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A09098 Summary:

BILL NOA09098A
 
SAME ASSAME AS S08751
 
SPONSORPaulin
 
COSPNSRGriffin, Burdick, Woerner
 
MLTSPNSR
 
Amd §2803-j, Pub Health L
 
Relates to informational leaflets for maternity patients; requires certain annual statistical information to be presented on the department's website for the most recent five years for which such data is available.
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A09098 Actions:

BILL NOA09098A
 
01/31/2022referred to health
02/16/2022amend and recommit to health
02/16/2022print number 9098a
03/01/2022reported
03/03/2022advanced to third reading cal.458
03/07/2022passed assembly
03/07/2022delivered to senate
03/07/2022REFERRED TO HEALTH
05/11/2022SUBSTITUTED FOR S8751
05/11/20223RD READING CAL.1079
05/11/2022PASSED SENATE
05/11/2022RETURNED TO ASSEMBLY
07/11/2022delivered to governor
07/19/2022signed chap.382
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A09098 Memo:

NEW YORK STATE ASSEMBLY
MEMORANDUM IN SUPPORT OF LEGISLATION
submitted in accordance with Assembly Rule III, Sec 1(f)
 
BILL NUMBER: A9098A     REVISED 03/24/2022
 
SPONSOR: Paulin
  TITLE OF BILL: An act to amend the public health law, in relation to informational leaflets for maternity patients   PURPOSE: To require hospitals and birth centers to make information on maternity related procedures and practices available on the department's website for the most recent five years for which data is available..   SUMMARY OF PROVISIONS: Section 1 amends subdivision 1 of section 2803-j of the public health law to provide that information related to maternity procedures and practices be made available on the department of health website for the most recent five years for which data is available.   JUSTIFICATION: Public health law requires hospitals and birth centers to publish annual statistics of maternity related procedures performed at such hospital or birth center in a leaflet to be provided to prospective maternity patients. The Department of Health is also required to make the informa- tion contained in the leaflet available on the department's website. However, the law does not specify the number of years this information shall be maintained on the website. In order for maternity patients to make informed decisions about the best choice of hospital or birth center for them, they should have access to data that allows them to understand how the frequency of procedures at a given hospital vary over time. For some expecting moth- ers, the frequency of cesarean sections performed at a hospital versus vaginal births is crucial when deciding where to deliver their baby. Currently, New York ranks 12th in the nation for highest cesarean rate, where approximately .33% of all deliveries in the state are cesarean, greatly exceeding the World Health Organization's and CDC's ideal rate which is between 10 and 15 percent. While the state average is around 33%, it is important to note that cesarean birth rates vary greatly across hospitals, ranging between 7% and 70% depending on what hospital a birthing person goes to.* Further, there is an alarming disparity in cesarean birth rates among different birthing populations. Evidence demonstrated that non-Hispanic black, Hispanic/Latina, and Indigenous mothers receive cesareans at a significantly higher rate than non-His- panic white women, which is also an indicator of low-quality maternity care. Access to facility-specific information allows expecting mothers to make well-informed decisions about which facility is right for them. The rate of episiotomies is also important to consider for expecting mothers. For instance, the average episiotomy rate in 2017 for all NYS hospitals was 10.4 percent, a rate substantially higher than ACOG and WHO recommends. Similar to cesarean rates, the state episiotomy rates vary greatly across facilities. In fact, in 2017 one hospital had one of the highest episiotomy rates in the country and the highest in New York State at a rate of 65 percent. In contrast, the best-performing New York hospital that year had an episiotomy rate of 2.5 percent. Access to this information is especially important for Black, Brown, and Indigenous populations as evidence shows these populations are subject to non-con- sensual episiotomies at higher rates compared to White women. ** Understanding how the number of these procedures change over time allows maternity patients to see trends in a particular hospital, such as whether a facility has increased the frequency of cesarean sections performed in recent years. Apart from providing these patients with useful information that would allow them to make better choices, having this type of data publicly available is also beneficial for research and policy-making purposes. Time trend data on maternity related procedures can be relevant for academics and practitioners interested in analyzing and recommending better practices for hospitals and birth centers. This bill would require that hospital and birth center information post- ed on the Department of Health website must be maintained for a period of not less than five years. This way, expecting mothers can easily access relevant information so that they can make the best and most informed decision for themselves and their families.   LEGISLATIVE HISTORY: New bill.   FISCAL IMPLICATIONS: None.   EFFECTIVE DATE: This act shall take effect immediately. * Plough, A.C., Galvin, G., Zhonghe, L., Lipsitz, S.R., Alidina, S., Henrich, N.J., Hirschhorn, L.R., Berry, W.R., Gawande, A.A., Peter, D., McDonald, R., Caldwell, D.L., Muri, J.H., Bingham, D., Caughey, A.B., Declercq, E.R., Shah, N.T., Obstetrics and Gynecology, July 11, 2017. ** "Giving Voice to Mothers in the US: Experiences of care among people of color and in community settings for birth" (2019). Birth Place Lab, University of British Columbia.
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A09098 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                         9098--A
 
                   IN ASSEMBLY
 
                                    January 31, 2022
                                       ___________
 
        Introduced by M. of A. PAULIN -- read once and referred to the Committee
          on  Health -- committee discharged, bill amended, ordered reprinted as
          amended and recommitted to said committee
 
        AN ACT to amend the public health  law,  in  relation  to  informational
          leaflets for maternity patients
 
          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:
 
     1    Section 1. Subdivision 1 of section 2803-j of the public  health  law,
     2  as  amended  by  chapter  66  of the laws of 2021, is amended to read as
     3  follows:
     4    1. The commissioner shall require that every hospital and birth center
     5  shall prepare in printed or photocopied form and distribute at the  time
     6  of  pre-booking directly to each prospective maternity patient and, upon
     7  request, to the general public an informational  leaflet.  Such  leaflet
     8  shall  be  designed  by  the  commissioner and shall contain brief defi-
     9  nitions of maternity related procedures and practices  as  specified  in
    10  subdivision two of this section and such other material as deemed appro-
    11  priate  by  the commissioner. Hospitals and birth centers may also elect
    12  to distribute additional explanatory material along with  the  maternity
    13  patients informational leaflet. The commissioner shall make the informa-
    14  tion  contained in the leaflet available on the department's website and
    15  shall present all annual statistical information  compiled  pursuant  to
    16  subdivision  three  of  this section on the department's website for the
    17  most recent five years for which such data is available.
    18    § 2. This act shall take effect immediately.
 
 
 
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD14254-03-2
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