Add Art 2 Title 6 S266, Pub Health L; amd S6507, Ed L; amd SS2343, 3436 & 5505, Ins L
Establishes the health care practitioner hygienic dress code program within the department of health to address clothing, jewelry and identification tags worn by health care professionals that may cause infection, disease and bacteria in patients, visitors and the general public.
STATE OF NEW YORK
________________________________________________________________________
4909--B
2011-2012 Regular Sessions
IN SENATE
April 29, 2011
___________
Introduced by Sens. KLEIN, CARLUCCI, SAVINO, VALESKY -- read twice and
ordered printed, and when printed to be committed to the Committee on
Health -- recommitted to the Committee on Health in accordance with
Senate Rule 6, sec. 8 -- committee discharged, bill amended, ordered
reprinted as amended and recommitted to said committee -- committee
discharged, bill amended, ordered reprinted as amended and recommitted
to said committee
AN ACT to amend the public health law, the education law and the insur-
ance law, in relation to establishing a health care practitioner
hygienic dress code; and providing for the repeal of certain
provisions upon expiration thereof
The People of the State of New York, represented in Senate and Assem-bly, do enact as follows:
1 Section 1. Article 2 of the public health law is amended by adding a
2 new title 6 to read as follows:
3 TITLE 6
4 HEALTH CARE PRACTITIONER HYGIENIC
5 DRESS CODE
6 Section 266. Health care practitioner hygienic dress code.
7 § 266. Health care practitioner hygienic dress code. 1. Definitions.
8 The following words or phrases as used in this title shall have the
9 following meanings:
10 (a) "Continuing education" shall mean all professional continuing
11 education programs required either by state law, or by professional
12 associations authorized by the education department to monitor the
13 requirements of licensure or certification and to conduct continuing
14 education required to be completed by a health care practitioner.
15 (b) "Council" shall mean the state health care practitioner hygienic
16 dress code council established by subdivision two of this section.
17 (c) "Health care facility" shall mean and include a hospital and resi-
18 dential health care facility as defined in section twenty-eight hundred
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD10964-08-2
S. 4909--B 2
1 one of this chapter, and any setting in which a health care practitioner
2 regularly practices his or her profession.
3 (d) "Health care practitioner" shall mean any person licensed as a
4 physician pursuant to article one hundred thirty-one of the education
5 law, physician assistant or specialist assistant pursuant to article one
6 hundred thirty-one-B of the education law, nurse pursuant to article one
7 hundred thirty-nine of the education law, or midwife pursuant to article
8 one hundred forty of the education law.
9 2. State health care practitioner hygienic dress code council. (a) The
10 state health care practitioner hygienic dress code council is hereby
11 established in the department to be an expert panel to advise the
12 commissioner and the commissioner of education on: (i) the best prac-
13 tices related to mitigating and eliminating the spread of disease,
14 infection and bacteria to patients, visitors and the general public in
15 health care facilities by means of the unhygienic clothing, jewelry and
16 health care facility identification tags worn by health care practition-
17 ers and the cleaning personnel of such facilities, (ii) the promotion of
18 better and coordinated policies to ensure better hygienic practices in
19 health care facilities, and (iii) the development of guidelines to
20 assist the education department in establishing materials and curricula
21 to be used in providing continuing education programs to health care
22 practitioners on the use of a hygienic dress code to minimize the spread
23 of disease, infection and bacteria to patients, visitors and the general
24 public.
25 (b) The council shall be composed of twenty-five members appointed by
26 the commissioner. The commissioner shall seek recommendations for
27 appointments from the commissioner of education and the superintendent
28 of financial services. The membership of the council shall include
29 representatives of the various professions within the definition of
30 health care practitioner, the various facilities and settings within the
31 definition of health care facility, educators of health care practition-
32 ers, cleaning and sterilization services for health care facilities,
33 pharmaceutical companies, and insurers and corporations providing health
34 care coverage. The chair of the council shall be a member thereof as is
35 so designated by the commissioner.
36 (c) The members of the council shall have expertise in the maintenance
37 and creation of sanitary and hygienic conditions in the treatment of
38 patients by health care practitioners and in health care facilities. The
39 term of office of such members shall be four years. The members of the
40 council shall receive no compensation for their services, but shall be
41 allowed their actual and necessary expenses in the performance of their
42 duties.
43 (d) The council shall meet upon the call of the commissioner or the
44 chair. The council may adopt regulations consistent with this section.
45 (e) The commissioner shall designate such employee and provide for
46 other resources of the department as may be reasonably necessary to
47 provide support and services for the work of the council.
48 (f) The council may provide technical information and guidance to
49 health care practitioners and health care facilities on the latest and
50 best practices and strategies related to mitigating and eliminating the
51 spread of disease, infection and bacteria during the course of treatment
52 of patients as it relates to the use of hygienic health care practition-
53 er clothing, attire and a dress code.
54 3. Policies to be considered, examined and possibly advanced after
55 evidence-based review by the council. The council shall consider and
S. 4909--B 3
1 examine the following policies and guidelines in the adoption of rules
2 and regulations:
3 (a) The provision of education and instruction to patients and health
4 care practitioners on how enhanced sanitary and hygienic policies,
5 including the use of hygienic health care practitioner clothing, attire
6 and a dress code, can help to reduce the risk of cross-infection;
7 (b) Encouraging health care facilities to provide adequate supplies of
8 clean scrubs, other articles of clothing and health care facility iden-
9 tification tags to health care practitioners to ensure frequent changes
10 thereof;
11 (c) Encouraging health care facilities to provide changing rooms, and
12 instruction on how to appropriately wash clothing worn by health care
13 practitioners;
14 (d) The wearing of pathogen-resistant scrubs and coats, aprons or
15 slips made of plastic or wicking materials, and double gloves;
16 (e) The adoption of a prohibition on the wearing outside of a health
17 care facility by health care practitioners of clothing worn during
18 treatment of patients; and
19 (f) Consideration of alterations in Medicaid and private payor
20 reimbursement rates and practices to encourage more optimum sanitary and
21 hygienic conditions in health care facilities.
22 4. Health care practitioner hygienic resource centers. The commission-
23 er, in consultation with the council, may designate a health care prac-
24 titioner hygienic resource center or centers. Such resource center may
25 be statewide or regional, and shall act as a source of technical
26 support, information and guidance for health care practitioners and
27 health care facilities on the latest strategies and best practices with
28 regard to establishing sanitary and hygienic conditions for the treat-
29 ment of patients. The department, in consultation with the council, may
30 contract with not-for-profit organizations or associations to establish
31 and manage such resource centers. Such resource centers may charge a fee
32 to help offset the cost of providing such services.
33 5. Continuing education for health care practitioners. The council, in
34 consultation with the department, the education department and health
35 care practitioner professional organizations, shall develop, compile and
36 publish information and course materials on sanitary and hygienic prac-
37 tices that should be followed by health care practitioners and health
38 care facilities to mitigate and eliminate the spread of disease,
39 infection and bacteria to patients, visitors and the general public by
40 means of the clothing, jewelry and health care facility identification
41 tags worn by health care practitioners and the cleaning personnel of
42 such facilities. In addition, within two years of the effective date of
43 this title, the council shall make recommendations to the education
44 department for the course work, training and curriculum to be included
45 in the continuing education on the best practices, strategies and
46 approaches related to mitigating and eliminating the spread of disease,
47 infection and bacteria to patients, visitors and the general public in
48 health care facilities by means of the clothing, jewelry and health care
49 facility identification tags worn by health care practitioners and the
50 cleaning personnel of such facilities.
51 6. Report. On or before March first of each even numbered year, the
52 council shall submit to the governor, the commissioner, the commissioner
53 of education, the temporary president of the senate, the speaker of the
54 assembly, the minority leader of the senate, the minority leader of the
55 assembly, and the chairs of the senate and assembly committees on health
56 a report on its activities and accomplishments pursuant to this article
S. 4909--B 4
1 relating to sanitary and hygienic conditions in health care facilities.
2 Such report may also include such legislative proposals as it deems
3 necessary to more effectively implement the provisions of this title.
4 § 2. Paragraphs b and c of subdivision 3 of section 6507 of the educa-
5 tion law, as added by chapter 987 of the laws of 1971, are amended and a
6 new paragraph d is added to read as follows:
7 b. Review qualifications in connection with licensing requirements;
8 [and]
9 c. Provide for licensing examinations and reexaminations[.]; and
10 d. (i) Establish standards for continuing education for health care
11 practitioners on the best practices, strategies and approaches related
12 to mitigating and eliminating the spread of disease, infection and
13 bacteria to patients, visitors and the general public in health care
14 facilities by means of the clothing, jewelry and health care facility
15 identification tags worn by health care practitioners and the cleaning
16 personnel of such facilities. In promulgation of such standards, the
17 department and the appropriate board of each such profession shall
18 consider and, to the extent practicable, implement the recommendations
19 of the state health care practitioner hygienic dress code council.
20 (ii) For the purposes of this paragraph:
21 (A) "Health care facility" shall mean and include a hospital and a
22 residential health care facility as defined in section twenty-eight
23 hundred one of the public health law, and any setting in which a health
24 care practitioner regularly practices his or her profession.
25 (B) "Health care practitioner" shall mean any person licensed as a
26 physician pursuant to article one hundred thirty-one of this title,
27 physician assistant or specialist assistant pursuant to article one
28 hundred thirty-one-B of this title, nurse pursuant to article one
29 hundred thirty-nine of this title, or midwife pursuant to article one
30 hundred forty of this title.
31 § 3. Section 2343 of the insurance law is amended by adding a new
32 subsection (f) to read as follows:
33 (f) The superintendent shall approve and implement programs to encour-
34 age health care providers, health care facilities and medical malprac-
35 tice insurers to participate in health care provider hygienic dress code
36 programs. Such programs may include, but shall be limited to, enhanced
37 coverage levels, reductions in deductible levels or actuarially appro-
38 priate premium reduction for insured health care providers and health
39 care facilities which have implemented a successful health care practi-
40 tioner dress code program, pursuant to title six of article two of the
41 public health law, which is approved by the commissioner of health.
42 § 4. Section 3436 of the insurance law, as added by chapter 266 of the
43 laws of 1986, is amended by adding a new subsection (f) to read as
44 follows:
45 (f) An insurer which issues policies for primary levels of medical
46 malpractice insurance shall upon the issuance or renewal thereof,
47 provide for programs to encourage health care providers, health care
48 facilities and medical malpractice insurers to participate in health
49 care provider hygienic dress code programs. Such programs may include,
50 but shall be limited to, enhanced coverage levels, reductions in deduct-
51 ible levels or actuarially appropriate premium reduction for insured
52 health care providers and health care facilities which have implemented
53 a successful health care practitioner dress code program, pursuant to
54 title six of article two of the public health law, which is approved by
55 the commissioner of health.
S. 4909--B 5
1 § 5. Section 5505 of the insurance law is amended by adding a new
2 subsection (e) to read as follows:
3 (e) The association's rates, rating plans and rating classifications
4 shall provide for programs to encourage health care providers, health
5 care facilities and medical malpractice insurers to participate in
6 health care provider hygienic dress code programs. Such programs may
7 include, but shall be limited to, enhanced coverage levels, reductions
8 in deductible levels or actuarially appropriate premium discounts for
9 health care providers and health care facilities which have implemented
10 a successful health care practitioner dress code program, pursuant to
11 title six of article two of the public health law, which is approved by
12 the commissioner of health.
13 § 6. This act shall take effect on the first of January next succeed-
14 ing the date on which it shall have become a law and section one of this
15 act shall expire and be deemed repealed January 1, 2021.
