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A04479 Summary:

BILL NOA04479
 
SAME ASNo Same As
 
SPONSORCunningham
 
COSPNSR
 
MLTSPNSR
 
Amd §§2801, 2803 & 206, Pub Health L
 
Relates to health facilities and services in correctional facilities.
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A04479 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          4479
 
                               2025-2026 Regular Sessions
 
                   IN ASSEMBLY
 
                                    February 4, 2025
                                       ___________
 
        Introduced  by  M.  of  A.  CUNNINGHAM  -- read once and referred to the
          Committee on Health
 
        AN ACT to amend the public health law, in relation to health  facilities
          and services in correctional facilities
 
          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:

     1    Section 1. Subdivision 1 of section 2801 of the public health law,  as
     2  amended  by  section  2  of part E of chapter 57 of the laws of 2023, is
     3  amended to read as follows:
     4    1. "Hospital" means a facility or institution engaged  principally  in
     5  providing services by or under the supervision of a physician or, in the
     6  case  of  a dental clinic or dental dispensary, of a dentist, or, in the
     7  case of a midwifery birth center, of  a  midwife,  for  the  prevention,
     8  diagnosis  or  treatment  of  human  disease, pain, injury, deformity or
     9  physical condition, including, but not limited to, a  general  hospital,
    10  public health center, diagnostic center, treatment center, a rural emer-
    11  gency  hospital under 42 USC 1395x(kkk), or successor provisions, dental
    12  clinic, dental dispensary, rehabilitation center other than  a  facility
    13  used  solely  for  vocational rehabilitation, nursing home, tuberculosis
    14  hospital, chronic disease hospital, maternity hospital, midwifery  birth
    15  center,  lying-in-asylum,  out-patient  department,  out-patient  lodge,
    16  dispensary, correctional  health  care  facility  and  a  laboratory  or
    17  central  service facility serving one or more such institutions, but the
    18  term hospital shall not include  an  institution,  sanitarium  or  other
    19  facility  engaged  principally in providing services for the prevention,
    20  diagnosis or treatment of mental disability and which is subject to  the
    21  powers  of  visitation, examination, inspection and investigation of the
    22  department of mental hygiene except for those distinct parts of  such  a
    23  facility  which provide hospital service. The provisions of this article
    24  shall not apply to a facility  or  institution  engaged  principally  in
    25  providing  services by or under the supervision of the bona fide members
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD06493-01-5

        A. 4479                             2
 
     1  and adherents of a recognized  religious  organization  whose  teachings
     2  include  reliance on spiritual means through prayer alone for healing in
     3  the practice of the religion of such organization and where services are
     4  provided  in accordance with those teachings. No provision of this arti-
     5  cle or any other provision of law shall be construed to: (a)  limit  the
     6  volume  of  mental  health,  substance use disorder services or develop-
     7  mental disability services that can be provided by a provider of primary
     8  care services licensed under this  article  and  authorized  to  provide
     9  integrated services in accordance with regulations issued by the commis-
    10  sioner  in  consultation  with  the commissioner of the office of mental
    11  health, the commissioner of the  office  of  [alcoholism  and  substance
    12  abuse]  addiction  services  and  supports  and  the commissioner of the
    13  office for people with developmental disabilities, including regulations
    14  issued pursuant to subdivision seven of  section  three  hundred  sixty-
    15  five-l  of the social services law or part L of chapter fifty-six of the
    16  laws of two thousand twelve; (b) require a provider licensed pursuant to
    17  article thirty-one of the mental hygiene law or  certified  pursuant  to
    18  article  sixteen  or  article  thirty-two  of  the mental hygiene law to
    19  obtain an operating certificate from the department if such provider has
    20  been authorized to provide integrated services in accordance with  regu-
    21  lations issued by the commissioner in consultation with the commissioner
    22  of the office of mental health, the commissioner of the office of [alco-
    23  holism  and  substance  abuse]  addiction  services and supports and the
    24  commissioner of the office for people with  developmental  disabilities,
    25  including  regulations  issued  pursuant to subdivision seven of section
    26  three hundred sixty-five-l of the social services law or part L of chap-
    27  ter fifty-six of the laws of two thousand twelve.
    28    § 2. Section 2801 of the public health law is amended by adding a  new
    29  subdivision 15 to read as follows:
    30    15.  "Correctional health care facility" means a facility or part of a
    31  facility providing health care services to persons confined in a correc-
    32  tional facility or local correctional facility,  that  is  operated  by,
    33  operated  under  contract  with  or  supervised  by  the  department  of
    34  corrections and community supervision, by a county or the  city  of  New
    35  York  or  by  a correctional facility or local correctional facility. As
    36  used in this subdivision, "correctional facility" and "local correction-
    37  al facility" shall have the same  meaning  as  in  section  two  of  the
    38  correction  law,  except  that the exclusion of certain facilities under
    39  paragraph (b) of subdivision four of that section shall not apply.
    40    § 3. Section 2803 of the public health law is amended by adding a  new
    41  subdivision 15 to read as follows:
    42    15.  (a)  The  commissioner,  in consultation with the commissioner of
    43  corrections and community supervision, representatives of local  correc-
    44  tional facilities, the commissioner of mental health and the commission-
    45  er  of  addiction services and supports, shall make regulations relating
    46  to correctional health care facilities, including, but not  limited  to,
    47  their establishment, construction, and operation, considering the stand-
    48  ards  of  state and national organizations knowledgeable in correctional
    49  health care services.
    50    (b) A correctional health care facility in operation on the  effective
    51  date  of  this  subdivision  may continue to operate for two years after
    52  such date regardless of whether  it  has  been  established  under  this
    53  section.
    54    §  4. Subdivision 26 of section 206 of the public health law, as sepa-
    55  rately amended by chapters 45 and 322 of the laws of 2021, is amended to
    56  read as follows:

        A. 4479                             3
 
     1    26. The commissioner is hereby authorized and directed to  review  any
     2  policy  or  practice instituted in facilities operated by the department
     3  of corrections and community supervision, and in all local  correctional
     4  facilities,  as  defined  in  subdivision  sixteen of section two of the
     5  correction  law, regarding [human immunodeficiency virus (HIV), acquired
     6  immunodeficiency syndrome  (AIDS),  hepatitis  C  (HCV),  and  COVID-19]
     7  health  care  services  provided  to  persons  confined in the facility,
     8  including the prevention of [the transmission of and  the  treatment  of
     9  such  infections  and diseases among incarcerated individuals] infection
    10  or disease. Such review shall be performed at least annually, and  shall
    11  focus  on  whether  such  policy or practice is consistent with current,
    12  generally accepted medical standards and procedures used [to prevent the
    13  transmission of and to treat those infections  and  diseases  among]  in
    14  relation  to the general public. In performing such reviews, in order to
    15  determine the quality and  adequacy  of  care  and  treatment  provided,
    16  department personnel are authorized to enter correctional facilities and
    17  inspect  policy  and  procedure manuals and medical protocols, interview
    18  health services providers and incarcerated  individual-patients,  review
    19  medical  grievances,  and  inspect  a  representative  sample of medical
    20  records of incarcerated individuals [known to be infected with any  such
    21  infections  or diseases]. Prior to initiating a review of a correctional
    22  system, the commissioner shall inform the  public,  including  patients,
    23  their families and patient advocates, of the scheduled review and invite
    24  them  to  provide  the  commissioner with relevant information. Upon the
    25  completion of such review, the department  shall,  in  writing,  approve
    26  such  policy  or  practice  as  instituted in facilities operated by the
    27  department of corrections and community supervision, and  in  any  local
    28  correctional  facility,  or, based on specific, written recommendations,
    29  direct the department of corrections and community supervision,  or  the
    30  authority  responsible for the provision of medical care to incarcerated
    31  individuals in local correctional facilities to prepare and implement  a
    32  corrective  plan  to  address deficiencies in areas where such policy or
    33  practice fails to conform to current, generally accepted medical  stand-
    34  ards  and procedures.  The commissioner shall monitor the implementation
    35  of such corrective plans and shall conduct such further reviews  as  the
    36  commissioner  deems  necessary to ensure that identified deficiencies in
    37  those policies and practices are corrected. All written reports pertain-
    38  ing to reviews provided for in this  subdivision  shall  be  maintained,
    39  under  such  conditions  as  the commissioner shall prescribe, as public
    40  information [available for public inspection] and shall be posted on the
    41  department's website in searchable and downloadable form; provided  that
    42  patient individual identifying information shall be kept confidential by
    43  the commissioner. This subdivision shall not diminish any other authori-
    44  ty or jurisdiction of the commissioner.
    45    §  5. This act shall take effect one year after it shall have become a
    46  law. Effective immediately, the commissioners of health, corrections and
    47  community  supervision,  mental  health,  and  addiction  services   and
    48  supports  shall  promulgate rules and regulations and take other actions
    49  reasonably necessary prior to  such  effective  date  to  implement  the
    50  provisions of this act.
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