CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Assembly Bill No. 845Introduced by Assembly Member MaienscheinFebruary 20, 2019 An act to add Sections 2196.9 and 2811.7 to the Business and Professions Code, relating to healing arts. LEGISLATIVE COUNSEL'S DIGESTAB 845, as introduced, Maienschein. Continuing education: physicians and surgeons: nurses: maternal mental health.Existing law, the Medical Practice Act, provides for the licensure and regulation of physicians and surgeons by the Medical Board of California within the Department of Consumer Affairs. Under that act, the board is required to adopt and administer standards for the continuing education of physicians and surgeons. Existing law, the Nursing Practice Act provides for the licensure and regulation of registered nurses by the Board of Registered Nursing, which is within the Department of Consumer Affairs, and requires the board to adopt regulations establishing standards for continuing education for registered nurses, as specified.By July 1, 2019, existing law requires a licensed healthcare practitioner who provides prenatal or postpartum care for a patient to offer to screen or appropriately screen a mother for maternal mental health conditions. Existing law also requires a general acute care hospital or special hospital that has a perinatal unit to develop to implement, by January 1, 2020, a program relating to maternal mental health conditions including, but not limited to, postpartum depression.This bill would require the Medical Board of California and the Board of Registered Nursing, in determining their continuing education requirements for physicians and surgeons and registered nurses, to include a course in maternal mental health, addressing, among other provisions, the requirements described above. The bill would require the boards to periodically update the curricula developed pursuant to the bill to account for new research.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO Bill TextThe people of the State of California do enact as follows:SECTION 1. Section 2196.9 is added to the Business and Professions Code, to read:2196.9. (a) In determining its continuing education requirements for physicians and surgeons, the board shall include a course in maternal mental health, which shall address the following:(1) Best practices in screening for maternal mental health disorders, including cultural competency and unintended bias as a means to build trust with mothers.(2) The range of maternal mental health disorders.(3) The range of evidence-based treatment options, including the importance of allowing a mother to be involved in developing the treatment plan.(4) When an obstetrician or a primary care doctor should consult with a psychiatrist versus making a referral.(5) Applicable requirements under Sections 123640 and 123616.5 of the Health and Safety Code.(b) Subject to Section 2001.1, the board shall periodically update the curriculum developed pursuant to this section to account for new research.SEC. 2. Section 2811.7 is added to the Business and Professions Code, to read:2811.7. (a) In determining its continuing education requirements for registered nurses, the board shall include a course in maternal mental health, which shall address the following:(1) Best practices in screening for maternal mental health disorders, including cultural competency and unintended bias as a means to build trust with mothers.(2) The range of maternal mental health disorders.(3) The range of evidence-based treatment options, including the importance of allowing a mother to be involved in developing the treatment plan.(4) When an obstetrician or a primary care doctor should consult with a psychiatrist versus making a referral.(5) Applicable requirements under the law, pursuant to Sections 123640 and 123616.5 of the Health and Safety Code.(b) Subject to Section 2708.1, the board shall periodically update the curriculum developed pursuant to this section to account for new research. CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Assembly Bill No. 845Introduced by Assembly Member MaienscheinFebruary 20, 2019 An act to add Sections 2196.9 and 2811.7 to the Business and Professions Code, relating to healing arts. LEGISLATIVE COUNSEL'S DIGESTAB 845, as introduced, Maienschein. Continuing education: physicians and surgeons: nurses: maternal mental health.Existing law, the Medical Practice Act, provides for the licensure and regulation of physicians and surgeons by the Medical Board of California within the Department of Consumer Affairs. Under that act, the board is required to adopt and administer standards for the continuing education of physicians and surgeons. Existing law, the Nursing Practice Act provides for the licensure and regulation of registered nurses by the Board of Registered Nursing, which is within the Department of Consumer Affairs, and requires the board to adopt regulations establishing standards for continuing education for registered nurses, as specified.By July 1, 2019, existing law requires a licensed healthcare practitioner who provides prenatal or postpartum care for a patient to offer to screen or appropriately screen a mother for maternal mental health conditions. Existing law also requires a general acute care hospital or special hospital that has a perinatal unit to develop to implement, by January 1, 2020, a program relating to maternal mental health conditions including, but not limited to, postpartum depression.This bill would require the Medical Board of California and the Board of Registered Nursing, in determining their continuing education requirements for physicians and surgeons and registered nurses, to include a course in maternal mental health, addressing, among other provisions, the requirements described above. The bill would require the boards to periodically update the curricula developed pursuant to the bill to account for new research.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Assembly Bill No. 845 Introduced by Assembly Member MaienscheinFebruary 20, 2019 Introduced by Assembly Member Maienschein February 20, 2019 An act to add Sections 2196.9 and 2811.7 to the Business and Professions Code, relating to healing arts. LEGISLATIVE COUNSEL'S DIGEST ## LEGISLATIVE COUNSEL'S DIGEST AB 845, as introduced, Maienschein. Continuing education: physicians and surgeons: nurses: maternal mental health. Existing law, the Medical Practice Act, provides for the licensure and regulation of physicians and surgeons by the Medical Board of California within the Department of Consumer Affairs. Under that act, the board is required to adopt and administer standards for the continuing education of physicians and surgeons. Existing law, the Nursing Practice Act provides for the licensure and regulation of registered nurses by the Board of Registered Nursing, which is within the Department of Consumer Affairs, and requires the board to adopt regulations establishing standards for continuing education for registered nurses, as specified.By July 1, 2019, existing law requires a licensed healthcare practitioner who provides prenatal or postpartum care for a patient to offer to screen or appropriately screen a mother for maternal mental health conditions. Existing law also requires a general acute care hospital or special hospital that has a perinatal unit to develop to implement, by January 1, 2020, a program relating to maternal mental health conditions including, but not limited to, postpartum depression.This bill would require the Medical Board of California and the Board of Registered Nursing, in determining their continuing education requirements for physicians and surgeons and registered nurses, to include a course in maternal mental health, addressing, among other provisions, the requirements described above. The bill would require the boards to periodically update the curricula developed pursuant to the bill to account for new research. Existing law, the Medical Practice Act, provides for the licensure and regulation of physicians and surgeons by the Medical Board of California within the Department of Consumer Affairs. Under that act, the board is required to adopt and administer standards for the continuing education of physicians and surgeons. Existing law, the Nursing Practice Act provides for the licensure and regulation of registered nurses by the Board of Registered Nursing, which is within the Department of Consumer Affairs, and requires the board to adopt regulations establishing standards for continuing education for registered nurses, as specified. By July 1, 2019, existing law requires a licensed healthcare practitioner who provides prenatal or postpartum care for a patient to offer to screen or appropriately screen a mother for maternal mental health conditions. Existing law also requires a general acute care hospital or special hospital that has a perinatal unit to develop to implement, by January 1, 2020, a program relating to maternal mental health conditions including, but not limited to, postpartum depression. This bill would require the Medical Board of California and the Board of Registered Nursing, in determining their continuing education requirements for physicians and surgeons and registered nurses, to include a course in maternal mental health, addressing, among other provisions, the requirements described above. The bill would require the boards to periodically update the curricula developed pursuant to the bill to account for new research. ## Digest Key ## Bill Text The people of the State of California do enact as follows:SECTION 1. Section 2196.9 is added to the Business and Professions Code, to read:2196.9. (a) In determining its continuing education requirements for physicians and surgeons, the board shall include a course in maternal mental health, which shall address the following:(1) Best practices in screening for maternal mental health disorders, including cultural competency and unintended bias as a means to build trust with mothers.(2) The range of maternal mental health disorders.(3) The range of evidence-based treatment options, including the importance of allowing a mother to be involved in developing the treatment plan.(4) When an obstetrician or a primary care doctor should consult with a psychiatrist versus making a referral.(5) Applicable requirements under Sections 123640 and 123616.5 of the Health and Safety Code.(b) Subject to Section 2001.1, the board shall periodically update the curriculum developed pursuant to this section to account for new research.SEC. 2. Section 2811.7 is added to the Business and Professions Code, to read:2811.7. (a) In determining its continuing education requirements for registered nurses, the board shall include a course in maternal mental health, which shall address the following:(1) Best practices in screening for maternal mental health disorders, including cultural competency and unintended bias as a means to build trust with mothers.(2) The range of maternal mental health disorders.(3) The range of evidence-based treatment options, including the importance of allowing a mother to be involved in developing the treatment plan.(4) When an obstetrician or a primary care doctor should consult with a psychiatrist versus making a referral.(5) Applicable requirements under the law, pursuant to Sections 123640 and 123616.5 of the Health and Safety Code.(b) Subject to Section 2708.1, the board shall periodically update the curriculum developed pursuant to this section to account for new research. The people of the State of California do enact as follows: ## The people of the State of California do enact as follows: SECTION 1. Section 2196.9 is added to the Business and Professions Code, to read:2196.9. (a) In determining its continuing education requirements for physicians and surgeons, the board shall include a course in maternal mental health, which shall address the following:(1) Best practices in screening for maternal mental health disorders, including cultural competency and unintended bias as a means to build trust with mothers.(2) The range of maternal mental health disorders.(3) The range of evidence-based treatment options, including the importance of allowing a mother to be involved in developing the treatment plan.(4) When an obstetrician or a primary care doctor should consult with a psychiatrist versus making a referral.(5) Applicable requirements under Sections 123640 and 123616.5 of the Health and Safety Code.(b) Subject to Section 2001.1, the board shall periodically update the curriculum developed pursuant to this section to account for new research. SECTION 1. Section 2196.9 is added to the Business and Professions Code, to read: ### SECTION 1. 2196.9. (a) In determining its continuing education requirements for physicians and surgeons, the board shall include a course in maternal mental health, which shall address the following:(1) Best practices in screening for maternal mental health disorders, including cultural competency and unintended bias as a means to build trust with mothers.(2) The range of maternal mental health disorders.(3) The range of evidence-based treatment options, including the importance of allowing a mother to be involved in developing the treatment plan.(4) When an obstetrician or a primary care doctor should consult with a psychiatrist versus making a referral.(5) Applicable requirements under Sections 123640 and 123616.5 of the Health and Safety Code.(b) Subject to Section 2001.1, the board shall periodically update the curriculum developed pursuant to this section to account for new research. 2196.9. (a) In determining its continuing education requirements for physicians and surgeons, the board shall include a course in maternal mental health, which shall address the following:(1) Best practices in screening for maternal mental health disorders, including cultural competency and unintended bias as a means to build trust with mothers.(2) The range of maternal mental health disorders.(3) The range of evidence-based treatment options, including the importance of allowing a mother to be involved in developing the treatment plan.(4) When an obstetrician or a primary care doctor should consult with a psychiatrist versus making a referral.(5) Applicable requirements under Sections 123640 and 123616.5 of the Health and Safety Code.(b) Subject to Section 2001.1, the board shall periodically update the curriculum developed pursuant to this section to account for new research. 2196.9. (a) In determining its continuing education requirements for physicians and surgeons, the board shall include a course in maternal mental health, which shall address the following:(1) Best practices in screening for maternal mental health disorders, including cultural competency and unintended bias as a means to build trust with mothers.(2) The range of maternal mental health disorders.(3) The range of evidence-based treatment options, including the importance of allowing a mother to be involved in developing the treatment plan.(4) When an obstetrician or a primary care doctor should consult with a psychiatrist versus making a referral.(5) Applicable requirements under Sections 123640 and 123616.5 of the Health and Safety Code.(b) Subject to Section 2001.1, the board shall periodically update the curriculum developed pursuant to this section to account for new research. 2196.9. (a) In determining its continuing education requirements for physicians and surgeons, the board shall include a course in maternal mental health, which shall address the following: (1) Best practices in screening for maternal mental health disorders, including cultural competency and unintended bias as a means to build trust with mothers. (2) The range of maternal mental health disorders. (3) The range of evidence-based treatment options, including the importance of allowing a mother to be involved in developing the treatment plan. (4) When an obstetrician or a primary care doctor should consult with a psychiatrist versus making a referral. (5) Applicable requirements under Sections 123640 and 123616.5 of the Health and Safety Code. (b) Subject to Section 2001.1, the board shall periodically update the curriculum developed pursuant to this section to account for new research. SEC. 2. Section 2811.7 is added to the Business and Professions Code, to read:2811.7. (a) In determining its continuing education requirements for registered nurses, the board shall include a course in maternal mental health, which shall address the following:(1) Best practices in screening for maternal mental health disorders, including cultural competency and unintended bias as a means to build trust with mothers.(2) The range of maternal mental health disorders.(3) The range of evidence-based treatment options, including the importance of allowing a mother to be involved in developing the treatment plan.(4) When an obstetrician or a primary care doctor should consult with a psychiatrist versus making a referral.(5) Applicable requirements under the law, pursuant to Sections 123640 and 123616.5 of the Health and Safety Code.(b) Subject to Section 2708.1, the board shall periodically update the curriculum developed pursuant to this section to account for new research. SEC. 2. Section 2811.7 is added to the Business and Professions Code, to read: ### SEC. 2. 2811.7. (a) In determining its continuing education requirements for registered nurses, the board shall include a course in maternal mental health, which shall address the following:(1) Best practices in screening for maternal mental health disorders, including cultural competency and unintended bias as a means to build trust with mothers.(2) The range of maternal mental health disorders.(3) The range of evidence-based treatment options, including the importance of allowing a mother to be involved in developing the treatment plan.(4) When an obstetrician or a primary care doctor should consult with a psychiatrist versus making a referral.(5) Applicable requirements under the law, pursuant to Sections 123640 and 123616.5 of the Health and Safety Code.(b) Subject to Section 2708.1, the board shall periodically update the curriculum developed pursuant to this section to account for new research. 2811.7. (a) In determining its continuing education requirements for registered nurses, the board shall include a course in maternal mental health, which shall address the following:(1) Best practices in screening for maternal mental health disorders, including cultural competency and unintended bias as a means to build trust with mothers.(2) The range of maternal mental health disorders.(3) The range of evidence-based treatment options, including the importance of allowing a mother to be involved in developing the treatment plan.(4) When an obstetrician or a primary care doctor should consult with a psychiatrist versus making a referral.(5) Applicable requirements under the law, pursuant to Sections 123640 and 123616.5 of the Health and Safety Code.(b) Subject to Section 2708.1, the board shall periodically update the curriculum developed pursuant to this section to account for new research. 2811.7. (a) In determining its continuing education requirements for registered nurses, the board shall include a course in maternal mental health, which shall address the following:(1) Best practices in screening for maternal mental health disorders, including cultural competency and unintended bias as a means to build trust with mothers.(2) The range of maternal mental health disorders.(3) The range of evidence-based treatment options, including the importance of allowing a mother to be involved in developing the treatment plan.(4) When an obstetrician or a primary care doctor should consult with a psychiatrist versus making a referral.(5) Applicable requirements under the law, pursuant to Sections 123640 and 123616.5 of the Health and Safety Code.(b) Subject to Section 2708.1, the board shall periodically update the curriculum developed pursuant to this section to account for new research. 2811.7. (a) In determining its continuing education requirements for registered nurses, the board shall include a course in maternal mental health, which shall address the following: (1) Best practices in screening for maternal mental health disorders, including cultural competency and unintended bias as a means to build trust with mothers. (2) The range of maternal mental health disorders. (3) The range of evidence-based treatment options, including the importance of allowing a mother to be involved in developing the treatment plan. (4) When an obstetrician or a primary care doctor should consult with a psychiatrist versus making a referral. (5) Applicable requirements under the law, pursuant to Sections 123640 and 123616.5 of the Health and Safety Code. (b) Subject to Section 2708.1, the board shall periodically update the curriculum developed pursuant to this section to account for new research.