NY State Senate Bill 2021-S8233

Archive: Last Bill Status - In Senate Committee Health Committee

Introduced
- In Committee Assembly
- In Committee Senate
- On Floor Calendar Assembly
- On Floor Calendar Senate
- Passed Assembly
- Passed Senate
Delivered to Governor
Signed By Governor

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	Assembly Actions - Lowercase Senate Actions - UPPERCASE
Feb 07, 2022	referred to health

2021-S8233 (ACTIVE) - Details

See Assembly Version of this Bill:: A4337
Current Committee:: Senate Health
Law Section:: Public Health Law
Laws Affected:: Add Art 25 Title 4-A §§2576 - 2579, Pub Health L
Versions Introduced in Other Legislative Sessions:: 2019-2020: A7955
2023-2024: S5095, A317

2021-S8233 (ACTIVE) - Summary

Enacts the "children and recovering mothers (CHARM) act" to provide guidance, education and assistance to healthcare providers caring for expectant mothers with substance use disorder; provides for the screening of newborns for substance abuse exposure.

2021-S8233 (ACTIVE) - Sponsor Memo

                                 
BILL NUMBER: S8233

SPONSOR: CLEARE
 
TITLE OF BILL:

An act to amend the public health law, in relation to children and
recovering mothers

 
PURPOSE OR GENERAL IDEA OF BILL:

To amend the Public Health Law by establishing the Children and Recover-
ing Mothers (CHARM) act.

 
SUMMARY OF PROVISIONS:

Section 1 of the bill creates the Children and Recovering Mothers
(CHARM) act.

Section 2 amends Article 25 of the Public Health Law by adding a new
title 4-A, in relation to children and recovering mothers. This section
establishes a recovering expectant mothers' program within the Depart-
ment of Health, whereby the Commissioner, in consultation with the

Commissioner of Alcoholism and Substance Abuse Services, will assist
providers caring for recovering expectant mothers through guidance on
universal screening techniques, providing information regarding Medica-
tion Assisted Treatment (MAT) for.pregnant women, providing referral
information for substance abuse counseling, developing a system for
consultation and linkage services for obstetricians and primary care
providers who care for recovering expectant mothers, developing provider
education, and creating a workgroup of stakeholders to evaluate barriers
in treating expectant mothers, newborns, and new parents with substance
use disorder.

Section 3 provides that the act shall take effect on the 90th day after
its enactment; provided, however, that effective immediately, any
actions necessary for the implementation of the act on its effective
date are authorized and directed to be completed on or before the effec-
tive date.

 
JUSTIFICATION:

Amid the ever-growing demographic impacted by the opioid epidemic are
expectant mothers and their newborns. According to the National Insti-
tutes of Health (NIH), there was a five-fold increase in the proportion
of babies born with Neonatal Abstinence Syndrome (NAS) from 2000 to
2012, which is the equivalence of one baby being born with opiate with-
drawal every 25 minutes. Babies born with NAS had average hospital stays
of 16.9 days (an average amount of $66,700) compared to 2.1 days (an
average amount of $3,500) for babies born without NAS. These newborns
can also suffer from low birth weight, prematurity, sudden infant death
syndrome, and other forms of fetal distress at birth. Vermont's Children
and Recovering Mothers (CHARM) Collaborative, established in 2002 to
provide care coordination services for pregnant women with addiction,
MAT, substance abuse counseling services, standard prenatal care, as
well as an on-going assessment of the social support needs of these
women has greatly helped VT in tackling this important issue. Building
upon the principles of the VT program, this NY legislation seeks to
educate providers, link pregnant women to care in an effort to address
any substance use prior to the birth of the child, decrease the number
of babies born with NAS, and to ensure linkage with supports after the
child is born.

 
PRIOR LEGISLATIVE HISTORY:

2019-2020: A7955 - Referred to Health

 
FISCAL IMPLICATIONS FOR STATE AND LOCAL GOVERNMENTS:

To be determined.

 
EFFECTIVE DATE:
This act shall take effect on the ninetieth day after it shall have
become a law; provided, however, that effective immediately, any actions
necessary for the implementation of this act on its effective date are
authorized and directed to be taken and completed on or before such
effective date.

2021-S8233 (ACTIVE) - Bill Text download pdf

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   8233
 
                             I N  S E N A T E
 
                             February 7, 2022
                                ___________
 
 Introduced  by  Sen.  CLEARE -- read twice and ordered printed, and when
   printed to be committed to the Committee on Health
 
 AN ACT to amend the public health  law,  in  relation  to  children  and
   recovering mothers
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:

   Section 1. Short title. This act shall be known and may  be  cited  as
 the "children and recovering mothers (CHARM) act".
   §  2.  Article  25 of the public health law is amended by adding a new
 title 4-A to read as follows:
                                 TITLE 4-A
                      CHILDREN AND RECOVERING MOTHERS
 SECTION 2576. RECOVERING EXPECTANT MOTHER PROGRAM.
         2577. NEWBORN SCREENING.
         2578. PROVIDER EDUCATION.
         2579. WORKGROUP.
   § 2576. RECOVERING EXPECTANT MOTHER PROGRAM.  THERE  SHALL  BE  ESTAB-
 LISHED  A  RECOVERING  EXPECTANT  MOTHERS  PROGRAM WITHIN THE DEPARTMENT
 WHEREBY THE COMMISSIONER, IN CONSULTATION WITH THE COMMISSIONER OF ALCO-
 HOLISM AND SUBSTANCE ABUSE SERVICES, SHALL PROVIDE  GUIDANCE,  EDUCATION
 AND  ASSISTANCE  TO  PROVIDERS  CARING FOR RECOVERING EXPECTANT MOTHERS,
 WHICH SHALL INCLUDE, BUT NOT BE LIMITED TO:
   1. ESTABLISHING, IN CONSULTATION WITH RELEVANT HEALTH CARE  PROVIDERS,
 GUIDANCE ON UNIVERSAL SCREENING TECHNIQUES FOR SUBSTANCE USE DISORDER AT
 PRENATAL  VISITS.  SUCH GUIDANCE SHALL RELY ON VALIDATED SCREENING TOOLS
 AND QUESTIONNAIRES AND UTILIZE LANGUAGE TO HELP REDUCE STIGMA;
   2. PROVIDING INFORMATION REGARDING USE OF MEDICATION  ASSISTED  TREAT-
 MENT  FOR  PREGNANT  WOMEN,  WHICH  SHALL  INCLUDE INFORMATION REGARDING
 BUPRENORPHINE TRAINING, TOOLS FOR PROVIDERS ON EFFECTIVE  MANAGEMENT  OF
 WOMEN  WITH  OPIOID  USE  DISORDER  IN PREGNANCY, AND A REFERRAL LIST OF
 CERTIFIED PROVIDERS;
   3. PROVIDING REFERRAL  INFORMATION  FOR  SUBSTANCE  ABUSE  COUNSELING,
 SOCIAL SUPPORT AND BASIC NEEDS REFERRALS, WHICH SHALL ALSO INCLUDE GUID-
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD07635-01-1

 S. 8233                             2
 
 ANCE  ON  REFERRING  WOMEN  TO  HOME  VISITING SERVICES THAT THEY MAY BE
 ELIGIBLE FOR AFTER BIRTH; AND
   4.  DEVELOPING  A  SYSTEM  FOR RAPID CONSULTATION AND REFERRAL LINKAGE
 SERVICES FOR OBSTETRICIANS AND  PRIMARY  CARE  PROVIDERS  STATEWIDE  WHO
 PROVIDE CARE FOR EXPECTANT MOTHERS WITH SUBSTANCE USE DISORDER.
   § 2577. NEWBORN  SCREENING.  THE COMMISSIONER, IN CONJUNCTION WITH THE
 COMMISSIONER OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES,  SHALL  DEVELOP
 GUIDANCE  FOR  HOSPITALS  AND MIDWIFERY BIRTH CENTERS ON NEONATAL ABSTI-
 NENCE SYNDROME WHICH SHALL INCLUDE, BUT NOT BE LIMITED  TO,  APPROPRIATE
 TREATMENT  METHODS  FOR  NEONATAL ABSTINENCE SYNDROME AND INFORMATION ON
 HOME VISITING SERVICES THAT RECOVERING MOTHERS MAY BE ELIGIBLE  FOR,  AS
 WELL  AS OTHER SUBSTANCES ABUSE SERVICES, SOCIAL SUPPORTS AND BASIC NEED
 REFERRALS IN THE COMMUNITY.
   § 2578. PROVIDER EDUCATION. THE COMMISSIONER SHALL DEVELOP OR  APPROVE
 A  CONTINUING  MEDICAL  EDUCATION  COURSE FOR NEONATAL NURSES, OBSTETRI-
 CIANS, MIDWIVES, PEDIATRICIANS, AND OTHER HEALTH CARE PROVIDERS  REGARD-
 ING  TREATMENT  OF  EXPECTANT  MOTHERS  AND  NEW  MOTHERS SUFFERING FROM
 SUBSTANCE USE DISORDER, AND THE TREATMENT  OF  NEWBORNS  SUFFERING  FROM
 NEONATAL  ABSTINENCE  SYNDROME,  WHICH  MAY  INCLUDE  FEDERALLY APPROVED
 BUPRENORPHINE TRAINING, IN ORDER TO  FACILITATE  COMPREHENSIVE  PRENATAL
 AND POSTPARTUM CARE TO THIS POPULATION.
   § 2579.   WORKGROUP. THE COMMISSIONER, IN CONJUNCTION WITH THE COMMIS-
 SIONER OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES, SHALL CONVENE A WORK-
 GROUP OF STAKEHOLDERS, INCLUDING BUT NOT LIMITED  TO,  HOSPITALS,  LOCAL
 HEALTH   DEPARTMENTS,   OBSTETRICIANS,   MIDWIVES,   PEDIATRICIANS,  AND
 SUBSTANCE ABUSE PROVIDERS TO STUDY AND  EVALUATE  CURRENT  BARRIERS  AND
 CHALLENGES  IN IDENTIFYING AND TREATING EXPECTANT MOTHERS, NEWBORNS, AND
 NEW PARENTS WITH SUBSTANCE USE DISORDER. THE WORKGROUP SHALL  REPORT  ON
 ITS FINDINGS AND RECOMMENDATIONS TO THE COMMISSIONER, THE SPEAKER OF THE
 ASSEMBLY  AND  THE  TEMPORARY PRESIDENT OF THE SENATE WITHIN ONE YEAR OF
 THE EFFECTIVE DATE OF THIS SECTION.
   § 3. This act shall take effect on the ninetieth day  after  it  shall
 have  become a law. Effective immediately the addition, amendment and/or
 repeal of any rule or regulation necessary  for  the  implementation  of
 this  act  on its effective date are authorized to be made and completed
 on or before such date.

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Senate Bill S8233

Sponsored By

Archive: Last Bill Status - In Senate Committee Health Committee

2021-S8233 (ACTIVE) - Details

2021-S8233 (ACTIVE) - Summary

2021-S8233 (ACTIVE) - Sponsor Memo

2021-S8233 (ACTIVE) - Bill Text download pdf

Comments

Senate Bill S8233

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Sponsored By

Cordell Cleare

Archive: Last Bill Status - In Senate Committee Health Committee

2021-S8233 (ACTIVE) - Details

2021-S8233 (ACTIVE) - Summary

2021-S8233 (ACTIVE) - Sponsor Memo

2021-S8233 (ACTIVE) - Bill Text download pdf

Comments