Senate Bill S7998

2017-2018 Legislative Session

Enacts the "children and recovering mothers (CHARM) act"

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Archive: Last Bill Status - In Senate Committee Health Committee

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

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Date of Action	Assembly Actions - Lowercase Senate Actions - UPPERCASE
Mar 16, 2018	referred to health

co-Sponsors

2017-S7998 (ACTIVE) - Details

Current Committee:: Senate Health
Law Section:: Public Health Law
Laws Affected:: Add Art 25 Title 4-A §§2576 - 2579, Pub Health L

2017-S7998 (ACTIVE) - Summary

Enacts the "children and recovering mothers (CHARM) act" to provide guidance, education and assistance to healthcare providers caring for expectant mothers with substance use disorder; also provides for the screening of newborns for substance abuse exposure.

2017-S7998 (ACTIVE) - Sponsor Memo

                                
 
BILL NUMBER: S7998

SPONSOR: HANNON
 
TITLE OF BILL:  An act to amend the public health law, in relation to
children and recovering mothers

 
PURPOSE:

To amend the Public Health Law by establishing the Children and Recover-
ing Mothers (CHARM) act.

 
SUMMARY OF PROVISIONS:

Section 1 of the bill creates the Children and Recovering Mothers
(CHARM) act.

Section 2 amends Article 25 of the Public Health Law by adding a new
title 4-A, in relation to children and recovering mothers. This section
establishes a recovering expectant mothers program within the Department
of Health, whereby the Commissioner, in consultation with the Commis-
sioner of Alcoholism and Substance Abuse Services, will assist providers

caring for recovering expectant mothers through guidance on universal
screening techniques, providing information regarding Medication
Assisted Treatment (MAT) for pregnant women, providing referral informa-
tion for substance abuse counseling, developing a system for consulta-
tion and linkage services for obstetricians and primary care providers
who care for recovering expectant mothers, developing provider educa-
tion, and creating a workgroup of stakeholders to evaluate barriers in
treating expectant mothers, newborns, and new parents with substance use
disorder.

Section 3 provides that the act shall take effect on the 90th day after
its enactment; provided, however, that effective immediately, any
actions necessary for the implementation of the act on its effective
date are authorized and directed to be completed on or before the effec-
tive date.

 
JUSTIFICATION:

Amid the ever-growing demographic impacted by the opioid epidemic are
expectant mothers and their newborns. According to the National Insti-
tutes of Health (NIH), there was a five-fold increase in the proportion
of babies born with Neonatal Abstinence Syndrome (NAS) from 2000 to
2012, which is the equivalence of one baby being born with opiate with-
drawal every 25 minutes. Babies born with NAS had average hospital stays
of 16.9 days (an average amount of $66,700) compared to 2.1 days (an
average amount of $3,500) for babies born without NAS.

These newborns can also suffer from low birth weight, prematurity,
sudden infant death syndrome, and other forms of fetal distress at
birth.

Vermont's Children and Recovering Mothers (CHARM) Collaborative, estab-
lished in 2002 to provide care coordination services for pregnant women
with addiction, MAT, substance abuse counseling services, standard
prenatal care, as well as an on-going assessment of the social support
needs of these women, has greatly helped VT in tackling this important
issue. Building upon the principles of the VT program, this NY legis-
lation seeks to educate providers, link pregnant women to care in an
effort to address any substance use prior to the birth of the child,
decrease the number of babies born with NAS, and to ensure linkage with
supports after the child is born.

 
LEGISLATIVE HISTORY:

New bill.

 
FISCAL IMPLICATIONS:

To be determined.

 
EFFECTIVE DATE:
This act shall take effect on the ninetieth day after it shall have
become a law; provided, however, that effective immediately, any actions
necessary for the implementation of this act on its effective date are
authorized and directed to be taken and completed on or before such
effective date.

2017-S7998 (ACTIVE) - Bill Text download pdf

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   7998
 
                             I N  S E N A T E
 
                              March 16, 2018
                                ___________
 
 Introduced  by  Sens.  HANNON, AKSHAR, AMEDORE, JACOBS -- 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 children and
   recovering mothers
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:

   Section  1.  Short  title. This act shall be known and may be cited as
 the "children and recovering mothers (CHARM) act".
   § 2. Article 25 of the public health law is amended by  adding  a  new
 title 4-A to read as follows:
                                 TITLE 4-A
                      CHILDREN AND RECOVERING MOTHERS
 SECTION 2576. RECOVERING EXPECTANT MOTHER PROGRAM.
         2577. NEWBORN SCREENING.
         2578. PROVIDER EDUCATION.
         2579. WORKGROUP.
   § 2576. RECOVERING  EXPECTANT  MOTHER  PROGRAM.  THERE SHALL BE ESTAB-
 LISHED A RECOVERING EXPECTANT  MOTHERS  PROGRAM  WITHIN  THE  DEPARTMENT
 WHEREBY THE COMMISSIONER, IN CONSULTATION WITH THE COMMISSIONER OF ALCO-
 HOLISM  AND  SUBSTANCE ABUSE SERVICES, SHALL PROVIDE GUIDANCE, EDUCATION
 AND ASSISTANCE TO PROVIDERS CARING  FOR  RECOVERING  EXPECTANT  MOTHERS,
 WHICH SHALL INCLUDE, BUT NOT BE LIMITED TO:
   1.  ESTABLISHING, IN CONSULTATION WITH RELEVANT HEALTH CARE PROVIDERS,
 GUIDANCE ON UNIVERSAL SCREENING TECHNIQUES FOR SUBSTANCE USE DISORDER AT
 PRENATAL VISITS. SUCH GUIDANCE SHALL RELY ON VALIDATED  SCREENING  TOOLS
 AND QUESTIONNAIRES AND UTILIZE LANGUAGE TO HELP REDUCE STIGMA;
   2.  PROVIDING  INFORMATION REGARDING USE OF MEDICATION ASSISTED TREAT-
 MENT FOR PREGNANT  WOMEN,  WHICH  SHALL  INCLUDE  INFORMATION  REGARDING
 BUPRENORPHRINE  TRAINING, TOOLS FOR PROVIDERS ON EFFECTIVE MANAGEMENT OF
 WOMEN WITH OPIOID USE DISORDER IN PREGNANCY,  AND  A  REFERRAL  LIST  OF
 CERTIFIED PROVIDERS;
   3.  PROVIDING  REFERRAL  INFORMATION  FOR  SUBSTANCE ABUSE COUNSELING,
 SOCIAL SUPPORT AND BASIC NEEDS REFERRALS, WHICH SHALL ALSO INCLUDE GUID-
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets

                       [ ] is old law to be omitted.
                                                            LBD14812-02-8

 S. 7998                             2
 
 ANCE ON REFERRING WOMEN TO HOME  VISITING  SERVICES  THAT  THEY  MAY  BE
 ELIGIBLE FOR AFTER BIRTH; AND
   4.  DEVELOPING  A  SYSTEM  FOR RAPID CONSULTATION AND REFERRAL LINKAGE
 SERVICES FOR OBSTETRICIANS AND  PRIMARY  CARE  PROVIDERS  STATEWIDE  WHO
 PROVIDE CARE FOR EXPECTANT MOTHERS WITH SUBSTANCE USE DISORDER.
   § 2577. NEWBORN  SCREENING.  THE COMMISSIONER, IN CONJUNCTION WITH THE
 COMMISSIONER OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES,  SHALL  DEVELOP
 GUIDANCE  FOR  HOSPITALS  AND MIDWIFERY BIRTH CENTERS ON NEONATAL ABSTI-
 NENCE SYNDROME WHICH SHALL INCLUDE, BUT NOT BE LIMITED  TO,  APPROPRIATE
 TREATMENT  METHODS  FOR  NEONATAL ABSTINENCE SYNDROME AND INFORMATION ON
 HOME VISITING SERVICES THAT RECOVERING MOTHERS MAY BE ELIGIBLE  FOR,  AS
 WELL  AS OTHER SUBSTANCES ABUSE SERVICES, SOCIAL SUPPORTS AND BASIC NEED
 REFERRALS IN THE COMMUNITY.
   § 2578. PROVIDER EDUCATION. THE COMMISSIONER SHALL DEVELOP OR  APPROVE
 A  CONTINUING  MEDICAL  EDUCATION  COURSE FOR NEONATAL NURSES, OBSTETRI-
 CIANS, MIDWIVES, PEDIATRICIANS, AND OTHER HEALTH CARE PROVIDERS  REGARD-
 ING  TREATMENT  OF  EXPECTANT  MOTHERS  AND  NEW  MOTHERS SUFFERING FROM
 SUBSTANCE USE DISORDER, AND THE TREATMENT  OF  NEWBORNS  SUFFERING  FROM
 NEONATAL  ABSTINENCE  SYNDROME,  WHICH  MAY  INCLUDE  FEDERALLY APPROVED
 BUPRENORPHINE TRAINING, IN ORDER TO  FACILITATE  COMPREHENSIVE  PRENATAL
 AND POSTPARTUM CARE TO THIS POPULATION.
   § 2579.   WORKGROUP. THE COMMISSIONER, IN CONJUNCTION WITH THE COMMIS-
 SIONER OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES, SHALL CONVENE A WORK-
 GROUP OF STAKEHOLDERS, INCLUDING BUT NOT LIMITED  TO,  HOSPITALS,  LOCAL
 HEALTH   DEPARTMENTS,   OBSTETRICIANS,   MIDWIVES,   PEDIATRICIANS,  AND
 SUBSTANCE ABUSE PROVIDERS TO STUDY AND  EVALUATE  CURRENT  BARRIERS  AND
 CHALLENGES  IN IDENTIFYING AND TREATING EXPECTANT MOTHERS, NEWBORNS, AND
 NEW PARENTS WITH SUBSTANCE USE DISORDER. THE WORKGROUP SHALL  REPORT  ON
 ITS FINDINGS AND RECOMMENDATIONS TO THE COMMISSIONER, THE SPEAKER OF THE
 ASSEMBLY  AND  THE  TEMPORARY PRESIDENT OF THE SENATE WITHIN ONE YEAR OF
 THE EFFECTIVE DATE OF THIS SECTION.
   § 3. This act shall take effect on the ninetieth day  after  it  shall
 have  become  a  law; provided, however, that effective immediately, any
 actions necessary for the implementation of this act  on  its  effective
 date  are authorized and directed to be taken and completed on or before
 such effective date.

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Senate Bill S7998

Sponsored By

Archive: Last Bill Status - In Senate Committee Health Committee

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co-Sponsors

2017-S7998 (ACTIVE) - Details

2017-S7998 (ACTIVE) - Summary

2017-S7998 (ACTIVE) - Sponsor Memo

2017-S7998 (ACTIVE) - Bill Text download pdf

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Sponsored By

Kemp Hannon

Archive: Last Bill Status - In Senate Committee Health Committee

Actions

co-Sponsors

Fred Akshar

George Amedore Jr

Chris Jacobs

Terrence Murphy

2017-S7998 (ACTIVE) - Details

2017-S7998 (ACTIVE) - Summary

2017-S7998 (ACTIVE) - Sponsor Memo

2017-S7998 (ACTIVE) - Bill Text download pdf

Comments