S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   7454
 
                        2021-2022 Regular Sessions
 
                           I N  A S S E M B L Y
 
                               May 10, 2021
                                ___________
 
 Introduced  by M. of A. JACKSON -- read once and referred to the Commit-
   tee on Health
 
 AN ACT to amend the public health  law,  in  relation  to  the  maternal
   health crisis
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:

   Section 1. This act shall be known and may be cited as  the  "Chisholm
 Chance Act".
   §  2. Title 3 of article 25 of the public health law is REPEALED and a
 new title 3 is added to read as follows:
                                 TITLE III
                            CHISHOLM CHANCE ACT
 SECTION 2560. LEGISLATIVE FINDINGS.
         2561. ADMINISTRATIVE HUB.
   § 2560. LEGISLATIVE FINDINGS. 1.  THE  LEGISLATURE  HEREBY  FINDS  AND
 DECLARES  THAT  SEVERE  MATERNAL MORBIDITY CONSTITUTES A MATERNAL HEALTH
 CRISIS THAT POSES A SERIOUS THREAT TO THE HEALTH AND QUALITY OF LIFE  OF
 MANY  WOMEN  AND  CHILDREN. NEW YORK IS AMONG THE BOTTOM THIRD OF STATES
 FOR THE NUMBER OF WOMEN DYING, WITH WOMEN OF COLOR DYING AT A RATE THREE
 AND ONE-HALF TIMES MORE THAN OTHER WOMEN. THE HIGHEST  RATES  OF  SEVERE
 MATERNAL  MORBIDITY OCCURS IN TWO COUNTIES, KINGS AND BRONX COUNTY, WITH
 THE HIGHEST RATE OCCURRING IN NORTH AND CENTRAL BROOKLYN.
   2. THE LEGISLATURE FURTHER FINDS AND DECLARES THAT A  PLAN  SHOULD  BE
 ESTABLISHED TO ADDRESS THE SEVERE MATERNAL MORBIDITY CRISIS.
   § 2561. ADMINISTRATIVE HUB. 1. THE DEPARTMENT SHALL DEVELOP, ESTABLISH
 AND  ADMINISTER A COMMUNITY LED AND OPERATED ADMINISTRATIVE HUB IN KINGS
 COUNTY AND BRONX COUNTY TO CONTRACT WITH MULTIPLE  PAYERS  IN  ORDER  TO
 COORDINATE  OUTREACH  BY SPECIALLY TRAINED COMMUNITY-BASED ORGANIZATIONS
 AND COMMUNITY HEALTH WORKERS TO FIND AND ENGAGE THE HIGHEST  NEED  WOMEN
 AND  CHILDREN  IN  KINGS  COUNTY  AND BRONX COUNTY. THE DEPARTMENT SHALL
 ALSO:
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
              

                                                            LBD02494-01-1

 A. 7454                             2
 
   (A) ESTABLISH THE ADMINISTRATIVE HUB'S INFRASTRUCTURE;
   (B)  ESTABLISH  AN  ADVISORY  BOARD  AND  GOVERNANCE STRUCTURE FOR THE
 ADMINISTRATIVE HUB;
   (C) HIRE AND TRAIN COMMUNITY HEALTH WORKERS AND DOULAS, UP TO ONE  PER
 COMMUNITY-BASED ORGANIZATION;
   (D)  ESTABLISH  A SINGLE POINT OF ENTRY FOR ADDRESSING SOCIAL DETERMI-
 NANTS OF HEALTH;
   (E) SYNCHRONIZE SYSTEMS ACROSS NETWORKS OF  COMMUNITY-BASED  ORGANIZA-
 TIONS  WITH  HEALTHCARE, BEHAVIORAL AND SOCIAL SERVICE DELIVERY SYSTEMS;
 AND
   (F) ACHIEVE CERTIFICATION FROM THE PATHWAYS  COMMUNITY  HUB  INSTITUTE
 WITHIN SIX MONTHS OF THE BEGINNING OF OPERATIONS.
   2.  COMMUNITY  HEALTH  WORKERS  SHALL  BE  CONTRACTED  TO IDENTIFY AND
 ADDRESS STANDARDIZED HEALTH RISKS VIA  SHARED  METRICS  OR  STANDARDIZED
 PATHWAYS  THAT HAVE DEMONSTRATED AN IMPACT ON THE SOCIAL DETERMINANTS OF
 HEALTH.
   3. THE ADMINISTRATIVE HUB SHALL  COORDINATE  PARTICIPATING  COMMUNITY-
 BASED  ORGANIZATIONS AND COMMUNITY HEALTH WORKERS TO ADDRESS GAPS IN THE
 SYSTEMS OF CARE FOR THE HIGHEST NEED WOMEN AND CHILDREN IN KINGS  COUNTY
 AND BRONX COUNTY.
   4.  THE  ADMINISTRATIVE HUB SHALL BEGIN OPERATIONS BEFORE THE FIRST OF
 JANUARY NEXT SUCCEEDING THE EFFECTIVE DATE OF THIS TITLE.
   § 3. This act shall take effect immediately.