Bill Text: NY A08048 | 2021-2022 | General Assembly | Introduced
Bill Title: Requires the commissioner of health to prepare and distribute information regarding cervical insufficiency; requires certain health care providers to provide pregnant patients with information about cervical insufficiency; requires certain health care providers to order a certain ultrasound test for pregnant patients.
Spectrum: Partisan Bill (Democrat 5-0)
Status: (Introduced - Dead) 2022-01-05 - referred to health [A08048 Detail]
Download: New_York-2021-A08048-Introduced.html
STATE OF NEW YORK ________________________________________________________________________ 8048 2021-2022 Regular Sessions IN ASSEMBLY June 11, 2021 ___________ Introduced by M. of A. BICHOTTE HERMELYN -- read once and referred to the Committee on Health AN ACT to amend the public health law, in relation to requiring the commissioner of health to prepare and distribute information regarding cervical insufficiency, requiring certain health care providers to provide maternity patients with information about cervical insuffi- ciency and requiring certain health care providers to order a certain ultrasound test for pregnant patients The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. This act shall be known and may be cited as the "Eli Parker 2 Levitt Law". 3 § 2. The public health law is amended by adding two new sections 4 2500-l and 2500-m to read as follows: 5 § 2500-l. Cervical insufficiency; provision of information. 1. The 6 commissioner shall develop information regarding cervical insufficiency, 7 the risks it entails to a pregnant woman and her child, and medical 8 testing available to diagnose such condition. Such information shall be 9 posted on the department's website with other information available 10 about prenatal care, shall be available upon request to members of the 11 public, and shall be provided to maternal health care providers for 12 distribution to their patients. In preparing the information regarding 13 cervical insufficiency as provided in this subdivision, the commissioner 14 shall consult with appropriate health care professionals, including but 15 not limited to the American College of Obstetricians and Gynecologists 16 and the New York State Association of Licensed Midwives. The commission- 17 er shall ensure that all information is maintained and updated to 18 reflect future changes to clinical guidelines. 19 2. Every maternal health care provider shall provide the information 20 about cervical insufficiency developed and provided pursuant to subdivi- 21 sion one of this section to each pregnant patient under his or her care. EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD11532-01-1A. 8048 2 1 3. As used in this section: 2 (a) "cervical insufficiency" means cervical dilation presumed to be 3 due to weakness of cervical tissue, and not explained by another abnor- 4 mality, that: (i) predisposes a pregnant patient to early labor; or (ii) 5 contributes to or causes midterm miscarriage or premature delivery of a 6 live fetus during the second trimester of the pregnancy; and 7 (b) "maternal health care provider" or "provider" shall mean a physi- 8 cian, midwife, nurse practitioner, or physician assistant, acting within 9 his or her scope of practice, managing the pregnancy of a pregnant 10 patient. 11 § 2500-m. Cervical insufficiency; testing. 1. Unless contraindicated 12 for the patient, each maternal health care provider as defined in 13 section twenty-five hundred-l of this article, shall order a transvagi- 14 nal ultrasound at least once between the sixteenth and twenty-fourth 15 weeks of pregnancy for each pregnant patient under the provider's care 16 whose pregnancy is of at least sixteen weeks duration. 17 2. Unless contraindicated for the patient, each maternal health care 18 provider as defined in section twenty-five hundred-l of this article, 19 shall order a transvaginal ultrasound every two weeks from the sixteenth 20 week through the twenty-fourth week of pregnancy for each pregnant 21 patient whose pregnancy is of at least sixteen weeks duration and who 22 has any of the following: 23 (a) a history of early delivery between thirteen and thirty-seven 24 weeks in any prior pregnancy; 25 (b) a history of any surgical procedure, including office procedures, 26 performed on the patient's cervix, including but not limited to loop 27 electrosurgical excision procedure (LEEP) and cone biopsy; 28 (c) multifetal pregnancies; 29 (d) a uterine unification defect, including but not limited to bicorn- 30 uate, septate or unicornuate uterus, or any congenital structural defect 31 of a kidney; or 32 (e) a history of prior delivery occurring at or near term by cesarean 33 after obstructed labor. 34 3. Nothing in this section shall be construed to require a pregnant 35 patient to proceed with a transvaginal ultrasound ordered in accordance 36 with the provisions of this section. 37 § 3. This act shall take effect on the one hundred eightieth day after 38 it shall have become a law. Effective immediately the addition, amend- 39 ment and/or repeal of any rule or regulation necessary for the implemen- 40 tation of this act on its effective date are authorized to be made and 41 completed on or before such date.
