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A06983 Summary:

BILL NO    A06983B

SAME AS    SAME AS S04917-B

SPONSOR    Glick (MS)

COSPNSR    Titone, Jaffee, O'Donnell, Barrett, Roberts, Skoufis, Zebrowski,
           Schimel, Rosenthal, Kavanagh, Bronson, Mosley, Brindisi, Paulin,
           Cahill, Lifton, Ortiz, Magnarelli, Davila, Weprin, Dinowitz, Moya,
           Peoples-Stokes, Titus

MLTSPNSR   Arroyo, Braunstein, Brennan, Buchwald, Cook, Hevesi, Lavine, Millman,
           Ryan, Sepulveda, Skartados, Stirpe, Thiele

Add SS6509-d & 6531-a, Ed L

Designates as professional misconduct, engaging in sexual orientation change
efforts by mental health care professionals upon patients under 18 years of
age.
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A06983 Text:

                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________

                                        6983--B

                              2013-2014 Regular Sessions

                                 I N  A S S E M B L Y

                                    April 29, 2013
                                      ___________

       Introduced  by  M.  of  A.  GLICK,  TITONE,  JAFFEE, O'DONNELL, BARRETT,
         ROBERTS, ROSA, SKOUFIS, ZEBROWSKI, SCHIMEL, ROSENTHAL, KAVANAGH, BRON-
         SON, MOSLEY, BRINDISI, PAULIN, CAHILL, LIFTON,  ORTIZ  --  Multi-Spon-
         sored  by  --  M.  of  A. ARROYO, COOK, HEVESI, LAVINE, MILLMAN, RYAN,
         SEPULVEDA, STIRPE, THIELE -- read once and referred to  the  Committee
         on  Higher  Education -- recommitted to the Committee on Higher Educa-
         tion  in  accordance  with  Assembly  Rule  3,  sec.  2  --  committee
         discharged, bill amended, ordered reprinted as amended and recommitted
         to  said  committee -- reported and referred to the Committee on Codes
         -- committee discharged, bill amended, ordered  reprinted  as  amended
         and recommitted to said committee

       AN  ACT  to  amend  the education law, in relation to prohibiting mental
         health  professionals  from  engaging  in  sexual  orientation  change
         efforts  with  a patient under the age of eighteen years and expanding
         the definition of  professional  misconduct  with  respect  to  mental
         health professionals

         THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
       BLY, DO ENACT AS FOLLOWS:

    1    Section 1.  Legislative findings and intent.  The  Legislature  hereby
    2  finds and declares all of the following:
    3    a.  Being  lesbian,  gay,  bisexual  or  transgender is not a disease,
    4  disorder, illness, deficiency, or shortcoming.  The  major  professional
    5  associations  of  mental  health  practitioners  and  researchers in the
    6  United States have recognized this fact for nearly 40 years.
    7    b. The American Psychological Association convened  a  Task  Force  on
    8  Appropriate  Therapeutic Responses to Sexual Orientation. The task force
    9  conducted a systematic review of  peer-reviewed  journal  literature  on
   10  sexual orientation change efforts, and issued a report in 2009. The task
   11  force concluded that sexual orientation change efforts can pose critical
   12  health  risks to lesbian, gay, bisexual or transgender people, including
   13  confusion, depression, guilt, helplessness, hopelessness, shame,  social

        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD09824-08-4
       A. 6983--B                          2

    1  withdrawal,  suicidality, substance abuse, stress, disappointment, self-
    2  blame, decreased self-esteem and authenticity to others, increased self-
    3  hatred, hostility and  blame  toward  parents,  feelings  of  anger  and
    4  betrayal,  loss  of friends and potential romantic partners, problems in
    5  sexual and emotional  intimacy,  sexual  dysfunction,  high-risk  sexual
    6  behaviors,  a feeling of being dehumanized and untrue to self, a loss of
    7  faith, and a sense of having wasted time and resources.
    8    c. The American  Psychological  Association  issued  a  resolution  on
    9  Appropriate  Affirmative  Responses  to  Sexual Orientation Distress and
   10  Change Efforts in 2009, which states: The American Psychological Associ-
   11  ation advises parents, guardians, young people, and  their  families  to
   12  avoid  sexual orientation change efforts that portray homosexuality as a
   13  mental illness or developmental  disorder  and  to  seek  psychotherapy,
   14  social supports, and educational services that provide accurate informa-
   15  tion  on  sexual  orientation  and sexuality, increase family and school
   16  support, and reduce rejection of sexual minority youth.
   17    d. The American Psychiatric Association published a position statement
   18  in March of 2000 in which it stated:  "Psychotherapeutic  modalities  to
   19  convert  or  'repair'  homosexuality are based on developmental theories
   20  whose  scientific  validity  is  questionable.  Furthermore,   anecdotal
   21  reports of 'cures' are counterbalanced by anecdotal claims of psycholog-
   22  ical  harm.  In  the last four decades, 'reparative' therapists have not
   23  produced any rigorous scientific research to substantiate  their  claims
   24  of  cure. Until there is such research available, the American Psychiat-
   25  ric Association  recommends  that  ethical  practitioners  refrain  from
   26  attempts  to change individuals' sexual orientation, keeping in mind the
   27  medical dictum to first, do no harm.  The potential risks of  reparative
   28  therapy  are  great,  including depression, anxiety and self-destructive
   29  behavior, since therapist alignment  with  societal  prejudices  against
   30  homosexuality  may  reinforce  self-hatred  already  experienced  by the
   31  patient. Many patients who have undergone reparative therapy relate that
   32  they were inaccurately told that homosexuals are lonely,  unhappy  indi-
   33  viduals  who  never  achieve acceptance or satisfaction. The possibility
   34  that the person might achieve  happiness  and  satisfying  interpersonal
   35  relationships as a gay man or lesbian is not presented, nor are alterna-
   36  tive  approaches  to dealing with the effects of societal stigmatization
   37  discussed.  Therefore, the American Psychiatric Association opposes  any
   38  psychiatric  treatment such as reparative or conversion therapy which is
   39  based upon the assumption that homosexuality per se is a mental disorder
   40  or based upon the a priori  assumption  that  a  patient  should  change
   41  his/her sexual orientation."
   42    e.  The  American School Counselor Association's position statement on
   43  professional school counselors and  lesbian,  gay,  bisexual,  transgen-
   44  dered,  and  questioning (LGBTQ) youth states: It is not the role of the
   45  professional school counselor to attempt to change  a  student's  sexual
   46  orientation/gender  identity  but  instead  to  provide support to LGBTQ
   47  students to promote student achievement and personal well-being.  Recog-
   48  nizing  that  sexual  orientation is not an illness and does not require
   49  treatment, professional school counselors may provide individual student
   50  planning or responsive services to LGBTQ students to promote self-accep-
   51  tance, deal with social acceptance, understand issues related to  coming
   52  out, including issues that families may face when a student goes through
   53  this process and identify appropriate community resources.
   54    f.  The American Academy of Pediatrics in 1993 published an article in
   55  its journal,  Pediatrics,  stating:  Therapy  directed  at  specifically
   56  changing  sexual  orientation  is  contraindicated, since it can provoke
       A. 6983--B                          3

    1  guilt and anxiety while having little  or  no  potential  for  achieving
    2  changes in orientation.
    3    g.  The  American  Medical  Association  Council on Scientific Affairs
    4  prepared a report in 1994 in which it stated: Aversion therapy (a behav-
    5  ioral or medical intervention which pairs unwanted behavior  ,  in  this
    6  case, homosexual behavior, with unpleasant sensations or aversive conse-
    7  quences)  is  no  longer  recommended  for gay men and lesbians. Through
    8  psychotherapy, gay men and lesbians can become  comfortable  with  their
    9  sexual orientation and understand the societal response to it.
   10    h.  The  National Association of Social Workers prepared a 1997 policy
   11  statement in which it stated: Social stigmatization of lesbian, gay  and
   12  bisexual  people  is  widespread  and  is a primary motivating factor in
   13  leading some people to seek sexual orientation  changes.  Sexual  orien-
   14  tation  conversion  therapies assume that homosexual orientation is both
   15  pathological and freely chosen. No data demonstrates that reparative  or
   16  conversion therapies are effective, and, in fact, they may be harmful.
   17    i.  The  American  Counseling  Association  Governing Council issued a
   18  position statement in April of 1999, and in it the  council  states:  We
   19  oppose  'the  promotion of 'reparative therapy' as a 'cure' for individ-
   20  uals who are homosexual.
   21    j. The American Psychoanalytic Association issued a position statement
   22  in June 2012 on attempts to change sexual orientation, gender, identity,
   23  or gender expression, and in it the  association  states:  As  with  any
   24  societal   prejudice,  bias  against  individuals  based  on  actual  or
   25  perceived sexual orientation, gender identity or gender expression nega-
   26  tively affects mental health, contributing to an enduring sense of stig-
   27  ma and pervasive self-criticism  through  the  internalization  of  such
   28  prejudice.    Psychoanalytic  technique  does  not  encompass purposeful
   29  attempts to 'convert,' 'repair,' change or shift an individual's  sexual
   30  orientation,  gender  identity  or  gender  expression.    Such directed
   31  efforts are against fundamental principles of  psychoanalytic  treatment
   32  and often result in substantial psychological pain by reinforcing damag-
   33  ing internalized attitudes.
   34    k.  The  American  Academy  of Child and Adolescent Psychiatry in 2012
   35  published an article in its journal, Journal of the American Academy  of
   36  Child  and  Adolescent  Psychiatry,  stating: Clinicians should be aware
   37  that there is no evidence that sexual orientation can be altered through
   38  therapy, and that attempts to do so may be harmful. There is  no  empir-
   39  ical evidence adult homosexuality can be prevented if gender nonconform-
   40  ing  children are influenced to be more gender conforming. Indeed, there
   41  is not medically valid basis for attempting  to  prevent  homosexuality,
   42  which  is  not  an  illness. On the contrary, such efforts may encourage
   43  family rejection and undermine self-esteem,  connectedness  and  caring,
   44  important  protective  factors  against  suicidal ideation and attempts.
   45  Given that there is no evidence that efforts to alter sexual orientation
   46  are effect, beneficial or necessary, and the possibility that they carry
   47  the risk of significant harm, such interventions are contraindicated.
   48    l. The Pan American Health Organization,  a  regional  office  of  the
   49  World  Health  Organization, issued a statement in May of 2012 and in it
   50  the organization states: These supposed conversion therapies  constitute
   51  a  violation  of the ethical principles of health care and violate human
   52  rights that are protected  by  international  regional  agreements.  The
   53  organization  also  noted  that reparative therapies lack medical justi-
   54  fication and represent a serious threat to the health and well-being  of
   55  affected people.
       A. 6983--B                          4

    1    m. Minors who experience family rejection based on their sexual orien-
    2  tation face especially serious health risks. In one study, lesbian, gay,
    3  and bisexual young adults who reported higher levels of family rejection
    4  during adolescence were 8.4 times more likely to report having attempted
    5  suicide,  5.9 times more likely to report high levels of depression, 3.4
    6  times more likely to use illegal drugs, and 3.4  times  more  likely  to
    7  report  having  engaged  in unprotected sexual intercourse compared with
    8  peers from families that reported no or low levels of family  rejection.
    9  This  is  documented  by  Caitlin  Ryan et al. in their article entitled
   10  Family Rejection as a Predictor of Negative Health Outcomes in White and
   11  Latino Lesbian, Gay, and Bisexual Young  Adults  (2009)  123  Pediatrics
   12  346.
   13    n.  New  York has a compelling interest in protecting the physical and
   14  psychological well-being of minors, including  lesbian,  gay,  bisexual,
   15  and  transgender youth, and in protecting its minors against exposure to
   16  serious harms caused by sexual orientation change efforts.
   17    S 2. The education law is amended by adding a new  section  6509-d  to
   18  read as follows:
   19    S  6509-D.  ADDITIONAL  DEFINITION  OF PROFESSIONAL MISCONDUCT; MENTAL
   20  HEALTH PROFESSIONALS. 1. FOR THE PURPOSES OF THIS SECTION:
   21    A.  "MENTAL  HEALTH  PROFESSIONAL"  MEANS  A  PERSON  SUBJECT  TO  THE
   22  PROVISIONS OF ARTICLE ONE HUNDRED FIFTY-THREE, ONE HUNDRED FIFTY-FOUR OR
   23  ONE HUNDRED SIXTY-THREE OF THIS TITLE; OR ANY OTHER PERSON DESIGNATED AS
   24  A MENTAL HEALTH PROFESSIONAL PURSUANT TO LAW, RULE OR REGULATION.
   25    B.  "SEXUAL  ORIENTATION  CHANGE  EFFORTS" (I) MEANS ANY PRACTICE BY A
   26  MENTAL HEALTH PROFESSIONAL THAT SEEKS TO CHANGE AN  INDIVIDUAL'S  SEXUAL
   27  ORIENTATION, INCLUDING, BUT NOT LIMITED TO, EFFORTS TO CHANGE BEHAVIORS,
   28  GENDER IDENTITY, OR GENDER EXPRESSIONS, OR TO ELIMINATE OR REDUCE SEXUAL
   29  OR  ROMANTIC ATTRACTIONS OR FEELINGS TOWARDS INDIVIDUALS OF THE SAME SEX
   30  AND (II) SHALL NOT INCLUDE COUNSELING FOR A PERSON SEEKING TO TRANSITION
   31  FROM ONE GENDER TO ANOTHER, OR PSYCHOTHERAPIES THAT: (A) PROVIDE ACCEPT-
   32  ANCE, SUPPORT AND UNDERSTANDING  OF  PATIENTS  OR  THE  FACILITATION  OF
   33  PATIENTS'  COPING,  SOCIAL SUPPORT AND IDENTITY EXPLORATION AND DEVELOP-
   34  MENT, INCLUDING SEXUAL ORIENTATION-NEUTRAL INTERVENTIONS TO  PREVENT  OR
   35  ADDRESS UNLAWFUL CONDUCT OR UNSAFE SEXUAL PRACTICES; AND (B) DO NOT SEEK
   36  TO CHANGE SEXUAL ORIENTATION.
   37    2.  IT  SHALL  BE  PROFESSIONAL MISCONDUCT FOR A MENTAL HEALTH PROFES-
   38  SIONAL TO ENGAGE IN SEXUAL ORIENTATION CHANGE EFFORTS UPON  ANY  PATIENT
   39  UNDER  THE  AGE  OF  EIGHTEEN  YEARS, AND ANY MENTAL HEALTH PROFESSIONAL
   40  FOUND GUILTY OF SUCH  MISCONDUCT  UNDER  THE  PROCEDURES  PRESCRIBED  IN
   41  SECTION  SIXTY-FIVE  HUNDRED  TEN OF THIS SUBARTICLE SHALL BE SUBJECT TO
   42  THE PENALTIES PRESCRIBED IN SECTION SIXTY-FIVE HUNDRED  ELEVEN  OF  THIS
   43  SUBARTICLE.
   44    S  3.  The  education law is amended by adding a new section 6531-a to
   45  read as follows:
   46    S 6531-A. ADDITIONAL DEFINITION  OF  PROFESSIONAL  MISCONDUCT;  MENTAL
   47  HEALTH PROFESSIONALS. 1. DEFINITIONS. FOR THE PURPOSES OF THIS SECTION:
   48    A.  "MENTAL  HEALTH  PROFESSIONAL"  MEANS  A  PERSON  SUBJECT  TO  THE
   49  PROVISIONS OF ARTICLE ONE HUNDRED THIRTY-ONE OF THIS TITLE.
   50    B. "SEXUAL ORIENTATION CHANGE EFFORTS" (I) MEANS  ANY  PRACTICE  BY  A
   51  MENTAL  HEALTH  PROFESSIONAL THAT SEEKS TO CHANGE AN INDIVIDUAL'S SEXUAL
   52  ORIENTATION, INCLUDING, BUT NOT LIMITED TO, EFFORTS TO CHANGE BEHAVIORS,
   53  GENDER IDENTITY, OR GENDER EXPRESSIONS, OR TO ELIMINATE OR REDUCE SEXUAL
   54  OR ROMANTIC ATTRACTIONS OR FEELINGS TOWARDS INDIVIDUALS OF THE SAME SEX;
   55  AND (II) SHALL NOT INCLUDE COUNSELING FOR A PERSON SEEKING TO TRANSITION
   56  FROM ONE GENDER TO ANOTHER, OR PSYCHOTHERAPIES THAT: (A) PROVIDE ACCEPT-
       A. 6983--B                          5

    1  ANCE, SUPPORT AND UNDERSTANDING  OF  PATIENTS  OR  THE  FACILITATION  OF
    2  PATIENTS'  COPING, SOCIAL SUPPORT, AND IDENTITY EXPLORATION AND DEVELOP-
    3  MENT, INCLUDING SEXUAL ORIENTATION-NEUTRAL INTERVENTIONS TO  PREVENT  OR
    4  ADDRESS UNLAWFUL CONDUCT OR UNSAFE SEXUAL PRACTICES; AND (B) DO NOT SEEK
    5  TO CHANGE SEXUAL ORIENTATION.
    6    2.  IT  SHALL  BE  PROFESSIONAL MISCONDUCT FOR A MENTAL HEALTH PROFES-
    7  SIONAL TO ENGAGE IN SEXUAL ORIENTATION CHANGE EFFORTS UPON  ANY  PATIENT
    8  UNDER  THE  AGE  OF  EIGHTEEN  YEARS, AND ANY MENTAL HEALTH PROFESSIONAL
    9  FOUND GUILTY OF SUCH MISCONDUCT UNDER THE PROCEDURES PRESCRIBED IN TITLE
   10  TWO-A OF ARTICLE TWO OF THE PUBLIC HEALTH LAW SHALL BE  SUBJECT  TO  THE
   11  PENALTIES  PRESCRIBED  IN  SECTION  TWO  HUNDRED  THIRTY-A OF THE PUBLIC
   12  HEALTH LAW, AS ADDED BY CHAPTER SIX HUNDRED SIX OF THE LAWS OF  NINETEEN
   13  HUNDRED NINETY-ONE.
   14    S 4. This act shall take effect immediately.
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