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| THE GENERAL ASSEMBLY OF PENNSYLVANIA |
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| SENATE BILL |
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| INTRODUCED BY PIPPY, ERICKSON, BAKER, BROWNE, LEACH, WONDERLING, TOMLINSON, WASHINGTON, BOSCOLA, COSTA, FERLO, LOGAN, BRUBAKER, FONTANA, O'PAKE AND RAFFERTY, MARCH 5, 2009 |
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| REFERRED TO PUBLIC HEALTH AND WELFARE, MARCH 5, 2009 |
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| AN ACT |
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1 | Providing for education for parents relating to sudden infant |
2 | death syndrome and sudden unexpected death of infants; |
3 | establishing the Sudden Infant Death Syndrome Education and |
4 | Prevention Program; and providing for duties of the |
5 | Department of Health. |
6 | The General Assembly of the Commonwealth of Pennsylvania |
7 | hereby enacts as follows: |
8 | Section 1. Short title. |
9 | This act shall be known and may be cited as the Sudden Infant |
10 | Death Syndrome Education and Prevention Program Act. |
11 | Section 2. Legislative findings. |
12 | The General Assembly hereby finds and declares as follows: |
13 | (1) The sudden, unexpected death of a newborn is the |
14 | third most common cause of death among newborns and is only |
15 | exceeded in the first year of life by congenital |
16 | malformations and prematurity. |
17 | (2) Most sudden infant deaths occur when a baby is |
18 | between two and four months old, and 90% of all sudden infant |
19 | deaths occur before six months of age. |
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1 | (3) Most babies that die of sudden infant death syndrome |
2 | (SIDS) or sudden unexpected death in infants (SUDI) appear to |
3 | be healthy prior to death. |
4 | (4) Sixty percent of SIDS victims are male and 40% are |
5 | female. |
6 | (5) While SIDS occurs in all socioeconomic, racial and |
7 | ethnic groups, African-American and Native-American babies |
8 | are two to three times more likely to die of SIDS than |
9 | Caucasian babies. |
10 | (6) In 1994, the American Academy of Pediatrics, in |
11 | conjunction with other major health organizations in the |
12 | United States, launched the national "Back to Sleep" |
13 | campaign, which endorsed and promoted the placement of |
14 | infants on their backs both for sleeping and napping. |
15 | (7) The incidence of sudden infant death in the United |
16 | States decreased by more than 50% since the inception of this |
17 | campaign. |
18 | (8) In 2005, the American Academy of Pediatrics |
19 | recognized that some infant deaths previously labeled as SIDS |
20 | were actually due to suffocation and issued new |
21 | recommendations that defined and promoted the use of a safe |
22 | sleeping environment for infants. |
23 | (9) Parents should learn risk factors associated with |
24 | SIDS and SUDI and share with others information on how to |
25 | create a safe sleeping environment for an infant to reduce |
26 | the risk of sudden and unexpected death. |
27 | Section 3. Definitions. |
28 | The following words and phrases when used in this act shall |
29 | have the meanings given to them in this section unless the |
30 | context clearly indicates otherwise: |
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1 | "Acknowledgment statement." A form which may be voluntarily |
2 | signed by a parent, acknowledging that the parent has received, |
3 | read and has an understanding of the educational and |
4 | instructional materials provided on sudden infant death syndrome |
5 | and sudden unexpected death in infants. |
6 | "Birth center." A facility not part of a hospital which |
7 | provides maternity care to childbearing families not requiring |
8 | hospitalization. As used in this definition, the term "maternity |
9 | care" includes prenatal, labor, delivery and postpartum care |
10 | related to medically uncomplicated pregnancies. |
11 | "Department." The Department of Health of the Commonwealth. |
12 | "Hospital." A for-profit or nonprofit hospital providing |
13 | clinically related health services for obstetrical and newborn |
14 | care, including those operated by the State, local government or |
15 | an agency. The term shall not include an office used primarily |
16 | for private or group practice by health care practitioners where |
17 | no reviewable clinically related health services are offered. |
18 | "Infant." A child 30 days of age or older and younger than |
19 | 24 months of age. |
20 | "Midwife." An individual who is licensed as a midwife by the |
21 | State Board of Medicine. |
22 | "Newborn." A child 29 days of age or younger. |
23 | "Parent." A natural parent, stepparent, adoptive parent, |
24 | legal guardian or legal custodian of a child. |
25 | "Program." The Sudden Infant Death Syndrome Education and |
26 | Prevention Program. |
27 | "Sudden infant death syndrome" or "SIDS." The sudden, |
28 | unexpected death of an apparently healthy infant that remains |
29 | unexplained after the performance of a complete postmortem |
30 | investigation, including an autopsy, an examination of the scene |
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1 | of death and a review of the medical history. |
2 | "Sudden unexpected death in infants" or "SUDI." The sudden, |
3 | unexpected death of an apparently healthy infant. |
4 | Section 4. Establishment of program. |
5 | (a) Establishment.--The department shall establish a Sudden |
6 | Infant Death Syndrome Education and Prevention Program to |
7 | promote awareness and education relating to SIDS and SUDI with |
8 | the focus on the risk factors of SIDS and SUDI and safe sleeping |
9 | practices for newborns and infants. |
10 | (b) Public awareness.--The department shall design and |
11 | implement strategies for raising public awareness concerning |
12 | SIDS and SUDI, including, but not limited to, the following: |
13 | (1) Risk factors for sudden infant death, including |
14 | infant sleep position, exposure to smoke, overheating, |
15 | inappropriate infant bedding and bed sharing. |
16 | (2) Suggestions for reducing the risk of SIDS and SUDI. |
17 | Section 5. Materials. |
18 | (a) Educational and instructional materials.--The program |
19 | shall include the distribution of readily understandable |
20 | information and educational and instructional materials |
21 | regarding SIDS and SUDI. The materials shall explain the risk |
22 | factors associated with SIDS and SUDI and emphasize safe |
23 | sleeping practices. The materials shall be provided to parents |
24 | prior to discharge from a hospital or birth center or by a |
25 | midwife for births that take place in settings other than a |
26 | hospital or birth center. |
27 | (b) Acknowledgment statement.--The acknowledgment statement |
28 | shall be signed by a parent prior to discharge from a hospital |
29 | or birth center or after births performed by a midwife in |
30 | settings other than a hospital or birth center. One copy of the |
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1 | acknowledgment statement shall be given to a parent, and one |
2 | copy shall remain on file in the hospital or birth center. |
3 | Copies of acknowledgment statements signed by parents in |
4 | settings other than a hospital or birth center shall be kept on |
5 | file by the health care practitioner or midwife performing the |
6 | birth. The acknowledgment statement shall be set forth in a form |
7 | to be prescribed by the department. |
8 | (c) Distribution of materials.--The information and |
9 | educational and instructional materials described in subsection |
10 | (a) shall be provided without cost by each hospital, birth |
11 | center or midwife to a parent of each newborn upon discharge |
12 | from a hospital or birth center. |
13 | Section 6. Scope of act. |
14 | The department shall do the following: |
15 | (1) Work to improve the capacity of community-based |
16 | services available to parents regarding the risk factors |
17 | involved with SIDS and SUDI and safe sleeping practices for |
18 | newborns and infants. |
19 | (2) Work with other State and local governmental |
20 | agencies, community and business leaders, community |
21 | organizations, health care and human service providers and |
22 | national organizations to coordinate efforts and maximize |
23 | State and private resources in the areas of education about |
24 | SIDS and SUDI, including the risk factors and safe sleeping |
25 | practices. |
26 | (3) Identify and, when appropriate, replicate or use |
27 | successful SIDS and SUDI programs and procure related |
28 | materials and services from organizations with appropriate |
29 | experience and knowledge of SIDS and SUDI. |
30 | Section 7. Regulations. |
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1 | The department may promulgate regulations necessary to |
2 | implement the provisions of this act. |
3 | Section 8. Effective date. |
4 | This act shall take effect July 1, 2009. |
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