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Oklahoma House Bill HB2152

Oklahoma 2024 Regular Session

Oklahoma House Bill HB2152 Compare Versions

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1-An Act
2-ENROLLED HOUSE
3-BILL NO. 2152 By: Roe, Waldron, Pittman and
4-Hefner of the House
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3+ENGR. S. A. TO ENGR. H. B. NO. 215 2 Page 1 1
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28+ENGROSSED SENATE AMENDMENT
29+TO
30+ENGROSSED HOUSE
31+BILL NO. 2152 By: Roe and Waldron of the
32+House
533
634 and
735
836 Dossett of the Senate
937
1038
1139
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1341
1442 An Act relating to maternal mortality; amending 63
1543 O.S. 2021, Section 1 -242.4, which relates to
1644 composition and structure of the Maternal Mortality
45+Review Committee; reducing membership; requiring
46+hospital or licensed birthing center to report
47+certain maternal deaths to the Office of the Chief
48+Medical Examiner; amending 63 O.S. 2021, Section 938,
49+which relates to types of deaths to be investigated;
50+broadening types of deaths required to be
51+investigated; amending 63 O.S. 2021, Section 939,
52+which relates to production of records, documents,
53+evidence, or other material; authorizing Office of
54+the Chief Medical Examiner to share certa in material
55+with the Maternal Mortality Review Committee for
56+specified purpose; providing for codification; and
57+providing an effective date.
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62+AUTHOR: Add the following House Coauthors: Pittman and Hefner
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64+AMENDMENT NO. 1. Page 1, strike the title, enac ting clause and
65+entire bill and insert
66+
67+
68+“An Act relating to maternal mortality; amending 63
69+O.S. 2021, Section 1 -242.4, which relates to
70+composition and structure of the Maternal Mortality
1771 Review Committee; reducing and modifying membership;
1872 requiring hospital or birthing center to report
1973 certain maternal deaths to the Office of the Chief
2074 Medical Examiner; amending 63 O.S. 2021, Section 938,
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21101 which relates to medicolegal investigations;
22102 broadening types of deaths required to be
23103 investigated; amending 63 O.S . 2021, Section 939,
24104 which relates to production of records, documents,
25105 evidence, or other material; authorizing Office of
26106 the Chief Medical Examiner to share certain material
27107 with the Maternal Mortality Review Committee for
28108 specified purpose; updating sta tutory language;
29109 providing for codification; and providing an
30110 effective date.
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35-SUBJECT: Maternal mortality
36-
37115 BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
38-
39116 SECTION 1. AMENDATORY 63 O.S. 2021, Section 1 -242.4, is
40117 amended to read as follows:
41-
42118 Section 1-242.4. The Maternal Mortality Review Committee shall
43119 be composed of twenty-five (25) eleven (11) members, or their
44120 designees, as follows:
45-
46-1. Eighteen Eight of the members shall be: ENR. H. B. NO. 2152 Page 2
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121+1. Eighteen Eight of the members shall be:
48122 a. the Chief Medical Examiner,
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50123 b. the Chair of the Oklahoma Chapter of th e American
51124 College of Obstetricians and Gynecologists,
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53125 c. the Chief Medical Officer of the State Department of
54126 Health,
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56127 d. the Chief Medical Officer of the Oklahoma Health Care
57128 Authority,
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59129 e. b. the President of the Oklahoma Chapter of the American
60130 College of Nurse-Midwives,
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62157 f. c. the Medical Director for the Oklahoma Perinatal
63158 Quality Improvement Collaborative,
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65159 g. d. the Director of the Maternal and Child Health
66160 Services Service of the State Department of Health,
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68161 h. the Commissioner of Mental Health and Subs tance Abuse
69162 Services,
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71163 i. e. the Chair of the Oklahoma Chapter of the Association
72164 of Women’s Health, Obstetric and Neonatal Nurses,
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74165 j. the Director of the Oklahoma State Bureau of
75166 Investigation,
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77167 k. the Director of Injury Prevention Services of the
78168 State Department of Health,
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80169 l. the Director of the Family Support and Prevention
81170 Service of the State Department of Health,
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83171 m. f. the Executive Director of the Southern Plains Tribal
84172 Health Board,
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86173 n. the President of the Oklahoma Chapter of the National
87174 Association of Social Workers,
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89175 o. g. the Director of the Office of Oklahoma Perinatal
90176 Quality Improvement Collaborative,
91- ENR. H. B. NO. 2152 Page 3
92177 p. the Director of the Oklahoma City/County Health
93178 Department,
179+q. the Director of the Tulsa Health Department , and
94180
95-q. the Director of the Tulsa Health Department , and
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97206 r. h. the administrative progra m manager of the Maternal
98207 and Child Health Service Perinatal and Reproductive
99208 Health Division Medical Director; and
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101209 2. Seven Three of the members shall be appointed by the State
102210 Commissioner of Health to serve for two -year terms and shall be
103211 eligible for reappointment. The members shall be persons having
104212 training and experience in matters related to maternal mortality and
105213 severe maternal morbidity. The members shall be appointed from the
106214 following positions:
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108215 a. a physician who is a member of the Oklahoma State
109216 Medical Association or the Oklahoma Osteopathic
110217 Association,
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112218 b. a physician who is a member of the Oklahoma
113219 Osteopathic Association,
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115220 c. a current law enforcement officer who is employed by a
116221 local or county law enforcement agency,
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118222 d. a maternal-fetal medicine physician, and
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120223 e. c. an individual who has been affected by pregnancy -
121224 related or pregnancy -associated deaths, severe
122225 maternal morbidity, and/or lack of access to maternal
123226 health care services ,
227+f. an emergency medical technician, and
228+g. a home-visiting program director .
124229
125-f. an emergency medical technician, and
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127-g. a home-visiting program director .
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129255 Every two (2) years the Committee shall elect from among its
130256 membership a chair and a vice-chair vice chair. The Committee shall
131257 meet at least quarterly and may meet more frequently as necessary as
132258 determined by the chair.
133-
134259 SECTION 2. NEW LAW A new section of law to be codified
135260 in the Oklahoma Statutes as Section 1 -702f of Title 63, unless there
136-is created a duplication in numbering, reads as follows: ENR. H. B. NO. 2152 Page 4
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261+is created a duplication in numbering, reads as follows:
138262 A hospital or birthing center shall make a reasonable and good-
139263 faith effort to report to the Office of the Chief Medical Examiner,
140264 within seventy-two (72) hours after the death occurs, any maternal
141265 death that occurs in the hospital or birthing center during
142266 pregnancy or within one (1) year of termination of pregn ancy.
143-
144267 SECTION 3. AMENDATORY 63 O.S. 2021, Section 938, is
145268 amended to read as follows:
146-
147269 Section 938. A. All human deaths of the types listed herein
148270 shall be investigated as provided by law:
149-
150271 1. Violent deaths, whether apparently h omicidal, suicidal, or
151272 accidental;
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153273 2. Deaths under suspicious, unusual or unnatural circumstances;
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155274 3. Deaths related to disease which might constitute a threat to
156275 public health;
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158276 4. Deaths unattended by a licensed physician for a fatal or
159277 potentially-fatal potentially fatal illness;
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161304 5. Deaths that are medically unexpected and that occur in the
162305 course of a therapeutic procedure;
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164306 6. Deaths of any persons detained or occurring in custody of
165307 penal incarceration the Department of Corrections or a county jail ;
166308 and
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168309 7. Deaths of persons whose bodies are to be cremated,
169310 transported out of the state, donated to educational entities, to
170311 include limited portions of the body, or otherwise made ultimately
171312 unavailable for pathological study ; and
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173313 8. Maternal deaths th at occur during pregnancy or within one
174314 (1) year of termination of pregnancy reported by a hospital or
175315 birthing center under Section 2 of this act .
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177316 B. The Chief Medical Examiner shall state on the certificate of
178317 death of all persons whose death was caused by execution pursuant to
179318 a lawful court order that the cause of death was the execution of
180319 such order.
181- ENR. H. B. NO. 2152 Page 5
182320 SECTION 4. AMENDATORY 63 O.S. 2021, Section 939, is
183321 amended to read as follows:
184-
185322 Section 939. A. Except as otherwise provided by law, the Chief
186323 Medical Examiner shall produce records, documents, evidence or other
187324 material of any nature only upon the order of a court of competent
325+jurisdiction. An interested party or litigant in a civil or
326+criminal action may make application for an order to produce such
327+materials. The court, after notice to all parties, including the
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354+Chief Medical Examiner, and a hearing on the application, may, upon
355+the showing of good cause, direct the release of a copy or any part
356+of such material. In additi on, the court may also direct the
357+payment of reasonable costs by the requesting party for the
358+production of the material. The production of such material shall
359+take place at the Office of the Chief Medical Examiner unless, upon
360+a showing of good cause, sp ecifically ordered otherwise by the
361+court.
362+B. The Chief Medical Examiner may, to the extent allowed under
363+state law, share records, documents, evidence, or other material of
364+any nature with the Maternal Mortality Review Committee for the
365+purpose of aiding the Committee in carrying out its duties under the
366+Maternal Mortality Review Act.
367+SECTION 5. This act shall become effective November 1, 2024. ”
368+Passed the Senate the 22nd day of April, 2024.
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372+ Presiding Officer of the Senate
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375+Passed the House of Representatives the ____ day of __________,
376+2024.
377+
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380+ Presiding Officer of the House
381+ of Representatives
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383+ENGR. H. B. NO. 2152 Page 1 1
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408+ENGROSSED HOUSE
409+BILL NO. 2152 By: Roe and Waldron of the
410+House
411+
412+ and
413+
414+ Dossett of the Senate
415+
416+
417+
418+
419+
420+An Act relating to maternal mortality; amending 63
421+O.S. 2021, Section 1 -242.4, which relates to
422+composition and structure of the Maternal Mortal ity
423+Review Committee; reducing membership; requiring
424+hospital or licensed birthing center to report
425+certain maternal deaths to the Office of the Ch ief
426+Medical Examiner; amending 63 O.S. 2021, Section 938,
427+which relates to types of deaths to be investigated ;
428+broadening types of deaths required to be
429+investigated; amending 63 O.S. 2021, Section 939,
430+which relates to production of re cords, documents,
431+evidence, or other material; authorizing Office of
432+the Chief Medical Examiner to share certain material
433+with the Maternal Mortality Review Committee for
434+specified purpose; providing for codification; and
435+providing an effective date .
436+
437+
438+
439+
440+BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
441+SECTION 6. AMENDATORY 63 O.S. 2021, Secti on 1-242.4, is
442+amended to read as follows:
443+Section 1-242.4 The Maternal Mortality Review Committee shall
444+be composed of twenty-five (25) twenty-four (24) members, or their
445+designees, as follows:
446+1. Eighteen of the members shall be:
447+a. the Chief Medical Examiner,
448+
449+ENGR. H. B. NO. 2152 Page 2 1
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474+b. the Chair of the Oklahoma Chapter of the American
475+College of Obstetricians and Gynecologists,
476+c. the Chief Medical Of ficer of the State Departme nt of
477+Health,
478+d. the Chief Medical Officer of the Oklahoma Health Care
479+Authority,
480+e. the President of the Oklahoma Chapter of the American
481+College of Nurse-Midwives,
482+f. the Medical Director for the Oklahoma Perinatal
483+Quality Improvement Collaborative,
484+g. the Director of the Maternal and Child Health Services
485+Service of the State Department of Health,
486+h. the Commissioner of Mental Health and Substance Abuse
487+Services,
488+i. the Chair of the Oklahoma Chapter of the Association
489+of Women's Health, Obstetric and Neo natal Nurses,
490+j. the Director of the Oklahoma State Bureau of
491+Investigation,
492+k. the Director of the Injury Prevention Services Service
493+of the State Department of Health,
494+l. the Director of the Family Support and Prevention
495+Service of the State Department o f Health,
496+m. the Executive Director of the So uthern Plains Tribal
497+Health Board,
498+
499+ENGR. H. B. NO. 2152 Page 3 1
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524+n. the President of the Oklahoma Chapter of the National
525+Association of Social Workers,
526+o. the Director of the Office of Perinatal Quality
527+Improvement,
528+p. the Director of the O klahoma City/County City-County
529+Health Department,
530+q. the Director of the Tulsa Health Department, a nd
531+r. the Maternal and Child Health Service Perinatal and
532+Reproductive Health Division Medical Director; and
533+2. Seven Six of the members shall be appointed by the State
534+Commissioner of Health to serve for two-year terms and shall be
535+eligible for reappointmen t. The members shall be persons having
536+training and experience in matters related to maternal mortality and
537+severe maternal morbidity. The members shal l be appointed from the
538+following positions:
539+a. a physician who is a member of the Oklahoma State
540+Medical Association,
541+b. a physician who is a member of the Okla homa
542+Osteopathic Association,
543+c. a current law enforcement officer w ho is employed by a
544+local or county law enforcement agency,
545+d. a maternal-fetal medicine physician,
546+e. an individual who has been affected by pregnancy-
547+related or pregnancy-associated deaths, severe
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574+maternal morbidity, and/or lack of access to maternal
575+health care services, and
576+f. an emergency medical technician, and
577+g. a home-visiting program director services provider.
578+Every two (2) years the Committee shall elect fro m among its
579+membership a chair and a vice-chair. The Committee shall meet at
580+least quarterly and may meet more freq uently as necessary as
581+determined by the chai r.
582+SECTION 7. NEW LAW A new section of law to be codified
583+in the Oklahoma Statutes as Section 1-702f of Title 63, unless there
584+is created a duplication in numbe ring, reads as follows:
585+A hospital or licensed bir thing center shall mak e a reasonable
586+and good-faith effort to report to the Office of the Chief Medical
587+Examiner, within seventy-two (72) hours after the death occurs, any
588+maternal death that occurs in the hospital or licensed birthi ng
589+center during pregna ncy or within one (1) year of termination of
590+pregnancy.
591+SECTION 8. AMENDATORY 63 O.S. 2021, Section 938, is
592+amended to read as follows:
593+Section 938. A. All human deaths of the ty pes listed herein
594+shall be investigated as provide d by law:
595+1. Violent deaths, whether apparently homicidal, suic idal, or
596+accidental;
597+2. Deaths under suspicious, unu sual or unnatural circumstances;
598+
599+ENGR. H. B. NO. 2152 Page 5 1
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624+3. Deaths related to disease which might constitute a t hreat to
625+public health;
626+4. Deaths unattended by a licensed physician fo r a fatal or
627+potentially-fatal potentially fatal illness;
628+5. Deaths that are medically unexpec ted and that occur in the
629+course of a therapeutic procedure;
630+6. Deaths of any persons de tained or occurring in cust ody of
631+penal incarceration; and
632+7. Deaths of persons whose bodies are to be cremated,
633+transported out of the state, donated to educational entities, to
634+include limited portions of the body, or otherwise made ultimately
635+unavailable for pathological study ; and
636+8. Maternal deaths that occur d uring pregnancy or within one
637+(1) year of terminati on of pregnancy reported by a hospital or
638+licensed birthing center under Section 2 of this act.
639+B. The Chief Medical Examiner shall state on the certificate of
640+death of all persons whose death was caused by execution pursuant to
641+a lawful court order that the cause of death was the execution of
642+such order.
643+SECTION 9. AMENDATORY 63 O.S. 2021, Section 939, is
644+amended to read as follows:
645+Section 939. A. Except as otherwise provided by law, the Chief
646+Medical Examiner shall produce re cords, documents, evidence or other
647+material of any nature only upon the order of a court of competent
648+
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188674 jurisdiction. An interested party or l itigant in a civil or
189675 criminal action may make application for an order to produce such
190676 materials. The court, aft er notice to all parties, including the
191677 Chief Medical Examiner, and a hearing on the application, may, upon
192678 the showing of good cause, direct the release of a copy or an y part
193679 of such material. In additio n, the court may also direct the
194680 payment of reasonable costs by the requesting party for the
195681 production of the material. The production of such material shall
196682 take place at the Office of the C hief Medical Examiner unles s, upon
197683 a showing of good cause, spe cifically ordered otherwise by the
198684 court.
685+B. Notwithstanding subsection A of this section, the Chief
686+Medical Examiner may, to the extent allowed under state law, share
687+records, documents, evid ence, or other material of any nature with
688+the Maternal Mortalit y Review Committee for the purpose of aiding
689+the Committee in carrying out its duties under the Materna l
690+Mortality Review Act.
691+SECTION 10. This act shall become effective November 1, 2023.
199692
200-B. The Chief Medical Examiner may, to the extent allowed under
201-state law, share records, documents, evidence, or other material of
202-any nature with the Maternal Mortality Review Committee for the
203-purpose of aiding the Committee in carrying out its duties under the
204-Maternal Mortality Review Act.
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206-SECTION 5. This act shall become effective November 1, 2024.
207- ENR. H. B. NO. 2152 Page 6
208-
209-Passed the House of Representatives the 30th day of April, 2024.
718+Passed the House of Representatives the 6th day of March, 2023.
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213722
214723 Presiding Officer of the House
215724 of Representatives
216725
217-Passed the Senate the 22nd day of April, 2024.
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728+Passed the Senate the ___ day of __________, 2023.
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222733 Presiding Officer of the Senate
223734
224735
225736
226-OFFICE OF THE GOVERNOR
227-Received by the Office of the Governor this ____________________
228-day of ___________________, 20_______, at _______ o'clock _______ M.
229-By: _________________________________
230-Approved by the Governor of the State of Oklaho ma this _________
231-day of ___________________, 20_______, at _______ o'clock _______ M.
232-
233-
234- _________________________________
235- Governor of the State of Oklahoma
236-
237-OFFICE OF THE SECRETARY OF STATE
238-Received by the Office of the Secretary of State this _________ _
239-day of ___________________, 20_______, at _______ o'clock _______ M.
240-By: _________________________________