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S1472................................................by JUDICIARY AND RULES MATERNAL DEATH REVIEW - Amends and adds to existing law relating to maternal death review; to provide for a public records exception; to provide for additional duties of the Bureau of Health Policy and Vital Statistics; and to provide for the Maternal Death Review Panel. 03/06 Senate intro - 1st rdg - to printing 03/07 Rpt prt - to Health/Wel
]]]] LEGISLATURE OF THE STATE OF IDAHO ]]]] Fifty-ninth Legislature Second Regular Session - 2008IN THE SENATE SENATE BILL NO. 1472 BY JUDICIARY AND RULES COMMITTEE 1 AN ACT 2 RELATING TO MATERNAL DEATH REVIEW PANEL; AMENDING SECTION 9-340C, IDAHO CODE, 3 TO PROVIDE FOR A PUBLIC RECORDS EXCEPTION; AMENDING SECTION 39-260, IDAHO 4 CODE, TO PROVIDE FOR ADDITIONAL DUTIES OF THE BUREAU OF HEALTH POLICY AND 5 VITAL STATISTICS; AND AMENDING CHAPTER 13, TITLE 39, IDAHO CODE, BY THE 6 ADDITION OF A NEW SECTION 39-1392g, IDAHO CODE, TO PROVIDE FOR THE MATER- 7 NAL DEATH REVIEW PANEL. 8 Be It Enacted by the Legislature of the State of Idaho: 9 SECTION 1. That Section 9-340C, Idaho Code, be, and the same is hereby 10 amended to read as follows: 11 9-340C. RECORDS EXEMPT FROM DISCLOSURE -- PERSONNEL RECORDS, PERSONAL 12 INFORMATION, HEALTH RECORDS, PROFESSIONAL DISCIPLINE. The following records 13 are exempt from disclosure: 14 (1) Except as provided in this subsection, all personnel records of a 15 current or former public official other than the public official's public ser- 16 vice or employment history, classification, pay grade and step, longevity, 17 gross salary and salary history, status, workplace and employing agency. All 18 other personnel information relating to a public employee or applicant includ- 19 ing, but not limited to, information regarding sex, race, marital status, 20 birth date, home address and telephone number, applications, testing and 21 scoring materials, grievances, correspondence and performance evaluations, 22 shall not be disclosed to the public without the employee's or applicant's 23 written consent. Names of applicants to classified or merit system positions 24 shall not be disclosed to the public without the applicant's written consent. 25 Disclosure of names as part of a background check is permitted. Names of the 26 five (5) final applicants to all other positions shall be available to the 27 public. If such group is less than five (5) finalists, then the entire list of 28 applicants shall be available to the public. A public official or authorized 29 representative may inspect and copy his personnel records, except for material 30 used to screen and test for employment. 31 (2) Retired employees' and retired public officials' home addresses, home 32 telephone numbers and other financial and nonfinancial membership records; 33 active and inactive member financial and membership records and mortgage port- 34 folio loan documents maintained by the public employee retirement system. 35 Financial statements prepared by retirement system staff, funding agents and 36 custodians concerning the investment of assets of the public employee retire- 37 ment system of Idaho are not considered confidential under this chapter. 38 (3) Information and records submitted to the Idaho state lottery for the 39 performance of background investigations of employees, lottery retailers and 40 major procurement contractors; audit records of lottery retailers, vendors and 41 major procurement contractors submitted to or performed by the Idaho state 42 lottery; validation and security tests of the state lottery for lottery games; 43 business records and information submitted pursuant to sections 67-7412(8) and 2 1 (9) and 67-7421(8) and (9), Idaho Code, and such documents and information 2 obtained and held for the purposes of lottery security and investigative 3 action as determined by lottery rules unless the public interest in disclosure 4 substantially outweighs the private need for protection from public disclo- 5 sure. 6 (4) Records of a personal nature as follows: 7 (a) Records of personal debt filed with a public agency or independent 8 public body corporate and politic pursuant to law; 9 (b) Personal bank records compiled by a public depositor for the purpose 10 of public funds transactions conducted pursuant to law; 11 (c) Records of ownership of financial obligations and instruments of a 12 public agency or independent public body corporate and politic, such as 13 bonds, compiled by the public agency or independent public body corporate 14 and politic pursuant to law; 15 (d) Records, with regard to the ownership of, or security interests in, 16 registered public obligations; 17 (e) Vital statistics records; and 18 (f) Military records as described in and pursuant to section 65-301, 19 Idaho Code. 20 (5) Information in an income or other tax return measured by items of 21 income or sales, which is gathered by a public agency for the purpose of 22 administering the tax, except such information to the extent disclosed in a 23 written decision of the tax commission pursuant to a taxpayer protest of a 24 deficiency determination by the tax commission, under the provisions of sec- 25 tion 63-3045B, Idaho Code. 26 (6) Records of a personal nature related directly or indirectly to the 27 application for and provision of statutory services rendered to persons apply- 28 ing for public care for the elderly, indigent, or mentally or physically hand- 29 icapped, or participation in an environmental or a public health study, pro- 30 vided the provisions of this subsection making records exempt from disclosure 31 shall not apply to the extent that such records or information contained in 32 those records are necessary for a background check on an individual that is 33 required by federal law regulating the sale of firearms, guns or ammunition. 34 (7) Employment security information and unemployment insurance benefit 35 information, except that all interested parties may agree to waive the exemp- 36 tion unless access to the information by the parties is restricted by subsec- 37 tion (3)(a), (3)(b) or (3)(d) of section 9-342, Idaho Code. Notwithstanding 38 the provisions of section 9-342, Idaho Code, a person may not review identify- 39 ing information concerning an informant who reported to the department of 40 labor a suspected violation by the person of the employment security law, 41 chapter 13, title 72, Idaho Code, under an assurance of confidentiality. As 42 used in this section, "employment security information" means any information 43 descriptive of an identifiable person or persons that is received by, recorded 44 by, prepared by, furnished to or collected by the department of labor or the 45 industrial commission in the administration of the employment security law. 46 (8) Any personal records, other than names, business addresses and busi- 47 ness phone numbers, such as parentage, race, religion, sex, height, weight, 48 tax identification and social security numbers, financial worth or medical 49 condition submitted to any public agency or independent public body corporate 50 and politic pursuant to a statutory requirement for licensing, certification, 51 permit or bonding. 52 (9) Unless otherwise provided by agency rule, information obtained as 53 part of an inquiry into a person's fitness to be granted or retain a license, 54 certificate, permit, privilege, commission or position, private association 55 peer review committee records authorized in title 54, Idaho Code. Any agency 3 1 which has records exempt from disclosure under the provisions of this subsec- 2 tion shall annually make available a statistical summary of the number and 3 types of matters considered and their disposition. 4 (10) The records, findings, determinations and decisions of any prelitiga- 5 tion screening panel formed under chapters 10 and 23, title 6, Idaho Code. 6 (11) Complaints received by the board of medicine and investigations and 7 informal proceedings, including informal proceedings of any committee of the 8 board of medicine, pursuant to chapter 18, title 54, Idaho Code, and rules 9 adopted thereunder. 10 (12) Records of the department of health and welfare or a public health 11 district that identify a person infected with a reportable disease. 12 (13) Records of hospital care, medical records, including prescriptions, 13 drug orders, records or any other prescription information that specifically 14 identifies an individual patient, prescription records maintained by the board 15 of pharmacy under sections 37-2726 and 37-2730A, Idaho Code, records of psy- 16 chiatric care or treatment and professional counseling records relating to an 17 individual's condition, diagnosis, care or treatment, provided the provisions 18 of this subsection making records exempt from disclosure shall not apply to 19 the extent that such records or information contained in those records are 20 necessary for a background check on an individual that is required by federal 21 law regulating the sale of firearms, guns or ammunition. 22 (14) Information collected pursuant to the directory of new hires act, 23 chapter 16, title 72, Idaho Code. 24 (15) Personal information contained in motor vehicle and driver records 25 that is exempt from disclosure under the provisions of chapter 2, title 49, 26 Idaho Code. 27 (16) Records of the financial status of prisoners pursuant to subsection 28 (2) of section 20-607, Idaho Code. 29 (17) Records of the Idaho state police or department of correction 30 received or maintained pursuant to section 19-5514, Idaho Code, relating to 31 DNA databases and databanks. 32 (18) Records of the department of health and welfare relating to a survey, 33 resurvey or complaint investigation of a licensed nursing facility shall be 34 exempt from disclosure. Such records shall, however, be subject to disclosure 35 as public records as soon as the facility in question has received the report, 36 and no later than the fourteenth day following the date that department of 37 health and welfare representatives officially exit the facility pursuant to 38 federal regulations. Provided however, that for purposes of confidentiality, 39 no record shall be released under this section which specifically identifies 40 any nursing facility resident. 41 (19) Records and information contained in the registry of immunizations 42 against childhood diseases maintained in the department of health and welfare, 43 including information disseminated to others from the registry by the depart- 44 ment of health and welfare. 45 (20) Records of the Idaho housing and finance association (IHFA) relating 46 to the following: 47 (a) Records containing personal financial, family, health or similar per- 48 sonal information submitted to or otherwise obtained by the IHFA; 49 (b) Records submitted to or otherwise obtained by the IHFA with regard to 50 obtaining and servicing mortgage loans and all records relating to the 51 review, approval or rejection by the IHFA of said loans; 52 (c) Mortgage portfolio loan documents; 53 (d) Records of a current or former employee other than the employee's 54 duration of employment with the association, position held and location of 55 employment. This exemption from disclosure does not include the contracts 4 1 of employment or any remuneration, including reimbursement of expenses, of 2 the executive director, executive officers or commissioners of the associ- 3 ation. All other personnel information relating to an association 4 employee or applicant including, but not limited to, information regarding 5 sex, race, marital status, birth date, home address and telephone number, 6 applications, testing and scoring materials, grievances, correspondence, 7 retirement plan information and performance evaluations, shall not be dis- 8 closed to the public without the employee's or applicant's written con- 9 sent. An employee or authorized representative may inspect and copy that 10 employee's personnel records, except for material used to screen and test 11 for employment or material not subject to disclosure elsewhere in the 12 Idaho public records act. 13 (21) Records of the department of health and welfare related to child sup- 14 port services in cases in which there is reasonable evidence of domestic vio- 15 lence, as defined in chapter 63, title 39, Idaho Code, that can be used to 16 locate any individuals in the child support case except in response to a court 17 order. 18 (22) Records of the Idaho state bar lawyer's assistance program pursuant 19 to chapter 49, title 54, Idaho Code, unless a participant in the program 20 authorizes the release pursuant to subsection (4) of section 54-4901, Idaho 21 Code. 22 (23) Records and information contained in the trauma registry created by 23 chapter 20, title 57, Idaho Code, together with any reports, analyses and com- 24 pilations created from such information and records. 25 (24) Records contained in the court files, or other records prepared as 26 part of proceedings for judicial authorization of sterilization procedures 27 pursuant to chapter 39, title 39, Idaho Code. 28 (25) The physical voter registration card on file in the county clerk's 29 office; however, a redacted copy of said card shall be made available consis- 30 tent with the requirements of this section. Information from the voter regis- 31 tration card maintained in the statewide voter registration database, includ- 32 ing age, will be made available except for the voter's driver's license num- 33 ber, date of birth and, upon showing of good cause by the voter to the county 34 clerk in consultation with the county prosecuting attorney, the physical resi- 35 dence address of the voter. For the purposes of this subsection good cause 36 shall include the protection of life and property and protection of victims of 37 domestic violence and similar crimes. 38 (26) File numbers, passwords and information in the files of the health 39 care directive registry maintained by the secretary of state under section 40 39-4515, Idaho Code, are confidential and shall not be disclosed to any person 41 other than to the person who executed the health care directive or the revoca- 42 tion thereof and that person's legal representatives, to the person who regis- 43 tered the health care directive or revocation thereof, and to physicians, hos- 44 pitals, medical personnel, nursing homes, and other persons who have been 45 granted file number and password access to the documents within that specific 46 file. 47 (27) Records created, obtained and maintained by the maternal death review 48 panel or its chairperson pursuant to section 39-1392g, Idaho Code. 49 SECTION 2. That Section 39-260, Idaho Code, be, and the same is hereby 50 amended to read as follows: 51 39-260. REGISTRATION OF DEATHS AND STILLBIRTHS. (1) A certificate of each 52 death which occurs in this state shall be filed with the local registrar of 53 the district in which the death occurs, or as otherwise directed by the state 5 1 registrar, within five (5) days after the occurrence. However, the board 2 shall, by rule and upon such conditions as it may prescribe to assure compli- 3 ance with the purposes of the vital statistics act, provide for the filing of 4 death certificates without medical certifications of cause of death in cases 5 in which compliance with the applicable prescribed period would result in 6 undue hardship; but provided, however, that medical certifications of cause of 7 death shall be provided by the certifying physician, physician assistant, 8 advanced practice professional nurse or coroner to the vital statistics unit 9 within fifteen (15) days from the filing of the death certificate. No certifi- 10 cate shall be deemed complete until every item of information required shall 11 have been provided or its omission satisfactorily accounted for. When death 12 occurs in a moving conveyance in the United States and the body is first 13 removed from the conveyance in this state, the death shall be registered in 14 this state and the place where the body is first removed shall be considered 15 the place of death. When a death occurs on a moving conveyance while in inter- 16 national airspace or in a foreign country or its airspace and the body is 17 first removed from the conveyance in this state, the death shall be registered 18 in this state but the certificate shall show the actual place of death insofar 19 as can be determined. If the place of death is unknown but the dead body is 20 found in this state, the certificate of death shall be completed and filed in 21 accordance with this section. The place where the body is found shall be shown 22 as the place of death. If the date of death is unknown, it shall be determined 23 by approximation. 24 The person in charge of interment or of removal of the body from the dis- 25 trict shall be responsible for obtaining and filing the certificate. Said per- 26 son shall obtain the required information from the following persons, over 27 their respective signatures: 28 (a) Personal data shall be supplied by the person best qualified to sup- 29 ply them; and 30 (b) Except as otherwise provided, medical data shall be supplied by the 31 physician, physician assistant or advanced practice professional nurse who 32 attended the deceased during the last illness, who shall certify to the 33 cause of death according to his best knowledge, information and belief 34 within seventy-two (72) hours from time of death. In the absence of the 35 attending physician, physician assistant or advanced practice professional 36 nurse or with said person's approval the certificate may be completed and 37 signed by said person's associate, who must be a physician, physician 38 assistant or advanced practice professional nurse, the chief medical offi- 39 cer of the institution in which death occurred, or the physician who per- 40 formed an autopsy upon the decedent, provided such individual has access 41 to the medical history of the case, views the deceased at or after death, 42 and death is due to natural causes. 43 (2) The person in charge of interment or of removal of the body from the 44 district shall refer the following cases to the coroner who shall make an 45 immediate investigation, supply the necessary medical data, and certify to the 46 cause of death: 47 (a) When no physician, physician assistant or advanced practice profes- 48 sional nurse was in attendance during the last illness of the deceased; 49 (b) When the circumstances suggest that the death occurred as a result of 50 other than natural causes; or 51 (c) When death is due to natural causes and the physician, physician 52 assistant or advanced practice professional nurse who attended the 53 deceased during the last illness or said person's designated associate who 54 must be a physician, physician assistant or advanced practice professional 55 nurse, is not available or is physically incapable of signing. 6 1 (3) When a death is presumed to have occurred within this state but the 2 body cannot be located, a death certificate may be prepared by the state reg- 3 istrar upon receipt of an order of a court of record of this state, which 4 shall include the finding of facts required to complete the death certificate. 5 Such a death certificate shall be marked "presumptive" and shall show on its 6 face the date of registration and shall identify the court and the date of 7 decree. 8 (4) Each stillbirth, defined as a spontaneous fetal death of twenty (20) 9 completed weeks gestation or more, based on a clinical estimate of gestation, 10 or a weight of three hundred fifty (350) grams (twelve and thirty-five hun- 11 dredths (12.35) ounces) or more, which occurs in this state shall be regis- 12 tered on a certificate of stillbirth within five (5) days after delivery with 13 the local registrar of the district in which the stillbirth occurred. All 14 induced terminations of pregnancy shall be reported in the manner prescribed 15 in section 39-261, Idaho Code, and shall not be reported as stillbirths. No 16 certificate shall be deemed complete until every item of information required 17 shall have been provided or its omission satisfactorily accounted for. 18 (a) When a stillbirth occurs in an institution, the person in charge of 19 the institution or a designated representative shall prepare the certifi- 20 cate, obtain the signature of the physician, physician assistant or 21 advanced practice professional nurse in attendance, except as otherwise 22 provided in subsection (5) of this section, who shall provide the medical 23 data, and forward the certificate to the mortician or person acting as 24 such. In the absence of the attending physician, physician assistant or 25 advanced practice professional nurse or with said person's approval the 26 certificate may be completed and signed by said person's associate, who 27 must be a physician, physician assistant or advanced practice professional 28 nurse, the chief medical officer of the institution in which the still- 29 birth occurred, or the physician who performed an autopsy on the stillborn 30 fetus, provided such individual has access to the medical history of the 31 case and views the fetus at or after stillbirth. The mortician or person 32 acting as such shall provide the disposition information and file the cer- 33 tificate with the local registrar. 34 (b) When a stillbirth occurs outside an institution, the mortician or 35 person acting as such shall complete the certificate, obtain the medical 36 data from and signature of the attendant at the stillbirth, except as 37 otherwise provided in subsection (5) of this section, and file the certif- 38 icate. If the attendant at or immediately after the stillbirth is not a 39 physician, physician assistant or advanced practice professional nurse, 40 the coroner shall investigate and sign the certificate of stillbirth. 41 (c) When a stillbirth occurs in a moving conveyance in the United States 42 and the stillborn fetus is first removed from the conveyance in this 43 state, the stillbirth shall be registered in this state and the place 44 where the stillborn fetus is first removed shall be considered the place 45 of stillbirth. When a stillbirth occurs in a moving conveyance while in 46 international airspace or in a foreign country or its airspace and the 47 stillborn fetus is first removed from the conveyance in this state, the 48 stillbirth shall be registered in this state but the certificate shall 49 show the actual place of stillbirth insofar as can be determined. 50 (d) When a stillborn fetus is found in this state and the place of still- 51 birth is unknown, it shall be reported in this state. The place where the 52 stillborn fetus was found shall be considered the place of stillbirth. 53 (e) The name of the father shall be entered on the certificate of still- 54 birth as provided by section 39-255, Idaho Code. 55 (5) The person responsible for the preparation or completion of the 7 1 stillbirth certificate as stated in subsections (4)(a) and (b) of this section 2 shall refer the following cases to the coroner who shall make an immediate 3 investigation, supply the necessary medical data and certify to the cause of 4 stillbirth: 5 (a) When the circumstances suggest that the stillbirth occurred as a 6 result of other than natural causes, excepting legally induced abortions, 7 as defined by section 39-241, Idaho Code; or 8 (b) When death is due to natural causes and the physician, physician 9 assistant or advanced practice professional nurse in attendance at or 10 immediately after the stillbirth or said person's designated associate is 11 not available or is physically incapable of signing. 12 (6) The bureau of health policy and vital statistics of the department of 13 health and welfare shall attempt to determine if any female decedent was preg- 14 nant within one (1) year of death. When the circumstances of death include 15 that the decedent was pregnant at the time of death or was pregnant within one 16 (1) year prior to death, the bureau of health policy and vital statistics 17 shall so inform the chairperson of the maternal death review panel established 18 pursuant to section 39-1392g, Idaho Code. 19 SECTION 3. That Chapter 13, Title 39, Idaho Code, be, and the same is 20 hereby amended by the addition thereto of a NEW SECTION, to be known and des- 21 ignated as Section 39-1392g, Idaho Code, and to read as follows: 22 39-1392g. MATERNAL DEATH REVIEW PANEL. (1) Panel established. The board 23 of medicine shall establish a maternal death review panel as provided for in 24 this section. 25 (2) Definitions. As used in this section: 26 (a) "Chairperson" means the chairperson of the panel or that 27 chairperson's designee. 28 (b) "Maternal death" means a woman who dies while pregnant, or within one 29 (1) year of the end of a pregnancy without distinguishing between 30 pregnancies ending in termination, spontaneous abortion, ectopic preg- 31 nancy, molar pregnancy or premature delivery or at term of a live born or 32 stillborn infant. 33 (c) "Panel" means the maternal death review panel established under this 34 section. 35 (3) Panel membership. The board of medicine shall appoint not less than 36 three (3) members to the panel who shall serve without compensation and at the 37 pleasure of the board. At least one (1) panel member shall be an obstetrician 38 licensed to practice medicine by the state of Idaho. Other panel members may 39 consist of health care and social service providers, public health officials 40 and other persons with professional expertise on maternal health and mortal- 41 ity. The chairperson of the panel shall be an obstetrician. 42 (4) Duties and powers of panel chairperson. The panel chairperson shall: 43 (a) Review all maternal deaths occurring in Idaho; 44 (b) Have the authority to access all medical records relevant to the 45 maternal death under review. However, the panel chairperson shall not 46 retain medical records or copies thereof after the panel has presented its 47 report as provided for in subsection (5) of this section; 48 (c) Prior to accessing medical records as provided for in paragraph (b) 49 of this subsection, provide the person maintaining the medical records 50 with a copy of sections 39-1392a through 39-1392g, Idaho Code, so as to 51 indicate and confirm that the panel's review is a peer review activity and 52 is entitled to the confidentiality and privileges as provided therein; 53 (d) Conduct those interviews of treating physicians, nurses, other health 8 1 care providers, family members and anyone the chairperson deems important 2 in determining modifiable factors that could have prevented the death, 3 while at all times endeavoring to minimize the burden imposed on the 4 decedent's family, on health care providers and on health care facilities; 5 and 6 (e) Prepare a summary of relevant information regarding the maternal 7 death and related events with the name or identifier of the deceased 8 removed and present this summary to the panel at the panel's next meeting. 9 (5) Duties and powers of the panel. The panel shall: 10 (a) Conduct a comprehensive and multidisciplinary review of data pre- 11 sented by the panel's chairperson; 12 (b) Present an annual report to the board of medicine, identifying fac- 13 tors contributing to maternal death in Idaho and making recommendations to 14 the board for improvements that could decrease the rate of maternal death; 15 and 16 (c) Endeavor to minimize the burden imposed on the decedent's family, on 17 health care providers and on health care facilities. 18 (6) Cooperation. The bureau of health policy and vital statistics of the 19 department of health and welfare shall cooperate with the panel in identifying 20 cases of maternal death occurring in Idaho using the following methods: 21 (a) International classification of diseases, tenth revision (ICD-10), 22 underlying causes of death codes from chapter XV; 23 (b) Item no. 30 on the Idaho death certificate checked to indicate preg- 24 nant at time of death; not pregnant, but pregnant within forty-two (42) 25 days of death; or not pregnant, but pregnant forty-three (43) days to one 26 (1) year before death; or 27 (c) Other methods recommended by the bureau that promote the goal of 28 identifying all maternal deaths occurring in Idaho. 29 (7) Access to medical records. Health care practitioners and providers 30 and health care facilities shall provide the panel and the panel's chairperson 31 with reasonable access to all relevant medical records associated with a 32 maternal death. 33 (8) Confidentiality. All records created, obtained or maintained pursuant 34 to this section, except for the report provided for under subsection (5)(b) of 35 this section, are not: 36 (a) Public records; 37 (b) Subject to subpoena or civil process; and 38 (c) Admissible in evidence in connection with any judicial, executive, 39 legislative or other proceeding. 40 (9) Immunity. A health care practitioner, hospital or health care facil- 41 ity, or any employee or agent of that person or entity, shall not be subject 42 to civil or criminal liability arising from the disclosure or furnishing of 43 information to the panel or its chairperson pursuant to this section. Panel 44 members shall not be subject to civil or criminal liability arising out of the 45 review activities undertaken pursuant to this section. 46 (10) Rules. The board of medicine shall promulgate rules to implement the 47 provisions of this section. 48 (11) Available moneys. The chairperson and the panel shall undertake their 49 respective duties and powers as provided pursuant to this section only to the 50 extent that moneys are provided for these purposes through private donations, 51 grants, awards or other moneys.
STATEMENT OF PURPOSE RS 18016C1 This legislation adds a new section to Chapter 13, Title 39 of Idaho Code to establish a statewide review of maternal deaths. The purpose of the review is to identify possible health care system issues which might be improved to decrease the risk of maternal death. The bill defines membership and duties of the review panel which will be appointed by the Board of Medicine. The bill provides for maintaining confidentiality of medical records, peer review protection of the proceedings of the panel, and a report to be made to the Board of Medicine. FISCAL NOTE The estimated fiscal impact to establish the Maternal Death Review is zero as the bill provides for implementation only with outside funding. The Idaho section of American College of Obstetricians and Gynecologists has already committed to funding this (approximately $1,600.00 per year in clerical and meeting costs). Contact Name: Lee Parsons, MD Phone: (208) 888-0909 Name: Senator John McGee STATEMENT OF PURPOSE/FISCAL NOTE S 1472