Massachusetts 2023-2024 Regular Session

Massachusetts House Bill H4392

Introduced
2/15/24  
Refer
2/15/24  

Caption

Relative to substance exposed newborns

Impact

The bill amends existing law under Chapter 119 and Chapter 111 of the General Laws of Massachusetts, particularly concerning the requirements for reporting and care of infants exposed to substances at birth. It establishes the 'Plan of Safe Care,' which is a framework aimed at ensuring the health and well-being of infants post-discharge from healthcare facilities. Moreover, the bill mandates the Department of Public Health to issue regulations and guidelines that will further delineate the responsibilities of healthcare providers in identifying and reporting prenatal substance exposure, enhancing care coordination between healthcare systems and child welfare services.

Summary

House Bill 4392, also known as the Act relative to Substance Exposed Newborns, seeks to amend existing laws regarding how the state handles newborns who have been prenatally exposed to substances. The bill introduces nuanced definitions related to prenatal substance exposure, aiming to clarify that such exposure does not independently warrant a report of suspected abuse or neglect. This legislation is designed to provide guidance for healthcare providers regarding reporting and care processes, thus improving the support framework for affected infants and their families.

Contention

A notable point of contention surrounding H4392 involves the potential implications for child welfare and the oversight mechanisms regarding prenatal substance exposure cases. Critics may argue that this legislation, while intended to improve care, could inadvertently downplay the severity of substance exposure and reduce protective measures for vulnerable infants. The bill emphasizes a collaborative approach involving diverse stakeholders, such as healthcare providers and social services, to address racial disparities and ensure equitable healthcare access for affected families. However, there are concerns regarding the practicality of these guidelines and their effectiveness in real-world implementations, particularly in instances where the exposure to substances is severe enough to necessitate intervention by child protective services.

Companion Bills

MA S275

Similar To Relative to licensed care and financial resource information for parents of newborns

MA H166

Similar To Relative to substance exposed newborns

MA H2236

Similar To Relative to LSDs (Lysosomal Storage Disorders) in infants

MA H2180

Similar To Including Krabbe Disease in newborn screening

MA S2576

Similar To Relative to expanding the newborn screening panel

MA S64

Replaces To support families

Previously Filed As

MA H166

Relative to substance exposed newborns

MA S129

Relative to medication-assisted treatment

MA SB1655

Prenatal substance exposure; care plan

MA HM52

Study Prenatal Substance Exposure

MA HM3

Prenatal Substance Exposure Task Force

MA LD156

An Act to Improve Notifications Related to Substance-exposed Infants

MA HB103

Child Exposure To Controlled Substance

MA SF0079

Plan of safe care-newborns.

MA HB434

Child Rights, Dept. Collaboration & Newborns

MA HB2530

Substance exposure; pregnant women; neglect

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