S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   5529
 
                        2025-2026 Regular Sessions
 
                           I N  A S S E M B L Y
 
                             February 14, 2025
                                ___________
 
 Introduced  by  M.  of  A.  JACKSON,  SIMON,  ZINERMAN  -- read once and
   referred to the Committee on Health
 
 AN ACT to amend the public health law, in relation to the  pregnant  and
   birthing  persons  health crisis and establishing two centers of preg-
   nant and birthing persons 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 Title 3 of article 25 of the public health law is REPEALED and a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 PREGNANT AND BIRTH-
               ING PERSONS AND CHILDCARE SERVICES.
         2562. MONTEFIORE MEDICAL CENTER OF PREGNANT AND BIRTHING PERSONS
               AND CHILDCARE SERVICES.
         2563. APPROPRIATIONS.
   § 2560. LEGISLATIVE FINDINGS. 1.  THE  LEGISLATURE  HEREBY  FINDS  AND
 DECLARES  THAT SEVERE PREGNANT AND BIRTHING PERSON MORBIDITY CONSTITUTES
 A PUBLIC HEALTH CRISIS THAT POSES A SERIOUS THREAT  TO  THE  HEALTH  AND
 QUALITY  OF LIFE OF MANY PREGNANT AND BIRTHING PERSONS AND CHILDREN. NEW
 YORK IS AMONG THE BOTTOM THIRD OF STATES FOR THE NUMBER OF PREGNANT  AND
 BIRTHING  PERSONS  DYING,  WITH  PREGNANT  AND BIRTHING PERSONS OF COLOR
 DYING AT A RATE THREE AND ONE-HALF TIMES MORE THAN OTHER NON-PREGNANT OR
 BIRTHING PERSONS WHO COULD BEAR CHILDREN. THE HIGHEST  RATES  OF  SEVERE
 PREGNANT AND BIRTHING PERSONS 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.
                                                            LBD01574-01-5
              

 A. 5529                             2
 
   2. THE LEGISLATURE FURTHER FINDS AND DECLARES THAT CENTERS OF PREGNANT
 AND BIRTHING PERSONS 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
 PREGNANT AND BIRTHING PERSONS MORBIDITY CRISIS.
   §  2561.  STATE UNIVERSITY OF NEW YORK CENTER OF PREGNANT AND BIRTHING
 PERSONS AND CHILDCARE SERVICES.  1. THERE IS HEREBY  ESTABLISHED  WITHIN
 THE  STATE  UNIVERSITY  OF NEW YORK DOWNSTATE MEDICAL CENTER A CENTER OF
 PREGNANT  AND  BIRTHING  PERSONS  AND  CHILDCARE  SERVICES,  HEREINAFTER
 REFERRED  TO  IN THIS SECTION AS "THE CENTER". THE CENTER SHALL BE DEDI-
 CATED TO THE CARE OF PREGNANT AND  BIRTHING  PERSONS  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 CONSUL-
 TATION  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 PREGNANT AND
 BIRTHING PERSONS AND CHILDCARE SERVICES AT  THE  CENTER.  SUCH  RESEARCH
 SHALL PRIORITIZE PREGNANT AND BIRTHING PERSONS 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 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 PREGNANT AND BIRTHING PERSONS  AND  CHILDREN  IN  KINGS
 COUNTY.
   § 2562. MONTEFIORE MEDICAL CENTER OF PREGNANT AND BIRTHING PERSONS AND
 CHILDCARE  SERVICES.   1. THERE IS HEREBY ESTABLISHED WITHIN THE MONTEF-
 IORE MEDICAL CENTER A CENTER OF PREGNANT AND BIRTHING PERSONS AND CHILD-
 CARE SERVICES, HEREINAFTER REFERRED TO IN THIS SECTION AS "THE  CENTER".
 THE  CENTER  SHALL  BE  DEDICATED  TO  THE CARE OF PREGNANT AND BIRTHING
 PERSONS 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) 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 PREGNANT AND BIRTHING PERSONS AND  CHILDCARE  SERVICES
 AT  THE  CENTER.    SUCH RESEARCH SHALL PRIORITIZE PREGNANT AND BIRTHING
 PERSONS AND CHILDREN OF COLOR AND SHALL INCLUDE, BUT NOT BE LIMITED  TO:
 (A)  RESEARCH  TO  BETTER UNDERSTAND AND ADDRESS THE INCREASING RATES OF
 A. 5529                             3
 
 LIFE-THREATENING  COMPLICATIONS  AROUND   PREGNANCY;   (B)   IDENTIFYING
 BIOMARKERS FOR RISK OF MORBIDITY AND MORTALITY DURING AND AFTER PREGNAN-
 CY;  (C)  RACIAL  AND  ETHNIC  DISPARITIES IN RATES OF PREGNANCY-RELATED
 DEATH; AND (D) TREATMENTS THAT WILL REDUCE THE RATES OF LIFE-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 PREGNANT AND BIRTHING PERSONS  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.