14148.9-14148.98

WELFARE AND INSTITUTIONS CODE
SECTION 14148.9-14148.98




14148.9.  (a) The Legislature finds and declares that there is a
strong statistical relationship between early entry into prenatal
care and healthy birth outcomes. An investment in early intervention
is highly cost-effective and prevents untold suffering.
   (b) It is the intent of the Legislature that the goals of the
program established pursuant to this article, in combination with
other programs for pregnant women and children, shall be as follows:
   (1) To improve access to and quality of prenatal care by making
existing programs serving poor women more accessible through
outreach, coordination, and removal of barriers to care.
   (2) To combine efforts with other programs to measurably reduce
the number of women who smoke, use drugs, or engage in other
unhealthy practices during pregnancy.
   (c) In order to achieve these goals, it is the intent of the
Legislature to improve and coordinate existing programs for pregnant
women and infants and to remove barriers to care with an intense
focus on women who are at high risk of delivering a low or high birth
weight baby or a baby who will suffer from major health problems or
disabilities.
   (d) The program implemented pursuant to this article shall focus
on those target populations that are comprised of pregnant high risk
women or potentially pregnant teenagers, pregnant women, and women of
childbearing age who are likely to become pregnant who smoke,
consume alcoholic beverages, or use controlled substances, Black,
Hispanic, Native American, and Asian-Pacific Island women who are
pregnant or of childbearing age, and uninsured women of childbearing
age.



14148.91.  (a) No later than March 15 of each year, the department
shall report to the appropriate committees of the Legislature and the
Governor, on a statewide and county-by-county basis, the most recent
data on all of the following:
   (1) The number of live births to women receiving prenatal care in
the first trimester, in the second trimester, and in the third
trimester, as well as an analysis of barriers to care to the extent
available.
   (2) The number of maternal deaths by race and ethnic group.
   (3) The number of live births by county, race, and ethnic group.
   (4) The number of fetal deaths of infants over 20 weeks' gestation
by race and ethnic group.
   (5) The number of infant deaths by county, race, and ethnic group
from birth to 28 days postpartum.
   (6) The number of infant deaths by county, race, and ethnic group
from 29 days postpartum to one year.
   (7) The number of live births under 2,500 grams and over 4,500
grams by race and ethnic group.
   (8) The number of live births under 1,500 grams by race and ethnic
group.
   (9) The number of women eligible for prenatal, delivery, or
postpartum care under Subchapter 19 (commencing with Section 1396) of
Chapter 7 of Title 42 of the United States Code in the past year.
   (10) The source of payment for prenatal care and delivery.
   (b) No later than March 15 of each year, the department shall
report to the appropriate committees of the Legislature and the
Governor on a statewide basis, to the extent data are available, all
of the following:
   (1) The number of infants eligible for services under Subchapter
19 (commencing with Section 1396) of Chapter 7 of Title 42 of the
United States Code.
   (2) The number of newborn babies screened or diagnosed with Fetal
Alcohol Syndrome.
   (3) The number of babies born with drug dependencies, HIV
infection, and sexually transmitted diseases.
   (4) Whether the mother smoked, consumed alcoholic beverages, or
used controlled substances without a prescription, during pregnancy.
   (c) (1) The department, in consultation with the Legislative
Analyst, shall contract, using appropriate state administrative
funds, with an appropriate entity for a one-time, statistical survey
of the income of mothers, utilizing a statistically valid sample
linked to the birth certificate.
   (2) The State Department of Health Services shall not use more
than one hundred thousand dollars ($100,000) of administrative funds
for the survey required by paragraph (1).
   (3) The income information required by paragraph (1) shall be
categorized according to the following income categories:
   (A) Persons whose family income does not exceed 150 percent of the
official federal poverty line.
   (B) Persons whose family income exceeds 150 percent of the
official federal poverty line but does not exceed 185 percent of the
official federal poverty line.
   (C) Persons whose family income exceeds 185 percent of the
official federal poverty line but does not exceed 200 percent of the
official federal poverty line.
   (D) Persons whose family income exceeds 200 percent of the
official federal poverty line but does not exceed 225 percent of the
official federal poverty line.
   (E) Persons whose family income exceeds 225 percent of the
official federal poverty line.
   (F) Persons whose family income exceeds 250 percent of the
official federal poverty line level but does not exceed 300 percent
of the official federal poverty line.
   (d) The department shall, in addition to the information required
by subdivision (a), report on trends in private insurance coverage of
maternity care, to the extent the data is available.



14148.98.  No funds from the Health Education Account in the
Cigarette and Tobacco Products Surtax Fund may be used in a manner
that violates paragraph (1) of subdivision (b) of Section 30122 of
the Revenue and Taxation Code.