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S03285 Summary:

BILL NOS03285A
 
SAME ASSAME AS A02581-A
 
SPONSORGONZALEZ
 
COSPNSRFERNANDEZ, HOYLMAN-SIGAL
 
MLTSPNSR
 
Amd §266, Pub Health L
 
Creates a women's and reproductive health services education and outreach program within the department of health for education and outreach for consumers, patients, educators, and health care providers related to women's and reproductive health services available in New York state; provides certain authorizations to the commissioner of health in accordance with such program; directs the department of health to ensure confidentiality of providers and individuals.
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S03285 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                         3285--A
 
                               2025-2026 Regular Sessions
 
                    IN SENATE
 
                                    January 24, 2025
                                       ___________
 
        Introduced by Sens. GONZALEZ, FERNANDEZ, HOYLMAN-SIGAL -- 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  Finance  -- committee discharged, bill amended, ordered
          reprinted as amended and recommitted to said committee

        AN ACT to amend the public health law, in relation to the creation of  a
          women's  and  reproductive  health  services  education  and  outreach
          program
 
          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:
 
     1    Section  1.  Section 266 of the public health law, as added by chapter
     2  342 of the laws of 2014, subdivision 2 as added  and  subdivision  3  as
     3  renumbered  by  chapter  76 of the laws of 2020, subdivisions 4 and 5 as
     4  added by chapter 66 of the laws of 2021, and subdivision 6 as  added  by
     5  chapter 653 of the laws of 2022, is amended to read as follows:
     6    §  266.  [Department website] Women's and reproductive health services
     7  education and outreach program. 1.  There is hereby created  within  the
     8  department  a  women's  and  reproductive  health services education and
     9  outreach program. The department shall conduct  education  and  outreach
    10  for consumers, patients, educators, and health care providers related to
    11  women's  and  reproductive  health  services available in New York state
    12  including, but not limited to:  preventative  care,  cancer  screenings,
    13  access to services such as contraceptives and pregnancy testing, testing
    14  and  treatment for sexually transmitted infections, and any other repro-
    15  ductive health condition or  information  the  commissioner  shall  deem
    16  appropriate.
    17    2. The department shall establish and maintain an internet website for
    18  the  purpose  of advancing women's health initiatives. The website shall
    19  provide information and materials for  the  purposes  of  educating  the
    20  public  and raising awareness of women's health issues, provide links to
    21  useful resources and encourage the use of services now made more  widely
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD06611-04-5

        S. 3285--A                          2
 
     1  available to the women of New York state. The website shall also promote
     2  the  following preventative services now covered pursuant to federal law
     3  and regulation, and explain that such services must be covered  with  no
     4  cost sharing:
     5    (a) Anemia screening for pregnant women;
     6    (b)  Bacteriuria  urinary tract or other infection screening for preg-
     7  nant women;
     8    (c) BRCA counseling about genetic testing for women at higher risk;
     9    (d) Breast cancer mammography screenings every one to  two  years  for
    10  women over age forty;
    11    (e) Breast cancer chemoprevention counseling for women at higher risk;
    12    (f)  Breastfeeding  comprehensive  support and counseling from trained
    13  providers, as well as access to breastfeeding supplies, for pregnant and
    14  nursing women;
    15    (g) Cervical cancer screening for sexually active women;
    16    (h) Chlamydia infection screening for younger women and other women at
    17  higher risk;
    18    (i) Contraception: Food and Drug Administration-approved contraceptive
    19  methods, sterilization procedures, and patient education and counseling,
    20  not including abortifacient drugs;
    21    (j) Domestic and interpersonal violence screening and  counseling  for
    22  all women;
    23    (k) Folic acid supplements for women who may become pregnant;
    24    (l)  Gestational  diabetes  screening for women twenty-four to twenty-
    25  eight weeks pregnant and those at high risk  of  developing  gestational
    26  diabetes;
    27    (m) Gonorrhea screening for all women at higher risk;
    28    (n)  Hepatitis  B screening for pregnant women at their first prenatal
    29  visit;
    30    (o) Human immunodeficiency virus (HIV) screening  and  counseling  for
    31  sexually active women;
    32    (p)  Human  papillomavirus  (HPV)  DNA Test: high risk HPV DNA testing
    33  every three years for women with normal cytology results who are  thirty
    34  years of age or older;
    35    (q)  Osteoporosis screening for women over age sixty depending on risk
    36  factors;
    37    (r) RH incompatibility screening for all pregnant women and  follow-up
    38  testing for women at higher risk;
    39    (s)  Tobacco  use  screening  and  interventions  for  all  women, and
    40  expanded counseling for pregnant tobacco users;
    41    (t) Sexually transmitted  infections  (STI)  counseling  for  sexually
    42  active women;
    43    (u)  Syphilis  screening  for  all  pregnant  women  or other women at
    44  increased risk; and
    45    (v) Well-woman visits to obtain recommended preventive services.
    46    [2.] 3. The department may  produce,  make  available  to  others  for
    47  reproduction,  or  contract  with others to develop such materials under
    48  this section as the commissioner  deems  appropriate.  Such  information
    49  shall be posted on the website in a printable format, in each of the top
    50  six  languages spoken in the state, other than English, according to the
    51  latest available data from the United States Census Bureau, to allow all
    52  general hospitals,  diagnostic  and  treatment  centers,  obstetricians,
    53  primary care providers, midwives, and other health care programs provid-
    54  ing  women's  wellness  services  to  provide  the  information to their
    55  patients as part of their wellness education  or  prenatal  care  activ-
    56  ities.

        S. 3285--A                          3
 
     1    4.  In exercising any of the commissioner's powers under this section,
     2  the commissioner may consult with appropriate health care professionals,
     3  providers, consumers, educators and patients or organizations represent-
     4  ing them.
     5    5.  The  commissioner  shall ensure that all information and materials
     6  produced pursuant to this section are maintained and updated to  reflect
     7  best practice recommendations.
     8    6.  The  department  shall  also  consider  making use of social media
     9  networks for the purposes of advancing such initiatives.
    10    7. The commissioner shall develop and update as necessary  information
    11  on  possible  complications from pregnancy that can endanger the life or
    12  health of the newborn or the mother for purposes  of  advancing  women's
    13  health  initiatives,  pursuant to subdivision [one] two of this section.
    14  Such information shall be developed in consultation with  any  state  or
    15  local  government  maternal  mortality  review  boards  and  health care
    16  providers or other experts in the field of  women  and  newborn  health.
    17  Such  information  shall be posted on the website in a printable format,
    18  in each of the top  six  languages  spoken  in  the  state,  other  than
    19  English,  according  to the latest available data from the United States
    20  Census Bureau, to allow all general hospitals, diagnostic and  treatment
    21  centers,  obstetricians,  primary  care  providers,  midwives, and other
    22  health care programs providing women's wellness services to provide  the
    23  information  to  their  patients  as part of their wellness education or
    24  prenatal care activities.
    25    [3. The department shall also consider  making  use  of  social  media
    26  networks for the purposes of advancing such initiatives.
    27    4.]  8.  Information pursuant to subdivision two of this section shall
    28  include information related  to  pre-term  labor  and  premature  birth,
    29  including but not limited to definitions and information on the risks of
    30  pre-term labor and premature birth to the expectant mother and fetus, as
    31  well as signs and symptoms of pre-term labor. The information shall also
    32  include:
    33    (a)  a statement that the medical assistance program provides coverage
    34  for all income-eligible pregnant women residing in the state  regardless
    35  of immigration status; and
    36    (b)  a  statement  informing  individuals  of their right to request a
    37  hospital  discharge  review  in  accordance  with  section  twenty-eight
    38  hundred  three-i of this article if they believe they are being asked to
    39  leave a hospital too soon; and
    40    (c) a statement informing individuals that  hospitals  must  determine
    41  whether  an expectant mother is experiencing an emergency medical condi-
    42  tion, and upon making a diagnosis of  an  emergency  medical  condition,
    43  admit  the expectant mother to the general hospital or treat them in the
    44  emergency room for close observation and continuous monitoring until  it
    45  is  deemed  medically  safe for discharge or transfer in accordance with
    46  state and federal requirements including the federal  Emergency  Medical
    47  Treatment and Labor Act (EMTALA).
    48    [5.]  9.  The  department  shall  develop  educational materials to be
    49  provided to emergency room medical staff regarding the state and federal
    50  discharge and transfer requirements.
    51    [6.] 10. Cytomegalovirus. (a)  In  addition  to  information  provided
    52  pursuant to this section, the commissioner shall also develop comprehen-
    53  sive  informational  materials,  which shall include, but not be limited
    54  to, the symptoms, the risks, the  transmission  and  the  prevention  of
    55  cytomegalovirus  and  the effects that such virus may have on a pregnant
    56  individual, an individual who may become pregnant, and children.

        S. 3285--A                          4
 
     1    (b) i. The commissioner shall distribute such cytomegalovirus informa-
     2  tional materials to:
     3    (1)  licensed  physicians  who practice obstetric and/or gynecology in
     4  this state; and
     5    (2) those licensed to  practice  midwifery  pursuant  to  article  one
     6  hundred forty of the education law.
     7    ii.  Such  physicians  or  midwives  shall provide the cytomegalovirus
     8  informational materials to each pregnant patient during  such  patient's
     9  first appointment with such physician or midwife.
    10    11. The department shall take all necessary steps to ensure the confi-
    11  dentiality of providers of these services and of the individuals receiv-
    12  ing  services  unless necessary for the purpose of referring individuals
    13  for reproductive health services pursuant to subdivision three  of  this
    14  section.  A  provider may request that their information be omitted from
    15  dissemination under this program. The commissioner may  maintain  aggre-
    16  gate,  de-identified  information,  provided  that  no information which
    17  alone or in combination would permit a patient, provider, or an individ-
    18  ual who sought, received, provided, or supported  health  care  services
    19  under the program to be identified may be requested or shared.
    20    §  2.  This  act shall take effect on the ninetieth day after it shall
    21  have become a law. Effective immediately, the addition, amendment and/or
    22  repeal of any rule or regulation necessary  for  the  implementation  of
    23  this  act  on its effective date are authorized to be made and completed
    24  on or before such effective date.
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