STATE OF NEW YORK
        ________________________________________________________________________
                                         4498--A
                               2019-2020 Regular Sessions
                    IN SENATE
                                     March 13, 2019
                                       ___________
        Introduced  by  Sen.  RIVERA -- read twice and ordered printed, and when
          printed to be committed  to  the  Committee  on  Health  --  committee
          discharged, bill amended, ordered reprinted as amended and recommitted
          to said committee
        AN  ACT to amend the public health law, in relation to the establishment
          of obstetric hemorrhage protocols; and providing  for  the  repeal  of
          certain provisions upon the expiration thereof
          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 2803-n of the public health law is
     2  amended by adding a new paragraph (c) to read as follows:
     3    (c) (i) The  commissioner  shall  provide  guidance  to  hospitals  on
     4  obstetric  hemorrhage  protocols, in consultation with clinical experts,
     5  and develop or identify an  existing  toolkit  on  obstetric  hemorrhage
     6  management,  which  may  include a hemorrhage care checklist  for use by
     7  hospitals as part of the protocols and guidance on simulation  training.
     8  The  commissioner  shall report to the temporary president of the senate
     9  and the speaker of the assembly on data reported to the department under
    10  this paragraph within two years from the effective date  of  this  para-
    11  graph, and every two years thereafter.
    12    (ii)  The  hospital  shall  adopt,  implement, periodically update and
    13  submit to the department standard protocols for management of  obstetric
    14  hemorrhage.  Such  protocols shall address early recognition and assess-
    15  ment, readiness to respond  in  a  multidisciplinary  manner,  and  data
    16  reporting to the department sufficient for the department to monitor and
    17  report  pursuant  to  this  paragraph. Such protocols shall utilize risk
    18  assessment tools such as the toolkit established or  identified  by  the
    19  department  under  this  paragraph  and  shall  include  a response plan
    20  providing for the triage and transfer  to  higher  level  facilities  if
    21  needed.
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD10300-02-9

        S. 4498--A                          2
     1    §  2. This act shall take effect six months after it shall have become
     2  a law. Effective immediately, the  commissioner  of  health  shall  make
     3  regulations  and  take  other  actions reasonably necessary to implement
     4  this act on that date.