HLS 18RS-1978 ENGROSSED
2018 Regular Session
HOUSE BILL NO. 818
BY REPRESENTATIVE HILFERTY
PUBLIC HEALTH: Creates the Healthy Moms, Healthy Babies Advisory Council
1 AN ACT
2To amend and reenact R.S. 44:4.1(B)(26) and to enact R.S. 36:259(I)(1) and R.S. 40:2018.5,
3 relative to maternal and child health; to establish the Healthy Moms, Healthy Babies
4 Advisory Council; to provide for placement of the council within the executive
5 branch of government; to provide for the composition and duties of the council; to
6 provide for duties of the Louisiana Department of Health with respect to the council;
7 to provide for a public records exception; to provide for a termination date; and to
8 provide for related matters.
9Be it enacted by the Legislature of Louisiana:
10 Section 1. R.S. 36:259(I)(1) is hereby enacted to read as follows:
11 §259. Transfer of agencies and functions to Louisiana Department of Health
12 * * *
13 I. The following agencies, as defined in R.S. 36:3, are placed within the
14 Louisiana Department of Health and shall exercise and perform their powers, duties,
15 functions, and responsibilities in the manner provided for agencies transferred in
16 accordance with the provisions of R.S. 36:802:
17 (1) The Healthy Moms, Healthy Babies Advisory Council (R.S. 40:2018.5)
18 * * *
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1 Section 2. R.S. 40:2018.5 is hereby enacted to read as follows:
2 §2018.5. Healthy Moms, Healthy Babies Advisory Council creation; legislative
3 findings; composition, purpose, and duties of the council; termination
4 A. The legislature hereby finds and declares that research indicates maternal
5 mortality, severe maternal morbidity, and unexpected outcomes of pregnancy and
6 birth resulting in significant health consequences are rising in the United States; and
7 that these outcomes occur more frequently in Louisiana than in other states.
8 B.(1) The legislature hereby creates within the Louisiana Department of
9 Health the Healthy Moms, Healthy Babies Advisory Council, referred to hereafter
10 in this Section as the "council", for the purpose of working with existing state entities
11 focused on maternal death and severe maternal morbidity.
12 (2) The council shall address racial and ethnic disparities in maternal health
13 outcomes and incorporate a community-engaged, equity-focused lens into current
14 programs and campaigns which seek to prevent maternal mortality and severe
15 maternal morbidity, and shall promote safe and equitable care for every mother and
16 every birth in this state.
17 (3) The council shall be composed of the following members:
18 (a) The secretary of the Louisiana Department of Health or his designee.
19 (b) The assistant secretary of the office of public health of the Louisiana
20 Department of Health or his designee.
21 (c) The executive director of the office on women's policy within the office
22 of the governor or his designee.
23 (d) One member of the House of Representatives appointed by the speaker
24 of the House of Representatives.
25 (e) One member of the Senate appointed by the president of the Senate.
26 (f) Two representatives of community-based organizations that work to
27 prevent maternal mortality appointed by the governor.
28 (g) One representative of the American College of Obstetricians and
29 Gynecologists appointed by the governor.
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1 (h) One representative of an organization seeking to address infant mortality,
2 birth equity, and infant wellness in Louisiana appointed by the governor.
3 (i) One representative of an organization providing doula services or
4 community-based support services for women giving birth in Louisiana appointed
5 by the governor.
6 (j) One representative of the Commission on Perinatal Care and Prevention
7 of Infant Mortality appointed by the secretary of the Louisiana Department of
8 Health.
9 (k) One representative of the Louisiana State Coroners Association
10 appointed by the president of the Senate.
11 (l) One representative of a community-based organization providing
12 substance abuse counseling appointed by the president of the Senate.
13 (m) One representative of the Louisiana District Attorneys Association
14 appointed by the speaker of the House of Representatives.
15 (n) One representative of a community-based organization advocating
16 against domestic violence appointed by the speaker of the House of Representatives.
17 (o) Two at-large representatives appointed by the governor.
18 (4) The council shall elect from among its members a chairperson.
19 (5) Members of the council shall serve without compensation.
20 C.(1) The council shall hold quarterly public meetings unless otherwise
21 provided by vote of the council or by order of the chairperson.
22 (2) The council may establish subcommittees and appoint persons to those
23 bodies, including persons who are not council members, as it deems necessary and
24 appropriate to accomplish its goals.
25 (3) The Louisiana Department of Health shall provide staff support to the
26 council.
27 D. The council shall perform all of the following tasks:
28 (1) Evaluate functions and activities of existing groups focused on maternal
29 mortality in order to collaborate with and engage stakeholders.
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1 (2) Support and contextualize reporting of maternal outcomes data
2 disaggregated by race and ethnicity where possible.
3 (3) Incorporate an ongoing community advisory process into existing state
4 committees and collaboratives that generate data, recommendations, and proposals
5 for health system changes relevant to maternal mortality and morbidity, prioritizing
6 representation from organizations led by members of affected, historically
7 marginalized communities.
8 (4) Establish guidelines for specific data components relevant to birth equity
9 to be included in state and agency reports on maternal mortality and morbidity,
10 including a plan for timely dissemination of reports on maternal mortality, morbidity,
11 and related disparities to legislators, healthcare organizations, and other key
12 stakeholders.
13 (5) Make recommendations on further policy options to ensure that the state
14 establishes ongoing public health monitoring and activated response to eliminate
15 cases of and disparities in maternal mortality and morbidity.
16 (6) Issue a report of its findings and recommendations to the Commission
17 on Perinatal Care and Prevention of Infant Mortality, the governor, the speaker of the
18 House of Representatives, and the president of the Senate. Subject to the conditions
19 of Subparagraph (7)(c) of this Subsection, the report may include any
20 recommendations for legislation that the council deems necessary and appropriate.
21 (7)(a) Issue research findings, reports, and recommendations for legislation
22 at the discretion of the council.
23 (b) The council may issue a recommendation for legislation only if approved
24 by a two-thirds vote of council members present and voting.
25 E.(1) Notwithstanding any other provision of law to the contrary, the council
26 may request that the Louisiana Department of Health produce or provide data to
27 inform the work of the council. All such data shall be confidential and shall not be
28 available for subpoena, nor shall such information be disclosed, discoverable, or
29 compelled to be produced in any civil, criminal, administrative, or other proceeding
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1 nor shall such records be deemed admissible as evidence in any civil, criminal,
2 administrative, or other tribunal or court for any reason.
3 (2) Nothing in this Subsection shall prohibit the publishing of statistical
4 compilations relating to maternal mortality or morbidity which do not identify
5 individual cases or individual physicians, hospitals, clinics, or other healthcare
6 providers.
7 F. This Section shall terminate on March 31, 2021.
8 Section 3. R.S. 44:4.1(B)(26) is hereby amended and reenacted to read as follows:
9 §4.1. Exceptions
10 * * *
11 B. The legislature further recognizes that there exist exceptions, exemptions,
12 and limitations to the laws pertaining to public records throughout the revised
13 statutes and codes of this state. Therefore, the following exceptions, exemptions, and
14 limitations are hereby continued in effect by incorporation into this Chapter by
15 citation:
16 * * *
17 (26) R.S. 40:3.1, 31.14, 31.27, 39.1, 41, 73, 95, 96, 526, 528, 1007, 1061.21,
18 1079.18, 1081.10, 1105.6, 1105.8, 1133.8, 1171.4, 1203.4, 1231.4, 1379.1.1(D),
19 1379.3, 2009.8, 2009.14, 2010.5, 2017.9, 2018, 2018.5, 2019, 2020, 2106, 2138,
20 2532, 2845.1
21 * * *
22 Section 4. The secretary of the Louisiana Department of Health shall take such
23actions as are necessary to ensure that the initial convening of the Healthy Moms, Healthy
24Babies Advisory Council created by Section 1 of this Act occurs on or before October 1,
252018.
26 Section 5. The Healthy Moms, Healthy Babies Advisory Council shall issue the
27report required by R.S. 40:2018.5(D)(6), as enacted by Section 1 of this Act, on or before
28February 1, 2020.
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1 Section 6. This Act shall become effective upon signature by the governor or, if not
2signed by the governor, upon expiration of the time for bills to become law without signature
3by the governor, as provided by Article III, Section 18 of the Constitution of Louisiana. If
4vetoed by the governor and subsequently approved by the legislature, this Act shall become
5effective on the day following such approval.
DIGEST
The digest printed below was prepared by House Legislative Services. It constitutes no part
of the legislative instrument. The keyword, one-liner, abstract, and digest do not constitute
part of the law or proof or indicia of legislative intent. [R.S. 1:13(B) and 24:177(E)]
HB 818 Engrossed 2018 Regular Session Hilferty
Abstract: Establishes and provides for the Healthy Moms, Healthy Babies Advisory
Council.
Proposed law creates the Healthy Moms, Healthy Babies Advisory Council, referred to
hereafter as the "council", within the La. Department of Health (LDH).
Proposed law provides that the council shall address racial and ethnic disparities in maternal
health outcomes and incorporate a community-engaged, equity-focused lens into current
programs and campaigns which seek to prevent maternal mortality and severe maternal
morbidity, and shall promote safe and equitable care for every mother and every birth in this
state.
Proposed law provides that the council shall be composed of the following 17 members:
(1)The secretary of LDH or his designee.
(2)The assistant secretary of the office of public health or his designee.
(3)The executive director of the office on women's policy or his designee.
(4)One member appointed of the House of Representatives appointed by the speaker of
the House.
(5)One member of the Senate appointed by the Senate president.
(6)Two representatives of community-based organizations that work to prevent
maternal mortality appointed by the governor.
(7)One representative of the American College of Obstetricians and Gynecologists
appointed by the governor.
(8)One representative of an organization seeking to address infant mortality, birth
equity, and infant wellness in La. appointed by the governor.
(9)One representative of an organization providing doula services or community-based
support services for women giving birth in La. appointed by the governor.
(10)One representative of the Commission on Perinatal Care and Prevention of Infant
Mortality appointed by the secretary of LDH.
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(11)One representative of the La. State Coroners Association appointed by the Senate
president.
(12)One representative of a community-based organization providing substance abuse
counseling appointed by the Senate president.
(13)One representative of the La. District Attorneys Association appointed by the
speaker of the House.
(14)One representative of a community-based organization advocating against domestic
violence appointed by the speaker of the House.
(15)Two at-large representatives appointed by the governor.
Proposed law requires the secretary of LDH to cause the initial convening of the council to
occur on or before October 1, 2018.
Proposed law stipulates that members of the council shall serve without compensation.
Proposed law requires the council to hold quarterly public meetings unless otherwise
provided by vote of the council or by order of the chairperson.
Proposed law requires that LDH provide staff support to the council.
Proposed law requires the council to perform all of the following tasks:
(1)Evaluate functions and activities of existing groups focused on maternal mortality
in order to collaborate with and engage stakeholders.
(2)Support and contextualize reporting of maternal outcomes data disaggregated by race
and ethnicity where possible.
(3)Incorporate an ongoing community advisory process into existing state committees
and collaboratives that generate data, recommendations, and proposals for health
system changes relevant to maternal mortality and morbidity, prioritizing
representation from organizations led by members of affected, historically
marginalized communities.
(4)Establish guidelines for specific data components relevant to birth equity to be
included in state and agency reports on maternal mortality and morbidity, including
a plan for timely dissemination of reports on maternal mortality, morbidity, and
related disparities to legislators, healthcare organizations, and other key stakeholders.
(5)Make recommendations on further policy options to ensure that the state establishes
ongoing public health monitoring and activated response to eliminate cases of and
disparities in maternal mortality and morbidity.
(6)Issue a report of its findings and recommendations on or before February 1, 2020,
to the Commission on Perinatal Care and Prevention of Infant Mortality, the
governor, the speaker of the House of Representatives, and the president of the
Senate.
(7)Issue research findings, reports, and recommendations for legislation at the
discretion of the council.
Proposed law provides that notwithstanding any provision of present law to the contrary, the
council may request that LDH produce or provide data to inform the work of the council.
Provides that all such data shall be confidential and shall not be available for subpoena, and
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that such information shall not be disclosed, discoverable, or compelled to be produced in
any civil, criminal, administrative, or other proceeding, or be deemed admissible as evidence
in any tribunal or court. Exempts such information from present law relative to public
records, R.S. 44:1 et seq.
Proposed law stipulates that nothing therein shall prohibit the publishing of statistical
compilations relating to maternal mortality or morbidity which do not identify individual
cases or individual physicians, hospitals, clinics, or other healthcare providers.
Proposed law terminates on March 31, 2021.
Effective upon signature of governor or lapse of time for gubernatorial action.
(Amends R.S. 44:4.1(B)(26); Adds R.S. 36:259(I)(1) and R.S. 40:2018.5)
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