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Q&A

Council Member Hudson asks about pregnancy-related medical expenditures and prenatal nurse vacancy

New York City Council · Oct 27, 2026 · starts 1:15:56 · 1 min 54 sec

Hudson asks about annual pregnancy-related medical care expenditures. Merrill says CHS does not budget by diagnosis and most costs are staffing; a prenatal nurse position has been vacant for over a month and CHS is hiring.

Crystal Hudson

And then...

Crystal Hudson

What were the annual expenditures for pregnancy-related medical care for people in DOC custody in each of the past three fiscal years?

Jeanette Merrill

Right.

Jeanette Merrill

So CHS doesn't budget by clinical condition or diagnosis, and we're not budgeting per patient.

Jeanette Merrill

Rather, about 80% of our entire budget is devoted to staffing.

Jeanette Merrill

So most of the pregnancy-related care would be in direct patient services.

Jeanette Merrill

And we do have an OBGYN and then a recently retired, although we're looking to fill a prenatal nurse position.

Jeanette Merrill

So those are really exclusively devoted to prenatal care.

Jeanette Merrill

But in general, it's members of the staff from the mental health service, gender-related services team, pharmacy, medicine in general that are supporting that care.

Crystal Hudson

And how long has that prenatal nurse position been vacant?

Nancy Farias

I can't remember the exact date.

Nancy Farias

I apologize.

Nancy Farias

It's greater than a month's time.

Crystal Hudson

Greater than a month's time.

Jeanette Merrill

And we're actively hiring.

Crystal Hudson

What's the average time for hiring medical personnel, like positions like that, would you say?

Nancy Farias

Well, once we identify an individual, the onboarding process usually takes about, I would say, six to eight weeks.

Nancy Farias

It's just a matter of interviewing and identifying the appropriate candidate.

Crystal Hudson

And so are there, is that the only prenatal nurse position or are there others?

Nancy Farias

We only have one prenatal nurse on staff.

Crystal Hudson

Okay, so no.

Crystal Hudson

So there's currently no, everybody's going without a prenatal nurse.

Nancy Farias

No, so let's not.

Nancy Farias

There's a prenatal nurse line.

Nancy Farias

However, there are other RNs that work in the environment that can fill that position until that line is filled.

Nancy Farias

If needed.

Crystal Hudson

Okay.