Massachusetts 2023-2024 Regular Session

Massachusetts Senate Bill S1335 Compare Versions

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22 SENATE DOCKET, NO. 1966 FILED ON: 1/20/2023
33 SENATE . . . . . . . . . . . . . . No. 1335
44 The Commonwealth of Massachusetts
55 _________________
66 PRESENTED BY:
77 Joanne M. Comerford
88 _________________
99 To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
1010 Court assembled:
1111 The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:
1212 An Act updating the regulations governing licensed birth centers in Massachusetts.
1313 _______________
1414 PETITION OF:
1515 NAME:DISTRICT/ADDRESS :Joanne M. ComerfordHampshire, Franklin and WorcesterJack Patrick Lewis7th Middlesex1/30/2023Jason M. LewisFifth Middlesex1/31/2023Lydia EdwardsThird Suffolk2/6/2023Rebecca L. RauschNorfolk, Worcester and Middlesex2/7/2023Thomas M. Stanley9th Middlesex2/15/2023Anne M. GobiWorcester and Hampshire2/15/2023James B. EldridgeMiddlesex and Worcester2/20/2023Patricia D. JehlenSecond Middlesex3/3/2023 1 of 3
1616 SENATE DOCKET, NO. 1966 FILED ON: 1/20/2023
1717 SENATE . . . . . . . . . . . . . . No. 1335
1818 By Ms. Comerford, a petition (accompanied by bill, Senate, No. 1335) of Joanne M. Comerford,
1919 Jack Patrick Lewis, Jason M. Lewis, Lydia Edwards and other members of the General Court for
2020 legislation to update the regulations governing licensed birth centers in Massachusetts. Public
2121 Health.
2222 The Commonwealth of Massachusetts
2323 _______________
2424 In the One Hundred and Ninety-Third General Court
2525 (2023-2024)
2626 _______________
2727 An Act updating the regulations governing licensed birth centers in Massachusetts.
2828 Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
2929 of the same, as follows:
3030 1 SECTION 1. Section 51 of chapter 111 of the General Laws, as appearing in the 2020
3131 2Official Edition, is hereby amended by adding after the word “Gynecologists,” in line 106, the
3232 3following words:- , American College of Nurse Midwives, American Association of Birth
3333 4Centers.
3434 5 SECTION 2. (a) The department of public health shall promulgate revised regulations
3535 6under the Code of Massachusetts Regulations 105 CMR 140.000 and 142.000 governing the
3636 7facility and operation of licensed birth centers in consultation with Seven Sisters Birth Center,
3737 8Neighborhood Birth Center, American College of Nurse Midwives Massachusetts Affiliate, and
3838 9other entities operating or planning to open birth centers in Massachusetts to bring the
3939 10regulations in accordance with chapter 111 of the General Laws and the standards of the
4040 11American Association of Birth Centers or any successor organization, and to ensure safe,
4141 12equitable and accessible birth options for birth center clients. 2 of 3
4242 13 (b) The regulations shall include, but not be limited to, the following provisions:
4343 14 (i) a licensed free-standing birth center shall have a detailed and written plan on the
4444 15premises for transfer of a client to a nearby hospital providing obstetrical and newborn services
4545 16as needed for emergency treatment beyond that provided by the birth center;
4646 17 (ii) a licensed free-standing birth center shall develop policies and procedures to ensure
4747 18coordination of ongoing care and transfer when complications occur which render the patient
4848 19ineligible for birth center care during the antepartum, intrapartum or postpartum period;
4949 20 (iii) the department shall not require a licensed free-standing birth center or the directors
5050 21and providers on staff to practice under the supervision of a hospital or another health care
5151 22provider or to enter into an agreement, written or otherwise, with another hospital or health care
5252 23provider, or maintain privileges at a hospital;
5353 24 (iv) a licensed free-standing birth center shall have an administrative director responsible
5454 25for implementing and overseeing the operational policies of the birth center;
5555 26 (v) a licensed free-standing birth center shall have a director of clinical affairs on staff
5656 27who shall be a nurse midwife or physician licensed and in good standing in Massachusetts whose
5757 28professional scope of practice includes preconception, prenatal, labor, birth, and postpartum care
5858 29and early care of the newborn and who may be the primary attendants during the perinatal period
5959 30in accordance with chapter 112 of the General Laws; and
6060 31 (vi) birth attendants at licensed free-standing birth centers shall be midwives, physicians,
6161 32or other providers licensed and in good standing in Massachusetts whose professional scope of
6262 33practice includes preconception, prenatal, labor, birth, and postpartum care and early care of the 3 of 3
6363 34newborn and who may be the primary attendants in accordance with chapter 112 of the General
6464 35Laws.
6565 36 SECTION 3. The department shall issue the revised regulations under section 2 of this
6666 37act no later than 180 days after the effective date of this act.