MD
Maryland Senate Bill SB1059

Maryland 2024 Regular Session

Maryland Senate Bill SB1059 Compare Versions

OldNewDifferences
1- WES MOORE, Governor Ch. 798
21
3-– 1 –
4-Chapter 798
5-(Senate Bill 1059)
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+ *sb1059*
89
9-Maternal Health – Assessments, Referrals, and Reporting
10-(Maryland Maternal Health Act of 2024)
10+SENATE BILL 1059
11+J1, J3 4lr2537
12+ CF HB 1051
13+By: Senator Ellis
14+Introduced and read first time: February 2, 2024
15+Assigned to: Finance
16+Committee Report: Favorable with amendments
17+Senate action: Adopted
18+Read second time: March 2, 2024
1119
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.
20+CHAPTER ______
2421
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)
22+AN ACT concerning 1
3023
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)
24+Maternal Health – Assessments, Referrals, and Reporting 2
25+(Maryland Maternal Health Act of 2024) 3
3826
39- SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND,
40-That the Laws of Maryland read as follows:
27+FOR the purpose of establishing requirements on local health departments and certain 4
28+health care providers and facilities regarding maternal health, including 5
29+requirements regarding prenatal risk assessment forms and postpartum infant and 6
30+maternal referral forms; prohibiting the Maryland Department of Health from 7
31+providing Medical Assistance Program reimbursement to a hospital or freestanding 8
32+birthing center unless the facility complies with certain provisions of this Act; 9
33+requiring the Secretary of Health, in collaboration with the Maryland Health Care 10
34+Commission, to develop a Maryland Report Card for Birthing Facility Maternity 11
35+Care; requiring the Department to conduct a certain study of incidents of severe 12
36+maternal morbidity in the State hospitals and freestanding birthing centers to 13
37+participate in the Severe Maternal Morbidity Surveillance Program for a certain 14
38+purpose; and generally relating to maternal health. 15
4139
42-Article – Health – General
40+BY repealing and reenacting, without amendments, 16
41+ Article – Health – General 17
42+Section 15–101(a), (h), and (i), 19–301(a) and (f), and 19–3B–01(a) and (d) 18
43+ Annotated Code of Maryland 19
44+ (2023 Replacement Volume) 20
4345
44-15–101.
46+BY adding to 21
47+ Article – Health – General 22 2 SENATE BILL 1059
4548
46- (a) In this title the following words have the meanings indicated.
4749
48- (h) “Program” means the Maryland Medical Assistance Program.
49- Ch. 798 2024 LAWS OF MARYLAND
50+Section 15–155, 19–310.4, and 19–3B–03.1; and 24–2401 and 24–2402 to be under 1
51+the new subtitle “Subtitle 24. Report Card for Birthing Facility Maternity 2
52+Care” 3
53+ Annotated Code of Maryland 4
54+ (2023 Replacement Volume) 5
5055
51-– 2 –
52- (i) “Program recipient” means an individual who receives benefits under the
53-Program.
56+ SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 6
57+That the Laws of Maryland read as follows: 7
5458
55-15–155.
59+Article – Health – General 8
5660
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 .
61+15–101. 9
6262
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 :
63+ (a) In this title the following words have the meanings indicated. 10
6664
67- (1) DURING DURING THE INITIAL VISIT WITH THE PATIENT ; AND
65+ (h) “Program” means the Maryland Medical Assistance Program. 11
6866
69- (2) DURING THE THIRD TRIM ESTER OF THE PATIENT ’S PREGNANCY .
67+ (i) “Program recipient” means an individual who receives benefits under the 12
68+Program. 13
7069
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 .
70+15–155. 14
7571
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.
72+ (A) IN THIS SECTION, “PRENATAL RISK ASSESS MENT FORM ” MEANS A 15
73+STANDARDIZED FORM DE VELOPED BY THE DEPARTMENT IN ACCORDA NCE WITH 16
74+THE CENTERS FOR MEDICARE AND MEDICAID SERVICES GUIDELINES F OR USE BY 17
75+A LICENSED HEALTH CA RE PROVIDER TO EVALU ATE RISK FACTORS FOR THE 18
76+HEALTH OF A PREGNANT PATIEN T. 19
8177
82- (E) THE DEPARTMENT SHALL ESTA BLISH A PROCESS FOR A PROVIDER TO
83-SUBMIT A PRENATAL RI SK ASSESSMENT FORM E LECTRONICALLY .
78+ (B) A PROVIDER WHO RECEIVE S REIMBURSEMENT FROM THE PROGRAM 20
79+FOR PROVIDING OBSTET RIC SERVICES TO A PA TIENT SHALL COMPLETE A PRENATAL 21
80+RISK ASSESSMENT FORM FOR THE PATIENT : 22
8481
85-19–301.
82+ (1) DURING DURING THE INITIAL VISIT WITH THE PATIENT ; AND 23
8683
87- (a) In this subtitle the following words have the meanings indicated.
84+ (2) DURING THE THIRD TRIM ESTER OF THE PATIENT ’S PREGNANCY . 24
8885
89- (f) “Hospital” means an institution that:
86+ (C) AFTER COMPLETING A PR ENATAL RISK ASSESSME NT FORM IN 25
87+ACCORDANCE WITH SUBS ECTION (B) OF THIS SECTION , THE PROVIDER SHALL 26
88+SUBMIT THE FORM TO T HE LOCAL HEALTH DEPA RTMENT FOR THE COUNT Y IN 27
89+WHICH THE PATIENT RE SIDES. 28
9090
91- (1) Has a group of at least 5 physicians who are organized as a medical
92-staff for the institution;
91+ (D) ON OR BEFORE OCTOBER 1 EACH YEAR , EACH LOCAL HEALTH 29
92+DEPARTMENT SHALL SUB MIT TO THE DEPARTMENT A REPORT T HAT INCLUDES THE 30
93+NUMBER AND TYPE OF R EFERRALS MADE TO PAT IENTS THAT WERE BASE D ON THE 31 SENATE BILL 1059 3
9394
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. 798
9695
97-– 3 –
96+INFORMATION FROM THE PRENATAL RIS K ASSESSMENT FORM CO MPLETED IN 1
97+ACCORDANCE WITH SUBS ECTION (B) OF THIS SECTION. 2
9898
99- (3) Admits or retains the individuals for overnight care.
99+ (E) THE DEPARTMENT SHALL ESTA BLISH A PROCESS FOR A PROVIDER TO 3
100+SUBMIT A PRENATAL RI SK ASSESSMENT FORM E LECTRONICALLY . 4
100101
101-19–310.4.
102+19–301. 5
102103
103- (A) IF A NEWBORN IS DELIV ERED IN A HOSPITAL F OLLOWING A HIGH –RISK
104-PREGNANCY , THE HOSPITAL SHALL :
104+ (a) In this subtitle the following words have the meanings indicated. 6
105105
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;
106+ (f) “Hospital” means an institution that: 7
109107
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
108+ (1) Has a group of at least 5 physicians who are organized as a medical 8
109+staff for the institution; 9
116110
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.
111+ (2) Maintains facilities to provide, under the supervision of the medical 10
112+staff, diagnostic and treatment services for 2 or more unrelated individuals; and 11
121113
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.
114+ (3) Admits or retains the individuals for overnight care. 12
127115
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.
116+19–310.4. 13
132117
133-19–3B–01.
118+ (A) IF A NEWBORN IS DELIV ERED IN A HOSPITAL F OLLOWING A HIGH –RISK 14
119+PREGNANCY , THE HOSPITAL SHALL : 15
134120
135- (a) In this subtitle the following words have the meanings indicated.
121+ (1) COMPLETE A POSTPARTUM INFANT AND MATERNAL REFERRAL 16
122+FORM AND SUBMIT THE FORM TO THE LOCAL HE ALTH DEPARTMENT FOR THE 17
123+COUNTY IN WHICH THE BIRTHING PARENT RESI DES; 18
136124
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.
125+ (2) PROVIDE TO THE BIRTHI NG PARENT RESOURCES AND 19
126+INFORMATION SPECIFIC TO THE CIRCUMSTANCES OF THE BIRTHING PARENT , 20
127+INCLUDING INFORMATIO N REGARDING THE RISK S, SIGNS, PREVENTIVE MEASURES , 21
128+AND TREATMENT NEEDS FOR POSTPARTUM COMPL ICATIONS, INCLUDING 22
129+CARDIOVASCULAR CONDI TIONS, CHRONIC DISEASE , SUBSTANCE MISUSE , AND 23
130+MENTAL HEALTH CONDIT IONS; AND 24
139131
140- (2) “Freestanding birthing center” does not include:
141- Ch. 798 2024 LAWS OF MARYLAND
132+ (3) CALL THE BIRTHING PAR ENT WITHIN 12 AT LEAST 24, BUT NOT 25
133+LATER THAN 48, HOURS AFTER DISCHARG ING THE PARENT TO EV ALUATE THE 26
134+PARENT’S STATUS AND , AS NECESSARY , PROVIDE INFORMATION ABOUT 27
135+POSTPARTUM COMPLICAT IONS. 28
142136
143-– 4 –
144- (i) A hospital regulated under Subtitle 2 of this title; or
137+ (B) ON OR BEFORE MAY OCTOBER 1 EACH YEAR, EACH LOCAL HEALTH 29
138+DEPARTMENT SHALL SUB MIT TO THE DEPARTMENT A REPORT T HAT INCLUDES THE 30
139+NUMBER AND TYPE OF R EFERRALS MADE BASED ON THE REFERRAL FORM S 31 4 SENATE BILL 1059
145140
146- (ii) The private residence of the mother.
147141
148-19–3B–03.1.
142+SUBMITTED TO THE LOC AL HEALTH DEPARTMENT IN ACCORDANCE WITH 1
143+SUBSECTION (A)(1) OF THIS SECTION. 2
149144
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:
145+ (C) THE DEPARTMENT MAY NOT PROVID E MEDICAL ASSISTANCE 3
146+PROGRAM REIMBURSEMENT TO A HOSPITAL FOR SE RVICES RELATED TO TH E 4
147+DELIVERY OF A NEWBOR N FOLLOWING A HIGH –RISK PREGNANCY UNLES S THE 5
148+HOSPITAL COMPLIES WI TH SUBSECTION (A)(1) OF THIS SECTION. 6
153149
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;
150+19–3B–01. 7
157151
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
152+ (a) In this subtitle the following words have the meanings indicated. 8
164153
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.
154+ (d) (1) “Freestanding birthing center” means a facility that provides nurse 9
155+midwife services under Title 8, Subtitle 6 of the Health Occupations Article. 10
169156
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.
157+ (2) “Freestanding birthing center” does not include: 11
175158
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.
159+ (i) A hospital regulated under Subtitle 2 of this title; or 12
181160
182-SUBTITLE 24. REPORT CARD FOR BIRTHING FACILITY MATERNITY CARE.
161+ (ii) The private residence of the mother. 13
183162
184-24–2401.
185- WES MOORE, Governor Ch. 798
163+19–3B–03.1. 14
186164
187-– 5 –
188- (A) IN THIS SUBTITLE THE FOLLOWING WORDS HAVE THE MEANING
189-INDICATED.
165+ (A) IF A NEWBORN IS DELIV ERED IN A FREESTANDI NG BIRTHING CENTER 15
166+FOLLOWING A HIGH –RISK PREGNANCY , THE FREESTANDING BIR THING CENTER 16
167+SHALL: 17
190168
191- (B) “BIRTHING FACILITY ” MEANS A FREESTANDING BIRTHING CENTER OR
192-A HOSPITAL THAT PRO VIDES OBSTETRIC CARE .
169+ (1) COMPLETE A POSTPARTUM INFANT AND MATERNAL REFERRAL 18
170+FORM AND SUBMIT THE FORM TO THE LOCAL HE ALTH DEPARTMENT FOR THE 19
171+COUNTY IN WHICH THE BIRTHING PARENT RESI DES; 20
193172
194- (C) “FREESTANDING BIRTHING CENTER” HAS THE MEANING STAT ED IN §
195-19–3B–01 OF THIS ARTICLE.
173+ (2) PROVIDE TO THE BIRTHI NG PARENT RESOURCES AND 21
174+INFORMATION SPECI FIC TO THE CIRCUMSTA NCES OF THE BIRTHING PARENT, 22
175+INCLUDING INFORMATIO N REGARDING THE RISK S, SIGNS, PREVENTIVE MEASURES , 23
176+AND TREATMENT NEEDS FOR POSTPARTUM COMPL ICATIONS, INCLUDING 24
177+CARDIOVASCULAR CONDI TIONS, CHRONIC DISEASE , SUBSTANCE MISUSE , AND 25
178+MENTAL HEA LTH CONDITIONS ; AND 26
196179
197- (D) “HOSPITAL” HAS THE MEANING STAT ED IN § 19–301 OF THIS ARTICLE.
180+ (3) CALL THE BIRTHING PAR ENT WITHIN 12 AT LEAST 24, BUT NOT 27
181+LATER THAN 48, HOURS AFTER DISCHARG ING THE PARENT TO EV ALUATE THE 28
182+PARENT’S STATUS AND , AS NECESSARY , PROVIDE INFORMATION ABOUT 29
183+POSTPARTUM COMPLICAT IONS. 30
198184
199- (E) “REPORT CARD” MEANS THE MARYLAND REPORT CARD FOR BIRTHING
200-FACILITY MATERNITY CARE DEVELOPED UNDER § 24–2402 OF THIS SUBTITLE.
185+ (B) ON OR BEFORE MAY OCTOBER 1 EACH YEAR, EACH LOCAL HEALTH 31
186+DEPARTMENT SHALL SUB MIT TO THE DEPARTMENT A REPORT T HAT INCLUDES THE 32 SENATE BILL 1059 5
201187
202-24–2402.
203188
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:
189+NUMBER AND TYPE OF R EFERRALS MADE BASED ON THE REFERRAL FORM S 1
190+SUBMITTED TO THE LOC AL HEALTH DEPARTMENT IN ACCORDANCE WITH 2
191+SUBSECTION (A)(1) OF THIS SECTION. 3
207192
208- (1) DEVELOP A MARYLAND REPORT CARD FOR BIRTHING FACILITY
209-MATERNITY CARE; AND
193+ (C) THE DEPARTMENT MAY NOT PR OVIDE MEDICAL ASSISTANCE 4
194+PROGRAM REIMBURSEMENT TO A FREESTANDING BI RTHING CENTER FOR SE RVICES 5
195+RELATED TO THE DELIV ERY OF A NEWBORN FOL LOWING A HIGH –RISK PREGNANCY 6
196+UNLESS THE FREESTAND ING BIRTHING CENTER COMPLIES WITH SUBSECTION (A)(1) 7
197+OF THIS SECTION. 8
210198
211- (2) COLLECT THE NECESSARY INFORMATION TO COMPL ETE AN
212-ANNUAL REPORT CARD F OR EACH BIRTHING FAC ILITY IN THE STATE.
199+SUBTITLE 24. REPORT CARD FOR BIRTHING FACILITY MATERNITY CARE. 9
213200
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 :
201+24–2401. 10
217202
218- (1) THE NUMBER AND RATE OF VAGINAL DELIVERIE S PERFORMED ;
203+ (A) IN THIS SUBTITLE THE FOLLOWING WORDS HAVE THE MEANING 11
204+INDICATED. 12
219205
220- (2) THE NUMBER AND RATE OF CESAREAN DELIVERI ES PERFORMED ;
206+ (B) “BIRTHING FACILITY ” MEANS A FREESTANDING BIRTHING CENTER OR 13
207+A HOSPITAL THAT PROVIDES OBSTETRIC CARE . 14
221208
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:
209+ (C) “FREESTANDING BIRTHING CENTER” HAS THE MEANING STAT ED IN § 15
210+19–3B–01 OF THIS ARTICLE. 16
225211
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. 798 2024 LAWS OF MARYLAND
212+ (D) “HOSPITAL” HAS THE MEANING STAT ED IN § 19–301 OF THIS ARTICLE. 17
230213
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
214+ (E) “REPORT CARD” MEANS THE MARYLAND REPORT CARD FOR BIRTHING 18
215+FACILITY MATERNITY CARE DEVELOPED UNDER § 24–2402 OF THIS SUBTITLE. 19
235216
236- (4) QUALITATIVE MEASURES BASED ON PATIENT INP UT REGARDING
237-THE PATIENT’S RECEIPT OF RESPECTFU L OBSTETRIC CARE .
217+24–2402. 20
238218
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 .
219+ (A) SUBJECT TO SUBSECTION S (B) AND (C) OF THIS SECTION , THE 21
220+SECRETARY, IN COLLABORATION WIT H THE MARYLAND HEALTH CARE 22
221+COMMISSION, SHALL: 23
242222
243- (D) THE DEPARTMENT SHALL INCL UDE THE MOST RECENT REPORT CARD
244-ON THE DEPARTMENT ’S WEBSITE.
223+ (1) DEVELOP A MARYLAND REPORT CARD FOR BIRTHING FACILITY 24
224+MATERNITY CARE; AND 25
245225
246- (E) (1) AT LEAST ANNUALLY ONCE EVERY 3 YEARS, THE SECRETARY
247-SHALL:
226+ (2) COLLECT THE NECESSARY INFORMATION TO COMPL ETE AN 26
227+ANNUAL REPORT CARD F OR EACH BIRTHING FAC ILITY IN THE STATE. 27
248228
249- (I) REVIEW THE CRITERIA E VALUATED IN THE REPO RT CARD;
250-AND
229+ (B) THE REPORT CARD SHALL INCLUDE THE FOLLOWIN G INFORMATION 28
230+FOR EACH BIRTHING FA CILITY, DISAGGREGATED BY RAC E AND AGE IN ACCORDA NCE 29
231+WITH BEST PRACTICES FOR DATA SUPPRESSION : 30
232+ 6 SENATE BILL 1059
251233
252- (II) REVISE THE COMPLICATI ONS OR OTHER FACTORS TO BE
253-INCLUDED IN THE REPO RT CARD.
254234
255- (2) THE SECRETARY SHALL CONSI DER EXPERT GUIDANCE WHEN
256-REVIEWING THE CRITER IA EVALUATED IN THE REPORT CARD .
235+ (1) THE NUMBER AND RATE OF VAGINAL DELIVERIE S PERFORMED ; 1
257236
258- SECTION 2. AND BE IT FURTHER ENACTED, That:
237+ (2) THE NUMBER AND RATE OF CESAREAN DELIVERI ES PERFORMED ; 2
259238
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:
239+ (3) THE AGE–ADJUSTED RATE OF COMPLICATION S AND THE TOTAL 3
240+NUMBER OF COMPLICATI ONS EXPERIENCED BY A PATIENT RECEIVING OB STETRIC 4
241+CARE FOR: 5
264242
265- (1) identify the contextual drivers and trends in the, risk factors associated
266-with individuals experiencing, and causes of SMM; and
243+ (I) A VAGINAL DELIVERY AT THE BIRTHING FACILIT Y, 6
244+INCLUDING MATERNAL H EMORRHAGE , LACERATION, INFECTION, OR ANY OTHER 7
245+COMPLICATION AS REQU IRED BY THE SECRETARY; OR 8
267246
268- (2) study quality improvement efforts of hospitals and freestanding
269-birthing centers regarding SMM based on the reviews; and
247+ (II) A CESAREAN DELIVERY AT THE BIRTHING FACILIT Y, 9
248+INCLUDING MATERNAL H EMORRHAGE , INFECTION, OPERATIVE COMPLICATI ON, OR 10
249+ANY OTHER COMPLICATI ON AS REQUIRED BY TH E SECRETARY; AND 11
270250
271- (3) make recommendations to reduce the incidents prevalence of SMM in
272-the State.
251+ (4) QUALITATIVE MEASURES BASED ON PATIENT INP UT REGARDING 12
252+THE PATIENT’S RECEIPT OF RESPECTFU L OBSTETRIC CARE . 13
273253
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. 798
254+ (C) THE REPORT CARD SCORE SHALL BE BALANCED FO R THE RISKS 14
255+ASSOCIATED WITH THE LEVEL OF ACUITY CARE PROVIDED FOR OBSTETR IC 15
256+PATIENTS SERVED BY T HE BIRTHING FACILITY . 16
276257
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.
258+ (D) THE DEPARTMENT SHALL INCL UDE THE MOST RECENT REPORT CARD 17
259+ON THE DEPARTMENT ’S WEBSITE. 18
280260
281- SECTION 3. AND BE IT FURTHER ENACTED, That Section 1 of this Act shall take
282-effect July 1, 2025.
261+ (E) (1) AT LEAST ANNUALLY ONCE EVERY 3 YEARS, THE SECRETARY 19
262+SHALL: 20
283263
284- SECTION 4. AND BE IT FURTHER ENACTED, That Section 2 of this Act shall take
285-effect October 1, 2024.
264+ (I) REVIEW THE CRITERIA E VALUATED IN THE REPO RT CARD; 21
265+AND 22
286266
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.
267+ (II) REVISE THE COMPLICATI ONS OR OTHER FACTORS TO BE 23
268+INCLUDED IN THE REPO RT CARD. 24
289269
290-Approved by the Governor, Ma y 16, 2024.
270+ (2) THE SECRETARY SHALL CONSI DER EXPERT GUIDANCE WHEN 25
271+REVIEWING THE CRITER IA EVALUATED IN THE REPORT CARD . 26
272+
273+ SECTION 2. AND BE IT FURTHER ENACTED, That: 27
274+
275+ (a) The Maryland Department of Health, in collaboration with the Maryland 28
276+Hospital Association and local health departments, shall study the incidents of Severe 29
277+Maternal Morbidity (SMM) in the State Each hospital and freestanding birthing center 30
278+shall participate in the Severe Maternal Morbidity Surveillance and Review Program to: 31
279+ SENATE BILL 1059 7
280+
281+
282+ (1) identify the contextual drivers and trends in the, risk factors associated 1
283+with individuals experiencing, and causes of SMM; and 2
284+
285+ (2) study quality improvement efforts of hospitals and freestanding 3
286+birthing centers regarding SMM based on the reviews; and 4
287+
288+ (3) make recommendations to reduce the incidents prevalence of SMM in 5
289+the State. 6
290+
291+ (b) On or before December 1, 2025, the Department Severe Maternal Morbidity 7
292+Surveillance and Review Program shall report the findings and recommendations from the 8
293+study conducted under subsection (a) of this section to the Governor and, in accordance 9
294+with § 2–1257 of the State Government Article, the General Assembly. 10
295+
296+ SECTION 3. AND BE IT FURTHER ENACTED, That Section 1 of this Act shall take 11
297+effect July 1, 2025. 12
298+
299+ SECTION 4. AND BE IT FURTHER ENACTED, That Section 2 of this Act shall take 13
300+effect October 1, 2024. 14
301+
302+ SECTION 3. 5. AND BE IT FURTHER ENACTED, That , except as provided in 15
303+Sections 3 and 4, this Act shall take effect October July 1, 2024. 16
304+
305+
306+
307+Approved:
308+________________________________________________________________________________
309+ Governor.
310+________________________________________________________________________________
311+ President of the Senate.
312+________________________________________________________________________________
313+ Speaker of the House of Delegates.