Amended IN Assembly March 23, 2018 CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION Assembly Bill No. 3032Introduced by Assembly Member FrazierFebruary 16, 2018 An act to amend Section 123485 of the Health and Safety Code, relating to public health. add Article 4.2 (commencing with Section 123615) to Chapter 2 of Part 2 of Division 106 of the Health and Safety Code, relating to maternal health.LEGISLATIVE COUNSEL'S DIGESTAB 3032, as amended, Frazier. Community-based perinatal care. Maternal mental health: quality management program.Existing law establishes the State Department of Public Health and sets forth its powers and duties, including, but not limited to implementation and administration of a communitybased system of perinatal care for eligible women and infants.Existing law requires the State Department of Public Health to license and regulate specified health facilities, including a general acute care hospital, a special hospital, and other types of specialized facilities. Existing law defines a perinatal unit as a maternity and newborn service of a hospital for the provision of care during pregnancy, labor, delivery, and postpartum and neonatal periods, as specified.This bill would make a nonsubstantive change in those provisions. require a general acute care hospital or special hospital that has a perinatal unit to develop and implement, by January 1, 2020, a quality management program relating to maternal mental health disorders including, but not limited to, postpartum depression. The bill would specify the components of the quality management program which would include, but would not be limited to, clinician training and readiness, and public education and information, as specified.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: NOYES Local Program: NO Bill TextThe people of the State of California do enact as follows:SECTION 1. Article 4.2 (commencing with Section 123615) is added to Chapter 2 of Part 2 of Division 106 of the Health and Safety Code, to read: Article 4.2. Maternal Mental Health123615. A general acute care hospital or special hospital, as defined in subdivisions (a) and (f) of Section 1250, that has a perinatal unit shall, by January 1, 2020, develop and implement a quality management program relating to maternal mental health disorders including, but not limited to, postpartum depression. For purposes of this section, a perinatal unit is a maternity and newborn service of a hospital for the provision of care during pregnancy, labor, delivery, and postpartum and neonatal periods with appropriate staff, space, equipment, and supplies.123616. A maternal mental health quality management program developed under this article shall include all of the following components:(a) Clinician training and readiness for nursing, social work, and medical doctor staff working in hospital settings and services including, but not limited to, emergency departments, patient education, lactation support, labor and delivery, high-risk maternity inpatient units, neonatal intensive care units, and psychiatric units.(b) Education and information for women and families regarding the range of maternal mental health disorders and available local treatment resources, if any.(c) Any other service the hospital determines should be included in the program in order to ensure the provision of optimal care to patients.SECTION 1.Section 123485 of the Health and Safety Code is amended to read:123485.The following definitions shall govern this article:(a)Community-based comprehensive perinatal care means a range of prenatal, delivery, postpartum, infant, and pediatric care services delivered in an urban community or neighborhood, rural area, city or county clinic, city or county health department, freestanding birth center, or other health care provider facility by health care practitioners trained in methods of preventing complications and problems during and after pregnancy, and in methods of educating pregnant women of these preventive measures, and who provide a continuous range of services. The health care practitioners shall, through a system of established linkages to other levels of care in the community, consult with, and, when appropriate, refer to, specialists.(b)Low income means all persons of childbearing age eligible for Medi-Cal benefits under Chapter 7 (commencing with Section 14000) and all persons eligible for public social services for which federal reimbursement is available, including potential recipients. Potential recipients shall include the pregnant woman and her infant in a family where current social, economic and health conditions of the family indicate that the family would likely become a recipient of financial assistance within the next five years.(c)Prenatal care means care received from conception until the completion of labor and delivery.(d)Perinatal care means care received from the time of conception through the first year after birth.(e)Qualified organization means any nonprofit, not-for-profit, or for-profit corporation with demonstrated expertise in implementing the Nurse-Family Partnership program or similar programs in different local settings.(f)Qualified trainer means anyone who has been certified by the Nurse-Family Partnership to provide training.(g)Department means the State Department of Public Health, unless otherwise designated. Amended IN Assembly March 23, 2018 CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION Assembly Bill No. 3032Introduced by Assembly Member FrazierFebruary 16, 2018 An act to amend Section 123485 of the Health and Safety Code, relating to public health. add Article 4.2 (commencing with Section 123615) to Chapter 2 of Part 2 of Division 106 of the Health and Safety Code, relating to maternal health.LEGISLATIVE COUNSEL'S DIGESTAB 3032, as amended, Frazier. Community-based perinatal care. Maternal mental health: quality management program.Existing law establishes the State Department of Public Health and sets forth its powers and duties, including, but not limited to implementation and administration of a communitybased system of perinatal care for eligible women and infants.Existing law requires the State Department of Public Health to license and regulate specified health facilities, including a general acute care hospital, a special hospital, and other types of specialized facilities. Existing law defines a perinatal unit as a maternity and newborn service of a hospital for the provision of care during pregnancy, labor, delivery, and postpartum and neonatal periods, as specified.This bill would make a nonsubstantive change in those provisions. require a general acute care hospital or special hospital that has a perinatal unit to develop and implement, by January 1, 2020, a quality management program relating to maternal mental health disorders including, but not limited to, postpartum depression. The bill would specify the components of the quality management program which would include, but would not be limited to, clinician training and readiness, and public education and information, as specified.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: NOYES Local Program: NO Amended IN Assembly March 23, 2018 Amended IN Assembly March 23, 2018 CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION Assembly Bill No. 3032 Introduced by Assembly Member FrazierFebruary 16, 2018 Introduced by Assembly Member Frazier February 16, 2018 An act to amend Section 123485 of the Health and Safety Code, relating to public health. add Article 4.2 (commencing with Section 123615) to Chapter 2 of Part 2 of Division 106 of the Health and Safety Code, relating to maternal health. LEGISLATIVE COUNSEL'S DIGEST ## LEGISLATIVE COUNSEL'S DIGEST AB 3032, as amended, Frazier. Community-based perinatal care. Maternal mental health: quality management program. Existing law establishes the State Department of Public Health and sets forth its powers and duties, including, but not limited to implementation and administration of a communitybased system of perinatal care for eligible women and infants.Existing law requires the State Department of Public Health to license and regulate specified health facilities, including a general acute care hospital, a special hospital, and other types of specialized facilities. Existing law defines a perinatal unit as a maternity and newborn service of a hospital for the provision of care during pregnancy, labor, delivery, and postpartum and neonatal periods, as specified.This bill would make a nonsubstantive change in those provisions. require a general acute care hospital or special hospital that has a perinatal unit to develop and implement, by January 1, 2020, a quality management program relating to maternal mental health disorders including, but not limited to, postpartum depression. The bill would specify the components of the quality management program which would include, but would not be limited to, clinician training and readiness, and public education and information, as specified. Existing law establishes the State Department of Public Health and sets forth its powers and duties, including, but not limited to implementation and administration of a communitybased system of perinatal care for eligible women and infants. Existing law requires the State Department of Public Health to license and regulate specified health facilities, including a general acute care hospital, a special hospital, and other types of specialized facilities. Existing law defines a perinatal unit as a maternity and newborn service of a hospital for the provision of care during pregnancy, labor, delivery, and postpartum and neonatal periods, as specified. This bill would make a nonsubstantive change in those provisions. require a general acute care hospital or special hospital that has a perinatal unit to develop and implement, by January 1, 2020, a quality management program relating to maternal mental health disorders including, but not limited to, postpartum depression. The bill would specify the components of the quality management program which would include, but would not be limited to, clinician training and readiness, and public education and information, as specified. ## Digest Key ## Bill Text The people of the State of California do enact as follows:SECTION 1. Article 4.2 (commencing with Section 123615) is added to Chapter 2 of Part 2 of Division 106 of the Health and Safety Code, to read: Article 4.2. Maternal Mental Health123615. A general acute care hospital or special hospital, as defined in subdivisions (a) and (f) of Section 1250, that has a perinatal unit shall, by January 1, 2020, develop and implement a quality management program relating to maternal mental health disorders including, but not limited to, postpartum depression. For purposes of this section, a perinatal unit is a maternity and newborn service of a hospital for the provision of care during pregnancy, labor, delivery, and postpartum and neonatal periods with appropriate staff, space, equipment, and supplies.123616. A maternal mental health quality management program developed under this article shall include all of the following components:(a) Clinician training and readiness for nursing, social work, and medical doctor staff working in hospital settings and services including, but not limited to, emergency departments, patient education, lactation support, labor and delivery, high-risk maternity inpatient units, neonatal intensive care units, and psychiatric units.(b) Education and information for women and families regarding the range of maternal mental health disorders and available local treatment resources, if any.(c) Any other service the hospital determines should be included in the program in order to ensure the provision of optimal care to patients.SECTION 1.Section 123485 of the Health and Safety Code is amended to read:123485.The following definitions shall govern this article:(a)Community-based comprehensive perinatal care means a range of prenatal, delivery, postpartum, infant, and pediatric care services delivered in an urban community or neighborhood, rural area, city or county clinic, city or county health department, freestanding birth center, or other health care provider facility by health care practitioners trained in methods of preventing complications and problems during and after pregnancy, and in methods of educating pregnant women of these preventive measures, and who provide a continuous range of services. The health care practitioners shall, through a system of established linkages to other levels of care in the community, consult with, and, when appropriate, refer to, specialists.(b)Low income means all persons of childbearing age eligible for Medi-Cal benefits under Chapter 7 (commencing with Section 14000) and all persons eligible for public social services for which federal reimbursement is available, including potential recipients. Potential recipients shall include the pregnant woman and her infant in a family where current social, economic and health conditions of the family indicate that the family would likely become a recipient of financial assistance within the next five years.(c)Prenatal care means care received from conception until the completion of labor and delivery.(d)Perinatal care means care received from the time of conception through the first year after birth.(e)Qualified organization means any nonprofit, not-for-profit, or for-profit corporation with demonstrated expertise in implementing the Nurse-Family Partnership program or similar programs in different local settings.(f)Qualified trainer means anyone who has been certified by the Nurse-Family Partnership to provide training.(g)Department means the State Department of Public Health, unless otherwise designated. The people of the State of California do enact as follows: ## The people of the State of California do enact as follows: SECTION 1. Article 4.2 (commencing with Section 123615) is added to Chapter 2 of Part 2 of Division 106 of the Health and Safety Code, to read: Article 4.2. Maternal Mental Health123615. A general acute care hospital or special hospital, as defined in subdivisions (a) and (f) of Section 1250, that has a perinatal unit shall, by January 1, 2020, develop and implement a quality management program relating to maternal mental health disorders including, but not limited to, postpartum depression. For purposes of this section, a perinatal unit is a maternity and newborn service of a hospital for the provision of care during pregnancy, labor, delivery, and postpartum and neonatal periods with appropriate staff, space, equipment, and supplies.123616. A maternal mental health quality management program developed under this article shall include all of the following components:(a) Clinician training and readiness for nursing, social work, and medical doctor staff working in hospital settings and services including, but not limited to, emergency departments, patient education, lactation support, labor and delivery, high-risk maternity inpatient units, neonatal intensive care units, and psychiatric units.(b) Education and information for women and families regarding the range of maternal mental health disorders and available local treatment resources, if any.(c) Any other service the hospital determines should be included in the program in order to ensure the provision of optimal care to patients. SECTION 1. Article 4.2 (commencing with Section 123615) is added to Chapter 2 of Part 2 of Division 106 of the Health and Safety Code, to read: ### SECTION 1. Article 4.2. Maternal Mental Health123615. A general acute care hospital or special hospital, as defined in subdivisions (a) and (f) of Section 1250, that has a perinatal unit shall, by January 1, 2020, develop and implement a quality management program relating to maternal mental health disorders including, but not limited to, postpartum depression. For purposes of this section, a perinatal unit is a maternity and newborn service of a hospital for the provision of care during pregnancy, labor, delivery, and postpartum and neonatal periods with appropriate staff, space, equipment, and supplies.123616. A maternal mental health quality management program developed under this article shall include all of the following components:(a) Clinician training and readiness for nursing, social work, and medical doctor staff working in hospital settings and services including, but not limited to, emergency departments, patient education, lactation support, labor and delivery, high-risk maternity inpatient units, neonatal intensive care units, and psychiatric units.(b) Education and information for women and families regarding the range of maternal mental health disorders and available local treatment resources, if any.(c) Any other service the hospital determines should be included in the program in order to ensure the provision of optimal care to patients. Article 4.2. Maternal Mental Health123615. A general acute care hospital or special hospital, as defined in subdivisions (a) and (f) of Section 1250, that has a perinatal unit shall, by January 1, 2020, develop and implement a quality management program relating to maternal mental health disorders including, but not limited to, postpartum depression. For purposes of this section, a perinatal unit is a maternity and newborn service of a hospital for the provision of care during pregnancy, labor, delivery, and postpartum and neonatal periods with appropriate staff, space, equipment, and supplies.123616. A maternal mental health quality management program developed under this article shall include all of the following components:(a) Clinician training and readiness for nursing, social work, and medical doctor staff working in hospital settings and services including, but not limited to, emergency departments, patient education, lactation support, labor and delivery, high-risk maternity inpatient units, neonatal intensive care units, and psychiatric units.(b) Education and information for women and families regarding the range of maternal mental health disorders and available local treatment resources, if any.(c) Any other service the hospital determines should be included in the program in order to ensure the provision of optimal care to patients. Article 4.2. Maternal Mental Health Article 4.2. Maternal Mental Health 123615. A general acute care hospital or special hospital, as defined in subdivisions (a) and (f) of Section 1250, that has a perinatal unit shall, by January 1, 2020, develop and implement a quality management program relating to maternal mental health disorders including, but not limited to, postpartum depression. For purposes of this section, a perinatal unit is a maternity and newborn service of a hospital for the provision of care during pregnancy, labor, delivery, and postpartum and neonatal periods with appropriate staff, space, equipment, and supplies. 123615. A general acute care hospital or special hospital, as defined in subdivisions (a) and (f) of Section 1250, that has a perinatal unit shall, by January 1, 2020, develop and implement a quality management program relating to maternal mental health disorders including, but not limited to, postpartum depression. For purposes of this section, a perinatal unit is a maternity and newborn service of a hospital for the provision of care during pregnancy, labor, delivery, and postpartum and neonatal periods with appropriate staff, space, equipment, and supplies. 123616. A maternal mental health quality management program developed under this article shall include all of the following components:(a) Clinician training and readiness for nursing, social work, and medical doctor staff working in hospital settings and services including, but not limited to, emergency departments, patient education, lactation support, labor and delivery, high-risk maternity inpatient units, neonatal intensive care units, and psychiatric units.(b) Education and information for women and families regarding the range of maternal mental health disorders and available local treatment resources, if any.(c) Any other service the hospital determines should be included in the program in order to ensure the provision of optimal care to patients. 123616. A maternal mental health quality management program developed under this article shall include all of the following components: (a) Clinician training and readiness for nursing, social work, and medical doctor staff working in hospital settings and services including, but not limited to, emergency departments, patient education, lactation support, labor and delivery, high-risk maternity inpatient units, neonatal intensive care units, and psychiatric units. (b) Education and information for women and families regarding the range of maternal mental health disorders and available local treatment resources, if any. (c) Any other service the hospital determines should be included in the program in order to ensure the provision of optimal care to patients. The following definitions shall govern this article: (a)Community-based comprehensive perinatal care means a range of prenatal, delivery, postpartum, infant, and pediatric care services delivered in an urban community or neighborhood, rural area, city or county clinic, city or county health department, freestanding birth center, or other health care provider facility by health care practitioners trained in methods of preventing complications and problems during and after pregnancy, and in methods of educating pregnant women of these preventive measures, and who provide a continuous range of services. The health care practitioners shall, through a system of established linkages to other levels of care in the community, consult with, and, when appropriate, refer to, specialists. (b)Low income means all persons of childbearing age eligible for Medi-Cal benefits under Chapter 7 (commencing with Section 14000) and all persons eligible for public social services for which federal reimbursement is available, including potential recipients. Potential recipients shall include the pregnant woman and her infant in a family where current social, economic and health conditions of the family indicate that the family would likely become a recipient of financial assistance within the next five years. (c)Prenatal care means care received from conception until the completion of labor and delivery. (d)Perinatal care means care received from the time of conception through the first year after birth. (e)Qualified organization means any nonprofit, not-for-profit, or for-profit corporation with demonstrated expertise in implementing the Nurse-Family Partnership program or similar programs in different local settings. (f)Qualified trainer means anyone who has been certified by the Nurse-Family Partnership to provide training. (g)Department means the State Department of Public Health, unless otherwise designated.