Minnesota 2025-2026 Regular Session

Minnesota House Bill HF3273 Compare Versions

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11 1.1 A bill for an act​
22 1.2 relating to health; expanding maternal death studies conducted by the commissioner​
33 1.3 of health to include maternal morbidity; amending Minnesota Statutes 2024, section​
44 1.4 145.901.​
55 1.5BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:​
66 1.6 Section 1. Minnesota Statutes 2024, section 145.901, is amended to read:​
77 1.7 145.901 MATERNAL MORBIDITY AND DEATH STUDIES.​
88 1.8 Subdivision 1.Purpose.(a) The commissioner of health may conduct maternal morbidity​
99 1.9and death studies to assist the planning, implementation, and evaluation of medical, health,​
1010 1.10and welfare service systems and to reduce the numbers of preventable adverse maternal​
1111 1.11outcomes and deaths in Minnesota.​
1212 1.12 (b) For purposes of this section, "maternal morbidity" has the meaning given to severe​
1313 1.13maternal morbidity by the Centers for Disease Control and Prevention, and includes an​
1414 1.14unexpected outcome of labor or delivery that results in significant short- or long-term​
1515 1.15consequences to a woman's health.​
1616 1.16 Subd. 2.Access to data.(a) The commissioner of health has access to medical data as​
1717 1.17defined in section 13.384, subdivision 1, paragraph (b), medical examiner data as defined​
1818 1.18in section 13.83, subdivision 1, and health records created, maintained, or stored by providers​
1919 1.19as defined in section 144.291, subdivision 2, paragraph (c), without the consent of the subject​
2020 1.20of the data, and without the consent of the parent, spouse, other guardian, or legal​
2121 1.21representative of the subject of the data, when the subject of the data is a woman who died​
2222 1.22or experienced morbidities during a pregnancy or within 12 months of a fetal death, a live​
2323 1.23birth, or other termination of a pregnancy.​
2424 1​Section 1.​
2525 REVISOR SGS/AC 25-04825​03/18/25 ​
2626 State of Minnesota​
2727 This Document can be made available​
2828 in alternative formats upon request​
2929 HOUSE OF REPRESENTATIVES​
3030 H. F. No. 3273​
3131 NINETY-FOURTH SESSION​
3232 Authored by Mahamoud, Clardy and Agbaje​04/30/2025​
3333 The bill was read for the first time and referred to the Committee on Health Finance and Policy​ 2.1 The commissioner has access only to medical data and health records related to maternal​
3434 2.2morbidities and deaths that occur on or after July 1, 2000, including the names of the​
3535 2.3providers, clinics, or other health services such as family home visiting programs; the​
3636 2.4women, infants, and children (WIC) program; prescription monitoring programs; and​
3737 2.5behavioral health services, where care was received before, during, or related to the pregnancy​
3838 2.6or death. The commissioner has access to records maintained by family home visiting​
3939 2.7programs; the women, infants, and children (WIC) program; the prescription monitoring​
4040 2.8program; behavioral health services programs; substance use treatment facilities; law​
4141 2.9enforcement; and a medical examiner, a coroner, or hospitals or to hospital discharge data,​
4242 2.10for the purpose of providing the name and location of any pre-pregnancy, prenatal,​
4343 2.11postpartum, or other care received by the subject of the data up to one year after the end of​
4444 2.12the pregnancy.​
4545 2.13 (b) The provider or responsible authority that creates, maintains, or stores the data shall​
4646 2.14furnish the data upon the request of the commissioner. The provider or responsible authority​
4747 2.15may charge a fee for providing the data, not to exceed the actual cost of retrieving and​
4848 2.16duplicating the data.​
4949 2.17 (c) The commissioner shall make a good faith reasonable effort to notify the subject of​
5050 2.18the data, or the subject's parent, spouse, other guardian, or legal representative of the subject​
5151 2.19of the data before collecting data on the subject. For purposes of this paragraph, "reasonable​
5252 2.20effort" means one notice is sent by certified mail to the last known address of the subject​
5353 2.21of the data, or the subject's parent, spouse, guardian, or legal representative informing the​
5454 2.22recipient of the data collection and offering a public health nurse support visit if desired.​
5555 2.23 (d) The commissioner does not have access to coroner or medical examiner data that​
5656 2.24are part of an active investigation as described in section 13.83.​
5757 2.25 (e) The commissioner may request and receive from a coroner or medical examiner the​
5858 2.26name of the health care provider that provided prenatal, postpartum, or other health services​
5959 2.27to the subject of the data.​
6060 2.28 (f) The commissioner may access Department of Human Services data to identify sources​
6161 2.29of care and services to assist with the evaluation of welfare systems, including housing, to​
6262 2.30reduce preventable maternal deaths.​
6363 2.31 (g) The commissioner may request and receive law enforcement reports or incident​
6464 2.32reports related to the subject of the data.​
6565 2.33 Subd. 3.Management of records.After the commissioner has collected all data about​
6666 2.34a subject of a maternal morbidity or death study needed to perform the study, the data from​
6767 2​Section 1.​
6868 REVISOR SGS/AC 25-04825​03/18/25 ​ 3.1source records obtained under subdivision 2, other than data identifying the subject, must​
6969 3.2be transferred to separate records to be maintained by the commissioner. Notwithstanding​
7070 3.3section 138.17, after the data have been transferred, all source records obtained under​
7171 3.4subdivision 2 possessed by the commissioner must be destroyed.​
7272 3.5 Subd. 4.Classification of data.(a) Data provided to the commissioner from source​
7373 3.6records under subdivision 2, including identifying information on individual providers, data​
7474 3.7subjects, or their children, and data derived by the commissioner under subdivision 3 for​
7575 3.8the purpose of carrying out maternal morbidity and death studies, are classified as confidential​
7676 3.9data on individuals or confidential data on decedents, as defined in sections 13.02, subdivision​
7777 3.103, and 13.10, subdivision 1, paragraph (a).​
7878 3.11 (b) Information classified under paragraph (a) shall not be subject to discovery or​
7979 3.12introduction into evidence in any administrative, civil, or criminal proceeding. Such​
8080 3.13information otherwise available from an original source shall not be immune from discovery​
8181 3.14or barred from introduction into evidence merely because it was utilized by the commissioner​
8282 3.15in carrying out maternal morbidity and death studies.​
8383 3.16 (c) Summary data on maternal morbidity and death studies created by the commissioner,​
8484 3.17which does not identify individual data subjects or individual providers, shall be public in​
8585 3.18accordance with section 13.05, subdivision 7.​
8686 3.19 (d) Data provided by the commissioner of human services to the commissioner of health​
8787 3.20under this section retain the same classification the data held when retained by the​
8888 3.21commissioner of human services, as required under section 13.03, subdivision 4, paragraph​
8989 3.22(c).​
9090 3.23 Subd. 5.Maternal Morbidity and Mortality Review Committee.(a) The commissioner​
9191 3.24of health shall convene a Maternal Morbidity and Mortality Review Committee to conduct​
9292 3.25maternal morbidity and death study reviews, make recommendations, and publicly share​
9393 3.26summary information. The commissioner shall appoint members to the review committee,​
9494 3.27and membership may include but is not limited to medical examiners or coroners,​
9595 3.28representatives of health care institutions that provide care to pregnant women, obstetric​
9696 3.29and midwifery practitioners, Medicaid representatives, representatives of state agencies,​
9797 3.30individuals from communities with disparate rates of maternal morbidity and mortality, and​
9898 3.31other subject matter experts as appropriate. Committee membership shall not exceed 25​
9999 3.32members. The review committee shall review data from source records obtained under​
100100 3.33subdivision 2, other than data identifying the subject or the provider.​
101101 3​Section 1.​
102102 REVISOR SGS/AC 25-04825​03/18/25 ​ 4.1 (b) A person attending a Maternal Morbidity and Mortality Review Committee meeting​
103103 4.2shall not disclose what transpired at the meeting, except as necessary to carry out the purposes​
104104 4.3of the review committee. The proceedings and records of the review committee are protected​
105105 4.4nonpublic data as defined in section 13.02, subdivision 13. Discovery and introduction into​
106106 4.5evidence in legal proceedings of case review committee proceedings and records, and​
107107 4.6testimony in legal proceedings by review committee members and persons presenting​
108108 4.7information to the review committee, shall occur in compliance with the requirements in​
109109 4.8section 142A.03, subdivision 7, paragraph (e).​
110110 4​Section 1.​
111111 REVISOR SGS/AC 25-04825​03/18/25 ​