A09714 Summary:

BILL NOA09714A
 
SAME ASSAME AS S08866
 
SPONSORPaulin
 
COSPNSRGottfried, Abinanti, Burdick, Gonzalez-Rojas, Griffin, Simon, Jean-Pierre, McDonald, Woerner, Forrest
 
MLTSPNSR
 
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 Actions:

BILL NOA09714A
 
03/28/2022referred to health
04/19/2022amend and recommit to health
04/19/2022print number 9714a
05/03/2022reported referred to ways and means
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A09714 Committee Votes:

HEALTH Chair:Gottfried DATE:05/03/2022AYE/NAY:18/7 Action: Favorable refer to committee Ways and Means
GottfriedAyeByrneNay
GalefAyeMcDonoughNay
DinowitzExcusedByrnesNay
CahillAyeAshbyNay
PaulinAyeSalkaNay
CymbrowitzAyeJensenNay
GuntherAyeGandolfoNay
Rosenthal L Aye
HevesiAye
SteckAye
AbinantiAye
BraunsteinAye
SolagesAye
BichotteAye
SayeghAye
Rosenthal D Aye
McDonaldAye
ReyesAye
Gonzalez-RojasAye

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A09714 Floor Votes:

There are no votes for this bill in this legislative session.
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A09714 Memo:

NEW YORK STATE ASSEMBLY
MEMORANDUM IN SUPPORT OF LEGISLATION
submitted in accordance with Assembly Rule III, Sec 1(f)
 
BILL NUMBER: A9714a
 
SPONSOR: Paulin
  TITLE OF BILL: An act to amend the public health law, in relation to establishing the cesarean births review board   PURPOSE OR GENERAL IDEA OF BILL: To create a cesarean births review board for the purpose of lowering cesarean birth rates and improving maternal health   SUMMARY OF KEY PROVISIONS: Section one of the bill amends public health law to establish a "cesare- an births review board." The board will undertake a review of the rate of cesarean births at hospitals across the state and consider several factors that may impact the frequency of this procedure. The board will issue a final report and make recommendations related to the impact cesarean births have on birthing people and best practices that can be implemented to reduce the rate of cesarean births and improve overall maternal health in the state. A copy of the final report must be posted on the Department of Health website. Section two provides the effective date.   JUSTIFICATION: The rate of cesarean birth in this state, and in this country, is not nearly spoken about enough. Since the 1970s, the national rate of cesa- rean births has increased by 500% which translates to about 1 in 3 babies delivered via c-section presently, compared to just 1 in 20 babies in the mid-1970s.* Despite this growing trend, research demon- strates there is no evidence that cesarean births provide any benefit to the mother or newborn when the procedure is not required, in fact, it is quite the opposite. Currently, New York ranks 12th in the nation, where approximately 33% of all deliveries in the state are Cesarean. New York's cesarean birth rate greatly exceeds 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, studies have found that cesarean birth rates in hospitals are directly linked to higher maternal death rates and higher costs for healthcare. The increase in cesarean rates in the U.S. is linked to an increase in maternal deaths overall as the procedure can lead to neona- tal respiratory problems and maternal complications. In fact, cesareans can account for three of the top six leading causes of maternal mortali- ty-hemorrhage, complications of anesthesia, and infection. Many of these maternal deaths are preventable given WHO's recommended rate of cesarean deliveries. Additionally, there is an alarming disparity in cesarean birth rates among different birthing populations. Minority (non-Hispanic black, Hispanic/Latina, Indigenous, and low socio-economic status) birthing people receive cesareans at a significantly higher rate than non-Hispan- ic white birthing people, which is also an indicator of low-quality maternity care. Moreover, black birthing people are more likely to receive a cesarean overall and importantly, they are also more likely to undergo repeated cesareans compared to other birthing people, which further increases the risk of mortality. In fact, in the U.S., black birthing people die from pregnancy-related causes at higher rates and have a four times greater risk of maternal death, more than any other racial or ethnic group.*** This bill would establish a "cesarean births review board" comprised of experts in the field of maternal mortality, women's health and public health, and must include healthcare professionals who are representative of the racial, ethnic, and socioeconomic diversity of birthing people in the state. The board will undertake a review of the rate of cesarean births at hospitals across the state and consider several factors that may impact the frequency of this procedure. The board will issue a final report and make recommendations related to the impact cesarean births have on birthing people and best practices that can be implemented to reduce the rate of cesarean births and improve overall maternal health in the state.   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. **Neal Shah. July 2017. HTTPS://WWW.HSPH.HARVARD.EDU/NEWS/ MULTIMEDIAARTICLE/CSECTIONS-DELIVERY-RISK-PODCAST/ *** Roth, L.M. and Henley, M.M. Unequal Motherhood: Racial-ethnic and socioeconomic disparities in cesaraean sections in the United States. Social Problems 2, vol. 59, 2012.
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A09714 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                         9714--A
 
                   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-
          tee
 
        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.
                                                                   LBD15208-04-2

        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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