GENERAL ASSEMBLY OF NORTH CAROLINA

SESSION 2017

H                                                                                                                                                    1

HOUSE BILL 741

Short Title:      DHHS Study/Maternal and Neonatal Care.		(Public)
Sponsors:	Representatives Murphy, Boswell, Adcock, and Cunningham (Primary Sponsors). For a complete list of sponsors, refer to the North Carolina General Assembly web site.
Referred to:	Health

April 13, 2017

A BILL TO BE ENTITLED

AN ACT DIRECTING THE DEPARTMENT OF HEALTH AND HUMAN SERVICES TO STUDY ISSUES PERTAINING TO HIGH‑QUALITY, RISK‑APPROPRIATE MATERNAL AND NEONATAL CARE.

Whereas, pregnant and postpartum women require timely, comprehensive medical services matched to their clinical complexity; and

Whereas, medically complex pregnant mothers and newborns should be cared for in a medical facility that can meet their specific medical needs; and

Whereas, maternity and newborn care providers are not geographically distributed to best meet health care needs; and

Whereas, studies have demonstrated that timely access to risk appropriate neonatal and obstetric care can reduce infant mortality and maternal severe morbidity and mortality; and

Whereas, health care facilities across North Carolina have varied capabilities to care for mothers and newborns with complex needs; and

Whereas, designating facilities with specific "levels of care" offers uniform criteria about the capability of health care facilities to provide complexity of care to pregnant women and newborns; and this approach is endorsed by the American College of Obstetricians and Gynecologists, the Society for Maternal‑Fetal Medicine, the American Academy of Pediatrics, and a number of other national medical organizations; Now, therefore,

The General Assembly of North Carolina enacts:

SECTION 1.(a)  The Department of Health and Human Services shall study and analyze North Carolina's ability to provide women with timely and equitable access to high‑quality, risk‑appropriate maternal and neonatal care. The study shall examine at least all of the following:

(1)        The complexity levels of care currently being provided by all delivering hospitals in caring for birth mothers and newborns.

(2)        How current systems of referral and transport to different facilities and specialty providers based on patient risk are being managed.

(3)        Disparities in access to risk‑appropriate maternal and hospital care.

(4)        Service gaps.

(5)        Issues that impact the ability to most appropriately match patient need with provider skill.

(6)        Recommendations for actionable steps that can be taken in North Carolina to best ensure that pregnant women receive quality prenatal care and that mothers and newborns are cared for in a facility that can meet their specific clinical needs.

(7)        Any other issues the Department deems relevant to this study.

SECTION 1.(b)  The Department shall make an interim report of its findings and recommendations to the 2018 Regular Session of the 2017 General Assembly on or before May 1, 2018, and a final report of its findings and recommendations, including any recommended legislation, to the 2019 General Assembly.

SECTION 2.  This act is effective when it becomes law.