MD
Maryland House Bill HB1051

Maryland 2024 Regular Session

Maryland House Bill HB1051 Compare Versions

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1- WES MOORE, Governor Ch. 799
21
3-– 1 –
4-Chapter 799
5-(House Bill 1051)
62
7-AN ACT concerning
3+EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTIN G LAW.
4+ [Brackets] indicate matter deleted from existing law.
5+ Underlining indicates amendments to bill.
6+ Strike out indicates matter stricken from the bill by amendment or deleted from the law by
7+amendment.
8+ *hb1051*
89
9-Maternal Health – Assessments, Referrals, and Reporting
10-(Maryland Maternal Health Act of 2024)
10+HOUSE BILL 1051
11+J1, J3 4lr1994
12+ CF SB 1059
13+By: Delegates White Holland, Wilkins, Boafo, Boyce, Crutchfield, Fennell,
14+Guzzone, Harris, Hill, Kerr, R. Lewis, Mireku–North, Patterson, Phillips,
15+Roberson, Roberts, Ruff, Taveras, Toles, Turner, Wells, Williams, Wims, and
16+Woods Woods, Pena–Melnyk, Cullison, Alston, Bagnall, Bhandari,
17+Chisholm, Hutchinson, S. Johnson, Kaiser, Kipke, Martinez, M. Morgan,
18+Reilly, Rosenberg, and Szeliga
19+Introduced and read first time: February 7, 2024
20+Assigned to: Health and Government Operations
21+Committee Report: Favorable with amendments
22+House action: Adopted
23+Read second time: March 7, 2024
1124
12-FOR the purpose of establishing requirements on local health departments and certain
13-health care providers and facilities regarding maternal health, including
14-requirements regarding prenatal risk assessment forms and postpartum infant and
15-maternal referral forms; prohibiting the Maryland Department of Health from
16-providing Medical Assistance Program reimbursement to a hospital or freestanding
17-birthing center unless the facility complies with certain provisions of this Act;
18-requiring the Secretary of Health, in collaboration with the Maryland Health Care
19-Commission, to develop a Maryland Report Card for Birthing Facility Maternity
20-Care; requiring the Department to conduct a certain study of incidents of severe
21-maternal morbidity in the State hospitals and freestanding birthing centers to
22-participate in the Severe Maternal Morbidity Surveillance Program for a certain
23-purpose; and generally relating to maternal health.
25+CHAPTER ______
2426
25-BY repealing and reenacting, without amendments,
26- Article – Health – General
27-Section 15–101(a), (h), and (i), 19–301(a) and (f), and 19–3B–01(a) and (d)
28- Annotated Code of Maryland
29- (2023 Replacement Volume)
27+AN ACT concerning 1
3028
31-BY adding to
32- Article – Health – General
33-Section 15–155, 19–310.4, and 19–3B–03.1; and 24–2401 and 24–2402 to be under
34-the new subtitle “Subtitle 24. Report Card for Birthing Facility Maternity
35-Care”
36- Annotated Code of Maryland
37- (2023 Replacement Volume)
29+Maternal Health – Assessments, Referrals, and Reporting 2
30+(Maryland Maternal Health Act of 2024) 3
3831
39- SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND,
40-That the Laws of Maryland read as follows:
32+FOR the purpose of establishing requirements on local health departments and certain 4
33+health care providers and facilities regarding maternal healt h, including 5
34+requirements regarding prenatal risk assessment forms and postpartum infant and 6
35+maternal referral forms; prohibiting the Maryland Department of Health from 7
36+providing Medical Assistance Program reimbursement to a hospital or freestanding 8
37+birthing center unless the facility complies with certain provisions of this Act; 9
38+requiring the Secretary of Health, in collaboration with the Maryland Health Care 10
39+Commission, to develop a Maryland Report Card for Birthing Facility Maternity 11
40+Care; requiring the Department to conduct a certain study of incidents of severe 12
41+maternal morbidity in the State hospitals and freestanding birthing centers to 13
42+participate in the Severe Maternal Morbidity Surveillance Program for a certain 14
43+purpose; and generally relating to maternal health. 15
4144
42-Article – Health – General
45+BY repealing and reenacting, without amendments, 16
46+ Article – Health – General 17
47+Section 15–101(a), (h), and (i), 19–301(a) and (f), and 19–3B–01(a) and (d) 18
48+ Annotated Code of Maryland 19 2 HOUSE BILL 1051
4349
44-15–101.
4550
46- (a) In this title the following words have the meanings indicated.
51+ (2023 Replacement Volume) 1
4752
48- (h) “Program” means the Maryland Medical Assistance Program.
49- Ch. 799 2024 LAWS OF MARYLAND
53+BY adding to 2
54+ Article – Health – General 3
55+Section 15–155, 19–310.4, and 19–3B–03.1; and 24–2401 and 24–2402 to be under 4
56+the new subtitle “Subtitle 24. Report Card for Birthing Facility Maternity 5
57+Care” 6
58+ Annotated Code of Maryland 7
59+ (2023 Replacement Volume) 8
5060
51-– 2 –
52- (i) “Program recipient” means an individual who receives benefits under the
53-Program.
61+ SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 9
62+That the Laws of Maryland read as follows: 10
5463
55-15–155.
64+Article – Health – General 11
5665
57- (A) IN THIS SECTION, “PRENATAL RISK ASSESS MENT FORM ” MEANS A
58-STANDARDIZED FORM DE VELOPED BY THE DEPARTMENT IN ACCORDA NCE WITH
59-THE CENTERS FOR MEDICARE AND MEDICAID SERVICES GUIDELINES F OR USE BY
60-A LICENSED HEALTH CA RE PROVIDER TO EVALU ATE RISK FACTORS FOR THE
61-HEALTH OF A PREGNANT PATIENT .
66+15–101. 12
6267
63- (B) A PROVIDER WHO RECEIVE S REIMBURSEMENT FROM THE PROGRAM
64-FOR PROVIDING OBSTET RIC SERVICES TO A PA TIENT SHALL COMPLETE A PRENATAL
65-RISK ASSESSMENT FORM FOR THE PATIENT :
68+ (a) In this title the following words have the meanings indicated. 13
6669
67- (1) DURING DURING THE INITIAL VISIT WITH THE PATIENT ; AND
70+ (h) “Program” means the Maryland Medical Assistance Program. 14
6871
69- (2) DURING THE THIRD TRIM ESTER OF THE PATIENT ’S PREGNANCY .
72+ (i) “Program recipient” means an individual who receives benefits under the 15
73+Program. 16
7074
71- (C) AFTER COMPLETING A PR ENATAL RISK ASSESSME NT FORM IN
72-ACCORDANCE WITH SUBS ECTION (B) OF THIS SECTION , THE PROVIDER SHALL
73-SUBMIT THE FORM TO T HE LOCAL HEALTH DEPA RTMENT FOR THE COUNT Y IN
74-WHICH THE PATIENT RESIDES .
75+15–155. 17
7576
76- (D) ON OR BEFORE OCTOBER 1 EACH YEAR , EACH LOCAL HEALTH
77-DEPARTMENT SHALL SUB MIT TO THE DEPARTMENT A REPORT T HAT INCLUDES THE
78-NUMBER AND TYPE OF R EFERRALS MADE TO PAT IENTS THAT WERE BASE D ON THE
79-INFORMATION FROM THE PRENATAL RISK ASSE SSMENT FORM COMPLETE D IN
80-ACCORDANCE WITH SUBS ECTION (B) OF THIS SECTION.
77+ (A) IN THIS SECTION , “PRENATAL RISK ASSESS MENT FORM ” MEANS A 18
78+STANDARDIZED FORM DE VELOPED BY THE DEPARTMENT IN ACCORDA NCE WITH 19
79+THE CENTERS FOR MEDICARE AND MEDICAID SERVICES GUIDELINES FOR USE BY 20
80+A LICENSED HEALTH CA RE PROVIDER TO EVALU ATE RISK FACTORS FOR THE 21
81+HEALTH OF A PREGNANT PATIENT. 22
8182
82- (E) THE DEPARTMENT SHALL ESTA BLISH A PROCESS FOR A PROVIDER TO
83-SUBMIT A PRENATAL RI SK ASSESSMENT FORM E LECTRONICALLY .
83+ (B) A PROVIDER WHO RECEIVE S REIMBURSEMENT FROM THE PROGRAM 23
84+FOR PROVIDING OBSTET RIC SERVICES TO A PA TIENT SHALL COMPLETE A PRENATAL 24
85+RISK ASSESSMENT FORM FOR THE PATIENT : 25
8486
85-19–301.
87+ (1) DURING DURING THE INITIAL VISIT WITH THE PATIENT ; AND 26
8688
87- (a) In this subtitle the following words have the meanings indicated.
89+ (2) DURING THE THIRD TRIM ESTER OF THE PATIENT ’S PREGNANCY . 27
8890
89- (f) “Hospital” means an institution that:
91+ (C) AFTER COMPLETING A PR ENATAL RISK ASSESSME NT FORM IN 28
92+ACCORDANCE WITH SUBS ECTION (B) OF THIS SECTION, THE PROVIDER SHALL 29
93+SUBMIT THE FORM TO T HE LOCAL HEALTH DEPA RTMENT FOR THE COUNT Y IN 30
94+WHICH THE PATIENT RE SIDES. 31
95+ HOUSE BILL 1051 3
9096
91- (1) Has a group of at least 5 physicians who are organized as a medical
92-staff for the institution;
9397
94- (2) Maintains facilities to provide, under the supervision of the medical
95-staff, diagnostic and treatment services for 2 or more unrelated individuals; and WES MOORE, Governor Ch. 799
98+ (D) ON OR BEFORE OCTOBER 1 EACH YEAR , EACH LOCAL HEALTH 1
99+DEPARTMENT SHALL SUB MIT TO THE DEPARTMENT A REPORT T HAT INCLUDES THE 2
100+NUMBER AND TYPE OF REFER RALS MADE TO PATIENT S THAT WERE BASED ON THE 3
101+INFORMATION FROM THE PRENATAL RISK ASSESS MENT FORM COMPLETED IN 4
102+ACCORDANCE WITH SUBS ECTION (B) OF THIS SECTION. 5
96103
97-– 3 –
104+ (E) THE DEPARTMENT SHALL ESTA BLISH A PROCESS FOR A PROVIDER TO 6
105+SUBMIT A PRENA TAL RISK ASSESSMENT FORM ELECTRONICALLY . 7
98106
99- (3) Admits or retains the individuals for overnight care.
107+19–301. 8
100108
101-19–310.4.
109+ (a) In this subtitle the following words have the meanings indicated. 9
102110
103- (A) IF A NEWBORN IS DELIV ERED IN A HOSPITAL F OLLOWING A HIGH –RISK
104-PREGNANCY , THE HOSPITAL SHALL :
111+ (f) “Hospital” means an institution that: 10
105112
106- (1) COMPLETE A POSTPARTUM INFANT AN D MATERNAL REFERRAL
107-FORM AND SUBMIT THE FORM TO THE LOCAL HE ALTH DEPARTMENT FOR THE
108-COUNTY IN WHICH THE BIRTHING PARENT RESI DES;
113+ (1) Has a group of at least 5 physicians who are organized as a medical 11
114+staff for the institution; 12
109115
110- (2) PROVIDE TO THE BIRTHI NG PARENT RESOURCES AND
111-INFORMATION SPECIFIC TO THE CIRCUMSTANCES OF THE BIRTHI NG PARENT ,
112-INCLUDING INFORMATIO N REGARDING THE RISK S, SIGNS, PREVENTIVE MEASURES ,
113-AND TREATMENT NEEDS FOR POSTPARTUM COMPL ICATIONS, INCLUDING
114-CARDIOVASCULAR CONDI TIONS, CHRONIC DISEASE , SUBSTANCE MISUSE , AND
115-MENTAL HEALTH CONDIT IONS; AND
116+ (2) Maintains facilities to provide, under the supervision of the medical 13
117+staff, diagnostic and treatment services for 2 or more unrelated individuals; and 14
116118
117- (3) CALL THE BIRTHING PARENT WITHIN 12 AT LEAST 24, BUT NOT
118-LATER THAN 48, HOURS AFTER DISCHARG ING THE PARENT TO EV ALUATE THE
119-PARENT’S STATUS AND , AS NECESSARY , PROVIDE INFORMATION ABOUT
120-POSTPARTUM COMPLICAT IONS.
119+ (3) Admits or retains the individuals for overnight care. 15
121120
122- (B) ON OR BEFORE MAY OCTOBER 1 EACH YEAR, EACH LOCAL HEA LTH
123-DEPARTMENT SHALL SUB MIT TO THE DEPARTMENT A REPORT T HAT INCLUDES THE
124-NUMBER AND TYPE OF R EFERRALS MADE BASED ON THE REFERRAL FORM S
125-SUBMITTED TO THE LOC AL HEALTH DEPARTMENT IN ACCORDANCE WITH
126-SUBSECTION (A)(1) OF THIS SECTION.
121+19–310.4. 16
127122
128- (C) THE DEPARTMENT MAY N OT PROVIDE MEDICAL ASSISTANCE
129-PROGRAM REIMBURSEMENT TO A HOSPITAL FOR SE RVICES RELATED TO TH E
130-DELIVERY OF A NEWBOR N FOLLOWING A HIGH –RISK PREGNANCY UNLES S THE
131-HOSPITAL COMPLIES WI TH SUBSECTION (A)(1) OF THIS SECTION.
123+ (A) IF A NEWBORN IS DELIVERED IN A HOSPITAL FOLLOW ING A HIGH–RISK 17
124+PREGNANCY , THE HOSPITAL SHALL : 18
132125
133-19–3B–01.
126+ (1) COMPLETE A POSTPARTUM INFANT AND MATERNAL REFERRAL 19
127+FORM AND SUBMIT THE FORM TO THE LOCAL HE ALTH DEPARTMENT FOR THE 20
128+COUNTY IN WHICH THE BIRTHING PARENT RESI DES; 21
134129
135- (a) In this subtitle the following words have the meanings indicated.
130+ (2) PROVIDE TO THE BIRTHI NG PARENT RESOURCES AND 22
131+INFORMATION SPECIFIC TO THE CIRCUMSTANCES OF THE BIRTHING PARE NT, 23
132+INCLUDING INFORMATIO N REGARDING THE RISK S, SIGNS, PREVENTIVE MEASURES , 24
133+AND TREATMENT NEEDS FOR POSTPARTUM COMPL ICATIONS, INCLUDING 25
134+CARDIOVAS CULAR CONDITIONS , CHRONIC DISEASE , SUBSTANCE MISUSE , AND 26
135+MENTAL HEALTH CONDIT IONS; AND 27
136136
137- (d) (1) “Freestanding birthing center” means a facility that provides nurse
138-midwife services under Title 8, Subtitle 6 of the Health Occupations Article.
137+ (3) CALL THE BIRTHING PAR ENT WITHIN 12 AT LEAST 24, BUT NOT 28
138+LATER THAN 48, HOURS AFTER DISCHARG ING THE PARENT TO EV ALUATE THE 29
139+PARENT’S STATUS AND , AS NECESSARY , PROVIDE INFORMATION ABOUT 30
140+POSTPARTUM COMPLICAT IONS. 31
141+ 4 HOUSE BILL 1051
139142
140- (2) “Freestanding birthing center” does not include:
141- Ch. 799 2024 LAWS OF MARYLAND
142143
143-– 4 –
144- (i) A hospital regulated under Subtitle 2 of this title; or
144+ (B) ON OR BEFORE MAY OCTOBER 1 EACH YEAR, EACH LOCAL HEALTH 1
145+DEPARTMENT SHALL SUB MIT TO THE DEPARTMENT A REPORT T HAT INCLUDES THE 2
146+NUMBER AND TYPE OF R EFERRALS MADE BASED ON THE REFERRAL FORM S 3
147+SUBMITTED T O THE LOCAL HEALTH D EPARTMENT IN ACCORDA NCE WITH 4
148+SUBSECTION (A)(1) OF THIS SECTION. 5
145149
146- (ii) The private residence of the mother.
150+ (C) THE DEPARTMENT MAY NOT PR OVIDE MEDICAL ASSISTANCE 6
151+PROGRAM REIMBURSEMENT TO A HOSPITAL FOR SE RVICES RELATED TO TH E 7
152+DELIVERY OF A NEWBOR N FOLLOWING A HIGH –RISK PREGNANCY UNLESS THE 8
153+HOSPITAL COMPLIES WI TH SUBSECTION (A)(1) OF THIS SECTION. 9
147154
148-19–3B–03.1.
155+19–3B–01. 10
149156
150- (A) IF A NEWBORN IS DELIV ERED IN A FREESTANDI NG BIRTHING CENTER
151-FOLLOWING A HIGH –RISK PREGNANCY , THE FREESTANDING BIR THING CENTER
152-SHALL:
157+ (a) In this subtitle the following words have the meanings indicated. 11
153158
154- (1) COMPLETE A POSTPARTUM INFANT AND MATERNAL REFERRAL
155-FORM AND SUBMIT THE FORM TO THE LOCAL HE ALTH DEPARTMENT FOR THE
156-COUNTY IN WHICH THE BIRTHING PARENT RESI DES;
159+ (d) (1) “Freestanding birthing center” means a facility that provides nurse 12
160+midwife services under Title 8, Subtitle 6 of the Health Occupations Article. 13
157161
158- (2) PROVIDE TO THE BIRTHI NG PARENT RESOURCES AND
159-INFORMATION SPECIFIC TO THE CI RCUMSTANCES OF THE B IRTHING PARENT ,
160-INCLUDING INFORMATIO N REGARDING THE RISK S, SIGNS, PREVENTIVE MEASURES ,
161-AND TREATMENT NEEDS FOR POSTPARTUM COMPL ICATIONS, INCLUDING
162-CARDIOVASCULAR CONDI TIONS, CHRONIC DISEASE , SUBSTANCE MISUSE , AND
163-MENTAL HEALTH CONDIT IONS; AND
162+ (2) “Freestanding birthing center” does not include: 14
164163
165- (3) CALL THE BIRTHING PAR ENT WITHIN 12 AT LEAST 24, BUT NOT
166-LATER THAN 48, HOURS AFTER DISCHARG ING THE PARENT TO EV ALUATE THE
167-PARENT’S STATUS AND , AS NECESSARY , PROVIDE INFORMATION ABOUT
168-POSTPARTUM COMPLICAT IONS.
164+ (i) A hospital regulated under Subtitle 2 of this title; or 15
169165
170- (B) ON OR BEFORE MAY OCTOBER 1 EACH YEAR, EACH LOCAL HEALTH
171-DEPARTMENT SHALL SUB MIT TO THE DEPARTMENT A REPORT T HAT INCLUDES THE
172-NUMBER AND TYPE OF R EFERRALS MADE BASED ON THE REFERRAL FORM S
173-SUBMITTED TO THE LOC AL HEALTH DEPARTMENT IN ACCORDANCE WITH
174-SUBSECTION (A)(1) OF THIS SECTION.
166+ (ii) The private residence of the mother. 16
175167
176- (C) THE DEPARTMENT MAY NOT PR OVIDE MEDICAL ASSISTANCE
177-PROGRAM REIMBURSEMENT TO A FREESTANDING BI RTHING CENTER FOR SE RVICES
178-RELATED TO THE DELIV ERY OF A NEWBORN FOL LOWING A HIGH –RISK PREGNANCY
179-UNLESS THE FREESTAND ING BIRTHING CENTER COMPLIES WITH SUBSEC TION (A)(1)
180-OF THIS SECTION.
168+19–3B–03.1. 17
181169
182-SUBTITLE 24. REPORT CARD FOR BIRTHING FACILITY MATERNITY CARE.
170+ (A) IF A NEWBORN IS DELIVERED IN A FREESTANDING BIRTH ING CENTER 18
171+FOLLOWING A HIGH –RISK PREGNANCY , THE FREESTANDING BIR THING CENTER 19
172+SHALL: 20
183173
184-24–2401.
185- WES MOORE, Governor Ch. 799
174+ (1) COMPLETE A POSTPARTUM INFANT AND MATERNAL REFERRAL 21
175+FORM AND SUBMIT THE FORM TO THE LOCAL HE ALTH DEPARTMENT FOR THE 22
176+COUNTY IN WHICH THE BIRTHING P ARENT RESIDES ; 23
186177
187-– 5 –
188- (A) IN THIS SUBTITLE THE FOLLOWING WORDS HAVE THE MEANING
189-INDICATED.
178+ (2) PROVIDE TO THE BIRTHI NG PARENT RESOURCES AND 24
179+INFORMATION SPECIFIC TO THE CIRCUMSTANCES OF THE BIRTHING PARE NT, 25
180+INCLUDING INFORMATIO N REGARDING THE RISK S, SIGNS, PREVENTIVE MEASURES , 26
181+AND TREATMENT NEEDS FOR POSTPART UM COMPLICATIONS , INCLUDING 27
182+CARDIOVASCULAR CONDI TIONS, CHRONIC DISEASE , SUBSTANCE MISUSE , AND 28
183+MENTAL HEALTH CONDIT IONS; AND 29
190184
191- (B) “BIRTHING FACILITY ” MEANS A FREESTANDING BIRTHING CENTER OR
192-A HOSPITAL THAT PRO VIDES OBSTETRIC CARE .
185+ (3) CALL THE BIRTHING PAR ENT WITHIN 12 AT LEAST 24, BUT NOT 30
186+LATER THAN 48, HOURS AFTER DISCHARG ING THE PARENT TO EV ALUATE THE 31
187+PARENT’S STATUS AND , AS NECESSARY , PROVIDE INFORMATION ABOUT 32
188+POSTPARTUM COMPLICAT IONS. 33 HOUSE BILL 1051 5
193189
194- (C) “FREESTANDING BIRTHING CENTER” HAS THE MEANING STAT ED IN §
195-19–3B–01 OF THIS ARTICLE.
196190
197- (D) “HOSPITAL” HAS THE MEANING STAT ED IN § 19–301 OF THIS ARTICLE.
198191
199- (E) “REPORT CARD” MEANS THE MARYLAND REPORT CARD FOR BIRTHING
200-FACILITY MATERNITY CARE DEVELOPED UNDER § 24–2402 OF THIS SUBTITLE.
192+ (B) ON OR BEFORE MAY OCTOBER 1 EACH YEAR, EACH LOCAL HEALTH 1
193+DEPARTMENT SHALL SUB MIT TO THE DEPARTMENT A REPORT T HAT INCLUDES THE 2
194+NUMBER AND TYPE OF R EFERRALS MADE BASED ON THE REFERRA L FORMS 3
195+SUBMITTED TO THE LOC AL HEALTH DEPARTMENT IN ACCORDANCE WITH 4
196+SUBSECTION (A)(1) OF THIS SECTION. 5
201197
202-24–2402.
198+ (C) THE DEPARTMENT MAY NOT PR OVIDE MEDICAL ASSISTANCE 6
199+PROGRAM REIMBURSEMENT TO A FREESTANDING BI RTHING CENTER FOR SE RVICES 7
200+RELATED TO THE DELIVERY OF A NEWBORN FOLLOWING A HIGH–RISK PREGNANCY 8
201+UNLESS THE FREESTAND ING BIRTHING CENTER COMPLIES WITH SUBSEC TION (A)(1) 9
202+OF THIS SECTION. 10
203203
204- (A) SUBJECT TO SUBSECTION S (B) AND (C) OF THIS SECTION , THE
205-SECRETARY, IN COLLABORATION WIT H THE MARYLAND HEALTH CARE
206-COMMISSION, SHALL:
204+SUBTITLE 24. REPORT CARD FOR BIRTHING FACILITY MATERNITY CARE. 11
207205
208- (1) DEVELOP A MARYLAND REPORT CARD FOR BIRTHING FACILITY
209-MATERNITY CARE; AND
206+24–2401. 12
210207
211- (2) COLLECT THE NECESSARY INFORMATION TO COMPL ETE AN
212-ANNUAL REPORT CARD F OR EACH BIRTHING FAC ILITY IN THE STATE.
208+ (A) IN THIS SUBTITLE THE FOLLOWING WORDS HAVE THE MEANING 13
209+INDICATED. 14
213210
214- (B) THE REPORT CARD SHALL INCLUDE THE FOLLOWIN G INFORMATION
215-FOR EACH BIRTHING FA CILITY, DISAGGREGATED BY RAC E AND AGE IN ACCORDA NCE
216-WITH BEST PRACTICES FOR DATA SUPPRESSION :
211+ (B) “BIRTHING FACILITY ” MEANS A FREESTANDING BIRTHING CENTER OR 15
212+A HOSPITAL THAT PROV IDES OBSTETRIC CARE . 16
217213
218- (1) THE NUMBER AND RATE OF VAGINAL DELIVERIE S PERFORMED ;
214+ (C) “FREESTANDING BIRTHING CENTER” HAS THE MEANING STAT ED IN § 17
215+19–3B–01 OF THIS ARTICLE. 18
219216
220- (2) THE NUMBER AND RATE OF CESAREAN DELIVERI ES PERFORMED ;
217+ (D) “HOSPITAL” HAS THE MEANING STATED IN § 19–301 OF THIS ARTICLE. 19
221218
222- (3) THE AGE–ADJUSTED RATE OF COMPLICATION S AND THE TOTAL
223-NUMBER OF COMPLICATI ONS EXPERIENCED BY A PATIENT RECEIVING OB STETRIC
224-CARE FOR:
219+ (E) “REPORT CARD” MEANS THE MARYLAND REPORT CARD FOR BIRTHING 20
220+FACILITY MATERNITY CARE DEVELOPED UNDER § 24–2402 OF THIS SUBTITLE. 21
225221
226- (I) A VAGINAL DELIVERY AT THE BIRTHING FACILIT Y,
227-INCLUDING MATERNAL H EMORRHAGE , LACERATION, INFECTION, OR ANY OTHER
228-COMPLICATION AS REQU IRED BY THE SECRETARY; OR
229- Ch. 799 2024 LAWS OF MARYLAND
222+24–2402. 22
230223
231-– 6 –
232- (II) A CESAREAN DELIVERY AT THE BIRTHING FACILIT Y,
233-INCLUDING MATERNAL H EMORRHAGE , INFECTION, OPERATIVE COMPLICATI ON, OR
234-ANY OTHER COMPLICATI ON AS REQUIRED BY TH E SECRETARY; AND
224+ (A) SUBJECT TO SUBSECTION S (B) AND (C) OF THIS SECTION , THE 23
225+SECRETARY, IN COLLABORATION WIT H THE MARYLAND HEALTH CARE 24
226+COMMISSION, SHALL: 25
235227
236- (4) QUALITATIVE MEASURES BASED ON PATIENT INP UT REGARDING
237-THE PATIENT’S RECEIPT OF RESPECTFU L OBSTETRIC CARE .
228+ (1) DEVELOP A MARYLAND REPORT CARD FOR BIRTHING FACILITY 26
229+MATERNITY CARE; AND 27
238230
239- (C) THE REPORT CARD SCORE SHALL BE BALANCED FO R THE RISKS
240-ASSOCIATED WITH THE LEVEL OF ACUITY CARE PROVIDED FOR OBSTETR IC
241-PATIENTS SERVED BY T HE BIRTHING FACILITY .
231+ (2) COLLECT THE NECESSARY INFORMATION TO COMPL ETE AN 28
232+ANNUAL REPORT CARD F OR EACH BIRTHING FACILITY IN THE STATE. 29
233+ 6 HOUSE BILL 1051
242234
243- (D) THE DEPARTMENT SHALL INCL UDE THE MOST RECENT REPORT CARD
244-ON THE DEPARTMENT ’S WEBSITE.
245235
246- (E) (1) AT LEAST ANNUALLY ONCE EVERY 3 YEARS, THE SECRETARY
247-SHALL:
236+ (B) THE REPORT CARD SHALL INCLUDE THE FOLLOWIN G INFORMATION 1
237+FOR EACH BIRTHING FA CILITY, DISAGGREGATED BY RAC E AND AGE IN ACCORDA NCE 2
238+WITH BEST PRACTICES FOR DATA SUPPRESSION : 3
248239
249- (I) REVIEW THE CRITERIA E VALUATED IN THE REPO RT CARD;
250-AND
240+ (1) THE NUMBER AND RATE OF VAGINAL DELIVERIE S PERFORME D; 4
251241
252- (II) REVISE THE COMPLICATI ONS OR OTHER FACTORS TO BE
253-INCLUDED IN THE REPO RT CARD.
242+ (2) THE NUMBER AND RATE OF CESAREAN DELIVERI ES PERFORMED ; 5
254243
255- (2) THE SECRETARY SHALL CONSI DER EXPERT GUIDANCE WHEN
256-REVIEWING THE CRITER IA EVALUATED IN THE REPORT CARD .
244+ (3) THE AGE–ADJUSTED RATE OF COMPLICATION S AND THE TOTAL 6
245+NUMBER OF COMPLICATI ONS EXPERIENCED BY A PATIENT RECEIVING OB STETRIC 7
246+CARE FOR: 8
257247
258- SECTION 2. AND BE IT FURTHER ENACTED, That:
248+ (I) A VAGINAL DELIVERY AT THE BIRTHING FACILIT Y, 9
249+INCLUDING MATERNAL H EMORRHAGE , LACERATION, INFECTION, OR ANY OTHER 10
250+COMPLICATION AS REQU IRED BY THE SECRETARY; OR 11
259251
260- (a) The Maryland Department of Health, in collaboration with the Maryland
261-Hospital Association and local health departments, shall study the incidents of Severe
262-Maternal Morbidity (SMM) in the State Each hospital and freestanding birthing center
263-shall participate in the Severe Maternal Morbidity Surveillance and Review Program to:
252+ (II) A CESAREAN DELIVERY AT THE BIRTHING FACILIT Y, 12
253+INCLUDING MATERNAL H EMORRHAGE , INFECTION, OPERATIVE COMPLICATI ON, OR 13
254+ANY OTHER COMPLICAT ION AS REQUIRED BY T HE SECRETARY; AND 14
264255
265- (1) identify the contextual drivers and trends in the, risk factors associated
266-with individuals experiencing, and causes of SMM; and
256+ (4) QUALITATIVE MEASURES BASED ON PATIENT INP UT REGARDING 15
257+THE PATIENT’S RECEIPT OF RESPECT FUL OBSTETRIC CARE . 16
267258
268- (2) study quality improvement efforts of hospitals and freestanding
269-birthing centers regarding SMM based on the reviews; and
259+ (C) THE REPORT CARD SCORE SHALL BE BALANCED FO R THE RISKS 17
260+ASSOCIATED WITH THE LEVEL OF ACUITY CARE PROVIDED FOR OBSTETR IC 18
261+PATIENTS SERVED BY T HE BIRTHING FACILITY . 19
270262
271- (3) make recommendations to reduce the incidents prevalence of SMM in
272-the State.
263+ (D) THE DEPARTMENT SHALL INCL UDE THE MOST RECENT REPORT CARD 20
264+ON THE DEPARTMENT ’S WEBSITE. 21
273265
274- (b) On or before December 1, 2025, the Department Severe Maternal Morbidity
275-Surveillance and Review Program shall report the findings and recommendations from the WES MOORE, Governor Ch. 799
266+ (E) (1) AT LEAST ANNUALLY ONCE EVERY 3 YEARS, THE SECRETARY 22
267+SHALL: 23
276268
277-– 7 –
278-study conducted under subsection (a) of this section to the Governor and, in accordance
279-with § 2–1257 of the State Government Article, the General Assembly.
269+ (I) REVIEW THE CRITERIA E VALUATED IN THE REPOR T CARD; 24
270+AND 25
280271
281- SECTION 3. AND BE IT FURTHER ENACTED, That Section 1 of this Act shall take
282-effect July 1, 2025.
272+ (II) REVISE THE COMPLICATI ONS OR OTHER FACTORS TO BE 26
273+INCLUDED IN THE REPO RT CARD. 27
283274
284- SECTION 4. AND BE IT FURTHER ENACTED, That Section 2 of this Act shall take
285-effect October 1, 2024.
275+ (2) THE SECRETARY SHALL CONSI DER EXPERT GUIDANCE WHEN 28
276+REVIEWING THE CRITER IA EVALUATED IN THE REPORT CARD . 29
286277
287- SECTION 3. 5. AND BE IT FURTHER ENACTED, That , except as provided in
288-Sections 3 and 4, this Act shall take effect October July 1, 2024.
278+ SECTION 2. AND BE IT FURTHER ENACTED, That: 30
279+ HOUSE BILL 1051 7
289280
290-Approved by the Governor, May 16, 2024.
281+
282+ (a) The Maryland Department of Health, in collaboration with the Maryland 1
283+Hospital Association and local health departments, shall study the incidents of Severe 2
284+Maternal Morbidity (SMM) in the State Each hospital and freestanding birthing center 3
285+shall participate in the Severe Maternal Morbidity Surveillance and Review Program to: 4
286+
287+ (1) identify the contextual drivers and trends in the, risk factors associated 5
288+with individuals experiencing, and causes of SMM; and 6
289+
290+ (2) study quality improvement efforts of hospitals and freestanding 7
291+birthing centers regarding SMM based on the reviews; and 8
292+
293+ (3) make recommendations to reduce the incidents prevalence of SMM in 9
294+the State. 10
295+
296+ (b) On or before December 1, 2025, the Department Severe Maternal Morbidity 11
297+Surveillance and Review Program shall report the findings and recommendations from the 12
298+study conducted under subsection (a) of this section to the Governor and, in accordance 13
299+with § 2–1257 of the State Government Article, the General Assembly. 14
300+
301+ SECTION 3. AND BE IT FURTHER ENACTED, That Section 1 of this Act shall take 15
302+effect July 1, 2025. 16
303+
304+ SECTION 4. AND BE IT FURTHER ENACTED, That Section 2 of this Act shall take 17
305+effect October 1, 2024. 18
306+
307+ SECTION 3. 5. AND BE IT FURTHER ENACT ED, That, except as provided in 19
308+Sections 3 and 4, this Act shall take effect October July 1, 2024. 20
309+
310+
311+
312+
313+Approved:
314+________________________________________________________________________________
315+ Governor.
316+________________________________________________________________________________
317+ Speaker of the House of Delegates.
318+________________________________________________________________________________
319+ President of the Senate.