STATE OF NEW YORK
        ________________________________________________________________________

                                         2039--A

                               2023-2024 Regular Sessions

                    IN SENATE

                                    January 18, 2023
                                       ___________

        Introduced by Sens. BROUK, ADDABBO, CLEARE, COONEY, GOUNARDES, HARCKHAM,
          HOYLMAN-SIGAL,  KENNEDY,  MYRIE,  PERSAUD,  SALAZAR, SANDERS, SKOUFIS,
          WEIK -- read twice and ordered printed, and when printed to be commit-
          ted to the Committee on Women's Issues -- recommitted to the Committee
          on Women's Issues in accordance with Senate Rule 6, sec. 8 --  commit-
          tee  discharged, bill amended, ordered reprinted as amended and recom-
          mitted 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.
                                                                   LBD03810-02-4

        S. 2039--A                          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 other relevant stakeholders, shall develop and  publish  guid-
     7  ance and standards for incorporating maternal depression screenings into
     8  routine  perinatal care. This guidance shall include, but not be limited
     9  to, recommendations and best practices related to:
    10    (i) when maternal  health  care  providers  should  initiate  maternal
    11  depression  screenings  and how often such screenings should be repeated
    12  throughout pregnancy and the postpartum period;
    13    (ii) screening for  social  needs  that  may  contribute  to  maternal
    14  depression  such  as social support, intimate partner violence, food and
    15  housing insecurity,  diaper  insecurity,  and  barriers  to  appropriate
    16  healthcare;
    17    (iii) screening for substance use disorders;
    18    (iv)  referrals  for  appropriate follow-up evaluation, diagnosis, and
    19  treatment; and
    20    (v) reimbursement methodologies to incentivize provider participation.
    21    (b) The commissioner, in consultation with other  relevant  stakehold-
    22  ers,  shall identify existing information and training programs designed
    23  to support maternal depression screening and treatment, and publish  the
    24  links  to  such  information  and  training programs on the department's
    25  website. The identified information and training programs shall  include
    26  the following topics:
    27    (i) health equity;
    28    (ii) implicit bias and cultural competency;
    29    (iii) screening, referral and treatment options;
    30    (iv) patient resources and available services;
    31    (v) patients' rights;
    32    (vi) pharmacotherapy;
    33    (vii) trauma-informed, patient-centered care; and
    34    (viii) other topics as identified by the commissioner.
    35    § 3. This act shall take effect on the one hundred eightieth day after
    36  it  shall have become a law. Effective immediately, the addition, amend-
    37  ment and/or repeal of any rule or regulation necessary for the implemen-
    38  tation of this act on its effective date are authorized to be  made  and
    39  completed on or before such effective date.