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Mississippi Legislature· HB 1637Approved by Governor (Chapter 465)

Fetal and Infant Mortality Review Panel; create under State Department of Health., the official text

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MISSISSIPPI LEGISLATURE

2026 Regular Session

To: Public Health and Human Services

By: Representative

House Bill 1637

(As Sent to Governor)

AN ACT TO CREATE THE FETAL AND INFANT MORTALITY REVIEW PANEL
TO REVIEW FETAL DEATHS AND DEATHS OF INFANTS UP TO ONE YEAR OF AGE AND
ESTABLISH STRATEGIES TO PREVENT INFANT DEATHS; TO PROVIDE THAT THE REVIEW PANEL
SHALL BE MULTIDISCIPLINARY AND COMPOSED OF SUCH MEMBERS AS DEEMED APPROPRIATE
BY THE STATE DEPARTMENT OF HEALTH; TO REQUIRE THE REVIEW PANEL TO SUBMIT A
REPORT ANNUALLY TO THE HOUSE AND SENATE PUBLIC HEALTH COMMITTEES THAT INCLUDE
THE NUMBERS, CAUSES AND RELEVANT DEMOGRAPHIC INFORMATION ON INFANT MORTALITY
DEATHS IN MISSISSIPPI, AND APPROPRIATE RECOMMENDATIONS TO THE LEGISLATURE ON
HOW TO MOST EFFECTIVELY DIRECT STATE RESOURCES TO DECREASE INFANT MORTALITY IN
THE STATE; TO REQUIRE THAT DATA SHALL BE PROVIDED TO THE REVIEW PANEL BY THE
STATE MEDICAL EXAMINER'S OFFICE, STATE DEPARTMENT OF HEALTH, DEPARTMENT OF
HUMAN SERVICES, MEDICAL EXAMINERS, CORONERS, HEALTH CARE PROVIDERS, LAW
ENFORCEMENT AGENCIES, AND ANY OTHER AGENCIES OR OFFICIALS HAVING INFORMATION
THAT IS NECESSARY FOR THE REVIEW PANEL TO CARRY OUT ITS DUTIES; TO PROVIDE THAT
IN THE CASE OF AN INFANT OR CHILD WHO DIES SUDDENLY AND UNEXPECTEDLY, INCLUDING
CASES OF SUDDEN INFANT DEATH SYNDROME (SIDS), SUDDEN UNEXPECTED INFANT DEATH
(SUID) OR SUDDEN DEATH IN THE YOUNG (SDY), THE REVIEW PANEL SHALL CONDUCT A
COMPREHENSIVE REVIEW OF THE INFANT'S OR CHILD'S MEDICAL, PRENATAL, AND, WHERE
APPLICABLE, MATERNAL HEALTH RECORDS FOR THE PURPOSE OF IDENTIFYING POTENTIAL
CONTRIBUTING FACTORS AND PREVENTABLE CAUSES OF DEATH; TO PROVIDE THAT SUCH
REVIEW SHALL BE CONDUCTED IN ACCORDANCE WITH NATIONALLY RECOGNIZED BEST
PRACTICES AND SHOULD INCLUDE CONSIDERATION OF THE INFANT'S OR CHILD'S
IMMUNIZATION HISTORY AND ANY MEDICAL TREATMENTS OR INTERVENTIONS AS PART OF THE
OVERALL MEDICAL CONTEXT, WITHOUT LIMITATION TO A SPECIFIED TIME PERIOD, AS
RELEVANT TO THE PANEL'S DETERMINATION OF CONTRIBUTING FACTORS; TO DIRECT THE
STATE DEPARTMENT OF HEALTH TO VERIFY THAT CASES OF SUDDEN AND UNEXPECTED DEATH
OF AN INFANT OR CHILD WERE REPORTED TO THE SUID AND SDY CASE REGISTRY AND THAT
ANY ADVERSE VACCINE REACTIONS WERE REPORTED TO THE VACCINE ADVERSE EVENT
REPORTING SYSTEM (VAERS), AND TO REPORT TO THE SUID AND SDY CASE REGISTRY OR TO
VAERS ANY SUCH CASES OR ADVERSE VACCINE REACTIONS THAT WERE NOT PREVIOUSLY
REPORTED; TO PROVIDE THAT THE REVIEW PANEL'S REPORT AND RECOMMENDATIONS SHALL
BE MADE PUBLIC BY THE STATE DEPARTMENT OF HEALTH; TO REQUIRE PHYSICIANS,
HOSPITALS AND PHARMACIES TO PROVIDE REASONABLE ACCESS TO THE REVIEW PANEL TO
ALL RELEVANT MEDICAL RECORDS ASSOCIATED WITH A CASE UNDER REVIEW BY THE REVIEW
PANEL; TO PROVIDE THAT CERTAIN RECORDS MAINTAINED BY THE STATE DEPARTMENT OF
HEALTH SHALL BE CONFIDENTIAL AND NOT SUBJECT TO THE PUBLIC RECORDS ACT OR
SUBPOENA, DISCOVERY OR INTRODUCTION INTO EVIDENCE; TO AUTHORIZE THE REVIEW PANEL
TO INITIATE ENFORCEMENT ACTIONS AGAINST AGENCIES OR OFFICIALS THAT DO NOT
PROVIDE INFORMATION TO THE PANEL IN A COMPLETE AND TIMELY MANNER; TO AMEND
SECTION 25-41-3, MISSISSIPPI CODE OF 1972, TO CONFORM TO THE PRECEDING
PROVISIONS; TO EXEMPT CERTAIN QUALITY ASSURANCE, QUALITY IMPROVEMENT,
PERFORMANCE IMPROVEMENT, AND REVIEW RECORDS OF THE STATE DEPARTMENT OF HEALTH
FROM THE PUBLIC RECORDS ACT; TO PROVIDE THAT SUCH RECORDS SHALL BE CONFIDENTIAL
AND NOT SUBJECT TO DISCLOSURE, SUBPOENA, OR DISCOVERY; TO EXEMPT CERTAIN
RADIOLOGICAL HEALTH AND RADIOACTIVE MATERIAL LICENSING INFORMATION FROM THE
PUBLIC RECORDS ACT WHEN DISCLOSURE WOULD POSE A RISK TO PUBLIC HEALTH OR
SECURITY; TO AMEND SECTION 25-41-7, MISSISSIPPI CODE OF 1972, TO AUTHORIZE THE
STATE DEPARTMENT OF HEALTH TO ENTER EXECUTIVE SESSION OR OTHERWISE CONDUCT A
CLOSED MEETING DURING MORBIDITY OR MORTALITY REVIEW COMMITTEE WORK MANDATED BY
STATUTE OR REGULATION, SUCH AS THE CHILD DEATH REVIEW PANEL, THE MATERNAL
MORTALITY REVIEW COMMITTEE, AND THE FETAL AND INFANT MORTALITY REVIEW PANEL; TO
CREATE NEW SECTION 25-61-11.3, MISSISSIPPI CODE OF 1972, TO EXEMPT FROM THE
MISSISSIPPI PUBLIC RECORDS ACT OF 1983 DOCUMENTS AND RECORDS USED BY THE STATE
DEPARTMENT OF HEALTH DURING MORBIDITY OR MORTALITY REVIEW COMMITTEE WORK
MANDATED BY STATUTE OR REGULATION, SUCH AS THE CHILD DEATH REVIEW PANEL, THE
MATERNAL MORTALITY REVIEW COMMITTEE, AND THE FETAL AND INFANT MORTALITY REVIEW
PANEL; AND FOR RELATED PURPOSES.

BE IT ENACTED BY THE
LEGISLATURE OF THE STATE OF MISSISSIPPI:

SECTION 1.
(1)  There is created the Fetal and Infant Mortality Review Panel, whose
primary purpose is to review fetal deaths and deaths of infants up to one (1)
year of age and establish strategies to prevent infant deaths.  The review
panel shall be multidisciplinary and composed of such members as deemed
appropriate by the State Department of Health.  The review panel may develop
subcommittees to carry out the panel's purposes.

(2)  The chairman of the
review panel shall be elected annually by the review panel membership.  The
review panel shall develop and implement such procedures and policies necessary
for its operation, including obtaining and protecting confidential records from
the agencies and officials specified in subsection (3) of this section to
ensure successful completion of the ongoing review required by this section and
procedures for notice, opportunity to cure, and enforcement for lack of
compliance.  The review panel shall be assigned to the State Department of
Health for administrative purposes, and the department shall designate staff to
assist the review panel.

(3)  The review panel shall
submit a report annually to the Chairmen of the House Public Health and Human
Services Committee and the Senate Public Health and Welfare Committee on or
before December 1.  The report shall include the numbers, causes and relevant
demographic information on infant mortality deaths in Mississippi, and
appropriate recommendations to the Legislature on how to most effectively
direct state resources to decrease infant mortality in Mississippi.  Data for
the review panel's review and reporting shall be provided to the review panel,
upon the request of the review panel, by the State Medical Examiner's office,
State Department of Health, Department of Human Services, medical examiners,
coroners, health care providers, law enforcement agencies, and any other
agencies or officials having information that is necessary for the review panel
to carry out its duties under this section.  The State Department of Health
shall also be responsible for printing and distributing the annual report(s) on
infant mortality in Mississippi.

(4)
In the case of an infant or child who dies suddenly and unexpectedly, including
cases of sudden infant death syndrome (SIDS), sudden unexpected infant death
(SUID) or sudden death in the young (SDY), the review panel shall conduct a
comprehensive review of the infant's or child's medical, prenatal, and, where
applicable, maternal health records for the purpose of identifying potential
contributing factors and preventable causes of death.  Such review should
include consideration of the infant's or child's immunization history and any
medical treatments or interventions as part of the overall medical context,
without limitation to a specified time period, as relevant to the review panel's
determination of contributing factors.  The review panel shall conduct its
review in accordance with nationally recognized best practices, including
guidelines and standards promulgated by the National Center for Fatality Review
and Prevention (NCFRP).  The State Department of Health shall verify that cases
of sudden and unexpected death of an infant or child were reported to the SUID
and SDY Case Registry and that any adverse vaccine reactions were reported to
the Vaccine Adverse Event Reporting System (VAERS), and shall report to the
SUID and SDY Case Registry or to VAERS any such cases or adverse vaccine
reactions that were not previously reported.  Nothing in this subsection shall
be construed to limit or alter any existing reporting obligations imposed by
law on health care providers or other entities independent of the review
panel.  The review panel's report and recommendations shall be made public by
the State Department of Health.

(5)  Physicians licensed
under Section 73-25-1 et seq., hospitals licensed under Section 41-9-1 et seq.,
and pharmacies licensed under Section 73-21-69 et seq., shall provide
reasonable access to the review panel to all relevant medical records,
including, but not limited to, medical records of the decedent and decedent's
birth mother, associated with a case under review by the review panel.

(6)  A physician, hospital
or pharmacy providing access to medical records under this section shall not be
held liable for civil damages or be subject to any criminal or disciplinary
action for good faith efforts in providing such records.

(7)  Information, records,
reports, statements, notes, memoranda or other data collected under this
section shall not be admissible as evidence in any action of any kind in any
court or before any other tribunal, board, agency or person.  Such information,
records, reports, statements, notes, memoranda or other data shall not be
exhibited nor their contents disclosed in any way, in whole or in part, by any
officer or representative of the department or any other person, except as may
be necessary for the purpose of furthering the review of the review panel of
the case to which they relate.  No person participating in such review shall
disclose, in any manner, the information obtained except in strict conformity
with such review project.

(8)  All information,
records of interviews, written reports, statements, notes, memoranda or other
data obtained by the department, the review panel, and other persons, agencies
or organizations authorized by the department under this section shall be
confidential.

(9)  All proceedings and
activities of the review panel under this section, opinions of members of the
review panel formed as a result of those proceedings and activities, and
records obtained, created, or maintained under this section, including, but not
limited to, records of interviews, written reports and statements procured by
the department or any other person, agency or organization acting jointly or
under contract with the department in connection with the requirements of this
section, shall be confidential and shall not be subject to the Mississippi Open
Meetings Act, Sections 25-41-1 through 25-41-17, relating to open meetings, the
Mississippi Public Records Act of 1983, Sections 25-61-1 through 25-61-17,
relating to open records, or subject to subpoena,
discovery or introduction into evidence in any civil or criminal
proceeding; however, nothing in this section shall be construed to limit or restrict
the right to discover or use in any civil or criminal proceeding anything that
is available from another source and independently of the proceedings of the
review panel.

(10)  Members of the review
panel shall not be questioned in any civil or criminal proceeding regarding the
information presented in or opinions formed as a result of a meeting or
communication of the review panel; however, nothing in this section shall be
construed to prevent a member of the review panel from testifying to information
obtained independently of the proceedings of the review panel or which is
public information.

(11)  (a)  Any agencies or officials specified in subsection (3) of
this section, or any officer, employee, or contractor acting on their behalf,
in possession of records, data, or information requested by the review panel to
carry out its duties under this section for the purpose of an infant death or
near-death review shall, upon request, provide such information in a complete
and timely manner as prescribed by the review panel.

For purposes of this
section, "complete and timely" means production of all responsive
records within the timeframe prescribed by the review panel, unless extended
for good cause shown and documented in writing.

(b)  Before initiating
enforcement action, the review panel may provide written notice of
noncompliance and allow a reasonable opportunity to cure, not to exceed ten
(10) business days, unless delay would materially impair the review panel's
duties.

(c)  Failure to comply
with a lawful request under this section within the specified timeframe or cure
period, if applicable, shall subject the noncomplying agency, official, or
entity to enforcement by the review panel or the State Department of Health
through mandamus, injunctive relief, or other appropriate legal action.  In any
action brought to compel compliance, the reviewing court shall award to the
prevailing party all reasonable costs incurred in enforcing compliance,
including attorney's fees, court costs, and any other expenses reasonably
related to the action.

(12)  The State Department
of Health may exercise any enforcement authority otherwise granted to it under
Title 41 of the Mississippi Code, including, but not limited to, the authority
to seek subpoenas, injunctive relief, mandamus, or other appropriate judicial
remedies, to enforce compliance with this section.

(13)  Nothing in this
section shall be construed to authorize the review panel to impose licensure
sanctions, civil penalties, or disciplinary action against any person or
entity, except as expressly provided for enforcement of compliance with data
requests under this section.

SECTION 2.  Section
25-41-3, Mississippi Code of 1972, is amended as follows:

25-41-3.  For purposes of
this chapter, the following words shall have the meaning ascribed herein, to
wit:

(a)  "Public body"
means any executive or administrative board, commission, authority, council,
department, agency, bureau or any other policymaking entity, or committee
thereof, of the State of Mississippi, or any political subdivision or municipal
corporation of the state, whether the entity be created by statute or executive
order, which is supported wholly or in part by public funds or expends public
funds, and any standing, interim or special committee of the Mississippi
Legislature.  The term "public body" includes the governing board of
a charter school authorized by the Mississippi Charter School Authorizer Board
and the board of trustees of a community hospital as defined in Section 41-13-10.
The term "public body" includes the Mississippi Lottery Corporation.
There shall be exempted from the provisions of this chapter:

(i)  The judiciary,
including all jury deliberations;

(ii)  Law
enforcement officials;

(iii)  The
military;

(iv)  The State
Probation and Parole Board;

(v)  The Workers'
Compensation Commission;

(vi)  Legislative
subcommittees and legislative conference committees;

(vii)  The
arbitration council established in Section 69-3-19;

(viii)  License
revocation, suspension and disciplinary proceedings held by the Mississippi
State Board of Dental Examiners; * * * and

(ix)  Hearings and
meetings of the Board of Tax Appeals and of the hearing officers and the board
of review of the Department of Revenue as provided in Section 27-77-15 * * *.; and

(x)  The Fetal
and Infant Mortality Review Panel created under Section 1 of this act.

(b)  "Meeting"
means an assemblage of members of a public body at which official acts may be
taken upon a matter over which the public body has supervision, control,
jurisdiction or advisory power, including an assemblage through the use of
video or teleconference devices that conforms to Section 25-41-5.

SECTION 3.
(1)  Records, data, lists, reports, maps, inventories or other information
maintained by the State Department of Health, including the Division of
Radiological Health, that identify or could reasonably be used to identify:

(a)  The location,
ownership, possession, quantity, type, form, security features, or transportation
of radioactive material or radiation-producing devices; or

(b)  The identity or
location of persons or entities licensed or authorized to possess radioactive
material or radiation-producing devices, when disclosure of such information
would reasonably be expected to pose a risk to public health, public safety, or
security, shall be confidential and exempt from the Mississippi Public Records
Act of 1983.

(2)  Such records shall not
be subject to inspection, copying, disclosure, subpoena, or discovery, except
to the extent disclosure is required by federal law or to another governmental
entity for official regulatory, law enforcement, emergency response, or public
health purposes.

(3)  Nothing in this section
shall be construed to exempt from disclosure statistical, aggregate, or summary
information that does not identify specific licensees, locations, quantities,
or security-sensitive details, or information otherwise required to be publicly
reported by law.

SECTION 4.  Section
25-41-7, Mississippi Code of 1972, is amended as follows:

25-41-7.  (1)  Any public
body may enter into executive session for the transaction of public business;
however, all meetings of any public body shall commence as an open meeting, and
an affirmative vote of three-fifths (3/5) of all members present shall be
required to declare an executive session.

(2)  The procedure to be
followed by any public body in declaring an executive session shall be as
follows:  Any member shall have the right to request by motion a closed
determination upon the issue of whether or not to declare an executive
session.  The motion, by majority vote, shall require the meeting to be closed
for a preliminary determination of the necessity for executive session.  No
other business shall be transacted until the discussion of the nature of the
matter requiring executive session has been completed and a vote, as required
in subsection (1) hereof, has been taken on the issue.

(3)  An executive session
shall be limited to matters allowed to be exempted from open meetings by
subsection (4) of this section.  The reason for holding an executive session
shall be stated in an open meeting, and the reason so stated shall be recorded
in the minutes of the meeting.  Nothing in this section shall be construed to
require that any meeting be closed to the public, nor shall any executive
session be used to circumvent or to defeat the purposes of this chapter.

(4)  A public body may hold
an executive session pursuant to this section for one or more of the following
reasons:

(a)  Transaction of
business and discussion of personnel matters relating to the job performance,
character, professional competence, or physical or mental health of a person
holding a specific position, or matters relating to the terms of any potential
or current employment or services agreement with any physicians or other
employees of public hospitals, including any discussion of any person applying
for medical staff privileges or membership with a public hospital.

(b)  Strategy sessions
or negotiations with respect to prospective litigation, litigation or issuance
of an appealable order when an open meeting would have a detrimental effect on
the litigating position of the public body.

(c)  Transaction of
business and discussion regarding the report, development or course of action
regarding security personnel, plans or devices.

(d)  Investigative
proceedings by any public body regarding allegations of misconduct or violation
of law.

(e)  Any body of the
Legislature which is meeting on matters within the jurisdiction of that body.

(f)  Cases of
extraordinary emergency which would pose immediate or irrevocable harm or
damage to persons or property, or both, within the jurisdiction of the public
body.

(g)  Transaction of
business and discussion regarding the prospective purchase, sale or leasing of
lands.

(h)  Discussions
between a school board and individual students who attend a school within the
jurisdiction of the school board or the parents or teachers of the students
regarding problems of the students or their parents or teachers.

(i)  Transaction of
business and discussion concerning the preparation of tests for admission to
practice in recognized professions.

(j)  Transaction of
business and discussions or negotiations regarding the location, relocation or
expansion of a business, medical service or an industry.

(k)  Transaction of
business and discussions regarding employment or job performance of a person in
a specific position or termination of an employee holding a specific position.
The exemption provided by this paragraph includes transaction of business and
discussion in executive session by the board of trustees of a public hospital
regarding any employee or medical staff member or applicant for medical staff privileges
and any such individual's credentialing, health, performance, salary, raises or
disciplinary action.  The exemption provided by this paragraph includes the
right to enter into executive session concerning a line item in a budget which
might affect the termination of an employee or employees.  All other budget
items shall be considered in open meetings and final budgetary adoption shall
not be taken in executive session.

(l)  Discussions
regarding material or data exempt from the Mississippi Public Records Act of
1983 pursuant to Section 25-11-121.

(m)  Transaction of
business and discussion regarding prospective strategic business decisions of
public hospitals, including without limitation, decisions to open a new service
line, implement capital improvements, or file applications for certificates of
need or determinations of nonreviewability with the State Department of Health.

(n)  Transaction of
business of the boards of trustees of public hospitals that would require
discussion of any identifiable patient information, including without
limitation, patient complaints, patients' accounts, patients receiving charity
care, or treatment that could be identified to a patient.

(o)  Investigative
discussions, investigative strategies, probative strategies related to
identifiable instances of human trafficking or commercial sexual exploitation,
and discussions involving locations of shelters or safe-houses for victims of
human trafficking or commercial sexual exploitation.

(p)  Transaction of
business of committees, subcommittees or boards that would require discussion
of any identifiable information of victims of human trafficking or children
under eighteen years old who are victims of commercial sexual exploitation.

(5)  (a)  The Mississippi
State Department of Health may enter executive session or otherwise conduct a
closed meeting during morbidity or mortality review committee work mandated by
statute or regulation, such as the Child Death Review Panel, the Maternal
Mortality Review Committee, and the Fetal and Infant Mortality Review Panel.

(b)  Any meeting, or
portion of a meeting, closed under this subsection shall be limited to the
discussion of confidential or exempt quality assurance, quality improvement,
performance improvement, peer review, patient safety, morbidity review,
mortality review or system evaluation matters.  Any final action or vote to
adopt a policy, rule, or regulation of general applicability shall be taken in
an open meeting, unless otherwise authorized by this chapter.

(c)  Nothing in this
subsection shall be construed to permit a closed meeting for the purpose of
avoiding the requirements of this chapter for matters not otherwise
confidential or exempt under law, nor to restrict any public reporting
otherwise required by law.

( * * *56)  The total vote on the question of
entering into an executive session shall be recorded and spread upon the
minutes of the public body.

( * * *67)  Any vote whereby an executive
session is declared shall be applicable only to that particular meeting on that
particular day.

SECTION 5.  The
following shall be codified as Section 25-61-11.3, Mississippi Code of 1972:

25-61-11.3.
Documents and records used by the Mississippi State Department of Health during
morbidity or mortality review committee work mandated by statute or regulation,
such as the Child Death Review Panel, the Maternal Mortality Review Committee,
and the Fetal and Infant Mortality Review Panel, shall be confidential and
exempt from the Mississippi Public Records Act of 1983.

SECTION 6.  This act
shall take effect and be in force from and after July 1, 2026.
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