ENROLLED 2018 Legislature CS for CS for SB 510 2018510er 1 2 An act relating to reporting of adverse incidents in 3 planned out-of-hospital births; creating s. 456.0495, 4 F.S.; defining the term “adverse incident”; requiring 5 licensed physicians, certified nurse midwives, and 6 licensed midwives to report an adverse incident and a 7 medical summary of events to the Department of Health 8 within a specified timeframe; requiring the department 9 to review adverse incident reports and determine if 10 conduct occurred that is subject to disciplinary 11 action; requiring the appropriate regulatory board or 12 the department to take disciplinary action under 13 certain circumstances; requiring the department to 14 adopt rules; requiring the department to develop a 15 form to be used for the reporting of adverse 16 incidents; providing an effective date. 17 18 Be It Enacted by the Legislature of the State of Florida: 19 20 Section 1. Section 456.0495, Florida Statutes, is created 21 to read: 22 456.0495 Reporting adverse incidents occurring in planned 23 out-of-hospital births.— 24 (1) For purposes of this section, the term “adverse 25 incident” means an event over which a physician licensed under 26 chapter 458 or chapter 459, a nurse midwife certified under part 27 I of chapter 464, or a midwife licensed under chapter 467 could 28 exercise control and which is associated with an attempted or 29 completed planned out-of-hospital birth, and results in one or 30 more of the following injuries or conditions: 31 (a) A maternal death that occurs during delivery or within 32 42 days after delivery; 33 (b) The transfer of a maternal patient to a hospital 34 intensive care unit; 35 (c) A maternal patient experiencing hemorrhagic shock or 36 requiring a transfusion of more than 4 units of blood or blood 37 products; 38 (d) A fetal or newborn death, including a stillbirth, 39 associated with an obstetrical delivery; 40 (e) A transfer of a newborn to a neonatal intensive care 41 unit due to a traumatic physical or neurological birth injury, 42 including any degree of a brachial plexus injury; 43 (f) A transfer of a newborn to a neonatal intensive care 44 unit within the first 72 hours after birth if the newborn 45 remains in such unit for more than 72 hours; or 46 (g) Any other injury as determined by department rule. 47 (2) Beginning July 1, 2018, a physician licensed under 48 chapter 458 or chapter 459, a nurse midwife certified under part 49 I of chapter 464, or a midwife licensed under chapter 467 who 50 performs an attempted or completed planned out-of-hospital birth 51 must report an adverse incident, along with a medical summary of 52 events, to the department within 15 days after the adverse 53 incident occurs. 54 (3) The department shall review each incident report and 55 determine whether the incident involves conduct by a health care 56 practitioner which is subject to disciplinary action under s. 57 456.073. Disciplinary action, if any, must be taken by the 58 appropriate regulatory board or by the department if no such 59 board exists. 60 (4) The department shall adopt rules to implement this 61 section and shall develop a form to be used for the reporting of 62 adverse incidents. 63 Section 2. This act shall take effect upon becoming a law.