Bill Text: NY A02870 | 2023-2024 | General Assembly | Amended


Bill Title: Directs the commissioner of health, in consultation with the office of mental health and other relevant stakeholders, to develop guidance and standards for routine maternal depression screenings, referrals, diagnosis and treatment, and to provide training and materials on issues related to maternal depression.

Spectrum: Strong Partisan Bill (Democrat 13-1)

Status: (Introduced) 2024-01-23 - substituted by s2039b [A02870 Detail]

Download: New_York-2023-A02870-Amended.html



                STATE OF NEW YORK
        ________________________________________________________________________

                                         2870--B

                               2023-2024 Regular Sessions

                   IN ASSEMBLY

                                    January 27, 2023
                                       ___________

        Introduced  by  M.  of  A.  SOLAGES,  BICHOTTE HERMELYN,  KELLES,  RAGA,
          CUNNINGHAM -- 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 -- again
          reported from said committee with  amendments,  ordered  reprinted  as
          amended and recommitted to said committee

        AN  ACT  to  amend  the  public  health  law,  in  relation  to maternal
          depression screenings

          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:

     1    Section  1.  Subdivision 1 of section 2500-k of the public health law,
     2  as added by chapter 199 of the laws of  2014,  is  amended  to  read  as
     3  follows:
     4    1. Definitions. As used in this section:
     5    (a)  "Maternal depression" means a wide range of emotional and psycho-
     6  logical reactions  [a  woman]  an  individual  may  experience  [during]
     7  throughout  pregnancy  [or  after childbirth] and the postpartum period.
     8  These reactions may include, but are not limited to, feelings of despair
     9  or extreme guilt, prolonged sadness, lack of energy, difficulty  concen-
    10  trating,  fatigue,  extreme changes in appetite, and thoughts of suicide
    11  or of  harming  the  baby.  Maternal  depression  may  include  prenatal
    12  depression, perinatal mood and anxiety disorder, the "baby blues," post-
    13  partum depression, or postpartum psychosis[-- the severest form].
    14    (b)  "Maternal health care provider" means a physician, midwife, nurse
    15  practitioner, or physician assistant, or other health care  practitioner
    16  acting within his or her lawful scope of practice, attending a [pregnant
    17  woman  or a woman up to one year after childbirth] perinatal individual,
    18  including [a] any  practitioner  attending  the  [woman's]  individual's
    19  child, from conception up to one year [after childbirth] postpartum.

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD03810-05-4

        A. 2870--B                          2

     1    §  2. Subdivisions 3 and 4 of section 2500-k of the public health law,
     2  subdivision 4 as renumbered by chapter 463 of  the  laws  of  2017,  are
     3  renumbered subdivisions 4 and 5 and a new subdivision 3 is added to read
     4  as follows:
     5    3.  Maternal depression screenings. (a) The commissioner, in consulta-
     6  tion with the office of mental health, and other relevant  stakeholders,
     7  shall  develop  and  publish  guidance  and  standards for incorporating
     8  maternal depression screenings into routine perinatal care.  This  guid-
     9  ance  shall  include,  but  not  be limited to, recommendations and best
    10  practices related to:
    11    (i) when maternal  health  care  providers  should  initiate  maternal
    12  depression  screenings  and how often such screenings should be repeated
    13  throughout pregnancy and the postpartum period;
    14    (ii) screening for  social  needs  that  may  contribute  to  maternal
    15  depression  such  as social support, intimate partner violence, food and
    16  housing insecurity,  diaper  insecurity,  and  barriers  to  appropriate
    17  healthcare;
    18    (iii) screening for substance use disorders;
    19    (iv)  referrals  for  appropriate follow-up evaluation, diagnosis, and
    20  treatment; and
    21    (v) reimbursement methodologies to incentivize provider participation.
    22    (b) The commissioner,  in  consultation  with  the  office  of  mental
    23  health,  and other relevant stakeholders, shall identify existing infor-
    24  mation and training programs designed  to  support  maternal  depression
    25  screening  and  treatment, and publish the links to such information and
    26  training programs on the department's website. The  identified  informa-
    27  tion and training programs shall include the following topics:
    28    (i) health equity;
    29    (ii) implicit bias and cultural competency;
    30    (iii) screening, referral and treatment options;
    31    (iv) patient resources and available services;
    32    (v) patients' rights;
    33    (vi) pharmacotherapy;
    34    (vii) trauma-informed, patient-centered care; and
    35    (viii) other topics as identified by the commissioner.
    36    § 3. This act shall take effect on the one hundred eightieth day after
    37  it  shall have become a law. Effective immediately, the addition, amend-
    38  ment and/or repeal of any rule or regulation necessary for the implemen-
    39  tation of this act on its effective date are authorized to be  made  and
    40  completed on or before such effective date.
feedback