1 | 1 | | 25 LC 46 1065 |
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2 | 2 | | House Bill 672 |
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3 | 3 | | By: Representatives Cannon of the 58 |
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4 | 4 | | th |
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5 | 5 | | , Bazemore of the 69 |
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6 | 6 | | th |
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7 | 7 | | , Miller of the 62 |
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8 | 8 | | nd |
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9 | 9 | | , and Bennett |
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10 | 10 | | of the 94 |
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11 | 11 | | th |
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12 | 12 | | |
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13 | 13 | | A BILL TO BE ENTITLED |
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14 | 14 | | AN ACT |
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15 | 15 | | To amend Chapter 2A of Title 31 of the Official Code of Georgia Annotated, relating to the |
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16 | 16 | | 1 |
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17 | 17 | | Department of Public Health, so as to enact the "Georgia Dignity in Pregnancy and2 |
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18 | 18 | | Childbirth Act"; to provide for definitions; to require perinatal facilities in this state to3 |
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19 | 19 | | implement evidence based implicit bias programs for its healthcare professionals; to require4 |
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20 | 20 | | certain components in such programs; to provide for initial and refresher training; to provide5 |
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21 | 21 | | for the compilation and tracking of data on severe maternal morbidity and pregnancy related6 |
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22 | 22 | | deaths; to provide for related matters; to repeal conflicting laws; and for other purposes.7 |
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23 | 23 | | BE IT ENACTED BY THE GENERAL ASSEMBLY OF GEORGIA:8 |
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24 | 24 | | SECTION 1.9 |
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25 | 25 | | Chapter 2A of Title 31 of the Official Code of Georgia Annotated, relating to the Department10 |
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26 | 26 | | of Public Health, is amended by adding a new article to read as follows:11 |
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27 | 27 | | H. B. 672 |
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28 | 28 | | - 1 - 25 LC 46 1065 |
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29 | 29 | | "ARTICLE 412 |
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30 | 30 | | 31-2A-60.13 |
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31 | 31 | | This article shall be known and may be cited as the 'Georgia Dignity in Pregnancy and14 |
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32 | 32 | | Childbirth Act.'15 |
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33 | 33 | | 31-2A-61.16 |
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34 | 34 | | As used in this article, the term:17 |
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35 | 35 | | (1) 'Healthcare professional' means a physician or other healthcare practitioner licensed,18 |
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36 | 36 | | accredited, or certified to perform specified physical, mental, or behavioral health care19 |
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37 | 37 | | services consistent with his or her scope of practice under the laws of this state.20 |
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38 | 38 | | (2) 'Implicit bias' means a bias in judgment or behavior that results from subtle cognitive21 |
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39 | 39 | | processes, including implicit prejudice and implicit stereotypes that often operate at a22 |
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40 | 40 | | level below conscious awareness and without intentional control.23 |
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41 | 41 | | (3) 'Implicit prejudice' means prejudicial negative feelings or beliefs about a group that24 |
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42 | 42 | | a person holds without being aware of them.25 |
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43 | 43 | | (4) 'Implicit stereotypes' means the unconscious attributions of particular qualities to a26 |
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44 | 44 | | member of a certain social group. Implicit stereotypes are influenced by experience and27 |
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45 | 45 | | are based on learned associations between various qualities and social categories,28 |
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46 | 46 | | including race or gender.29 |
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47 | 47 | | (5) 'Perinatal care' means the provision of care during pregnancy, labor, delivery, and30 |
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48 | 48 | | postpartum and neonatal periods.31 |
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49 | 49 | | (6) 'Perinatal facility' means a hospital, clinic, or birthing center that provides perinatal32 |
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50 | 50 | | care.33 |
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51 | 51 | | (7) 'Pregnancy related death' means the death of a person while pregnant or within 36534 |
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52 | 52 | | days of the end of a pregnancy, irrespective of the duration or site of the pregnancy, from35 |
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53 | 53 | | H. B. 672 |
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54 | 54 | | - 2 - 25 LC 46 1065 |
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55 | 55 | | any cause related to, or aggravated by, the pregnancy or its management, but not from36 |
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56 | 56 | | accidental or incidental causes.37 |
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57 | 57 | | 31-2A-62.38 |
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58 | 58 | | (a) Every perinatal facility in this state shall implement an evidence based implicit bias39 |
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59 | 59 | | program for all healthcare professionals involved in the perinatal care of patients within40 |
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60 | 60 | | such facility.41 |
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61 | 61 | | (b) An implicit bias program implemented pursuant to subsection (a) of this Code section42 |
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62 | 62 | | shall include the following:43 |
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63 | 63 | | (1) Identification of previous or current unconscious biases and misinformation;44 |
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64 | 64 | | (2) Identification of personal, interpersonal, institutional, structural, and cultural barriers45 |
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65 | 65 | | to inclusion;46 |
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66 | 66 | | (3) Corrective measures to decrease implicit bias at the interpersonal and institutional47 |
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67 | 67 | | levels, including ongoing policies and practices for that purpose;48 |
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68 | 68 | | (4) Information on the effects, including, but not limited to, ongoing personal effects, of49 |
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69 | 69 | | historical and contemporary exclusion and oppression of minority communities;50 |
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70 | 70 | | (5) Information about cultural identity across racial or ethnic groups;51 |
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71 | 71 | | (6) Information about communicating more effectively across identities, including race,52 |
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72 | 72 | | ethnicity, religion, and gender;53 |
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73 | 73 | | (7) Discussion on power dynamics and organizational decision making;54 |
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74 | 74 | | (8) Discussion on health inequities within the perinatal care field, including information55 |
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75 | 75 | | on how implicit bias impacts maternal and infant health outcomes;56 |
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76 | 76 | | (9) Perspectives of diverse, local constituency groups and experts on particular racial,57 |
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77 | 77 | | identity, cultural, and provider-community relations issues in the community; and58 |
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78 | 78 | | (10) Information on reproductive justice.59 |
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79 | 79 | | (c)(1) A healthcare professional shall complete initial basic training through the implicit60 |
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80 | 80 | | bias program based on the components described in subsection (b) of this Code section.61 |
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81 | 81 | | H. B. 672 |
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82 | 82 | | - 3 - 25 LC 46 1065 |
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83 | 83 | | (2) Upon completion of the initial basic training, a healthcare professional shall complete62 |
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84 | 84 | | a refresher course under the implicit bias program every two years thereafter, or on a63 |
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85 | 85 | | more frequent basis if deemed necessary by the perinatal facility, in order to keep current64 |
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86 | 86 | | with changing racial, identity, and cultural trends and best practices in decreasing65 |
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87 | 87 | | interpersonal and institutional implicit bias.66 |
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88 | 88 | | (d) Each perinatal facility in this state shall provide a certificate of training completion to67 |
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89 | 89 | | another perinatal facility or a training attendee upon request. A perinatal facility may68 |
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90 | 90 | | accept a certificate of completion from another perinatal facility to satisfy the training69 |
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91 | 91 | | requirement contained in this Code section from a healthcare professional who works in70 |
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92 | 92 | | more than one perinatal facility.71 |
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93 | 93 | | (e) If a healthcare professional involved in the perinatal care of patients is not directly72 |
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94 | 94 | | employed by a perinatal facility, the facility shall offer the training to such healthcare73 |
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95 | 95 | | professional.74 |
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96 | 96 | | 31-2A-63.75 |
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97 | 97 | | (a)(1) The department shall collect and track data on severe maternal morbidity,76 |
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98 | 98 | | including, but not limited to, all of the following health conditions:77 |
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99 | 99 | | (A) Obstetric hemorrhage;78 |
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100 | 100 | | (B) Hypertension;79 |
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101 | 101 | | (C) Preeclampsia and eclampsia;80 |
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102 | 102 | | (D) Venous thromboembolism;81 |
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103 | 103 | | (E) Sepsis;82 |
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104 | 104 | | (F) Cerebrovascular accident; and83 |
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105 | 105 | | (G) Amniotic fluid embolism.84 |
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106 | 106 | | (2) The data on severe maternal morbidity collected pursuant to this subsection shall be85 |
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107 | 107 | | published at least once every three years after all of the following have occurred:86 |
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108 | 108 | | H. B. 672 |
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109 | 109 | | - 4 - 25 LC 46 1065 |
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110 | 110 | | (A) The data have been aggregated by state regions, as defined by the department, to87 |
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111 | 111 | | ensure the data reflect how regionalized care systems are or should be collaborating to88 |
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112 | 112 | | improve maternal health outcomes, or other smaller regional sorting based on standard89 |
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113 | 113 | | statistical methods for accurate dissemination of public health data without risking a90 |
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114 | 114 | | confidentiality or other disclosure breach; and91 |
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115 | 115 | | (B) The data have been disaggregated by racial and ethnic identity.92 |
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116 | 116 | | (b)(1) The department shall collect and track data on pregnancy related deaths, including,93 |
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117 | 117 | | but not limited to, all of the conditions listed in subsection (a) of this Code section,94 |
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118 | 118 | | indirect obstetric deaths, and other maternal disorders predominantly related to pregnancy95 |
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119 | 119 | | and complications predominantly related to the postpartum period.96 |
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120 | 120 | | (2) The data on pregnancy related deaths collected pursuant to this subsection shall be97 |
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121 | 121 | | published at least once every three years after all of the following have occurred:98 |
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122 | 122 | | (A) The data have been aggregated by state regions, as defined by the department, to99 |
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123 | 123 | | ensure the data reflect how regionalized care systems are or should be collaborating to100 |
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124 | 124 | | improve maternal health outcomes, or other smaller regional sorting based on standard101 |
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125 | 125 | | statistical methods for accurate dissemination of public health data without risking a102 |
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126 | 126 | | confidentiality or other disclosure breach; and103 |
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127 | 127 | | (B) The data have been disaggregated by racial and ethnic identity."104 |
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128 | 128 | | SECTION 2.105 |
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129 | 129 | | All laws and parts of laws in conflict with this Act are repealed.106 |
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130 | 130 | | H. B. 672 |
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131 | 131 | | - 5 - |
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