NY State Senate Bill S4325

Archive: Last Bill Status Via A446 - Signed by Governor

Introduced
In Committee
On Floor Calendar
- Passed Senate
- Passed Assembly
Delivered to Governor
Signed by Governor

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Actions

view actions (16)

	Assembly Actions - Lowercase Senate Actions - UPPERCASE
Nov 04, 2016	signed chap.397
Oct 26, 2016	delivered to governor
Jun 14, 2016	returned to assembly passed senate 3rd reading cal.671 substituted for s4325
Jun 14, 2016	substituted by a446
May 09, 2016	advanced to third reading
May 05, 2016	2nd report cal.
May 04, 2016	1st report cal.671
Jan 06, 2016	referred to health
Jun 25, 2015	committed to rules
Apr 27, 2015	advanced to third reading
Apr 23, 2015	2nd report cal.
Apr 22, 2015	1st report cal.395
Mar 13, 2015	referred to health

Votes

view votes

Jun 14, 2016 - floor Vote

A446

floor

Aye

Nay

Absent

Excused

Abstained

May 4, 2016 - Health committee Vote

S4325

committee

Aye

Nay

Aye with Reservations

Absent

Excused

Abstained

Apr 22, 2015 - Health committee Vote

S4325

committee

Aye

Nay

Aye with Reservations

Absent

Excused

Abstained

Co-Sponsors

view additional co-sponsors

S4325 (ACTIVE) - Details

See Assembly Version of this Bill:: A446
Law Section:: Public Health Law
Laws Affected:: Amd §§2801 & 2803, Pub Health L
Versions Introduced in 2013-2014 Legislative Session:: S7121, A9398

S4325 (ACTIVE) - Summary

Relates to midwifery birth centers; includes term within the definition of a hospital; directs the commissioner of health to make regulations relating to establishment and operation of midwifery birth centers.

S4325 (ACTIVE) - Sponsor Memo

BILL NUMBER:S4325

TITLE OF BILL:  An act to amend the public health law, in relation to
midwifery birth centers

PURPOSE: To facilitate the expansion of birth choices for New York women
by removing current barriers to the establishment of midwifery birth
centers.

SUMMARY OF PROVISIONS: The bill amends Article 28 of the Public Health
Law to authorize midwifery birth centers. The Commissioner of Health
will issue regulations relating to their establishment, construction and
operation, using state and national professional association standards
in consultation with industry and midwives. Services would be by or
under the supervision of a physician or midwife, and all in accordance
with Education Law practice rules.

JUSTIFICATION:  The bill expands the definition of "hospital" to include
a new category of health care facility - a midwifery birth center -
under the supervision of a physician or a midwife, and authorizes the
Commissioner to review Article 28 certificate-of-need requirements to
determine those that are appropriate and reasonable for the scope of
services provided. All Education Law rules governing midwifery will
apply, including the requirement that a collaborative relationship exist
for midwives as a condition of practice.

The bill allows for the NYS Commissioner of Health to issue regulations
relating to midwifery birth centers, in accordance with standards of
state and national professional associations of midwifery birth centers.
Midwifery birth centers are accredited by nationally recognized accredi-
tation agencies such as the Commission for the Accreditation of Birth
Centers and The Joint Commission, which provide quality-control stand-
ards and guidelines. It is expected that the Commissioner will convene
industry stakeholders, including representatives of midwives, midwifery
birth centers and general hospitals providing obstetric services, and
that physicians may participate not only through their hospital affil-
iations, but also through the rule making process which allows for
public comment.

Midwifery birth centers offer high quality, individualized, cost-effec-
tive care to promote optimum pregnancy outcomes. Evidence and studies
have consistently shown the following:

* Birth centers operated by midwives consistently have low cesarean
section rates, fewer labor inductions, and successful parent bonding and
breastfeeding without prolonged separation.

* Birth centers dramatically reduce costs since they promote physiologic
birth and rely less on expensive technology and unnecessary, routine
medical interventions. Women receive subsequent nursing or midwifery
follow-up care at home, as needed.

* Birth centers consistently reflect high patient satisfaction, espe-
cially for women seeking a welcoming environment with an unrestricted
number of friends, support people and family members.  Most hospitals
restrict the number of people who can be with a woman in labor.

* Birth centers are uniquely positioned to assist New York State in
meeting its Medicaid Redesign Team maternal and child health goals. A
birth center can provide education in family nutrition, infant feeding,
obesity prevention and family planning.

In addition, a 2013 study conducted by the American Association of Birth
Centers detailed outcomes of over 15,000 births in freestanding, midwif-
ery birth centers across the U.S. during the period spanning 2007 and
2010. The study found 94% of women had vaginal births and only 6% of
women admitted to a birth center in labor had cesarean births. The
national average for cesarean birth is 32.8% and, according to the
authors, the national C-section rate for low-risk women comparable to
the study group is 27%. In addition to the low rate of C-sections, there
were no maternal deaths and the fetal mortality rate during labor and
birth for women who were admitted to the birth centers in labor was
0.47/1000 while the neonatal mortality rate was 0.40/1000 excluding
anomalies. Finally, it was estimated that midwifery birth centers saved
upwards of $30,000,000 for the 15,574 births included in the study.

PRIOR LEGISLATIVE HISTORY: S 7121 of 2014

FISCAL IMPLICATIONS: None

EFFECTIVE DATE: Immediately

S4325 (ACTIVE) - Bill Text download pdf

                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                  4325

                       2015-2016 Regular Sessions

                            I N  S E N A T E

                             March 13, 2015
                               ___________

Introduced  by  Sen.  HANNON -- read twice and ordered printed, and when
  printed to be committed to the Committee on Health

AN ACT to amend the public health law, in relation  to  midwifery  birth
  centers

  THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:

  Section 1. Subdivision 1 of section 2801 of the public health law,  as
separately  amended  by  chapters  297  and  416 of the laws of 1983, is
amended to read as follows:
  1. "Hospital" means a facility or institution engaged  principally  in
providing services by or under the supervision of a physician or, in the
case  of  a dental clinic or dental dispensary, of a dentist, OR, IN THE
CASE OF A MIDWIFERY BIRTH CENTER, OF  A  MIDWIFE,  for  the  prevention,
diagnosis  or  treatment  of  human  disease, pain, injury, deformity or
physical condition, including, but not limited to, a  general  hospital,
public  health center, diagnostic center, treatment center, dental clin-
ic, dental dispensary, rehabilitation center other than a facility  used
solely  for vocational rehabilitation, nursing home, tuberculosis hospi-
tal, chronic  disease  hospital,  maternity  hospital,  MIDWIFERY  BIRTH
CENTER,  lying-in-asylum,  out-patient  department,  out-patient  lodge,
dispensary and a laboratory or central service facility serving  one  or
more  such  institutions,  but  the  term  hospital shall not include an
institution, sanitarium or other facility engaged principally in provid-
ing services for the prevention, diagnosis or treatment of mental  disa-
bility  and  which  is subject to the powers of visitation, examination,
inspection and investigation of the department of mental hygiene  except
for  those  distinct  parts  of  such  a facility which provide hospital
service. The provisions of this article shall not apply to a facility or
institution engaged principally in providing services by  or  under  the
supervision of the bona fide members and adherents of a recognized reli-
gious  organization  whose teachings include reliance on spiritual means

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD02738-01-5

S. 4325                             2

through prayer alone for healing in the practice of the religion of such
organization and where services are provided in  accordance  with  those
teachings.
  S  2. Section 2801 of the public health law is amended by adding a new
subdivision 11 to read as follows:
  11. "MIDWIFERY BIRTH CENTER" MEANS A HOSPITAL ENGAGED  PRINCIPALLY  IN
PROVIDING  PRENATAL AND OBSTETRIC CARE, WHERE SUCH SERVICES ARE PROVIDED
PRINCIPALLY BY MIDWIVES.
  S 3. Section 2803 of the public health law is amended by adding a  new
subdivision 11 to read as follows:
  11.  THE  COMMISSIONER  SHALL  MAKE  REGULATIONS RELATING TO MIDWIFERY
BIRTH CENTERS, INCLUDING RELATING TO  ESTABLISHMENT,  CONSTRUCTION,  AND
OPERATION,  CONSIDERING THE STANDARDS OF STATE AND NATIONAL PROFESSIONAL
ASSOCIATIONS OF MIDWIFERY BIRTH CENTERS, IN CONSULTATION WITH  REPRESEN-
TATIVES  OF  MIDWIVES,  MIDWIFERY  BIRTH  CENTERS, AND GENERAL HOSPITALS
PROVIDING OBSTETRIC SERVICES.
  S 4. This act shall take effect immediately.

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The New York State Senate

senate Bill S4325

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Archive: Last Bill Status Via A446 - Signed by Governor

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Votes

Jun 14, 2016 - floor Vote

Floor Vote: Jun 14, 2016

May 4, 2016 - Health committee Vote

Health Committee Vote: May 4, 2016

Apr 22, 2015 - Health committee Vote

Health Committee Vote: Apr 22, 2015

Co-Sponsors

S4325 (ACTIVE) - Details

S4325 (ACTIVE) - Summary

S4325 (ACTIVE) - Sponsor Memo

S4325 (ACTIVE) - Bill Text download pdf

Comments

senate Bill S4325

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Archive: Last Bill Status Via A446 - Signed by Governor

Your Voice

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Votes

Jun 14, 2016 - floor Vote

Floor Vote: Jun 14, 2016

May 4, 2016 - Health committee Vote

Health Committee Vote: May 4, 2016

Apr 22, 2015 - Health committee Vote

Health Committee Vote: Apr 22, 2015

Co-Sponsors

S4325 (ACTIVE) - Details

S4325 (ACTIVE) - Summary

S4325 (ACTIVE) - Sponsor Memo

S4325 (ACTIVE) - Bill Text download pdf

Comments