S01053 Summary:

BILL NOS01053
 
SAME ASNo Same As
 
SPONSORCOONEY
 
COSPNSR
 
MLTSPNSR
 
Amd §§2999-g, 2999-h & 2999-j, Pub Health L
 
Defines "neurological injury" as an injury to the brain or spinal cord of a person occurring in the course of the provision of medical services, that rendered the person with a permanent and substantial motor impairment or with a disability that: results in similar impairment of general intellectual functioning or adaptive behavior to that of intellectually disabled persons; requires treatment and services similar to those required for such person; has continued or can be expected to continue indefinitely; and constitutes a substantial handicap to such person's ability to function normally in society; differentiates a birth-related neurological injury and a neurological injury.
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S01053 Actions:

BILL NOS01053
 
01/09/2023REFERRED TO HEALTH
01/03/2024REFERRED TO HEALTH
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S01053 Committee Votes:

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S01053 Floor Votes:

There are no votes for this bill in this legislative session.
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S01053 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          1053
 
                               2023-2024 Regular Sessions
 
                    IN SENATE
 
                                     January 9, 2023
                                       ___________
 
        Introduced  by  Sen.  COONEY -- read twice and ordered printed, and when
          printed to be committed to the Committee on Health
 
        AN ACT to amend the public health law, in relation to neurological inju-
          ries
 
          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:

     1    Section  1.  Section  2999-g  of  the  public  health law, as added by
     2  section 52 of part H of chapter 59 of the laws of 2011,  is  amended  to
     3  read as follows:
     4    §  2999-g.  Purpose  of  this  title.  Creation  of the New York state
     5  medical indemnity fund. There is  hereby  created  the  New  York  state
     6  medical  indemnity  fund  (the  "fund").  The  purpose of the fund is to
     7  provide a funding source for future health care  costs  associated  with
     8  [birth  related] neurological injuries, in order to reduce premium costs
     9  for medical malpractice insurance coverage.
    10    § 2. Section 2999-h of the public health law, as  amended  by  chapter
    11  807 of the laws of 2022, is amended to read as follows:
    12    §  2999-h.  Definitions.  As used in this title, unless the context or
    13  subject matter requires otherwise:
    14    1. "Activities of daily living" means basic personal  everyday  activ-
    15  ities,  including,  but not limited to, tasks such as eating, toileting,
    16  grooming, dressing, bathing, and transferring.
    17    2. "Birth-related neurological injury" means an injury to the brain or
    18  spinal cord of a live infant caused by  the  deprivation  of  oxygen  or
    19  mechanical injury occurring in the course of labor, delivery or resusci-
    20  tation,  or  by  other  medical services provided or not provided during
    21  delivery admission, that  rendered  the  infant  with  a  permanent  and
    22  substantial  motor impairment or with a developmental disability as that
    23  term is defined by section 1.03 of the mental hygiene law, or both. This
    24  definition shall apply to live births only.
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD02699-01-3

        S. 1053                             2
 
     1    2-a. "Neurological injury" means an injury to the brain or spinal cord
     2  of a person  occurring  in  the  course  of  the  provision  of  medical
     3  services,  that  rendered  the  person  with a permanent and substantial
     4  motor impairment or with a  disability  that:  (i)  results  in  similar
     5  impairment  of  general intellectual functioning or adaptive behavior to
     6  that of intellectually disabled persons or (ii) requires  treatment  and
     7  services  similar  to  those  required  for  such  person; and (iii) has
     8  continued or can be expected to continue indefinitely; and (iv)  consti-
     9  tutes  a  substantial  handicap  to  such  person's  ability to function
    10  normally in society.
    11    3. "Fund" means the New York state medical indemnity fund.
    12    4. "Instrumental activities of daily living" means activities  related
    13  to  living independently in the community, including but not limited to,
    14  meal planning and preparation, managing  finances,  shopping  for  food,
    15  clothing  and  other  essential  items,  performing  essential household
    16  chores, communicating by phone or other media, and traveling around  and
    17  participating in the community.
    18    5.  "Qualifying health care costs" means the future costs for medical,
    19  hospital, surgical, nursing, dental,  rehabilitation  services,  habili-
    20  tation  services,  therapeutic  services, and custodial care; behavioral
    21  and mental health care; respite care; durable medical  equipment;  envi-
    22  ronmental  home modifications (emods), assistive technology, and vehicle
    23  modifications; prescription and over the counter medications;  transpor-
    24  tation for purposes of health care related appointments and other health
    25  care  costs  actually  incurred  for  services  rendered to and supplies
    26  utilized by qualified plaintiffs, which  are  necessary  to  meet  their
    27  health  care needs and as otherwise defined by the commissioner in regu-
    28  lation; copayments and deductibles for  services,  items,  equipment  or
    29  medication  paid  for by commercial insurance; and any other health care
    30  costs actually incurred for services rendered to and  supplies  utilized
    31  by  a  qualified plaintiff that their health care provider has stated in
    32  writing is necessary to  meet  the  qualified  plaintiff's  health  care
    33  needs.  The  statement  of necessity may be based on the assessment of a
    34  health care provider licensed or certified  under  title  eight  of  the
    35  education  law  and  as  otherwise  defined in regulation.   Health care
    36  providers as used in this  section  shall  mean  health  care  providers
    37  licensed  or  certified  under  title  eight of the education law and as
    38  otherwise may be defined in regulation.  Qualifying  health  care  costs
    39  shall  be  covered  regardless  of  the setting where these services are
    40  provided.
    41    6. "Qualified plaintiff" means every plaintiff or claimant who (i) has
    42  been found by a jury or court to have sustained a  birth-related  neuro-
    43  logical  injury  as  the  result  of  medical  malpractice,  or (ii) has
    44  sustained a birth-related neurological injury or a  neurological  injury
    45  as the result of alleged medical malpractice, and has settled his or her
    46  lawsuit  or claim therefor; and (iii) has been ordered to be enrolled in
    47  the fund by a court in New York state.
    48    § 3. Subdivision 6 of section 2999-j of  the  public  health  law,  as
    49  amended  by  section  3  of part K of chapter 57 of the laws of 2019, is
    50  amended to read as follows:
    51    6. (a)  Every  settlement  agreement  for  claims  arising  out  of  a
    52  plaintiff's  or  claimant's  birth  related  neurological  injury  or  a
    53  plaintiff's or claimant's neurological injury subject to this title, and
    54  that provides for the payment of future medical expenses for the  plain-
    55  tiff  or  claimant,  shall  provide that all payments for future medical
    56  expenses shall be paid in accordance with this title  in  lieu  of  that

        S. 1053                             3

     1  portion  of  the  settlement agreement that provides for payment of such
     2  expenses. The plaintiff's or claimant's future medical expenses shall be
     3  paid in accordance with this title. When  such  a  settlement  agreement
     4  does  not  so  provide,  the  court shall direct the modification of the
     5  agreement to include such term as a condition of court approval.
     6    (b) In any case where the jury or court has made an award  for  future
     7  medical expenses arising out of a birth related neurological injury or a
     8  neurological  injury,  any  party to such action or person authorized to
     9  act on behalf of such party may make application to the court  that  the
    10  judgment  reflect  that,  in  lieu  of  that  portion  of the award that
    11  provides for payment of such expenses, the future  medical  expenses  of
    12  the  plaintiff  shall  be  paid  out of the fund in accordance with this
    13  title. Upon a finding by the court that the applicant has made  a  prima
    14  facie  showing  that  the  plaintiff is a qualified plaintiff, the court
    15  shall ensure that the judgment so provides.
    16    § 4. This act shall take effect on the ninetieth day  after  it  shall
    17  have become a law; provided, however, that the provisions of section two
    18  of this act shall take effect on the same date and in the same manner as
    19  chapter 807 of the laws of 2022, takes effect.
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