
Yes
Mikulin
Yes
Rivera J
Yes
Vanel
Yes
Braunstein
Yes
DiPietro
Yes
Hevesi
Yes
Miller B
Yes
Rivera JD
Yes
Walczyk
Yes
Bronson
Yes
Durso
Yes
Hunter
Yes
Miller M
Yes
Rodriguez
Yes
Walker
Yes
Brown
Yes
Eichenstein
Yes
Hyndman
Yes
Mitaynes
Yes
Rosenthal D
Yes
Wallace
Yes
Burdick
Yes
Englebright
Yes
Jackson
Yes
Montesano
Yes
Rosenthal L
Yes
Walsh
Yes
Burgos
Yes
Epstein
Yes
Jacobson
Yes
Morinello
Yes
Rozic
Yes
Weinstein
Yes
Burke
Yes
Fahy
Yes
Jean-Pierre
Yes
Niou
Yes
Salka
Yes
Weprin
Yes
Buttenschon
Yes
Fall
Yes
Jensen
Yes
Nolan
Yes
Santabarbara
Yes
Williams
Yes
Byrne
Yes
Fernandez
Yes
Jones
Yes
Norris
Yes
Sayegh
Yes
Woerner
Yes
Byrnes
Yes
Fitzpatrick
Yes
Joyner
Yes
O'Donnell
Yes
Schmitt
Yes
Zebrowski
Yes
Cahill
Yes
Forrest
Yes
Kelles
Yes
Otis
Yes
Seawright
Yes
Zinerman
Yes
Carroll
Yes
Friend
Yes
Kim
Yes
Palmesano
Yes
Septimo
Yes
Mr. Speaker
‡ Indicates voting via videoconference
Yes
Abbate
Yes
Colton
Yes
Gallagher
Yes
Lawler
Yes
Perry
Yes
Smullen
Yes
Abinanti
Yes
Conrad
Yes
Gallahan
Yes
Lemondes
Yes
Pheffer Amato
Yes
Solages
Yes
Anderson
Yes
Cook
Yes
Gandolfo
Yes
Lunsford
Yes
Pretlow
Yes
Steck
Yes
Angelino
Yes
Cruz
Yes
Giglio JA
Yes
Lupardo
ER
Quart
Yes
Stern
Yes
Ashby
Yes
Cusick
Yes
Giglio JM
Yes
Magnarelli
Yes
Ra
Yes
Stirpe
Yes
Aubry
Yes
Cymbrowitz
Yes
Glick
Yes
Mamdani
Yes
Rajkumar
Yes
Tague
Yes
Barclay
Yes
Darling
Yes
Gonzalez-Rojas
Yes
Manktelow
Yes
Ramos
Yes
Tannousis
Yes
Barnwell
Yes
Davila
Yes
Goodell
Yes
McDonald
Yes
Reilly
Yes
Tapia
Yes
Barrett
Yes
DeStefano
Yes
Gottfried
Yes
McDonough
Yes
Reyes
Yes
Taylor
ER
Benedetto
Yes
Dickens
Yes
Griffin
Yes
McMahon
Yes
Richardson
Yes
Thiele
Yes
Bichotte Hermel
Yes
Dilan
Yes
Gunther
Yes
Meeks
Yes
Rivera J
Yes
Vanel
Yes
Blankenbush
Yes
Dinowitz
Yes
Hawley
Yes
Mikulin
Yes
Rivera JD
Yes
Walczyk
Yes
Brabenec
Yes
DiPietro
Yes
Hevesi
Yes
Miller B
Yes
Rosenthal D
Yes
Walker
Yes
Braunstein
Yes
Durso
Yes
Hunter
Yes
Miller M
Yes
Rosenthal L
Yes
Wallace
Yes
Bronson
Yes
Eichenstein
Yes
Hyndman
Yes
Mitaynes
Yes
Rozic
Yes
Walsh
Yes
Brown
Yes
Englebright
Yes
Jackson
Yes
Montesano
Yes
Salka
Yes
Weinstein
Yes
Burdick
Yes
Epstein
Yes
Jacobson
Yes
Morinello
Yes
Santabarbara
Yes
Weprin
Yes
Burgos
Yes
Fahy
Yes
Jean-Pierre
Yes
Niou
Yes
Sayegh
Yes
Williams
Yes
Burke
Yes
Fall
Yes
Jensen
ER
Nolan
Yes
Schmitt
Yes
Woerner
Yes
Buttenschon
Yes
Fernandez
Yes
Jones
Yes
Norris
Yes
Seawright
Yes
Zebrowski
Yes
Byrne
Yes
Fitzpatrick
Yes
Joyner
Yes
O'Donnell
Yes
Septimo
Yes
Zinerman
Yes
Byrnes
Yes
Forrest
Yes
Kelles
Yes
Otis
Yes
Sillitti
Yes
Mr. Speaker
Yes
Cahill
No
Friend
Yes
Kim
Yes
Palmesano
Yes
Simon
Yes
Carroll
ER
Frontus
Yes
Lalor
Yes
Paulin
Yes
Simpson
Yes
Clark
Yes
Galef
Yes
Lavine
Yes
Peoples-Stokes
Yes
Smith
‡ Indicates voting via videoconference
A00217 Memo:
Go to topNEW YORK STATE ASSEMBLY
MEMORANDUM IN SUPPORT OF LEGISLATION
submitted in accordance with Assembly Rule III, Sec 1(f)   BILL NUMBER: A217 SPONSOR: Paulin
  TITLE OF BILL: An act to amend the public health law, in relation to informing materni- ty patients about the risks associated with cesarean section   PURPOSE OR GENERAL IDEA OF BILL: To amend the public health law, in relation to informing maternity patients about the risks associated with Cesarean section.   SUMMARY OF SPECIFIC PROVISIONS: Section one amends the public health law by adding a new section § 2500-1. Subdivision one provides definitions and establishes a proce- dure for a maternal health provider to provide a written communication to each pregnant woman for whom a Cesarean section delivery is planned and to each patient following an unplanned Cesarean delivery. Subdivision two provides that the Commissioner of Health shall consult with the American College of Obstetricians and Gynecologists and the New York State Association of Licensed Midwives to develop a written commu- nication or communications for maternal health care providers to distribute to patients as required under this section. Section two provides the effective date.   JUSTIFICATION: In New York State, nearly 20% of babies are delivered via Cesarean section, with the rate of use of Cesarean section delivery ranging from 8% to 32%, depending on facility. According to the American College of Obstetricians and Gynecologists (ACOG), Cesarean delivery is recommended for certain medical conditions to prevent maternal and infant morbidity and mortality. However, for low-risk pregnancies, Cesarean delivery increases the risk of maternal mortality and morbidity and infant morbidity. Potential maternal injuries associated with Cesarean delivery include but are not limited to: heavy blood loss that results in hysterectomy or a blood transfusion, ruptured uterus, injury to other organs including the bladder, and other complications from a major surgery. Cesarean delivery also carries higher risk of infant injury and can result in situations requiring the neonatal intensive care unit(NICU). Additionally, after a Cesarean delivery, future vaginal deliveries may be risky. Because of this, Cesarean delivery may be recommended in the future. However, vaginal birth after Cesarean (VBAC) may be possible, depending upon your health characteristics. In future pregnancies, there is risk of the Cesarean section scar breaking during pregnancy or labor (uterine rupture). Additionally, women's risk of developing placenta previa or accrete in future pregnancies is higher after Cesarean deliveries than vaginal births. Because of these risks, it is important that all women who plan to have a Cesarean delivery be informed about the risks, both immediate and in the future. It is also important that women who experience unplanned Cesarean sections be informed about how having a Cesarean section may impact their maternal health in the future. While it is customary for informed consent to be given before a Cesarean section, informed consent documents are not standardized and may contain medical jargon. Addi- tionally, in emergency situations, lengthy discussions about the impact of the Cesarean delivery on future pregnancies cannot be guaranteed to occur at the time of informed consent and informed consent may focus solely on the Cesarean surgery. This written communication will provide standardized information in plain English about risks associated with Cesarean section delivery and about the potential impact of the Cesarean on future pregnancies, based on ACOG guidance. This act directs the Commissioner of Health to establish a formal writ- ten communication or communications for a maternal health care provider, defined as any physician, midwife, nurse practitioner, or physician assistant, or other maternal health care practitioner acting within his or her lawful scope of practice attending a pregnant woman, to provide information to each maternal patient who plans to deliver via Cesarean section or delivered via Cesarean section to inform them about risks associated with Cesarean section delivery, as well as how having a Cesa- rean section may impact future pregnancies. The Commissioner has the option to develop more than one version of the communication, tailored to specific situations such as pregnant women who have a primary Cesarean section planned or women who have already undergone a prior Cesarean section. For example, a version of the commu- nication geared towards women who have already had a prior Cesarean section may include information about vaginal birth after Cesarean(VBAC) and the specific risks associated with having multiple Cesarean sections.   PRIOR LEGISLATIVE HISTORY: A.318A of 2019 and 2020, passed Assembly/ S.2888A, referred to Women's Issues. A.10809B of 2018, amended on third reading   FISCAL IMPLICATION: None to the state.   EFFECTIVE DATE: This act shall take effect 180 days after it shall become a law. Effec- tive immediately, the department of health may make regulations and take other actions reasonably necessary for the timely implementation of this act on that date.
A00217 Text:
Go to top STATE OF NEW YORK ________________________________________________________________________ 217 2021-2022 Regular Sessions IN ASSEMBLY (Prefiled) January 6, 2021 ___________ Introduced by M. of A. PAULIN, GOTTFRIED, GALEF, BARRON, DICKENS, COLTON, COOK, EPSTEIN, SEAWRIGHT, TAYLOR, WOERNER, McDONOUGH, JEAN-PIERRE, FERNANDEZ, WALKER, HYNDMAN, BUTTENSCHON, JACOBSON, GRIF- FIN, ASHBY, SIMON, OTIS -- Multi-Sponsored by -- M. of A. THIELE -- read once and referred to the Committee on Health AN ACT to amend the public health law, in relation to informing materni- ty patients about the risks associated with cesarean section 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-l to read as follows: 3 § 2500-l. Duty of providers of primary cesarean section maternity 4 services to inform. 1. (a) Every maternal health care provider shall 5 provide the written communication established in subdivision two of this 6 section prior to delivery to each pregnant woman for whom a cesarean 7 section delivery is planned. 8 (b) Every maternal health care provider who performs a cesarean 9 section which was not planned prenatally shall provide the written 10 communication established in subdivision two of this section to the 11 patient following delivery. 12 (c) As used in this section: "maternal health care provider" or 13 "provider" shall mean a physician, midwife, nurse practitioner, or 14 physician assistant, acting within his or her scope of practice, manag- 15 ing the pregnancy of a pregnant woman. 16 2. (a) The commissioner shall develop a written communication or 17 communications for maternal health care providers to distribute to 18 maternity patients as required in subdivision one of this section, which 19 contains information about cesarean section delivery. The commissioner 20 shall consult with appropriate health care professionals, providers, 21 consumers, educators and patients or organizations representing them, EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD01820-01-1A. 217 2 1 including but not limited to the American College of Obstetricians and 2 Gynecologists and the New York State Association of Licensed Midwives to 3 develop such written communication or communications. 4 (b) Such written communication or communications shall include, but 5 not be limited to information on: 6 i. potential maternal injuries associated with cesarean delivery; and 7 ii. potential risks to the fetus; and 8 iii. the impact a cesarean delivery may have on future pregnancies and 9 deliveries; and 10 iv. circumstances in which cesarean delivery may be necessary to save 11 the life of the mother or fetus. 12 (c) The commissioner shall ensure that all information included in the 13 written communication or communications are maintained and updated to 14 reflect current clinical guidelines. 15 § 2. This act shall take effect on the one hundred eightieth day after 16 it shall have become a law. Effective immediately, the addition, amend- 17 ment and/or repeal of any rule or regulation by the department of health 18 necessary for the implementation of this act on its effective date are 19 authorized to be made and completed on or before such effective date.