reglab/statecodes huggingface dataset:
2023 California Code › Health and Safety Code - HSC › DIVISION 106 - PERSONAL HEALTH CARE (INCLUDING MATERNAL, CHILD, AND ADOLESCENT) › PART 2 - MATERNAL, CHILD, AND ADOLESCENT HEALTH › CHAPTER 2 - Maternal Health › ARTICLE 3 - Community-Based Perinatal System › Section 123493.

123493. (a) The department may accept voluntary contributions, in cash or in-kind, to pay for the costs in the implementation of the program under Section 123492. These private donations shall be deposited into the California Families and Children Account, which is hereby created in the State Treasury, in which, notwithstanding Section 13340 of the Government Code, is hereby continuously appropriated to the department for purposes of implementing Section 123492. No state funds shall be used in implementing Section 123492.
(b) The department shall only distribute grants established under Section 123492 if the Director of Finance determines, in writing, that there are sufficient funds from private donations available in the account for expenditure for the purposes of the program.
(c) The department’s administration costs shall not exceed 5 percent of the moneys in the account created under subdivision (a). Any costs to the department incurred prior to the account receiving funds shall be reimbursed to the department from funds in the account.
(d) The department shall not apply for grants or solicit private funds.
(e) If, as of January 1, 2009, the Director of Finance determines pursuant to subdivision (a) that there are insufficient funds on deposit in the account to implement the voluntary nurse home visiting grant program, the account shall cease to exist.
(Added by Stats. 2006, Ch. 878, Sec. 5. Effective January 1, 2007.)
2023 California Code › Health and Safety Code - HSC › DIVISION 106 - PERSONAL HEALTH CARE (INCLUDING MATERNAL, CHILD, AND ADOLESCENT) › PART 2 - MATERNAL, CHILD, AND ADOLESCENT HEALTH › CHAPTER 2 - Maternal Health › ARTICLE 3 - Community-Based Perinatal System › Section 123495.

123495. (a)  The department shall seek any federal waiver or waivers that may be necessary to maximize funds from the federal government including, but not limited to, funds provided under Title 19 of the Social Security Act to provide funds for a full range of preventive perinatal services.
(b)  The department shall, in preparing its budget for submission each year, coordinate all funding sources intended primarily for perinatal care made available through the Budget Act to maximize the delivery of perinatal care services and to avoid duplication of programs and funding.
(c)  The department shall develop and implement a uniform sliding fee schedule for women provided perinatal care through the perinatal services program. The fee schedule shall be based on family size and income, but in no case shall the fee exceed the actual cost of the services provided. The department shall not implement any schedule developed pursuant to this section sooner than 30 days after the department has provided the chairperson of the Joint Legislative Budget Committee and the chairperson of the fiscal committee of each house with the developed schedule.
All free clinics, as defined in paragraph (2) of subdivision (a) of Section 1204 shall be exempt from this subdivision.
All organizations funded under the Public Health Service Act, Sections 254b and 254c of Title 42 of the United States Code, shall be permitted to utilize those sliding fee scales mandated by federal law or regulation in lieu of the sliding fee scale adopted by the department.
(Added by Stats. 1995, Ch. 415, Sec. 8. Effective January 1, 1996.)
2023 California Code › Health and Safety Code - HSC › DIVISION 106 - PERSONAL HEALTH CARE (INCLUDING MATERNAL, CHILD, AND ADOLESCENT) › PART 2 - MATERNAL, CHILD, AND ADOLESCENT HEALTH › CHAPTER 2 - Maternal Health › ARTICLE 3 - Community-Based Perinatal System › Section 123500.

123500. The department shall monitor the delivery of services under contracts, grants, and agreements provided for in this article through a uniform health data collection system that utilizes epidemiologic methodology. The department may collect data from providers receiving funds through this program as necessary to evaluate program effectiveness.
(Added by Stats. 1995, Ch. 415, Sec. 8. Effective January 1, 1996.)
2023 California Code › Health and Safety Code - HSC › DIVISION 106 - PERSONAL HEALTH CARE (INCLUDING MATERNAL, CHILD, AND ADOLESCENT) › PART 2 - MATERNAL, CHILD, AND ADOLESCENT HEALTH › CHAPTER 2 - Maternal Health › ARTICLE 3 - Community-Based Perinatal System › Section 123505.

123505. The goals of the community-based comprehensive perinatal health care system shall be:
(a)  To decrease and maintain the decreased level of perinatal, maternal, and infant mortality and morbidity in the State of California.
(b)  To support methods of providing comprehensive prenatal care that prevent prematurity and the incidence of low birth weight infants.
(Added by Stats. 1995, Ch. 415, Sec. 8. Effective January 1, 1996.)
2023 California Code › Health and Safety Code - HSC › DIVISION 106 - PERSONAL HEALTH CARE (INCLUDING MATERNAL, CHILD, AND ADOLESCENT) › PART 2 - MATERNAL, CHILD, AND ADOLESCENT HEALTH › CHAPTER 2 - Maternal Health › ARTICLE 3 - Community-Based Perinatal System › Section 123510.

123510. The program objectives of the community-based comprehensive perinatal health care system shall be the following:
(a)  To ensure continuing availability and accessibility to early prenatal care within the areas presently served and to develop a community-based comprehensive perinatal system in other areas of the state that are medically underserved or have demonstrated need.
(b)  To assure the appropriate level of maternal, newborn and pediatric care services necessary to provide the healthiest outcome for mother and infant.
(c)  To ensure postpartum, family planning, and followup care through the first year of life, and referral to an ongoing primary health care provider.
(d)  To include support and ancillary services such as nutrition, health education, public health nursing, and social work that have been demonstrated to decrease maternal, perinatal, and infant mortality and morbidity, as components of comprehensive perinatal care.
(e)  To ensure that care shall be available regardless of the patient’s financial situation.
(f)  To ensure, to the extent possible, that the same quality of care shall be available to all pregnant women.
(g)  To promote program flexibility by recognizing the needs within an area and providing for unique programs to meet those needs.
(h)  To emphasize preventive health care as a major component of any perinatal program, and to support outreach programs directed at low-income pregnant women that will encourage early entry into, and appropriate utilization of, the perinatal health care system.
(Added by Stats. 1995, Ch. 415, Sec. 8. Effective January 1, 1996.)
2023 California Code › Health and Safety Code - HSC › DIVISION 106 - PERSONAL HEALTH CARE (INCLUDING MATERNAL, CHILD, AND ADOLESCENT) › PART 2 - MATERNAL, CHILD, AND ADOLESCENT HEALTH › CHAPTER 2 - Maternal Health › ARTICLE 3 - Community-Based Perinatal System › Section 123516.

123516. (a) The department, in consultation with the program administrators, may contract with one or more qualified organizations to assist the department in ensuring that grantees implement the program as established under Section 123491 and to conduct an annual evaluation of the implementation of the grant program on a statewide basis. The first evaluation shall be due 12 months after the award of grants pursuant to Section 123492.
(b) (1) In conducting its monitoring and evaluation activities, the department shall be guided by program performance standards developed by the department in consultation with the Nurse-Family Partnership program.
(2) The annual evaluation shall contain, but not be limited to, the extent to which each grantee participating in the program has done each of the following:
(A) Recruited a population of low-income, first-time mothers.
(B) Enrolled families early in pregnancy and followed them through the second birthday of the child.
(C) Conducted visits that are of comparable frequency, duration, and content as those delivered in the randomized clinical trials of the program.
(D) Assessed the health and well-being of the mothers and children enrolled in the program according to common indicators of maternal, child, and family health.
(Amended by Stats. 2012, Ch. 728, Sec. 109. (SB 71) Effective January 1, 2013.)
2023 California Code › Health and Safety Code - HSC › DIVISION 106 - PERSONAL HEALTH CARE (INCLUDING MATERNAL, CHILD, AND ADOLESCENT) › PART 2 - MATERNAL, CHILD, AND ADOLESCENT HEALTH › CHAPTER 2 - Maternal Health › ARTICLE 3 - Community-Based Perinatal System › Section 123520.

123520. (a)  In developing a comprehensive system, health care providers funded under this article may perform the following activities to ensure that a full range of program components of a comprehensive, community-based health care system are available, accessible, and utilized by pregnant women and infants:
(1)  Coordinate specific linkages with one another.
(2)  Subcontract the services specified in this article.
(3)  Provide additional services not specifically listed in this article. These additional services shall include, but shall not be limited to the Women, Infants, and Children (WIC) food supplement program, services offered by local health departments, and public and private social welfare agencies. Nothing contained in this article shall be construed to prohibit a subcontractor from being reimbursed pursuant to a fee for service, capitation, or other payment mechanism.
(b)  All services and educational materials shall be provided in the primary languages of the clients served, provided that there are at least 5 percent or 100 persons, whichever is less, of the total beneficiary population served annually by each facility, who share language other than English and who are limited-English speaking. “Limited-English speaking” means a person who uses a language other than English in order to communicate effectively.
(c)  Health care providers applying for a contract, grant, or agreement under this article shall indicate the manner in which their service elements will be coordinated with existing community resources and services and with hospitals of all levels in the area to ensure each client receives the appropriate level or care at the appropriate time. The department may require written agreements between contractors and hospital or hospitals in the area regarding delivery services, and protocols for referral and transfer when special treatment services are required. The department may, when requested by the grantee or contractor, assist in achieving coordination and written agreements pertaining to the delivery of these services.
(Added by Stats. 1995, Ch. 415, Sec. 8. Effective January 1, 1996.)
2023 California Code › Health and Safety Code - HSC › DIVISION 106 - PERSONAL HEALTH CARE (INCLUDING MATERNAL, CHILD, AND ADOLESCENT) › PART 2 - MATERNAL, CHILD, AND ADOLESCENT HEALTH › CHAPTER 2 - Maternal Health › ARTICLE 3 - Community-Based Perinatal System › Section 123525.

123525. The provisions contained in this article shall be subject to the normal Budget Act process and shall be operative to the extent funds are appropriated for this purpose.
(Added by Stats. 1995, Ch. 415, Sec. 8. Effective January 1, 1996.)
2023 California Code › Health and Safety Code - HSC › DIVISION 106 - PERSONAL HEALTH CARE (INCLUDING MATERNAL, CHILD, AND ADOLESCENT) › PART 2 - MATERNAL, CHILD, AND ADOLESCENT HEALTH › CHAPTER 2 - Maternal Health › ARTICLE 4 - Perinatal Health Care › Section 123550.

123550. The Legislature finds and declares that prenatal care, delivery service, postpartum care and neonatal and infant care are essential services necessary to assure maternal and infant health. These services are not currently distributed so as to meet the minimum maternal and infant health needs of many Californians. A regionalized perinatal health system can provide these essential services; however, many underserved areas lack the staff or expertise to develop these systems.
(Added by Stats. 1995, Ch. 415, Sec. 8. Effective January 1, 1996.)
2023 California Code › Health and Safety Code - HSC › DIVISION 106 - PERSONAL HEALTH CARE (INCLUDING MATERNAL, CHILD, AND ADOLESCENT) › PART 2 - MATERNAL, CHILD, AND ADOLESCENT HEALTH › CHAPTER 2 - Maternal Health › ARTICLE 4 - Perinatal Health Care › Section 123555.

123555. The department shall develop and implement a uniform sliding fee schedule, based on family size and income, for women provided perinatal care through the Perinatal Care Services Program. The department shall not implement any schedule developed pursuant to this section sooner than 30 days after the department has provided the Chairperson of the Joint Legislative Budget Committee and the chairperson of the fiscal committee of each house with the developed schedule.
(Added by Stats. 1995, Ch. 415, Sec. 8. Effective January 1, 1996.)
2023 California Code › Health and Safety Code - HSC › DIVISION 106 - PERSONAL HEALTH CARE (INCLUDING MATERNAL, CHILD, AND ADOLESCENT) › PART 2 - MATERNAL, CHILD, AND ADOLESCENT HEALTH › CHAPTER 2 - Maternal Health › ARTICLE 4 - Perinatal Health Care › Section 123560.

123560. Unless the context otherwise requires, the definitions in this section govern the construction of this article:
(a)  “Perinatal health system” means all of the prenatal care, delivery care, postpartum care, and neonatal and infant care services available to a region identified by the department pursuant to this article.
(b)  “Regionalized perinatal health system” means coordinated measures intended to ensure that a perinatal health system provides at least minimum services necessary to meet the maternal and infant health needs of the region and intended to ensure that it does so as efficiently and cost-effectively as possible.
(c)  “High-risk pregnant woman” means a woman considered highly likely for any reason to suffer personal mortality or morbidity from her pregnancy, or to deliver a defective, disabled, high-risk, or stillborn infant.
(d)  “High-risk infant” means a newborn considered highly likely for any reason to suffer personal mortality or morbidity or to suffer long-lasting defect or disability.
(e)  “High-risk geographic area” means a region in this state in which the proportion of high-risk pregnant women or high-risk infants exceeds the average for the population of California as a whole.
(f)  “High-risk population” means a demographic group in which the proportion of high-risk women or high-risk infants exceeds the average for the population of California as a whole.
(Added by Stats. 1995, Ch. 415, Sec. 8. Effective January 1, 1996.)
2023 California Code › Health and Safety Code - HSC › DIVISION 106 - PERSONAL HEALTH CARE (INCLUDING MATERNAL, CHILD, AND ADOLESCENT) › PART 2 - MATERNAL, CHILD, AND ADOLESCENT HEALTH › CHAPTER 2 - Maternal Health › ARTICLE 4 - Perinatal Health Care › Section 123565.

123565. The department shall maintain a program that addresses the special needs of high-risk pregnant women and infants. The program shall include the following:
(a)  Identification of high-risk geographical areas and populations.
(b)  Identification and evaluation of deficiencies in perinatal health systems.
(c)  Assistance in the development of regionalized perinatal health systems, particularly in underserved areas, to meet unmet needs.
(d)  Assistance in implementing regionalized perinatal health systems.
(e)  Collection and analyses of data on perinatal health systems and needs.
(f)  Monitoring of results.
(g)  Assist in implementing and maintaining a high-risk infant follow-up program.
(Added by Stats. 1995, Ch. 415, Sec. 8. Effective January 1, 1996.)
2023 California Code › Health and Safety Code - HSC › DIVISION 106 - PERSONAL HEALTH CARE (INCLUDING MATERNAL, CHILD, AND ADOLESCENT) › PART 2 - MATERNAL, CHILD, AND ADOLESCENT HEALTH › CHAPTER 2 - Maternal Health › ARTICLE 4 - Perinatal Health Care › Section 123570.

123570. (a)  In assisting in the development of the regionalized perinatal health systems, the department shall consult with the office, the State Department of Developmental Services, county health officials, health systems agencies, health professionals and health facilities expected to participate in the systems, and community groups.
(b)  In carrying out this article, the department shall coordinate the regionalized perinatal health systems with all other maternal and infant health programs conducted by or for the department, the office, the State Department of Developmental Services, and all other state agencies, to ensure full regional coordination.
(Added by Stats. 1995, Ch. 415, Sec. 8. Effective January 1, 1996.)
2023 California Code › Health and Safety Code - HSC › DIVISION 106 - PERSONAL HEALTH CARE (INCLUDING MATERNAL, CHILD, AND ADOLESCENT) › PART 2 - MATERNAL, CHILD, AND ADOLESCENT HEALTH › CHAPTER 2 - Maternal Health › ARTICLE 4 - Perinatal Health Care › Section 123575.

123575. It is the intent of the Legislature that the program created by Sections 123550 to 123570, inclusive, be funded through the normal budgetary process beginning in the 1980–81 fiscal year.
(Added by Stats. 1995, Ch. 415, Sec. 8. Effective January 1, 1996.)
2023 California Code › Health and Safety Code - HSC › DIVISION 106 - PERSONAL HEALTH CARE (INCLUDING MATERNAL, CHILD, AND ADOLESCENT) › PART 2 - MATERNAL, CHILD, AND ADOLESCENT HEALTH › CHAPTER 2 - Maternal Health › ARTICLE 4 - Perinatal Health Care › Section 123576.

123576. (a) Subject to an appropriation of funds by the Legislature in the annual Budget Act or another statute for this purpose, the State Department of Public Health, in consultation with subject matter experts, shall do all of the following:
(1) Review available literature on adverse effects of extreme heat on perinatal health.
(2) Develop guidance for safe conditions and healthy considerations for pregnant individuals and infant children who may be exposed to extreme heat, and for pregnant individuals, during both the gestational and postpartum periods. The department shall post this guidance on its internet website and make it accessible to medical and community-based health care organizations.
(3) Provide guidance and supporting information to the Legislature by submitting a report that includes legislative or policy recommendations on best practices for connecting perinatal patients with the appropriate health and well-being information relating to extreme heat.
(b) (1) A report to be submitted pursuant to subdivision (a) shall be submitted in compliance with Section 9795 of the Government Code.
(2) Pursuant to Section 10231.5 of the Government Code, this section is repealed on January 1, 2027.
(Added by Stats. 2022, Ch. 265, Sec. 2. (AB 2420) Effective January 1, 2023. Repealed as of January 1, 2027, by its own provisions.)
2023 California Code › Health and Safety Code - HSC › DIVISION 106 - PERSONAL HEALTH CARE (INCLUDING MATERNAL, CHILD, AND ADOLESCENT) › PART 2 - MATERNAL, CHILD, AND ADOLESCENT HEALTH › CHAPTER 2 - Maternal Health › ARTICLE 4 - Perinatal Health Care › Section 123600.

123600. By July 1, 1991, the Health and Welfare Agency shall develop and disseminate a model needs assessment protocol for pregnant and postpartum substance abusing women in conjunction with the appropriate professional organizations in the areas of hospital administration, substance abuse prevention and treatment, social services, public health, and appropriate state agencies, including the State Department of Social Services, the department, the State Department of Developmental Services, and the State Department of Alcohol and Drug Programs. This model may be utilized by hospitals and counties pursuant to Section 123605.
(Added by Stats. 1995, Ch. 415, Sec. 8. Effective January 1, 1996.)
2023 California Code › Health and Safety Code - HSC › DIVISION 106 - PERSONAL HEALTH CARE (INCLUDING MATERNAL, CHILD, AND ADOLESCENT) › PART 2 - MATERNAL, CHILD, AND ADOLESCENT HEALTH › CHAPTER 2 - Maternal Health › ARTICLE 4 - Perinatal Health Care › Section 123605.

123605. (a)  Each county shall establish protocols between county health departments, county welfare departments, and all public and private hospitals in the county, regarding the application and use of an assessment of the needs of, and a referral for, a substance exposed infant to a county welfare department pursuant to Section 11165.13 of the Penal Code.
(b)  The assessment of the needs shall be performed by a health practitioner, as defined in Section 11165.8 of the Penal Code, or a medical social worker. The needs assessment shall be performed before the infant is released from the hospital.
(c)  The purpose of the assessment of the needs is to do all of the following:
(1)  Identify needed services for the mother, child, or family, including, where applicable, services to assist the mother caring for her child and services to assist maintaining children in their homes.
(2)  Determine the level of risk to the newborn upon release to the home and the corresponding level of services and intervention, if any, necessary to protect the newborn’s health and safety, including a referral to the county welfare department for child welfare services.
(3)  Gather data for information and planning purposes.
(Added by Stats. 1995, Ch. 415, Sec. 8. Effective January 1, 1996.)
2023 California Code › Health and Safety Code - HSC › DIVISION 106 - PERSONAL HEALTH CARE (INCLUDING MATERNAL, CHILD, AND ADOLESCENT) › PART 2 - MATERNAL, CHILD, AND ADOLESCENT HEALTH › CHAPTER 2 - Maternal Health › ARTICLE 4 - Perinatal Health Care › Section 123610.

123610. It is the intent of the Legislature that funding for Sections 123600 and 123605 be provided in the annual Budget Act.
(Added by Stats. 1995, Ch. 415, Sec. 8. Effective January 1, 1996.)
2023 California Code › Health and Safety Code - HSC › DIVISION 106 - PERSONAL HEALTH CARE (INCLUDING MATERNAL, CHILD, AND ADOLESCENT) › PART 2 - MATERNAL, CHILD, AND ADOLESCENT HEALTH › CHAPTER 2 - Maternal Health › ARTICLE 4.2 - Maternal Mental Health › Section 123615.

123615. This article shall be known, and may be cited, as the Maternal Mental Health Conditions Education, Early Diagnosis, and Treatment Act.
(Added by Stats. 2018, Ch. 773, Sec. 1. (AB 3032) Effective January 1, 2019.)
2023 California Code › Health and Safety Code - HSC › DIVISION 106 - PERSONAL HEALTH CARE (INCLUDING MATERNAL, CHILD, AND ADOLESCENT) › PART 2 - MATERNAL, CHILD, AND ADOLESCENT HEALTH › CHAPTER 2 - Maternal Health › ARTICLE 4.2 - Maternal Mental Health › Section 123615.5.

123615.5. The Legislature hereby finds and declares all of the following:
(a) Maternal depression is a common complication of pregnancy. Maternal mental health disorders encompass a range of mental health conditions, such as depression, anxiety, and postpartum psychosis.
(b) Maternal mental health conditions affect one in five women during or after pregnancy, but all women are at risk of suffering from maternal mental health conditions.
(c) Untreated maternal mental health conditions significantly and negatively impact the short- and long-term health and well-being of affected women and their children.
(d) Untreated maternal mental health conditions cause adverse birth outcomes, impaired maternal-infant bonding, poor infant growth, childhood emotional and behavioral problems, and significant medical and economic costs, estimated to be $22,500 per mother.
(e) Lack of understanding and social stigma of mental health conditions prevent women and families from understanding the signs, symptoms, and risks involved with maternal mental health conditions and disproportionately affect women who lack access to social support networks.
(f) It is the intent of the Legislature to raise awareness of the risk factors, signs, symptoms, and treatment options for maternal mental health conditions among pregnant women and their families, the general public, primary health care providers, and health care providers who care for pregnant women, postpartum women, and newborn infants.
(Amended by Stats. 2019, Ch. 497, Sec. 176. (AB 991) Effective January 1, 2020.)
2023 California Code › Health and Safety Code - HSC › DIVISION 106 - PERSONAL HEALTH CARE (INCLUDING MATERNAL, CHILD, AND ADOLESCENT) › PART 2 - MATERNAL, CHILD, AND ADOLESCENT HEALTH › CHAPTER 2 - Maternal Health › ARTICLE 4.2 - Maternal Mental Health › Section 123616.

123616. For the purposes of this article, the following terms have the following meanings:
(a) “Maternal mental health condition” means a mental health condition that occurs during pregnancy or during the postpartum period and includes, but is not limited to, postpartum depression.
(b) “Perinatal unit” is a maternity and newborn service of a hospital for the provision of care during pregnancy, labor, delivery, and postpartum and neonatal periods with appropriate staff, space, equipment, and supplies.
(Added by Stats. 2018, Ch. 773, Sec. 1. (AB 3032) Effective January 1, 2019.)
2023 California Code › Health and Safety Code - HSC › DIVISION 106 - PERSONAL HEALTH CARE (INCLUDING MATERNAL, CHILD, AND ADOLESCENT) › PART 2 - MATERNAL, CHILD, AND ADOLESCENT HEALTH › CHAPTER 2 - Maternal Health › ARTICLE 4.2 - Maternal Mental Health › Section 123616.5.

123616.5. A general acute care hospital or special hospital, as defined in subdivisions (a) and (f) of Section 1250, that has a perinatal unit, in collaboration with medical staff, shall, by January 1, 2020, develop and implement a program to provide education and information to appropriate health care professionals and patients about maternal mental health conditions.
(Added by Stats. 2018, Ch. 773, Sec. 1. (AB 3032) Effective January 1, 2019.)
2023 California Code › Health and Safety Code - HSC › DIVISION 106 - PERSONAL HEALTH CARE (INCLUDING MATERNAL, CHILD, AND ADOLESCENT) › PART 2 - MATERNAL, CHILD, AND ADOLESCENT HEALTH › CHAPTER 2 - Maternal Health › ARTICLE 4.2 - Maternal Mental Health › Section 123617.

123617. The program developed pursuant to this article shall include all of the following:
(a) Education and information for postpartum women and families about maternal mental health conditions, posthospital treatment options, and community resources.
(b) Education and information for hospital employees regularly assigned to work in the perinatal unit, including, as appropriate, registered nurses and social workers, about maternal mental health conditions.
(c) Any other service the hospital determines should be included in the program to provide optimal patient care.
(Added by Stats. 2018, Ch. 773, Sec. 1. (AB 3032) Effective January 1, 2019.)
2023 California Code › Health and Safety Code - HSC › DIVISION 106 - PERSONAL HEALTH CARE (INCLUDING MATERNAL, CHILD, AND ADOLESCENT) › PART 2 - MATERNAL, CHILD, AND ADOLESCENT HEALTH › CHAPTER 2 - Maternal Health › ARTICLE 4.5 - Fetal Ultrasound › Section 123620.

123620. A person or facility that offers fetal ultrasound, or a similar procedure, for keepsake or entertainment purposes, shall disclose to a client prior to performing the procedure, in writing, the following statement: “The federal Food and Drug Administration has determined that the use of medical ultrasound equipment for other than medical purposes, or without a physician’s prescription, is an unapproved use.”
(Added by Stats. 2004, Ch. 78, Sec. 2. Effective January 1, 2005.)
2023 California Code › Health and Safety Code - HSC › DIVISION 106 - PERSONAL HEALTH CARE (INCLUDING MATERNAL, CHILD, AND ADOLESCENT) › PART 2 - MATERNAL, CHILD, AND ADOLESCENT HEALTH › CHAPTER 2 - Maternal Health › ARTICLE 4.5 - Fetal Ultrasound › Section 123621.

123621. (a) An ultrasound, or a similar medical imaging device or procedure used for a medical, counseling, or diagnostic service or purpose, shall only be offered in the following settings:
(1) A licensed clinic, as described in Chapter 1 (commencing with Section 1200) of Division 2.
(2) An outpatient setting, as described in Chapter 1.3 (commencing with Section 1248) of Division 2.
(3) A licensed health facility, as described in Chapter 2 (commencing with Section 1250) of Division 2.
(4) A practice of a licensed physician or surgeon, a medical group practice, including a professional medical corporation, as defined in Section 2406 of the Business and Professions Code, another form of corporation controlled by physicians and surgeons, a medical partnership, a medical foundation exempt from licensure, or another lawfully organized group of physicians and surgeons that provides health care services.
(5) A practice of a licensed chiropractor, as described in Chapter 2 (commencing with Section 1000) of Division 2 of the Business and Professions Code, or a lawfully organized group of licensed chiropractors that provides health care services.
(6) A practice of a licensed physical therapist, as described in Chapter 5.7 (commencing with Section 2600) of Division 2 of the Business and Professions Code, or a lawfully organized group of licensed physical therapists that provides health care services.
(7) A facility affiliated with those settings.
(8) An exempt entity as described in Section 1206.
(b) This section does not apply to a practice of a licensed midwife providing care pursuant to Article 24 (commencing with Section 2505) of Chapter 5 of Division 2 of the Business and Professions Code, or a practice of a certified nurse-midwife providing care pursuant to Article 2.5 (commencing with Section 2746) of Chapter 6 of Division 2 of the Business and Professions Code.
(Added by Stats. 2023, Ch. 259, Sec. 1. (AB 1720) Effective January 1, 2024.)
2023 California Code › Health and Safety Code - HSC › DIVISION 106 - PERSONAL HEALTH CARE (INCLUDING MATERNAL, CHILD, AND ADOLESCENT) › PART 2 - MATERNAL, CHILD, AND ADOLESCENT HEALTH › CHAPTER 2 - Maternal Health › ARTICLE 4.5 - Fetal Ultrasound › Section 123622.

123622. (a) Any person or entity that fails to comply with the requirements of Section 123621 is liable for a civil penalty of two thousand five hundred dollars ($2,500) for a first offense and five thousand dollars ($5,000) for each subsequent offense. The Attorney General, a district attorney, a city attorney, or a county counsel may bring an action to impose a civil penalty pursuant to this section. For purposes of this subdivision, an offense is each ultrasound conducted in violation of Section 123621.
(b) Any person or entity that violates this section is liable for any costs, fees, and civil penalties. Costs, fees, and civil penalties collected pursuant to this section shall be paid to the office that brought the action as follows:
(1) To the Office of the Attorney General.
(2) To the treasurer of the city for the city attorney.
(3) To the treasurer of the county for the district attorney.
(4) To the treasurer of the county for the county counsel.
(Added by Stats. 2023, Ch. 259, Sec. 2. (AB 1720) Effective January 1, 2024.)
2023 California Code › Health and Safety Code - HSC › DIVISION 106 - PERSONAL HEALTH CARE (INCLUDING MATERNAL, CHILD, AND ADOLESCENT) › PART 2 - MATERNAL, CHILD, AND ADOLESCENT HEALTH › CHAPTER 2 - Maternal Health › ARTICLE 4.6 - California Dignity in Pregnancy and Childbirth Act › Section 123630.

123630. This article shall be known, and may be cited, as the California Dignity in Pregnancy and Childbirth Act.
(Added by Stats. 2019, Ch. 533, Sec. 3. (SB 464) Effective January 1, 2020.)
2023 California Code › Health and Safety Code - HSC › DIVISION 106 - PERSONAL HEALTH CARE (INCLUDING MATERNAL, CHILD, AND ADOLESCENT) › PART 2 - MATERNAL, CHILD, AND ADOLESCENT HEALTH › CHAPTER 2 - Maternal Health › ARTICLE 4.6 - California Dignity in Pregnancy and Childbirth Act › Section 123630.1.

123630.1. The Legislature hereby finds and declares all of the following:
(a) Every person should be entitled to dignity and respect during and after pregnancy and childbirth. Patients should receive the best care possible regardless of their race, gender, age, class, sexual orientation, gender identity, disability, language proficiency, nationality, immigration status, gender expression, or religion.
(b) The United States has the highest maternal mortality rate in the developed world. About 700 women die each year from childbirth, and another 50,000 suffer from severe complications. In California, since 2006, the rate of maternal death has decreased 55 percent, in contrast to the steady increase in the United States as a whole.
(c) However, for women of color, particularly Black women, the maternal mortality rate remains three to four times higher than White women. Black women make up 5 percent of the pregnancy cohort in California, but 21 percent of the pregnancy-related deaths.
(d) Forty-one percent of all pregnancy-related deaths had a good to strong chance of preventability. California has a responsibility to decrease the number of preventable pregnancy-related deaths.
(e) Pregnancy-related deaths among Black women are also more likely to be miscoded. Thirty-five percent of pregnancy-related deaths among Black women in California were miscoded, misidentifying pregnancy-related deaths as other deaths.
(f) Access to prenatal care, socioeconomic status, and general physical health do not fully explain the disparity seen in Black women’s maternal mortality and morbidity rates. There is a growing body of evidence that Black women are often treated unfairly and unequally in the health care system.
(g) Implicit bias is a key cause that drives health disparities in communities of color. At present, health care providers in California are not required to undergo any implicit bias testing or training. Nor does there exist any system to track the number of incidents where implicit prejudice and implicit stereotypes have led to negative birth and maternal health outcomes.
(h) It is the intent of the Legislature to reduce the effects of implicit bias in pregnancy, childbirth, and postnatal care so that all people are treated with dignity and respect by their health care providers.
(Added by Stats. 2019, Ch. 533, Sec. 3. (SB 464) Effective January 1, 2020.)
2023 California Code › Health and Safety Code - HSC › DIVISION 106 - PERSONAL HEALTH CARE (INCLUDING MATERNAL, CHILD, AND ADOLESCENT) › PART 2 - MATERNAL, CHILD, AND ADOLESCENT HEALTH › CHAPTER 2 - Maternal Health › ARTICLE 4.6 - California Dignity in Pregnancy and Childbirth Act › Section 123630.2.

123630.2. For the purposes of this article, the following terms have the following meanings:
(a) “Pregnancy-related death” is the death of a person while pregnant or within 365 days of the end of a pregnancy, irrespective of the duration or site of the pregnancy, from any cause related to, or aggravated by, the pregnancy or its management, but not from accidental or incidental causes.
(b) “Implicit bias” is a bias in judgment or behavior that results from subtle cognitive processes, including implicit prejudice and implicit stereotypes that often operate at a level below conscious awareness and without intentional control.
(c) “Implicit prejudice” is prejudicial negative feelings or beliefs about a group that a person holds without being aware of them.
(d) “Implicit stereotypes” are the unconscious attributions of particular qualities to a member of a certain social group. Implicit stereotypes are influenced by experience and are based on learned associations between various qualities and social categories, including race or gender.
(e) “Perinatal care” is the provision of care during pregnancy, labor, delivery, and postpartum and neonatal periods.
(Added by Stats. 2019, Ch. 533, Sec. 3. (SB 464) Effective January 1, 2020.)
2023 California Code › Health and Safety Code - HSC › DIVISION 106 - PERSONAL HEALTH CARE (INCLUDING MATERNAL, CHILD, AND ADOLESCENT) › PART 2 - MATERNAL, CHILD, AND ADOLESCENT HEALTH › CHAPTER 2 - Maternal Health › ARTICLE 4.6 - California Dignity in Pregnancy and Childbirth Act › Section 123630.3.

123630.3. (a) A hospital as defined in subdivision (a) or (f) of Section 1250 that provides perinatal care, and an alternative birth center or primary care clinic subject to Section 1204.3, shall implement an evidence-based implicit bias program for all health care providers involved in the perinatal care of patients within those facilities.
(b) An implicit bias program implemented pursuant to subdivision (a) shall include all of the following:
(1) Identification of previous or current unconscious biases and misinformation.
(2) Identification of personal, interpersonal, institutional, structural, and cultural barriers to inclusion.
(3) Corrective measures to decrease implicit bias at the interpersonal and institutional levels, including ongoing policies and practices for that purpose.
(4) Information on the effects, including, but not limited to, ongoing personal effects, of historical and contemporary exclusion and oppression of minority communities.
(5) Information about cultural identity across racial or ethnic groups.
(6) Information about communicating more effectively across identities, including racial, ethnic, religious, and gender identities.
(7) Discussion on power dynamics and organizational decisionmaking.
(8) Discussion on health inequities within the perinatal care field, including information on how implicit bias impacts maternal and infant health outcomes.
(9) Perspectives of diverse, local constituency groups and experts on particular racial, identity, cultural, and provider-community relations issues in the community.
(10) Information on reproductive justice.
(c) (1) A health care provider described in subdivision (a) shall complete initial basic training through the implicit bias program based on the components described in subdivision (b).
(2) Upon completion of the initial basic training, a health care provider shall complete a refresher course under the implicit bias program every two years thereafter, or on a more frequent basis if deemed necessary by the facility, in order to keep current with changing racial, identity, and cultural trends and best practices in decreasing interpersonal and institutional implicit bias.
(d) A facility described in subdivision (a) shall provide a certificate of training completion to another facility or a training attendee upon request. A facility may accept a certificate of completion from another facility described in subdivision (a) to satisfy the training requirement described in subdivision (c) from a health care provider who works in more than one facility.
(e) Notwithstanding subdivisions (a) to (d), inclusive, if a physician involved in the perinatal care of patients is not directly employed by a facility, the facility shall offer the training to the physician.
(Added by Stats. 2019, Ch. 533, Sec. 3. (SB 464) Effective January 1, 2020.)
2023 California Code › Health and Safety Code - HSC › DIVISION 106 - PERSONAL HEALTH CARE (INCLUDING MATERNAL, CHILD, AND ADOLESCENT) › PART 2 - MATERNAL, CHILD, AND ADOLESCENT HEALTH › CHAPTER 2 - Maternal Health › ARTICLE 4.6 - California Dignity in Pregnancy and Childbirth Act › Section 123630.4.

123630.4. (a) The State Department of Public Health shall track data on severe maternal morbidity, including, but not limited to, all of the following health conditions:
(1) Obstetric hemorrhage.
(2) Hypertension.
(3) Preeclampsia and eclampsia.
(4) Venous thromboembolism.
(5) Sepsis.
(6) Cerebrovascular accident.
(7) Amniotic fluid embolism.
(b) The data on severe maternal morbidity collected pursuant to subdivision (a) shall be published at least once every three years, after all of the following have occurred:
(1) The data has been aggregated by state regions, as defined by the State Department of Public Health, to ensure data reflects how regionalized care systems are or should be collaborating to improve maternal health outcomes, or other smaller regional sorting based on standard statistical methods for accurate dissemination of public health data without risking a confidentiality or other disclosure breach.
(2) The data has been disaggregated by racial and ethnic identity.
(c) The State Department of Public Health shall track data on pregnancy-related deaths, including, but not limited to, all of the conditions listed in subdivision (a), indirect obstetric deaths, and other maternal disorders predominantly related to pregnancy and complications predominantly related to the puerperium.
(d) The data on pregnancy-related deaths collected pursuant to subdivisions (a) and (c) shall be published, at least once every three years, after all of the following have occurred:
(1) The data has been aggregated by state regions, as defined by the State Department of Public Health, to ensure data reflects how regionalized care systems are or should be collaborating to improve maternal health outcomes, or other smaller regional sorting based on standard statistical methods for accurate dissemination of public health data without risking a confidentiality or other disclosure breach.
(2) The data has been disaggregated by racial and ethnic identity.
(Added by Stats. 2019, Ch. 533, Sec. 3. (SB 464) Effective January 1, 2020.)
2023 California Code › Health and Safety Code - HSC › DIVISION 106 - PERSONAL HEALTH CARE (INCLUDING MATERNAL, CHILD, AND ADOLESCENT) › PART 2 - MATERNAL, CHILD, AND ADOLESCENT HEALTH › CHAPTER 2 - Maternal Health › ARTICLE 4.6 - California Dignity in Pregnancy and Childbirth Act › Section 123630.5.

123630.5. (a) A hospital, as defined in subdivision (a) of Section 1250, shall implement an evidence-based implicit bias program, as described in subdivision (b) of Section 123630.3, as part of its new graduate training program that hires and trains new nursing program graduates.
(b) If the hospital hires and trains new nursing program graduates who are subject to subdivision (c) of Section 123630.3, compliance by the hospital with Section 123630.3 shall meet the requirements of subdivision (a) only with respect to those new nursing program graduates subject to subdivision (c) of Section 123630.3.
(Added by Stats. 2021, Ch. 445, Sec. 3. (AB 1407) Effective January 1, 2022.)
2023 California Code › Health and Safety Code - HSC › DIVISION 106 - PERSONAL HEALTH CARE (INCLUDING MATERNAL, CHILD, AND ADOLESCENT) › PART 2 - MATERNAL, CHILD, AND ADOLESCENT HEALTH › CHAPTER 2 - Maternal Health › ARTICLE 4.7 - California Pregnancy-Associated Review Committee › Section 123635.

123635. For the purposes of this section, the following terms apply:
(a) “Maternal mortality” or “maternal death” means the death of a person during pregnancy or within a year from the end of pregnancy, and related to, or aggravated by, the pregnancy or birth, including, but not limited to, death by suicide.
(b) “Pregnancy-associated death” means a death of a person while pregnant or within one year of the end of a pregnancy, regardless of the cause.
(c) “Pregnancy-related death” means a death that occurs while pregnant or up to a year postpartum from any cause related to, or aggravated by, the pregnancy or its management, irrespective of the duration of the pregnancy.
(d) “Severe maternal morbidity” means unexpected outcomes of pregnancy, labor, or delivery that result in significant short- or long-term consequences to the pregnant person’s mental or physical health.
(Added by Stats. 2021, Ch. 449, Sec. 3. (SB 65) Effective January 1, 2022. Operative August 1, 2022, pursuant to Section 123637.)
2023 California Code › Health and Safety Code - HSC › DIVISION 106 - PERSONAL HEALTH CARE (INCLUDING MATERNAL, CHILD, AND ADOLESCENT) › PART 2 - MATERNAL, CHILD, AND ADOLESCENT HEALTH › CHAPTER 2 - Maternal Health › ARTICLE 4.7 - California Pregnancy-Associated Review Committee › Section 123637.

123637. This article is operative on August 1, 2022.
(Added by Stats. 2021, Ch. 449, Sec. 3. (SB 65) Effective January 1, 2022.)
2023 California Code › Health and Safety Code - HSC › DIVISION 106 - PERSONAL HEALTH CARE (INCLUDING MATERNAL, CHILD, AND ADOLESCENT) › PART 2 - MATERNAL, CHILD, AND ADOLESCENT HEALTH › CHAPTER 2 - Maternal Health › ARTICLE 6 - Maternal Mental Health › Section 123640.

123640. (a) A licensed health care practitioner who provides prenatal, postpartum, or interpregnancy care for a patient shall ensure that the mother is offered screening or is appropriately screened for maternal mental health conditions.
(b) This section shall not apply to a licensed health care practitioner when providing emergency services or care, as defined in Section 1317.1.
(c) This section does not preclude any licensed or certified provider acting within their scope of practice from screening for maternal mental health conditions.
(d) For purposes of this section, the following definitions apply:
(1) “Health care practitioner” means a physician and surgeon, naturopathic doctor, nurse practitioner, physician assistant, nurse midwife, or a midwife licensed pursuant to Division 2 (commencing with Section 500) of the Business and Professions Code or an initiative act referred to in that division and who is acting within their scope of practice.
(2) “Maternal mental health condition” means a mental health condition that occurs during pregnancy, the postpartum period, or interpregnancy and includes, but is not limited to, postpartum depression.
(Amended by Stats. 2021, Ch. 535, Sec. 1. (AB 1477) Effective January 1, 2022.)
2023 California Code › Health and Safety Code - HSC › DIVISION 106 - PERSONAL HEALTH CARE (INCLUDING MATERNAL, CHILD, AND ADOLESCENT) › PART 2 - MATERNAL, CHILD, AND ADOLESCENT HEALTH › CHAPTER 3 - Child Health › ARTICLE 1 - Infant Mortality and Morbidity Prevention › Section 123650.

123650. (a)  The department shall develop a plan to identify causes of infant mortality and morbidity in California and to study recommendations on the reduction of infant mortality and morbidity in California.
(b)  The study plan shall be completed on or before July 1, 1988, and shall be developed in conjunction with, and reviewed by, each of the following organizations:
(1)  The California Medical Association.
(2)  The California Nurses Association.
(3)  The California Hospital Association.
(4)  The American College of Obstetrics and Gynecologists.
(5)  The American College of Nurse Midwives.
(6)  The California Academy of Family Physicians.
(7)  The American Academy of Pediatrics.
(8)  The California Association of Freestanding Birth Centers.
(9)  The American Public Health Association.
(10)  The Medical Board of California.
(11)  The Board of Registered Nurses.
(12)  The Department of Consumer Affairs.
(13)  The office.
(14)  The California Association of Midwives.
(Added by Stats. 1995, Ch. 415, Sec. 8. Effective January 1, 1996.)
2023 California Code › Health and Safety Code - HSC › DIVISION 106 - PERSONAL HEALTH CARE (INCLUDING MATERNAL, CHILD, AND ADOLESCENT) › PART 2 - MATERNAL, CHILD, AND ADOLESCENT HEALTH › CHAPTER 3 - Child Health › ARTICLE 1 - Infant Mortality and Morbidity Prevention › Section 123655.

123655. The study plan shall incorporate in its design the findings of MCH Title V Research Contract DHS 8689088, the “Maternal Neonatal and Fetal Mortality Study.”
The department shall issue a report to the Legislature on or before July 1, 1989, concerning causal factors in infant mortality and morbidity.
(Added by Stats. 1995, Ch. 415, Sec. 8. Effective January 1, 1996.)