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S01438 Summary:

BILL NOS01438A
 
SAME ASNo Same As
 
SPONSORKRUEGER
 
COSPNSRBRISPORT, BROUK, FAHY, FERNANDEZ, GONZALEZ, HARCKHAM, HINCHEY, HOYLMAN-SIGAL, JACKSON, LIU, MAY, MAYER, SALAZAR, SEPULVEDA, SERRANO, WEBB
 
MLTSPNSR
 
Add Art 25-AA §§2599-bb-10 - 2599-bb-13, Pub Health L
 
Establishes the New York state abortion clinical training program within the department of health for the purpose of training health care practitioners in the performance of abortion and related reproductive health care services; requires the commissioner of health to submit a report to the governor and the legislature.
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S01438 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                         1438--A
            Cal. No. 102
 
                               2025-2026 Regular Sessions
 
                    IN SENATE
 
                                     January 9, 2025
                                       ___________
 
        Introduced  by  Sens.  KRUEGER,  BRISPORT,  BROUK,  FERNANDEZ, GONZALEZ,
          HARCKHAM, HINCHEY, HOYLMAN-SIGAL, JACKSON, LIU, MAYER,  SALAZAR,  WEBB
          -- read twice and ordered printed, and when printed to be committed to
          the  Committee on Health -- reported favorably from said committee and
          committed to the Committee on Rules -- reported  favorably  from  said
          committee,  ordered to a third reading, passed by Senate and delivered
          to the Assembly, recalled, vote reconsidered, restored to third  read-
          ing,  amended  and ordered reprinted, retaining its place in the order
          of third reading
 
        AN ACT to amend the public health law, in relation to enacting  the  New
          York state abortion clinical training program act
 
          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:
 
     1    Section 1. The public health law is amended by adding  a  new  article
     2  25-AA to read as follows:
     3                                ARTICLE 25-AA
     4            NEW YORK STATE ABORTION CLINICAL TRAINING PROGRAM ACT
     5  Section 2599-bb-10. Policy and purpose.
     6          2599-bb-11. Definitions.
     7          2599-bb-12. Establishment  of  the New York state abortion clin-
     8                        ical training program.
     9          2599-bb-13. Reporting.
    10    § 2599-bb-10. Policy and purpose. 1.  New  York  has  long  held  that
    11  comprehensive  reproductive  health  care  is a fundamental component of
    12  every individual's health, privacy and  equality,  and  that  access  to
    13  reproductive health care services is integral to their ability to choose
    14  to  carry  a  pregnancy to term, to give birth to a child, or to have an
    15  abortion.
    16    2. Abortion care  is  provided  in  hospitals,  clinics,  and  private
    17  medical  practices across the state, with a majority of this care deliv-
    18  ered by community-based providers. However, growing maternal health care
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD04174-05-5

        S. 1438--A                          2
 
     1  deserts have made it difficult for individuals to access this vital form
     2  of care. The need for abortion care  continues  to  increase  while  the
     3  number  of  providers  trained  to  perform these services is declining.
     4  Although  there  are community-based abortion facilities in every region
     5  of the state, only seven out of ten regions have community-based facili-
     6  ties that perform abortion care beyond fifteen weeks  of  pregnancy.  In
     7  three  regions,  only  two facilities provide abortion care up to twenty
     8  weeks of pregnancy. This has resulted in pregnant people having to trav-
     9  el further, and in some cases out of state, to access  care,  especially
    10  later in pregnancy.
    11    3.  While  any  physician and health care practitioner licensed by the
    12  state with abortion in their scope of practice is authorized to  provide
    13  this  care  under law, there is no structured training program available
    14  to them for this purpose.
    15    4. New York is in a strong position to address the training  needs  of
    16  these individuals by establishing a statewide abortion clinical training
    17  program.  There  are  multiple  abortion  providers who are experienced,
    18  utilize innovative abortion care procedures, and interested in  training
    19  their peers but require funding to do so.
    20    5.  It  is the purpose of this article to create new training opportu-
    21  nities for New  York  health  care  practitioners  in  the  delivery  of
    22  abortion  care through such a program, thereby protecting every individ-
    23  ual's right to health, privacy and equality.
    24    § 2599-bb-11. Definitions. As used  in  this  article,  the  following
    25  terms shall have the following meanings:
    26    1.  "Abortion"  shall  mean the termination of a pregnancy pursuant to
    27  section twenty-five hundred ninety-nine-bb of this chapter.
    28    2. "Health care services" shall mean the range of care related to  the
    29  provision  of  abortion  pursuant to section twenty-five hundred ninety-
    30  nine-bb of this chapter.
    31    3. "Health care practitioner" shall mean any health care  practitioner
    32  authorized  to  provide health care services pursuant to section twenty-
    33  five hundred ninety-nine-bb of this chapter or an intern or resident who
    34  is employed by a hospital or otherwise enrolled in an accredited  gradu-
    35  ate medical education program.
    36    4.  "Professional educators" shall mean organizations providing repro-
    37  ductive health care, continuing education programs for qualified provid-
    38  ers through professional associations  or  clinical  education  programs
    39  that meet professionally recognized training standards.
    40    § 2599-bb-12. Establishment  of  the  New York state abortion clinical
    41  training program. 1. (a) There is hereby established within the  depart-
    42  ment  the  New  York  state  abortion  clinical training program for the
    43  purpose of training health care  practitioners  in  the  performance  of
    44  abortion and related reproductive health care services. The commissioner
    45  in  consultation  with  the  state  education  department, shall adopt a
    46  comprehensive curriculum and competency based-standards for the training
    47  of health care practitioners in the  performance  of  a  full  range  of
    48  abortion  and related reproductive health care services. Such curriculum
    49  and standards shall be consistent with evidence-based  training  methods
    50  and shall include, but not be limited to:
    51    (i) counseling and informed consent;
    52    (ii) miscarriage management;
    53    (iii) patient-centered care;
    54    (iv) pre-abortion evaluation;
    55    (v) contraception and aftercare;
    56    (vi) telehealth delivery;

        S. 1438--A                          3
 
     1    (vii) procedural abortion;
     2    (viii) medication abortion; and
     3    (ix) potential complications and required care.
     4    (b) The commissioner shall update the adopted curriculum and standards
     5  at least every five years.
     6    (c)  The commissioner shall consult a range of experts, including, but
     7  not limited  to,  individuals  and  entities  providing  abortion  care,
     8  abortion  funds,  and  other  organizations  whose  mission is to expand
     9  access to abortion care, to ensure the program  structure  reflects  the
    10  needs  of abortion providers, abortion funds and consumers in developing
    11  the initial curriculum and standards and all subsequent updates.
    12    (d) For professional educators currently operating an  abortion  clin-
    13  ical training program within the state and selected by the department to
    14  facilitate  training through the program, the commissioner shall approve
    15  the existing curriculum for use in the New York state abortion  clinical
    16  training program so long as the curriculum meets adopted statewide stan-
    17  dards.
    18    3.  (a)  The  commissioner is authorized to enter into agreements with
    19  professional  educators  to  facilitate  clinical  training  related  to
    20  abortion  care and other related reproductive health services at a mini-
    21  mum of four sites across the state. In  entering  such  agreements,  the
    22  commissioner shall consider organizations that:
    23    (i) comply with applicable state laws and regulations;
    24    (ii)  are  capable of providing culturally congruent care and implicit
    25  bias training;
    26    (iii) have  demonstrated  experience  in  coordinating  abortion  care
    27  training programs; and
    28    (iv) have sufficient patient volume to accommodate training need.
    29    (b)  Professional  educators shall not be required to provide training
    30  in all areas of the  approved  curriculum,  provided,  however,  special
    31  consideration  shall  be  given  to  professional educators who have the
    32  capability to provide the full range of abortion care and related repro-
    33  ductive health care services.
    34    (c) The commissioner may engage the services  of  a  consultant  on  a
    35  contract  basis  to  support  the  administration  and  operation of the
    36  program. Such consultant shall be a professional educator that  has  the
    37  demonstrated  ability  to  provide programmatic oversight on a statewide
    38  level including, but not limited to candidate selection  and  screening,
    39  and adherence to the approved curriculum and clinical standards.
    40    (d)  Each  professional  educator  receiving  funding pursuant to this
    41  paragraph shall submit a written certification in such form and at  such
    42  time  as  the commissioner shall prescribe, attesting how any award made
    43  was used to support training health care practitioners in  the  perform-
    44  ance  of  abortion and related reproductive health care services includ-
    45  ing, but not limited to the number of health care practitioners selected
    46  for training; the number of health  care  practitioners  completing  the
    47  training;  and  the areas of the state served by the health care practi-
    48  tioners selected.
    49    (e) Notwithstanding any inconsistent provision of law to the contrary,
    50  the commissioner shall be authorized to recoup any award made and deter-
    51  mined to have been used in a manner inconsistent with  the  purposes  of
    52  the  abortion  clinical training program. The commissioner is authorized
    53  to employ any legal mechanism to recoup such funds, including an  offset
    54  of other funds that are owed to such professional educator.

        S. 1438--A                          4
 
     1    4.  The commissioner shall prioritize eligible health care practition-
     2  ers  who  will  provide  abortion  and  related reproductive health care
     3  services to underserved communities in the state to receive training.
     4    5. The commissioner shall award and distribute grants to address prac-
     5  tical  support  needs  of  eligible  health care providers. Funds may be
     6  awarded to support an eligible health  care  practitioner  in  obtaining
     7  clinical  education  on  abortion  care  and  other  reproductive health
     8  services, including, but not limited to, financial  support  for  travel
     9  and lodging associated with attending the program.
    10    6.  The  commissioner  shall  promulgate  rules and regulations as are
    11  necessary to carry out the provisions of this section.
    12    7. Nothing in this article shall be construed  to  limit  or  restrict
    13  abortion  training  that occurs within New York state separate and apart
    14  from the New York state abortion clinical training program.
    15    § 2599-bb-13. Reporting. The commissioner shall  submit  a  report  no
    16  later  than  twelve  months after the effective date of this section and
    17  annually thereafter, to the governor, the  temporary  president  of  the
    18  senate  and the speaker of the assembly, which shall include, but not be
    19  limited to, the total amount of grants issued, the  number  of  eligible
    20  participants,  the  number  of eligible providers, and the region of the
    21  state where the eligible  providers  are  located.  Notwithstanding  any
    22  other  provision of law, the commissioner shall not report any identify-
    23  ing information of eligible participants in the program.
    24    § 2. This act shall take effect on the first of April next  succeeding
    25  the  date  upon which it shall have become a law. Effective immediately,
    26  the addition, amendment and/or repeal of any rule or  regulation  neces-
    27  sary  for  the  implementation  of  this  act  on its effective date are
    28  authorized to be made and completed on or before such effective date.
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