Today's Law As Amended


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SB-492 Maternal health.(2021-2022)



As Amends the Law Today


SECTION 1.

 Section 123630.4 of the Health and Safety Code is amended to read:

123630.4.
 (a) The State Department of Public Health shall track data on severe maternal morbidity, including, but not limited to, all of the following health conditions:
(1) Obstetric hemorrhage.
(2) Hypertension.
(3) Preeclampsia and eclampsia.
(4) Venous thromboembolism.
(5) Sepsis.
(6) Cerebrovascular accident.
(7) Amniotic fluid embolism.
(b) The data on severe maternal morbidity collected pursuant to subdivision (a) shall be published at least once every three years, after all of the following have occurred:
(1) The data has been aggregated by state regions, as defined by the State Department of Public Health, to ensure data reflects how regionalized care systems are or should be collaborating to improve maternal health outcomes, or other smaller regional sorting based on standard statistical methods for accurate dissemination of public health data without risking a confidentiality or other disclosure breach.
(2) The data has been disaggregated by racial and ethnic identity.
(c) The State Department of Public Health shall track data on pregnancy-related deaths, including, but not limited to, all of the conditions listed in subdivision (a), indirect obstetric deaths, and other maternal disorders predominantly related to pregnancy and complications predominantly related to the puerperium. In tracking data on pregnancy-related deaths, the department shall do both of the following: 
(1) Review pertinent records, including, but not limited to, medical or hospital records, death certificates, and medical examiner reports.
(2) Collect the following information about the pregnant person for each pregnancy-related death:
(A) County of residence.
(B) Distance from the residence to nearest health facility, clinic, or doctor’s office where prenatal care is offered.
(C) Existence of social supports, such as immediate family living in the same household.
(D) Language spoken.
(E) Number of prenatal care appointments attended.
(F) Occupation and place of employment.
(G) Race and ethnicity.
(H) Sexual orientation and gender identity.
(I) Type of health insurance coverage.
(J) Whether the pregnant person lived in a federal Health Resources and Services Administration (HRSA) designated provider shortage area.
(d) The data on pregnancy-related deaths collected pursuant to subdivisions (a) and (c) shall be published, at least once every three years, after all of the following have occurred:
(1) The data has been aggregated by state regions, as defined by the State Department of Public Health, to ensure data reflects how regionalized care systems are or should be collaborating to improve maternal health outcomes, or other smaller regional sorting based on standard statistical methods for accurate dissemination of public health data without risking a confidentiality or other disclosure breach. The department may group data by geographic regions for the purposes of identifying clusters of pregnancy deaths. 
(2) The data has been disaggregated by racial and ethnic identity.