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a. Definitions. As used in this section, the following terms have the following meanings:
Abortion. The term "abortion" has the meaning given to the term "induced termination of pregnancy" as such term is defined in subdivision c of section 203.01 of the health code.
Reproductive health care. The term "reproductive health care" means any medical service provided to a person relating to the reproductive system and its processes, functions and organs. Reproductive health care includes, but is not limited to, services related to contraception, sterilization, preconception care, maternity care, abortion care and counseling regarding reproductive health care.
b. No later than January 30, 2023, and on January 30 annually thereafter, the department shall submit to the mayor and the speaker of the council and post online a report, based upon the data included in the most recently published annual summary of vital statistics, on data regarding the provision of medical services in the city related to reproductive health care, to the extent such data is available to the department, disaggregated by borough and, to the extent possible without revealing personally identifiable information, further disaggregated by age, ethnicity, and race. Such report shall include, but need not be limited to, data on the following reproductive health care provided in the city based upon the data included in the most recently published annual summary of vital statistics:
1. The number of births and the number of abortions provided;
2. The number of births and the number of abortions provided to individuals who were residents of New York city at the time of such birth or abortion;
3. The number of births and the number of abortions provided to individuals who were not residents of New York city at the time of such birth or abortion;
c. The report required pursuant to this section shall include an assessment of the ability of licensed medical providers in the city to accommodate individuals seeking medical services related to reproductive health care, including, but not limited to, assessing potential issues such providers or individuals might face in providing or receiving such services, and recommendations for increasing the capacity of medical services provided in the city.
d. Information required to be reported pursuant to this section shall be reported in a manner that does not violate any applicable provision of federal, state or local law relating to the privacy of personally identifiable information.
(L.L. 2022/073, 8/12/2022, eff. 9/11/2022)
a. For purposes of this section, the following terms have the following meanings:
Maternal health. The term "maternal health" means the health of a person before, during, and after a pregnancy.
Maternal mortality. The term "maternal mortality" means the death of a person that occurs during a pregnancy, or within one year from the end of pregnancy, regardless of the duration of such pregnancy.
Pregnancy-Associated Death. The term "pregnancy-associated death" means the death of a person from any cause during pregnancy or within one year from the end of pregnancy.
Pregnancy-Related Death. The term "pregnancy-related death" means the death of a person during pregnancy or within one year from the end of pregnancy that is due to a pregnancy complication, a chain of events initiated by pregnancy, or the aggravation of an unrelated condition by the physiologic effects of pregnancy.
Severe maternal morbidity. The term "severe maternal morbidity" means a life-threatening complication affecting a person before, during, or after a pregnancy.
b. No later than September 30, 2022, and no later than September 30 annually thereafter, the department shall post on its website, submit to the speaker of the council and publish in a machine-readable format the most recent calendar year data available regarding maternal mortality in the city, to the extent such data is made available to the department. Data submitted shall not jeopardize the confidentiality of the pregnant person or mother and shall include, but not be limited to:
1. The total number of live births; and the total number of maternal mortalities, disaggregated by information about the pregnant person or mother where such disaggregated data is available. Such data shall be disaggregated by, but not limited to, the following:
(a) race or ethnicity;
(b) borough of residence;
(c) most frequent causes of maternal mortality; and
(d) whether the death was pregnancy-associated or pregnancy-related;
2. The total number of severe maternal morbidities, disaggregated by information about the pregnant person or mother, where such disaggregated data is available and statistically reliable. Such data shall include, but not be limited to:
(a) race or ethnicity;
(b) education;
(c) borough of residence;
(d) whether such person was born domestically or abroad;
(e) age;
(f) insurance status;
(g) trimester of prenatal care entry;
(h) preexisting health conditions;
(i) whether such person worked during pregnancy;
(j) whether such person had any previous miscarriages or still births; and
(k) whether the pregnancy resulted in the first live birth for such person;
3. The maternal mortality ratio, disaggregated by race or ethnicity and borough of residence where available and statistically reliable;
4. Recommendations regarding actions the department, the mayor, and the council can take to improve maternal health, particularly in disproportionately impacted communities; reduce maternal mortality; and enhance cooperation among city agencies to improve maternal health, particularly those agencies that have a mandate related to maternal health, including but not limited to the commission on gender equity. In developing recommendations, the department may consider the following factors, to the extent such information is available:
(a) the impact of factors such as prenatal care, doulas, economic, civic and social well-being, and race on pregnant persons and mothers, as they relate to maternal mortality and morbidity;
(b) the use and effect of hospital and institutional practices, policies, and administrative tools, such as checklists related to pregnancy and parenting;
(c) any previous traumatic events the mother or pregnant person experienced, where this information is provided and available, and whether the stress or trauma from that event might have affected the outcomes of the mother or pregnant person's experience during pregnancy, childbirth, and the postpartum period; and
(d) ways to analyze complications experienced by expectant parents and mothers and ways to develop equitable strategies to respond to them;
5. An update on the implementation of the recommendations made in previous reports made pursuant to this section regarding actions that the department or mayor can take to improve maternal health and reduce maternal mortality, if any; and
6. A list of data sources used in the development of reports made pursuant to this section.
c. No later than September 30, 2019, and by September 30 of every fifth year thereafter, the department shall submit to the speaker and publish in a machine-readable format additional data regarding maternal mortality in the city, for the most recent five-year period for which data is available. Data submitted shall not jeopardize the confidentiality of the pregnant person or mother and shall include, but not be limited to:
1. age;
2. education;
3. whether such person was born domestically or abroad;
4. whether the maternal mortality occurred in a hospital or inpatient setting, emergency room or outpatient setting, at home, or in another location;
5. trimester of prenatal care entry;
6. interval between end of pregnancy and maternal mortality, where available;
7. preexisting health conditions;
8. insurance status;
9. whether such person had any previous miscarriages or still births;
10. whether the pregnancy resulted in the first live birth for such person; and
11. whether such person worked during pregnancy.
d. In the development of reports made pursuant to this section, the department shall consult any review or assessment produced by the committee established pursuant to section 17-199.3.1.
(L.L. 2017/055, 3/21/2017, eff. 3/21/2017; Am. L.L. 2018/188, 11/17/2018, eff. 11/17/2018; Am. L.L. 2022/084, 9/6/2022, eff. 9/6/2022)
a. The department shall establish a committee to examine maternal mortality, as such term is defined in subdivision a of section 17-199.3; severe maternal morbidity, as such term is defined in subdivision a of section 17-199.3; and analyze clinical factors and social determinants of health. Factors that such committee may consider include, but need not be limited to:
1. the cause of each maternal mortality; and
2. whether such mortality was pregnancy-related or not.
b. Members of the committee shall represent a multi-disciplinary panel of representatives, including but not limited to representatives from various healthcare facilities and organizations, city agencies, community based organizations with relevant experience, the doula community, researchers with relevant experience, and first responders.
c. No later than 45 days after the effective date of the local law that amended this subdivision, and annually thereafter, the department shall post and update as necessary on its website a list of the disciplines represented on the committee established pursuant to this section, the names and titles of the individuals who serve on such committee, and a summary of such committee’s activities over the preceding year.
(L.L. 2018/188, 11/17/2018, eff. 11/17/2018; Am. L.L. 2024/108, 11/9/2024, eff. 11/9/2024)
Editor's note: For related unconsolidated provisions, see Appendix A at L.L. 2024/108.
a. The department shall provide education on polycystic ovary syndrome and endometriosis by posting information on its website, which may include, but need not be limited to, the following:
1. The definitions and potential symptoms of polycystic ovary syndrome and endometriosis;
2. Information on how to seek diagnosis or treatment, including how to procure the care of a primary care physician; and
3. Data regarding the number of individuals who are diagnosed with polycystic ovary syndrome or endometriosis in the city, disaggregated by age, race, ethnicity, and zip code, to the extent such data is available to the department.
b. No later than March 1, 2023, and every year thereafter, the department shall submit a report to the mayor and the speaker of the council regarding education efforts on polycystic ovary syndrome and endometriosis conducted by the department.
(L.L. 2022/087, 9/6/2022, eff. 10/6/2022)
No later than December 30, 2024, the department shall report on the number of total births in the city for the previous calendar year, disaggregated, to the extent available, by the number of vaginal births, the number of vaginal births after prior cesarean section, the number of first-time cesarean sections, and the number of repeat cesarean sections. This data shall be further disaggregated, to the extent available, by whether or not the pregnancy was considered low risk because the pregnancy was primiparous, full-term, singleton, and vertex/cephalic (head-first). Such report shall include recommendations by the department to reduce maternal mortality and severe maternal morbidity, as such terms are defined in section 17-199.3, including efforts to: (i) reduce the risks associated with unplanned cesarean sections; and (ii) efforts to address inequities across patient demographics.
(L.L. 2022/089, 9/6/2022, eff. 11/10/2022; Am. L.L. 2023/151, 11/17/2023, eff. 11/17/2023)
No later than September 30, 2017, and annually no later than September 30 of each year, the department shall submit to the speaker and post on its website, or shall include in the mayor's management report prepared pursuant to section 12 of the charter, the most recent fiscal year data available on vaccination rates for New York city residents for the human papillomavirus, disaggregated by the gender of the recipient, and by age group, series initiation, and series completion. Such data shall include, but need not be limited to, anonymized information that has been reported to the department for inclusion in the citywide immunization registry.
(L.L. 2017/053, 3/21/2017, eff. 3/21/2017)
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