Bill Text: HI SB2382 | 2010 | Regular Session | Amended
Bill Title: Premature Infants; Hospital Discharge and Follow-up Procedure
Spectrum: Moderate Partisan Bill (Democrat 4-1)
Status: (Introduced - Dead) 2010-02-12 - (S) Report adopted; Passed Second Reading, as amended (SD 1) and referred to WAM. [SB2382 Detail]
Download: Hawaii-2010-SB2382-Amended.html
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THE SENATE |
S.B. NO. |
2382 |
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TWENTY-FIFTH LEGISLATURE, 2010 |
S.D. 1 |
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STATE OF HAWAII |
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A BILL FOR AN ACT
RELATING TO PREMATURE INFANT HEALTH CARE.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
SECTION 1. Chapter 321, Hawaii Revised Statutes, is amended by adding two new sections to be appropriately designated and to read as follows:
"§321‑ Educational information about premature infants' risks and healthcare needs. (a) Not later than July 1, 2011, the department of health shall prepare written educational information about newborn infants who are born prematurely at less than thirty-seven weeks gestational age, which shall include:
(1) The unique health issues affecting infants born prematurely;
(2) The proper care of premature infants, as well as developmental screenings, monitoring, and health care services available to premature infants through the medicaid program and other public or private health programs;
(3) Vaccines and other preventive measures to protect premature infants from infectious diseases; and
(4) The emotional and financial burdens and other challenges experienced by a premature infant's family, and information about community resources available to support family members.
(b) The publications shall be written in language appropriate for a wide socioeconomic range of parents of premature infants and shall be updated every two years. In preparing the information, the department of health may consult with community organizations that focus on premature infants or pediatric healthcare.
(c) The department of health shall distribute these publications to medical organizations including any health care facility or health care provider that provides medical care to newborns, children's health care providers, maternal health care providers, and community health centers. The department of health shall encourage each organization to distribute the publications to the parents or guardians of a premature infant.
(d) For purposes of this section:
"Health care facility" includes any program, institution, place, building, or agency, or portion thereof, private or public, other than federal facilities or services, whether organized for profit or not, used, operated, or designed to provide medical diagnosis, treatment, nursing, rehabilitative, or preventive care to any person or persons. The term includes health care facilities and health care services commonly referred to as hospitals, outpatient clinics, organized ambulatory health care facilities, emergency care facilities and centers, home health agencies, health maintenance organizations, and others providing similarly organized services regardless of nomenclature.
"Health care providers" means health care facilities, physicians licensed under chapter 453, and nurses licensed under chapter 457.
§321‑ Patient discharge information. (a) Any hospital that provides medical care for newborn infants shall provide parents of newborn infants with written educational material containing information about newborn infants who are born prematurely at less than thirty-seven weeks gestational age. The written information shall at a minimum include:
(1) The unique health issues affecting infants born prematurely;
(2) The proper care of premature infants, as well as developmental screenings, monitoring, and health care services available to premature infants through the medicaid program and other public or private health programs;
(3) Infectious disease awareness and methods to prevent or minimize infections common to premature infants; and
(4) Community resources to assist parents and family members with the care and support of premature infants.
(b) The materials shall be:
(1) Updated at least every two years;
(2) Written in clear language to educate a wide socioeconomic range of parents of premature infants; and
(3) Approved by the department of health.
(c) For the purpose of this section:
"Hospital" includes:
(1) An institution with an organized medical staff, regulated under section 321-11(10), that admits patients for inpatient care, diagnosis, observation, and treatment; and
(2) A health facility under chapter 323F.
"Medical care" means every type of care, treatment, surgery, hospitalization, attendance, service, and supplies as the nature of the injury or condition requires.
"Parent" includes a biological mother or father, foster mother or foster father, adoptive mother or adoptive father, and stepmother or stepfather."
SECTION 2. (a) The department of health, in consultation with statewide organizations focused on premature infant health care, shall:
(1) Develop a plan to improve hospital discharge and follow-up care procedures for premature infants born earlier than thirty-seven weeks gestational age to ensure standardized and coordinated processes are followed as premature infants leave the hospital from either a well baby nursery, step-down or transitional nursery, or neonatal intensive care unit, and transition to follow-up care by a health care provider in the community;
(2) Request hospitals serving infants eligible for medical assistance and child health assistance to report to the department of health the causes and incidence of all rehospitalizations of infants born prematurely at less than thirty-seven weeks gestational age within their first six months of life; and
(3) Use guidance from the Centers for Medicare and Medicaid Services' Neonatal Outcomes Improvement Project to implement programs to improve newborn infant outcomes, reduce newborn infant health costs, and establish ongoing quality improvement for newborn infants.
(b) The department of health shall submit a report to the legislature not less than twenty days prior to the convening of the 2011 regular session that shall include:
(1) The plan developed by the department to improve care for premature infants;
(2) Data regarding the incidence and cause of rehospitalization in the first six months of life for infants born prematurely at earlier than thirty-seven weeks gestational age;
(3) Recommendations for improving the care of premature infants; and
(4) Any proposed legislation to implement the recommendations.
SECTION 3. There is appropriated from Hawaii tobacco settlement special fund moneys appropriated to the department of health for the healthy Hawaii initiative program pursuant to sections 328L-2(b)(2) and 328L-4(2), Hawaii Revised Statutes, the sum of $ or so much thereof as may be necessary for fiscal year 2010-2011 for developing and disseminating written information about newborn infants who are born prematurely as required by this Act and to develop a plan to improve hospital discharge and follow-up care procedures for infants born prematurely.
The sum appropriated shall be expended by the department of health for the purposes of this Act.
SECTION 4. New statutory material is underscored.
SECTION 5. This Act shall take effect upon its approval; provided that section 3 shall take effect on July 1, 2010.
Report Title:
Premature Infants; Hospital Discharge and Follow-up Procedure
Description:
Requires the Department of Health to develop a plan to improve hospital discharge and follow-up care procedures for premature infants born earlier than 37 weeks gestational age to ensure standardized and coordinated processes are followed as premature infants leave the hospital; appropriates funds from healthy Hawaii initiative funds for this purpose. (SD1)
The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.
