FIRST REGULAR SESSION

HOUSE BILL NO. 1117

95TH GENERAL ASSEMBLY


 

 

INTRODUCED BY REPRESENTATIVE DAVIS.

2489L.02I                                                                                                                                                  D. ADAM CRUMBLISS, Chief Clerk


 

AN ACT

To amend chapter 191, RSMo, by adding thereto one new section relating to information for maternity patients.




Be it enacted by the General Assembly of the state of Missouri, as follows:


            Section A. Chapter 191, RSMo, is amended by adding thereto one new section, to be known as section 191.723, to read as follows:

            191.723. 1. The department of health and senior services shall require every hospital and birth center licensed in this state to prepare in printed or photocopied form and to distribute at the time of prebooking directly to each prospective maternity patient and, upon request, to the general public an informational leaflet. Such leaflet shall be designed by the department and shall contain brief definitions of maternity-related procedures and practices as specified in subsection 2 of this section and such other material as deemed appropriate by the department. Hospitals and birth centers may also elect to distribute additional explanatory material along with the maternity patient's informational leaflet. The informational leaflet shall include an explanation of the special provisions relating to maternity care and insurance coverage under section 376.1210, RSMo, and the hospital's self-pay policies and suggest that expectant parents check their insurance policies for the details of their maternity coverage.

            2. The informational leaflet shall also include statistics relating to the annual percentage of maternity-related procedures performed at such hospital or birth center, as provided by the department, including but not limited to the following:

            (1) The annual rate of primary, repeat, and total cesarean sections performed at such facility;

            (2) The annual percentage of women with previous cesarean sections who have had a subsequent successful vaginal birth;

            (3) The annual percentage of deliveries by midwives;

            (4) The annual percentage of births utilizing electronic fetal monitoring listed on the basis of external and internal;

            (5) The annual percentage of births utilizing forceps, listed on the basis of low forceps delivery and mid forceps delivery;

            (6) The annual percent of breech births delivered vaginally;

            (7) The annual percentage of births utilizing analgesia;

            (8) The annual percentage of births utilizing anesthesia, including general, spinal, epidural, and paracervical, listed on the basis of vaginal and cesarean births;

            (9) The annual percentage of births utilizing induction of labor;

            (10) The annual percentage of births utilizing augmentation of labor;

            (11) The annual percentage of vaginal births utilizing episiotomies;

            (12) Whether birthing rooms are available for use in the facility; and

            (13) Whether rooming-in is available at the facility, on the basis of twenty-four hours a day or daytime.

            3. Compilation of the statistics set forth in subsection 2 of this section shall be the responsibility of the department.

            4. Statistical information shall be presented in the most recent one-year aggregate.