House File 479 - Introduced HOUSE FILE BY HEATON Passed House, Date Passed Senate, Date Vote: Ayes Nays Vote: Ayes Nays Approved A BILL FOR 1 An Act relating to postnatal tissue and fluid banking, including 2 the utilization of postnatal tissue and fluid in research and 3 medical treatment. 4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 5 TLSB 1784YH 82 6 pf/gg/14 PAG LIN 1 1 Section 1. NEW SECTION. 135N.1 POSTNATAL TISSUE AND 1 2 FLUID BANKING == RESEARCH AND MEDICAL TREATMENT. 1 3 1. For the purposes of this section, "postnatal tissue and 1 4 fluid" means the placenta, umbilical cord, umbilical cord 1 5 blood, and amniotic fluid expelled or extracted in connection 1 6 with the birth of a child. 1 7 2. The department of public health shall establish a 1 8 postnatal tissue and fluid banking network in cooperation with 1 9 one or more public or private colleges or universities, public 1 10 or private hospitals, nonprofit organizations, or private 1 11 organizations in this state for the purpose of collecting and 1 12 storing postnatal tissue and fluid donated by women who have 1 13 given birth in this state. The postnatal tissue and fluid 1 14 donated may be used for scientific research and medical 1 15 treatment in accordance with rules adopted by the department. 1 16 3. The department shall develop a program to educate 1 17 pregnant women about the banking of postnatal tissue and 1 18 fluid. The program shall provide pregnant women with 1 19 sufficient information to make an informed decision regarding 1 20 participation in a public or private postnatal tissue and 1 21 fluid banking program. The information shall be provided 1 22 electronically via the department's internet website and in 1 23 hard copy form. The department shall provide the information 1 24 in hard copy form to any physician or hospital licensed in 1 25 this state, upon request. The information provided shall 1 26 include but is not limited to all of the following: 1 27 a. The current and potential future medical uses of stored 1 28 postnatal tissue and fluid. 1 29 b. The benefits and risks involved in banking of postnatal 1 30 tissue and fluid. 1 31 c. The medical process involved in the collection and 1 32 storage of postnatal tissue and fluid. 1 33 d. Medical and family history criteria that may impact a 1 34 decision regarding postnatal tissue and fluid banking. 1 35 e. An explanation of the differences between public and 2 1 private postnatal tissue and fluid banking. 2 2 f. The availability and costs of storing postnatal tissue 2 3 and fluid in public and private postnatal tissue and fluid 2 4 banks. 2 5 4. The department shall educate physicians and public and 2 6 private hospitals licensed in this state regarding the 2 7 donation of postnatal tissue and fluid. 2 8 5. A physician or hospital licensed in this state shall 2 9 each inform a pregnant woman under the physician's or 2 10 hospital's care, no later than the beginning of the third 2 11 trimester of the woman's pregnancy, of the opportunity to 2 12 donate postnatal tissue and fluid and shall provide the 2 13 pregnant woman with access to the information developed by the 2 14 department pursuant to subsection 2. 2 15 6. The department shall adopt rules to ensure: 2 16 a. Compliance by any postnatal tissue and fluid bank in 2 17 this state with all relevant national practices and quality 2 18 standards. 2 19 b. Compliance of any scientific research or medical 2 20 treatment performed utilizing postnatal tissue and fluid in 2 21 this state with relevant national practices and quality 2 22 standards. 2 23 7. This section shall not be interpreted to require a 2 24 physician or hospital to collect postnatal tissue and fluid 2 25 if, in the professional judgment of the physician or hospital, 2 26 the collection would threaten the health of the affected woman 2 27 or child. 2 28 EXPLANATION 2 29 This bill relates to postnatal tissue and fluid banking. 2 30 The bill defines "postnatal tissue and fluid" as the placenta, 2 31 umbilical cord, umbilical cord blood, and amniotic fluid 2 32 expelled or extracted in connection with the birth of a child. 2 33 The bill directs the department of public health to establish 2 34 a postnatal tissue and fluid banking network in cooperation 2 35 with one or more public or private colleges or universities, 3 1 public or private hospitals, nonprofit organizations, or 3 2 private organizations in the state for the purpose of 3 3 collecting and storing postnatal tissue and fluid donated by 3 4 women who have given birth in this state. The bill provides 3 5 that the postnatal tissue and fluid donated may be used for 3 6 scientific research and medical treatment in accordance with 3 7 rules adopted by the department. The bill also directs the 3 8 department to develop a program to educate pregnant women 3 9 about the banking of postnatal tissue and fluid, and specifies 3 10 the type of information to be provided. The bill directs the 3 11 department to also educate physicians and public and private 3 12 hospitals licensed in the state regarding the donation of 3 13 postnatal tissue and fluid. Under the bill, each physician 3 14 and each hospital licensed in the state is required to inform 3 15 each pregnant woman under the physician's or hospital's care, 3 16 no later than the beginning of the third trimester of the 3 17 woman's pregnancy, of the opportunity to donate postnatal 3 18 tissue and fluid and is also required to provide the pregnant 3 19 woman with access to the information developed by the 3 20 department. The bill requires the department to adopt rules 3 21 to ensure compliance of any postnatal tissue and fluid bank in 3 22 the state with all relevant national practices and quality 3 23 standards and to ensure that any research or medical treatment 3 24 utilizing donated postnatal tissue and fluid complies with 3 25 relevant national practices and quality standards. The bill 3 26 also provides that the provisions of the bill do not require a 3 27 physician or hospital to collect postnatal tissue and fluid 3 28 if, in the professional judgment of the physician or hospital, 3 29 the collection would threaten the health of the affected woman 3 30 or child. 3 31 LSB 1784YH 82 3 32 pf:rj/gg/14