California 2021 2021-2022 Regular Session

California Assembly Bill AB1477 Amended / Bill

Filed 04/29/2021

                    Amended IN  Assembly  April 29, 2021 Amended IN  Assembly  April 19, 2021 Amended IN  Assembly  March 25, 2021 CALIFORNIA LEGISLATURE 20212022 REGULAR SESSION Assembly Bill No. 1477Introduced by Assembly Member CervantesFebruary 19, 2021 An act to amend Section 123640 of the Health and Safety Code, relating to health care.LEGISLATIVE COUNSEL'S DIGESTAB 1477, as amended, Cervantes. Maternal mental health.Existing law provides for the licensure and regulation of various healing arts professions, including, but not limited to, physicians and surgeons, by various boards within the Department of Consumer Affairs. Existing law imposes certain fines and other penalties for, and authorizes these boards to take disciplinary action against licensees for, violations of the provisions governing those professions. Existing law requires a licensed health care practitioner who provides prenatal or postpartum care for a patient to offer to screen or appropriately screen a mother for maternal mental health conditions.This bill would require the mother to be offered screening or appropriately screened at least once during pregnancy and at least once postpartum, including the interpregnancy interval, as defined, to maximize resources and ensure access to the mother. specify that the category of licensed health care practitioner to whom this requirement applies includes those who provide care during the interpregnancy interval, as defined. 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 123640 of the Health and Safety Code is amended to read:123640. (a) By July 1, 2019, a A licensed health care practitioner who provides prenatal or postpartum care for a patient, including care during the interpregnancy interval, shall ensure that the mother is offered screening or is appropriately screened for maternal mental health conditions. The mother shall be offered screening or appropriately screened pursuant to this subdivision at least once during pregnancy and at least once postpartum, to maximize resources and ensure access to the mother.(b) This section shall not apply to a licensed health care practitioner when providing emergency services or care, as defined in Section 1317.1.(c) This section does not preclude any licensed or certified provider acting within their scope of practice from screening for maternal mental health conditions.(d) For purposes of this section, the following definitions apply:(1) Health care practitioner means a physician and surgeon, naturopathic doctor, nurse practitioner, physician assistant, nurse midwife, or a midwife licensed pursuant to Division 2 (commencing with Section 500) of the Business and Professions Code or an initiative act referred to in that division and who is acting within their scope of practice.(2) Interpregnancy interval means the time that a woman is not pregnant, between one live birth or pregnancy loss and the next pregnancy, regardless of the outcome of the pregnancy.(3) Maternal mental health condition means a mental health condition that occurs during pregnancy, the postpartum period, or the interpregnancy interval and includes, but is not limited to, postpartum depression.

 Amended IN  Assembly  April 29, 2021 Amended IN  Assembly  April 19, 2021 Amended IN  Assembly  March 25, 2021 CALIFORNIA LEGISLATURE 20212022 REGULAR SESSION Assembly Bill No. 1477Introduced by Assembly Member CervantesFebruary 19, 2021 An act to amend Section 123640 of the Health and Safety Code, relating to health care.LEGISLATIVE COUNSEL'S DIGESTAB 1477, as amended, Cervantes. Maternal mental health.Existing law provides for the licensure and regulation of various healing arts professions, including, but not limited to, physicians and surgeons, by various boards within the Department of Consumer Affairs. Existing law imposes certain fines and other penalties for, and authorizes these boards to take disciplinary action against licensees for, violations of the provisions governing those professions. Existing law requires a licensed health care practitioner who provides prenatal or postpartum care for a patient to offer to screen or appropriately screen a mother for maternal mental health conditions.This bill would require the mother to be offered screening or appropriately screened at least once during pregnancy and at least once postpartum, including the interpregnancy interval, as defined, to maximize resources and ensure access to the mother. specify that the category of licensed health care practitioner to whom this requirement applies includes those who provide care during the interpregnancy interval, as defined. Digest Key Vote: MAJORITY  Appropriation: NO  Fiscal Committee: YES  Local Program: NO 

 Amended IN  Assembly  April 29, 2021 Amended IN  Assembly  April 19, 2021 Amended IN  Assembly  March 25, 2021

Amended IN  Assembly  April 29, 2021
Amended IN  Assembly  April 19, 2021
Amended IN  Assembly  March 25, 2021

 CALIFORNIA LEGISLATURE 20212022 REGULAR SESSION

 Assembly Bill 

No. 1477

Introduced by Assembly Member CervantesFebruary 19, 2021

Introduced by Assembly Member Cervantes
February 19, 2021

 An act to amend Section 123640 of the Health and Safety Code, relating to health care.

LEGISLATIVE COUNSEL'S DIGEST

## LEGISLATIVE COUNSEL'S DIGEST

AB 1477, as amended, Cervantes. Maternal mental health.

Existing law provides for the licensure and regulation of various healing arts professions, including, but not limited to, physicians and surgeons, by various boards within the Department of Consumer Affairs. Existing law imposes certain fines and other penalties for, and authorizes these boards to take disciplinary action against licensees for, violations of the provisions governing those professions. Existing law requires a licensed health care practitioner who provides prenatal or postpartum care for a patient to offer to screen or appropriately screen a mother for maternal mental health conditions.This bill would require the mother to be offered screening or appropriately screened at least once during pregnancy and at least once postpartum, including the interpregnancy interval, as defined, to maximize resources and ensure access to the mother. specify that the category of licensed health care practitioner to whom this requirement applies includes those who provide care during the interpregnancy interval, as defined. 

Existing law provides for the licensure and regulation of various healing arts professions, including, but not limited to, physicians and surgeons, by various boards within the Department of Consumer Affairs. Existing law imposes certain fines and other penalties for, and authorizes these boards to take disciplinary action against licensees for, violations of the provisions governing those professions. Existing law requires a licensed health care practitioner who provides prenatal or postpartum care for a patient to offer to screen or appropriately screen a mother for maternal mental health conditions.

This bill would require the mother to be offered screening or appropriately screened at least once during pregnancy and at least once postpartum, including the interpregnancy interval, as defined, to maximize resources and ensure access to the mother. specify that the category of licensed health care practitioner to whom this requirement applies includes those who provide care during the interpregnancy interval, as defined. 

## Digest Key

## Bill Text

The people of the State of California do enact as follows:SECTION 1. Section 123640 of the Health and Safety Code is amended to read:123640. (a) By July 1, 2019, a A licensed health care practitioner who provides prenatal or postpartum care for a patient, including care during the interpregnancy interval, shall ensure that the mother is offered screening or is appropriately screened for maternal mental health conditions. The mother shall be offered screening or appropriately screened pursuant to this subdivision at least once during pregnancy and at least once postpartum, to maximize resources and ensure access to the mother.(b) This section shall not apply to a licensed health care practitioner when providing emergency services or care, as defined in Section 1317.1.(c) This section does not preclude any licensed or certified provider acting within their scope of practice from screening for maternal mental health conditions.(d) For purposes of this section, the following definitions apply:(1) Health care practitioner means a physician and surgeon, naturopathic doctor, nurse practitioner, physician assistant, nurse midwife, or a midwife licensed pursuant to Division 2 (commencing with Section 500) of the Business and Professions Code or an initiative act referred to in that division and who is acting within their scope of practice.(2) Interpregnancy interval means the time that a woman is not pregnant, between one live birth or pregnancy loss and the next pregnancy, regardless of the outcome of the pregnancy.(3) Maternal mental health condition means a mental health condition that occurs during pregnancy, the postpartum period, or the interpregnancy interval and includes, but is not limited to, postpartum depression.

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 123640 of the Health and Safety Code is amended to read:123640. (a) By July 1, 2019, a A licensed health care practitioner who provides prenatal or postpartum care for a patient, including care during the interpregnancy interval, shall ensure that the mother is offered screening or is appropriately screened for maternal mental health conditions. The mother shall be offered screening or appropriately screened pursuant to this subdivision at least once during pregnancy and at least once postpartum, to maximize resources and ensure access to the mother.(b) This section shall not apply to a licensed health care practitioner when providing emergency services or care, as defined in Section 1317.1.(c) This section does not preclude any licensed or certified provider acting within their scope of practice from screening for maternal mental health conditions.(d) For purposes of this section, the following definitions apply:(1) Health care practitioner means a physician and surgeon, naturopathic doctor, nurse practitioner, physician assistant, nurse midwife, or a midwife licensed pursuant to Division 2 (commencing with Section 500) of the Business and Professions Code or an initiative act referred to in that division and who is acting within their scope of practice.(2) Interpregnancy interval means the time that a woman is not pregnant, between one live birth or pregnancy loss and the next pregnancy, regardless of the outcome of the pregnancy.(3) Maternal mental health condition means a mental health condition that occurs during pregnancy, the postpartum period, or the interpregnancy interval and includes, but is not limited to, postpartum depression.

SECTION 1. Section 123640 of the Health and Safety Code is amended to read:

### SECTION 1.

123640. (a) By July 1, 2019, a A licensed health care practitioner who provides prenatal or postpartum care for a patient, including care during the interpregnancy interval, shall ensure that the mother is offered screening or is appropriately screened for maternal mental health conditions. The mother shall be offered screening or appropriately screened pursuant to this subdivision at least once during pregnancy and at least once postpartum, to maximize resources and ensure access to the mother.(b) This section shall not apply to a licensed health care practitioner when providing emergency services or care, as defined in Section 1317.1.(c) This section does not preclude any licensed or certified provider acting within their scope of practice from screening for maternal mental health conditions.(d) For purposes of this section, the following definitions apply:(1) Health care practitioner means a physician and surgeon, naturopathic doctor, nurse practitioner, physician assistant, nurse midwife, or a midwife licensed pursuant to Division 2 (commencing with Section 500) of the Business and Professions Code or an initiative act referred to in that division and who is acting within their scope of practice.(2) Interpregnancy interval means the time that a woman is not pregnant, between one live birth or pregnancy loss and the next pregnancy, regardless of the outcome of the pregnancy.(3) Maternal mental health condition means a mental health condition that occurs during pregnancy, the postpartum period, or the interpregnancy interval and includes, but is not limited to, postpartum depression.

123640. (a) By July 1, 2019, a A licensed health care practitioner who provides prenatal or postpartum care for a patient, including care during the interpregnancy interval, shall ensure that the mother is offered screening or is appropriately screened for maternal mental health conditions. The mother shall be offered screening or appropriately screened pursuant to this subdivision at least once during pregnancy and at least once postpartum, to maximize resources and ensure access to the mother.(b) This section shall not apply to a licensed health care practitioner when providing emergency services or care, as defined in Section 1317.1.(c) This section does not preclude any licensed or certified provider acting within their scope of practice from screening for maternal mental health conditions.(d) For purposes of this section, the following definitions apply:(1) Health care practitioner means a physician and surgeon, naturopathic doctor, nurse practitioner, physician assistant, nurse midwife, or a midwife licensed pursuant to Division 2 (commencing with Section 500) of the Business and Professions Code or an initiative act referred to in that division and who is acting within their scope of practice.(2) Interpregnancy interval means the time that a woman is not pregnant, between one live birth or pregnancy loss and the next pregnancy, regardless of the outcome of the pregnancy.(3) Maternal mental health condition means a mental health condition that occurs during pregnancy, the postpartum period, or the interpregnancy interval and includes, but is not limited to, postpartum depression.

123640. (a) By July 1, 2019, a A licensed health care practitioner who provides prenatal or postpartum care for a patient, including care during the interpregnancy interval, shall ensure that the mother is offered screening or is appropriately screened for maternal mental health conditions. The mother shall be offered screening or appropriately screened pursuant to this subdivision at least once during pregnancy and at least once postpartum, to maximize resources and ensure access to the mother.(b) This section shall not apply to a licensed health care practitioner when providing emergency services or care, as defined in Section 1317.1.(c) This section does not preclude any licensed or certified provider acting within their scope of practice from screening for maternal mental health conditions.(d) For purposes of this section, the following definitions apply:(1) Health care practitioner means a physician and surgeon, naturopathic doctor, nurse practitioner, physician assistant, nurse midwife, or a midwife licensed pursuant to Division 2 (commencing with Section 500) of the Business and Professions Code or an initiative act referred to in that division and who is acting within their scope of practice.(2) Interpregnancy interval means the time that a woman is not pregnant, between one live birth or pregnancy loss and the next pregnancy, regardless of the outcome of the pregnancy.(3) Maternal mental health condition means a mental health condition that occurs during pregnancy, the postpartum period, or the interpregnancy interval and includes, but is not limited to, postpartum depression.



123640. (a) By July 1, 2019, a A licensed health care practitioner who provides prenatal or postpartum care for a patient, including care during the interpregnancy interval, shall ensure that the mother is offered screening or is appropriately screened for maternal mental health conditions. The mother shall be offered screening or appropriately screened pursuant to this subdivision at least once during pregnancy and at least once postpartum, to maximize resources and ensure access to the mother.

(b) This section shall not apply to a licensed health care practitioner when providing emergency services or care, as defined in Section 1317.1.

(c) This section does not preclude any licensed or certified provider acting within their scope of practice from screening for maternal mental health conditions.

(d) For purposes of this section, the following definitions apply:

(1) Health care practitioner means a physician and surgeon, naturopathic doctor, nurse practitioner, physician assistant, nurse midwife, or a midwife licensed pursuant to Division 2 (commencing with Section 500) of the Business and Professions Code or an initiative act referred to in that division and who is acting within their scope of practice.

(2) Interpregnancy interval means the time that a woman is not pregnant, between one live birth or pregnancy loss and the next pregnancy, regardless of the outcome of the pregnancy.

(3) Maternal mental health condition means a mental health condition that occurs during pregnancy, the postpartum period, or the interpregnancy interval and includes, but is not limited to, postpartum depression.