Florida Senate - 2019 SB 758 By Senator Gibson 6-01222-19 2019758__ 1 A bill to be entitled 2 An act relating to the Maternal Mortality Prevention 3 Task Force; establishing the Maternal Mortality 4 Prevention Task Force to advise the Department of 5 Health and make recommendations; providing for duties 6 and membership of the task force; requiring the task 7 force to submit a report of its findings and 8 recommendations to the Governor and the Legislature by 9 a specified date; providing for expiration of the task 10 force; providing an effective date. 11 12 WHEREAS, in the United States, maternal mortality rates are 13 among the highest in the developed world, increasing by 26.6 14 percent between 2000 and 2014, and 15 WHEREAS, data from the Centers for Disease Control and 16 Prevention show that more than 700 women die each year in the 17 United States from complications related to pregnancy or 18 childbirth, and 19 WHEREAS, the maternal mortality rate for African-American 20 women is nearly four times higher than that for Caucasian women, 21 and 22 WHEREAS, in 2015, the mortality rate in the United States 23 was 14 maternal deaths per 100,000 live births, with causes 24 ranging from a rise in pregnancy-related medical conditions and 25 the age of women giving birth to a lack of standardized hospital 26 protocols, and 27 WHEREAS, postpartum hemorrhaging, cardiomyopathy, and 28 hypertensive disorders are the leading causes of maternal 29 mortality in the United States, and 30 WHEREAS, in 1996, the Florida Department of Health 31 initiated the Florida Pregnancy-Associated Mortality Review 32 (PAMR) program to improve surveillance and analysis of 33 pregnancy-related deaths and facilitate improvements in the 34 overall system of care in the state, an essential piece of the 35 solution to preventing maternal deaths, and 36 WHEREAS, the Florida PAMR program found that the primary 37 contributing factor to maternal deaths in the state is a lack of 38 standardization in health care policies and procedures relating 39 to treatment, diagnosis, knowledge or skills assessment, care 40 coordination, referrals, transfers, and followup, all of which 41 can lead to delays in treatment or diagnosis, and 42 WHEREAS, the state must diligently examine and reevaluate 43 current practices and policies and identify and immediately 44 remedy deficiencies in such practices and policies to protect 45 the health of all women during pregnancy, childbirth, and in the 46 postpartum period, and to eliminate preventable maternal deaths 47 in the state, NOW, THEREFORE, 48 49 Be It Enacted by the Legislature of the State of Florida: 50 51 Section 1. (1) A task force is established adjunct to the 52 Department of Health to advise the department and, except as 53 otherwise provided in this section, shall operate consistent 54 with s. 20.052, Florida Statutes. The task force shall be known 55 as the “Maternal Mortality Prevention Task Force.” The 56 Department of Health shall provide administrative and staff 57 support services relating to the functions of the task force. 58 (2) The purposes of the task force are to evaluate methods 59 to improve the effectiveness of current practices, procedures, 60 programs, and initiatives in reducing the rate of preventable 61 maternal deaths; identify any deficiencies; and recommend 62 changes to existing laws, rules, and policies needed to 63 implement the task force’s recommendations. At a minimum, the 64 task force shall evaluate and consider the following to assist 65 in developing its recommendations: 66 (a) Specific circumstances surrounding pregnancy-related 67 deaths and other relevant data and information reported in the 68 state. 69 (b) Continuing education and training requirements for 70 health care providers relating to maternal care and the 71 identification of at-risk patients before and during pregnancy 72 and after childbirth. 73 (c) Education of a patient and the patient’s family members 74 before and during pregnancy and after childbirth relating to the 75 importance of stabilizing chronic medical health issues, family 76 planning, substance abuse, and mental health. 77 (d) Health care provider reporting requirements for adverse 78 medical incidents. 79 (e) The protocols, tools, medications, techniques, and 80 guidelines used in facilities by health care providers to 81 identify, prevent, and manage obstetric emergencies, including, 82 but not limited to, postpartum hemorrhaging. 83 (f) The factors leading to racial and ethnic disparities in 84 maternal health outcomes, and the potential community-based 85 solutions to address such disparities. 86 (3) The task force shall consist, at a minimum, of the 87 following members: 88 (a) The State Surgeon General or his or her designee, who 89 shall serve as the chair of the task force. 90 (b) The Secretary of Health Care Administration or his or 91 her designee. 92 (c) Two members of the Senate appointed by the President of 93 the Senate. 94 (d) Two members of the House of Representatives appointed 95 by the Speaker of the House of Representatives. 96 (e) A physician appointed by the Board of Medicine who 97 actively practices obstetrics, gynecology, or family medicine. 98 (f) A physician appointed by the Board of Osteopathic 99 Medicine who actively practices obstetrics, gynecology, or 100 family medicine. 101 (g) An advanced practice registered nurse appointed by the 102 Board of Nursing who actively practices as a certified nurse 103 midwife. 104 (h) A registered nurse appointed by the Board of Nursing 105 who has experience in labor and delivery. 106 (i) A licensed midwife appointed by the Council of Licensed 107 Midwifery. 108 (j) A mental health professional jointly appointed by the 109 Board of Psychology and the Board of Clinical Social Work, 110 Marriage and Family Therapy, and Mental Health Counseling. 111 (k) Two representatives of hospitals or facilities licensed 112 under chapter 395, each of whom regularly provides pregnancy 113 related services, appointed by the Secretary of Health Care 114 Administration. 115 (l) A representative of the Florida Pregnancy-Associated 116 Mortality Review (PAMR) program appointed by the State Surgeon 117 General. 118 (m) Two representatives from stakeholder groups 119 participating in the Florida Perinatal Quality Collaborative at 120 the University of South Florida College of Public Health. 121 (4) By December 1, 2020, the task force shall submit a 122 report of its findings and recommendations to the Governor, the 123 President of the Senate, and the Speaker of the House of 124 Representatives. 125 (5) This section expires June 30, 2021. 126 Section 2. This act shall take effect upon becoming a law.