S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  4017--A
 
                        2023-2024 Regular Sessions
 
                           I N  A S S E M B L Y
 
                             February 8, 2023
                                ___________
 
 Introduced  by  M. of A. JACKSON, AUBRY, SIMON -- read once and referred
   to the Committee on Health -- recommitted to the Committee  on  Health
   in  accordance  with  Assembly Rule 3, sec. 2 -- committee discharged,
   bill amended, ordered reprinted as amended  and  recommitted  to  said
   committee

 AN  ACT  to  amend  the  public  health law, in relation to the maternal
   health crisis and establishing two centers of maternal  and  childcare
   services;  and to repeal title 3 of article 25 of such law relating to
   the control of midwifery
 
   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 Title 3 of article 25 of the public health law is REPEALED and  a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. STATE UNIVERSITY OF NEW YORK CENTER OF MATERNAL AND CHILD-
               CARE SERVICES.
         2562. MONTEFIORE   MEDICAL  CENTER  OF  MATERNAL  AND  CHILDCARE
               SERVICES.
         2563. APPROPRIATIONS.
   § 2560. LEGISLATIVE FINDINGS. 1.  THE  LEGISLATURE  HEREBY  FINDS  AND
 DECLARES  THAT  SEVERE  MATERNAL  MORBIDITY  CONSTITUTES A PUBLIC 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  OCCUR IN TWO COUNTIES, KINGS AND BRONX COUNTY, WITH
 THE HIGHEST RATE OCCURRING IN NORTH AND CENTRAL BROOKLYN.

  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD04083-04-4
              

 A. 4017--A                          2
 
   2. THE LEGISLATURE FURTHER FINDS AND DECLARES THAT CENTERS OF MATERNAL
 AND CHILDCARE SERVICES SHOULD BE ESTABLISHED AT THE STATE UNIVERSITY  OF
 NEW  YORK  DOWNSTATE  MEDICAL  CENTER  IN KINGS COUNTY AND AT MONTEFIORE
 MEDICAL CENTER IN BRONX COUNTY TO ADDRESS THE SEVERE MATERNAL  MORBIDITY
 CRISIS.
   § 2561.  STATE UNIVERSITY OF NEW YORK CENTER OF MATERNAL AND CHILDCARE
 SERVICES.  1. THERE IS HEREBY ESTABLISHED WITHIN THE STATE UNIVERSITY OF
 NEW  YORK  DOWNSTATE  MEDICAL  CENTER A CENTER OF MATERNAL AND CHILDCARE
 SERVICES, HEREINAFTER REFERRED TO IN THIS SECTION AS "THE  CENTER".  THE
 CENTER  SHALL  BE  DEDICATED TO THE CARE OF WOMEN AND CHILDREN AND SHALL
 OFFER SERVICES, INCLUDING BUT NOT LIMITED TO:  (A)  PRENATAL  CARE;  (B)
 PRENATAL  AND  CHILDBIRTH CLASSES; (C) LABOR AND DELIVERY CARE; (D) HIGH
 RISK PREGNANCY CARE; (E) INPATIENT AND OUTPATIENT LACTATION CONSULTATION
 AND SUPPORT; (F) HEART HEALTH AND HEART DISEASE PREVENTION;  (G)  BREAST
 HEALTH  AND  MAMMOGRAPHY;  (H) GYNECOLOGIC SURGERY; (I) IMAGING; (J) LAB
 SERVICES; AND (K)POSTPARTUM CARE.
   2. THE CENTER SHALL PROVIDE CLINICAL EXPERIENCES FOR STUDENTS ENROLLED
 IN THE STATE UNIVERSITY OF NEW YORK DOWNSTATE HEALTH  SCIENCES  CENTER'S
 SCHOOL OF HEALTH PROFESSIONS MIDWIFERY PROGRAM.
   3.  THE CENTER SHALL ALSO COLLABORATE WITH THE STATE UNIVERSITY OF NEW
 YORK DOWNSTATE HEALTH SCIENCES CENTER FOR THE CONDUCTION OF RESEARCH  TO
 INFORM  AND  SUPPORT  HEALTH  CARE  PROFESSIONALS PROVIDING MATERNAL AND
 CHILDCARE SERVICES AT THE CENTER. SUCH RESEARCH SHALL  PRIORITIZE  WOMEN
 AND  CHILDREN  OF  COLOR  AND  SHALL INCLUDE, BUT NOT BE LIMITED TO: (A)
 RESEARCH TO BETTER UNDERSTAND AND ADDRESS THE INCREASING RATES OF  LIFE-
 THREATENING  COMPLICATIONS  AROUND PREGNANCY; (B) IDENTIFYING BIOMARKERS
 FOR RISK OF MORBIDITY AND MORTALITY  DURING  AND  AFTER  PREGNANCY;  (C)
 RACIAL  AND  ETHNIC DISPARITIES IN RATES OF PREGNANCY-RELATED DEATH; AND
 (D) TREATMENTS THAT WILL REDUCE THE RATES  OF  LIFE-THREATENING  COMPLI-
 CATIONS DURING PREGNANCY, LABOR AND DELIVERY, AND THE POSTPARTUM PERIOD.
   4. THE CENTER SHALL COORDINATE WITH LOCAL SOCIAL SERVICES AGENCIES AND
 SPECIALLY  TRAINED COMMUNITY-BASED ORGANIZATIONS TO IDENTIFY AND ADDRESS
 GAPS IN SYSTEMS OF CARE AND COORDINATE  OUTREACH  EFFORTS  TO  FIND  AND
 ENGAGE HIGH-NEED WOMEN AND CHILDREN IN KINGS COUNTY.
   §  2562. MONTEFIORE MEDICAL CENTER OF MATERNAL AND CHILDCARE SERVICES.
 1. THERE IS HEREBY ESTABLISHED WITHIN THE MONTEFIORE  MEDICAL  CENTER  A
 CENTER  OF  MATERNAL  AND CHILDCARE SERVICES, HEREINAFTER REFERRED TO IN
 THIS SECTION AS "THE CENTER". THE CENTER SHALL BE DEDICATED TO THE  CARE
 OF WOMEN AND CHILDREN AND SHALL OFFER SERVICES, INCLUDING BUT NOT LIMIT-
 ED TO: (A) PRENATAL CARE; (B) PRENATAL AND CHILDBIRTH CLASSES; (C) LABOR
 AND  DELIVERY  CARE;  (D)  HIGH  RISK  PREGNANCY CARE; (E) INPATIENT AND
 OUTPATIENT LACTATION CONSULTATION AND  SUPPORT;  (F)  HEART  HEALTH  AND
 HEART DISEASE PREVENTION; (G) BREAST HEALTH AND MAMMOGRAPHY; (H) GYNECO-
 LOGIC SURGERY; (I) IMAGING; (J) LAB SERVICES; AND (K) POSTPARTUM CARE.
   2. THE CENTER SHALL PROVIDE CLINICAL EXPERIENCES FOR STUDENTS ENROLLED
 IN HOSTOS COMMUNITY COLLEGE.
   3. THE CENTER SHALL ALSO COLLABORATE WITH HOSTOS COMMUNITY COLLEGE FOR
 THE  CONDUCTION  OF  RESEARCH  TO INFORM AND SUPPORT HEALTH CARE PROFES-
 SIONALS PROVIDING MATERNAL AND CHILDCARE SERVICES AT THE CENTER.    SUCH
 RESEARCH SHALL PRIORITIZE WOMEN AND CHILDREN OF COLOR AND SHALL INCLUDE,
 BUT NOT BE LIMITED TO: (A) RESEARCH TO BETTER UNDERSTAND AND ADDRESS THE
 INCREASING RATES OF LIFE-THREATENING COMPLICATIONS AROUND PREGNANCY; (B)
 IDENTIFYING  BIOMARKERS  FOR  RISK OF MORBIDITY AND MORTALITY DURING AND
 AFTER PREGNANCY; (C) RACIAL AND ETHNIC DISPARITIES IN RATES OF  PREGNAN-
 CY-RELATED DEATH; AND (D) TREATMENTS THAT WILL REDUCE THE RATES OF LIFE-
 A. 4017--A                          3
 
 THREATENING  COMPLICATIONS DURING PREGNANCY, LABOR AND DELIVERY, AND THE
 POSTPARTUM PERIOD.
   4. THE CENTER SHALL COORDINATE WITH LOCAL SOCIAL SERVICES AGENCIES AND
 SPECIALLY  TRAINED COMMUNITY-BASED ORGANIZATIONS TO IDENTIFY AND ADDRESS
 GAPS IN SYSTEMS OF CARE AND COORDINATE  OUTREACH  EFFORTS  TO  FIND  AND
 ENGAGE HIGH-NEED WOMEN AND CHILDREN IN BRONX COUNTY.
   §  2563. APPROPRIATIONS. THE PROVISIONS OF THIS TITLE SHALL BE SUBJECT
 TO AVAILABLE STATE APPROPRIATIONS.
   § 3. This act shall take effect immediately.