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Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
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| Jan 22, 2025 |
referred to finance |
Senate Bill S3007
2025-2026 Legislative Session
Enacts into law major components of legislation necessary to implement the state health and mental hygiene budget for the 2025-2026 state fiscal year
download bill text pdfSponsored By
There are no sponsors of this bill.
Current Bill Status - In Senate Committee Finance Committee
- Introduced
-
- In Committee Assembly
- In Committee Senate
-
- On Floor Calendar Assembly
- On Floor Calendar Senate
-
- Passed Assembly
- Passed Senate
- Delivered to Governor
- Signed By Governor
Actions
2025-S3007 (ACTIVE) - Details
- See Assembly Version of this Bill:
- A3007
- Current Committee:
- Senate Finance
- Law Section:
- Budget Bills
- Laws Affected:
- Amd Various Laws, generally
2025-S3007 (ACTIVE) - Summary
Enacts into law major components of legislation necessary to implement the state health and mental hygiene budget for the 2025-2026 state fiscal year; requires the commissioner of health to provide a quarterly report on known and expected department of health state funds Medicaid expenditures through state fiscal year 2026-2027 (Part A); extends the effectiveness of various provisions relating to social services and healthcare and determines which contracts shall expire September 30, 2025 until September 30, 2026 (Part B); relates to allowing a provider to provide additional information to a preferred drug program to justify the use of a prescription drug
2025-S3007 (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K
________________________________________________________________________
S. 3007 A. 3007
S E N A T E - A S S E M B L Y
January 22, 2025
___________
IN SENATE -- A BUDGET BILL, submitted by the Governor pursuant to arti-
cle seven of the Constitution -- read twice and ordered printed, and
when printed to be committed to the Committee on Finance
IN ASSEMBLY -- A BUDGET BILL, submitted by the Governor pursuant to
article seven of the Constitution -- read once and referred to the
Committee on Ways and Means
AN ACT to amend part H of chapter 59 of the laws of 2011, amending the
public health law and other laws relating to general hospital
reimbursement for annual rates, in relation to known and projected
department of health state fund medicaid expenditures (Part A); to
amend part B of chapter 57 of the laws of 2015, amending the social
services law and other laws relating to supplemental rebates, in
relation to extending the expiration thereof; to amend chapter 942 of
the laws of 1983 and chapter 541 of the laws of 1984 relating to
foster family care demonstration programs, in relation to extending
the expirations thereof; to amend chapter 256 of the laws of 1985,
amending the social services law and other laws relating to foster
family care demonstration programs, in relation to extending the expi-
ration thereof; to amend the social services law, in relation to
extending provisions relating to health and mental hygiene; to amend
part C of chapter 58 of the laws of 2009, amending the public health
law relating to payment by governmental agencies for general hospital
inpatient services, in relation to the effectiveness thereof; to amend
chapter 474 of the laws of 1996, amending the education law and other
laws relating to rates for residential healthcare facilities, in
relation to the effectiveness thereof; to amend section 2 of chapter
137 of the laws of 2023, amending the public health law relating to
establishing a community-based paramedicine demonstration program, in
relation to extending the effectiveness thereof; to amend chapter 81
of the laws of 1995, amending the public health law and other laws
relating to medical reimbursement and welfare reform, in relation to
extending the effectiveness of certain provisions thereof; to amend
part FFF of chapter 59 of the laws of 2018, amending the public health
law relating to authorizing the commissioner of health to redeploy
excess reserves of certain not-for-profit managed care organizations,
in relation to the effectiveness thereof; to amend chapter 451 of the
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD12571-01-5
S. 3007 2 A. 3007
laws of 2007, amending the public health law, the social services law
and the insurance law relating to providing enhanced consumer and
provider protections, in relation to the effectiveness of certain
provisions relating to contracts between plans, insurers, or corpo-
rations and hospitals; to amend the public health law, in relation to
reimbursement rate promulgation for residential health care facili-
ties, and in relation to certified home health agency services
payments; to amend part C of chapter 60 of the laws of 2014, amending
the social services law relating to fair hearings within the Fully
Integrated Duals Advantage program, in relation to the effectiveness
thereof; to amend chapter 884 of the laws of 1990, amending the public
health law relating to authorizing bad debt and charity care allow-
ances for certified home health agencies, in relation to extending the
provisions thereof; to amend chapter 81 of the laws of 1995, amending
the public health law and other laws relating to medical reimbursement
and welfare reform, in relation to the effectiveness of certain
provisions thereof; to amend part A of chapter 56 of the laws of 2013,
amending chapter 59 of the laws of 2011 amending the public health law
and other laws relating to general hospital reimbursement for annual
rates, in relation to extending government rates for behavioral
services; to amend the public health law, in relation to gross
receipts for general hospital assessments; to amend part MM of chapter
57 of the laws of 2021 amending the public health law relating to
aiding in the transition to adulthood for children with medical
fragility living in pediatric nursing homes and other settings, in
relation to the effectiveness thereof; to amend chapter 633 of the
laws of 2006, amending the public health law relating to the home
based primary care for the elderly demonstration project, in relation
to the effectiveness thereof; to amend chapter 19 of the laws of 1998,
amending the social services law relating to limiting the method of
payment for prescription drugs under the medical assistance program,
in relation to the effectiveness thereof; to amend part BBB of chapter
56 of the laws of 2022, amending the public health law and other laws
relating to permitting the commissioner of health to submit a waiver
that expands eligibility for New York's basic health program and
increases the federal poverty limit cap for basic health program
eligibility from two hundred to two hundred fifty percent, in relation
to extending certain provisions related to providing long-term
services and supports under the essential plan; to amend the social
services law, in relation to which contracts stay in force after
September 30, 2025; and to amend part MM of chapter 56 of the laws of
2020 directing the department of health to establish or procure the
services of an independent panel of clinical professionals and to
develop and implement a uniform task-based assessment tool, in
relation to which contracts stay in force after September 30, 2025
(Part B); to amend the public health law, in relation to prescriber
prevails; and to repeal certain provisions of the social services law
relating to coverage for certain prescription drugs (Part C); to amend
the public health law, in relation to reducing the hospital capital
rate add-on (Part D); to amend the financial services law, in relation
to excluding managed care plans from the independent resolution proc-
ess; and to amend the social services law, in relation to shifting
long-term nursing home stays from managed care to fee for service, and
authorizing penalties for managed care plans that do not meet contrac-
tual obligations (Part E); to amend the public health law, in relation
to establishing a tax on managed care providers; to amend the state
S. 3007 3 A. 3007
finance law, in relation to the healthcare stability fund; and to
amend part I of chapter 57 of the laws of 2022 providing a one percent
across the board payment increase to all qualifying fee-for-service
Medicaid rates, in relation to certain Medicaid payments made for
certain medical services (Part F); to amend chapter 266 of the laws of
1986 amending the civil practice law and rules and other laws relating
to malpractice and professional medical conduct, in relation to insur-
ance coverage paid for by funds from the hospital excess liability
pool and extending the effectiveness of certain provisions thereof; to
amend part J of chapter 63 of the laws of 2001 amending chapter 266 of
the laws of 1986 amending the civil practice law and rules and other
laws relating to malpractice and professional medical conduct, in
relation to extending certain provisions concerning the hospital
excess liability pool; and to amend part H of chapter 57 of the laws
of 2017 amending the New York Health Care Reform Act of 1996 and other
laws relating to extending certain provisions relating thereto, in
relation to extending provisions relating to excess coverage (Part G);
to repeal section 461-s of the social services law relating to enhanc-
ing the quality of adult living; to repeal paragraph (c) of subdivi-
sion 1 of section 461-b of the social services law, relating to
enriched housing programs; to amend the public health law and the
state finance law, in relation to the discontinuation of the empire
clinical research investigator program; and to repeal article 27-H of
the public health law relating to the tick-borne disease institute
(Part H); to amend the public health law, in relation to eliminating
the fees paid by funeral directors for permits for burials and
removals which are used to support the electronic death registration
system; and to repeal certain provisions of such law relating thereto
(Part I); to amend the public health law, in relation to the due date
for awards applied for under the statewide health care facility trans-
formation III program (Part J); to amend the public health law, in
relation to appointing a temporary operator for general hospitals,
diagnostic and treatment centers, and adult care facilities (Part K);
to amend the public health law, in relation to removing the require-
ment that consent for the payment of certain medical services must
occur after such services are administered (Part L); to amend the
public health law, in relation to requiring general hospitals to
report community benefit spending (Part M); to amend the public health
law, in relation to expanding the purposes of the spinal cord injury
research board (Part N); to amend the public health law, in relation
to updating controlled substance schedules to conform with those of
the federal drug enforcement administration and updating the term
"addict" to "person with a substance use disorder" (Part O); to amend
the public health law, in relation to emergency medical treatment
protocols for maternity patients; and to amend the education law, in
relation to labeling of abortion medications (Part P); to amend the
social services law and the public health law, in relation to estab-
lishing increased coverage of care as well as availability of care for
infertility treatments; and to repeal section 4 of part K of chapter
82 of the laws of 2002 amending the insurance law and the public
health law relating to coverage for the diagnosis and treatment of
infertility, relating to the establishment of a program to provide
grants to health care providers for improving access to infertility
services (Part Q); to amend the public health law and the general
municipal law, in relation to requiring the development of a statewide
comprehensive emergency medical system plan and county EMS plans, and
S. 3007 4 A. 3007
declaring EMS an essential service (Part R); to amend the public
health law, in relation to strengthening material transactions report-
ing requirements (Part S); to amend the public health law, in relation
to requiring hospitals to maintain sexual assault forensic examiners
at their facilities (Part T); to amend the public health law, in
relation to eliminating administrative barriers to, and offset actual
costs of, timely fulfillment of vital records requests; and to repeal
certain provisions of such law relating thereto (Part U); to amend the
education law and the public health law, in relation to the scope of
practice of certified nurse aides; and providing for the repeal of
such provisions upon the expiration thereof (Subpart A); to amend the
education law and the public health law, in relation to the scope and
practice of medical assistants (Subpart B); to amend the education
law, in relation to the administration of certain immunizations by
pharmacists and pharmacy technicians (Subpart C); to amend the educa-
tion law, in relation to authorizing a licensed pharmacist to
prescribe and order medications to treat nicotine dependence for smok-
ing cessation (Subpart D); to repeal certain articles of the education
law governing certain healthcare professions and adding such laws to
the public health law and transferring all functions, powers, duties,
obligations and appropriations relating thereto (Subpart E); and to
amend the education law and the public health law, in relation to
physician assistants (Subpart F) (Part V); to amend the education law,
in relation to enacting the nurse licensure compact (Part W); to amend
the education law, in relation to the scope of practice of dental
hygienists (Part X); to amend the public health law, in relation to
extending hospital services outside the facility and into patients'
residences (Part Y); to amend chapter 565 of the laws of 2022 amending
the state finance law relating to preferred source status for entities
that provide employment to certain persons, in relation to the effec-
tiveness thereof (Part Z); to amend part NN of chapter 58 of the laws
of 2015, amending the mental hygiene law relating to clarifying the
authority of the commissioners in the department of mental hygiene to
design and implement time-limited demonstration programs, in relation
to the effectiveness thereof (Part AA); to amend part L of chapter 59
of the laws of 2016, amending the mental hygiene law relating to the
appointment of temporary operators for the continued operation of
programs and the provision of services for persons with serious mental
illness and/or developmental disabilities and/or chemical depend-
ence, in relation to the effectiveness thereof (Part BB); to amend
part A of chapter 56 of the laws of 2013, amending the social services
law and other laws relating to enacting the major components of legis-
lation necessary to implement the health and mental hygiene budget for
the 2013-2014 state fiscal year, in relation to the effectiveness of
certain provisions thereof (Part CC); to amend the mental hygiene law
and the public health law, in relation to adding homeless youth to the
definition of minors for the purpose of consent for certain treatment
(Part DD); to amend the mental hygiene law, in relation to involuntary
admission and assisted outpatient treatment (Part EE); and in relation
to establishing a targeted inflationary increase for designated
programs (Part FF)
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
S. 3007 5 A. 3007
Section 1. This act enacts into law major components of legislation
necessary to implement the state health and mental hygiene budget for
the 2025-2026 state fiscal year. Each component is wholly contained
within a Part identified as Parts A through FF. The effective date for
each particular provision contained within such Part is set forth in the
last section of such Part. Any provision in any section contained within
a Part, including the effective date of the Part, which makes a refer-
ence to a section "of this act", when used in connection with that
particular component, shall be deemed to mean and refer to the corre-
sponding section of the Part in which it is found. Section three of this
act sets forth the general effective date of this act.
PART A
Section 1. Paragraph (a) of subdivision 1 of section 92 of part H of
chapter 59 of the laws of 2011, amending the public health law and other
laws relating to general hospital reimbursement for annual rates, as
amended by section 1 of part A of chapter 57 of the laws of 2024, is
amended to read as follows:
(a) For state fiscal years 2011-12 through [2025-26] 2026-27, the
director of the budget, in consultation with the commissioner of health
referenced as "commissioner" for purposes of this section, shall assess
on a quarterly basis, as reflected in quarterly reports pursuant to
subdivision five of this section known and projected department of
health state funds medicaid expenditures by category of service and by
geographic regions, as defined by the commissioner.
§ 2. This act shall take effect immediately and shall be deemed to
have been in full force and effect on and after April 1, 2025.
PART B
Section 1. Subdivision 1-a of section 60 of part B of chapter 57 of
the laws of 2015, amending the social services law and other laws relat-
ing to supplemental rebates, as amended by section 10 of part BB of
chapter 56 of the laws of 2020, is amended to read as follows:
1-a. section fifty-two of this act shall expire and be deemed repealed
March 31, [2025] 2030;
§ 2. Section 3 of chapter 942 of the laws of 1983, relating to foster
family care demonstration programs, as amended by chapter 264 of the
laws of 2021, is amended to read as follows:
§ 3. This act shall take effect immediately and shall expire December
31, [2025] 2027.
§ 3. Section 3 of chapter 541 of the laws of 1984, relating to foster
family care demonstration programs, as amended by chapter 264 of the
laws of 2021, is amended to read as follows:
§ 3. This section and subdivision two of section two of this act shall
take effect immediately and the remaining provisions of this act shall
take effect on the one hundred twentieth day next thereafter. This act
shall expire December 31, [2025] 2027.
§ 4. Section 6 of chapter 256 of the laws of 1985, amending the social
services law and other laws relating to foster family care demonstration
programs, as amended by chapter 264 of the laws of 2021, is amended to
read as follows:
§ 6. This act shall take effect immediately and shall expire December
31, [2025] 2027 and upon such date the provisions of this act shall be
deemed to be repealed.
S. 3007 6 A. 3007
§ 5. The opening paragraph of paragraph (m) of subdivision 3 of
section 461-l of the social services law, as amended by section 1 of
part CC of chapter 57 of the laws of 2022, is amended to read as
follows:
Beginning April first, two thousand [twenty-five] TWENTY-SIX, addi-
tional assisted living program beds shall be approved on a case by case
basis whenever the commissioner of health is satisfied that public need
exists at the time and place and under circumstances proposed by the
applicant.
§ 6. Subdivision (f) of section 129 of part C of chapter 58 of the
laws of 2009, amending the public health law relating to payment by
governmental agencies for general hospital inpatient services, as
amended by section 2 of part CC of chapter 57 of the laws of 2022, is
amended to read as follows:
(f) section twenty-five of this act shall expire and be deemed
repealed April 1, [2025] 2028;
§ 7. Paragraph (a) of subdivision 1 of section 212 of chapter 474 of
the laws of 1996, amending the education law and other laws relating to
rates for residential healthcare facilities, as amended by section 4 of
part CC of chapter 57 of the laws of 2022, is amended to read as
follows:
(a) Notwithstanding any inconsistent provision of law or regulation to
the contrary, effective beginning August 1, 1996, for the period April
1, 1997 through March 31, 1998, April 1, 1998 for the period April 1,
1998 through March 31, 1999, August 1, 1999, for the period April 1,
1999 through March 31, 2000, April 1, 2000, for the period April 1, 2000
through March 31, 2001, April 1, 2001, for the period April 1, 2001
through March 31, 2002, April 1, 2002, for the period April 1, 2002
through March 31, 2003, and for the state fiscal year beginning April 1,
2005 through March 31, 2006, and for the state fiscal year beginning
April 1, 2006 through March 31, 2007, and for the state fiscal year
beginning April 1, 2007 through March 31, 2008, and for the state fiscal
year beginning April 1, 2008 through March 31, 2009, and for the state
fiscal year beginning April 1, 2009 through March 31, 2010, and for the
state fiscal year beginning April 1, 2010 through March 31, 2016, and
for the state fiscal year beginning April 1, 2016 through March 31,
2019, and for the state fiscal year beginning April 1, 2019 through
March 31, 2022, and for the state fiscal year beginning April 1, 2022
through March 31, 2025, AND FOR THE STATE FISCAL YEAR BEGINNING APRIL 1,
2025 THROUGH MARCH 31, 2028, the department of health is authorized to
pay public general hospitals, as defined in subdivision 10 of section
2801 of the public health law, operated by the state of New York or by
the state university of New York or by a county, which shall not include
a city with a population of over one million, of the state of New York,
and those public general hospitals located in the county of Westchester,
the county of Erie or the county of Nassau, additional payments for
inpatient hospital services as medical assistance payments pursuant to
title 11 of article 5 of the social services law for patients eligible
for federal financial participation under title XIX of the federal
social security act in medical assistance pursuant to the federal laws
and regulations governing disproportionate share payments to hospitals
up to one hundred percent of each such public general hospital's medical
assistance and uninsured patient losses after all other medical assist-
ance, including disproportionate share payments to such public general
hospital for 1996, 1997, 1998, and 1999, based initially for 1996 on
reported 1994 reconciled data as further reconciled to actual reported
S. 3007 7 A. 3007
1996 reconciled data, and for 1997 based initially on reported 1995
reconciled data as further reconciled to actual reported 1997 reconciled
data, for 1998 based initially on reported 1995 reconciled data as
further reconciled to actual reported 1998 reconciled data, for 1999
based initially on reported 1995 reconciled data as further reconciled
to actual reported 1999 reconciled data, for 2000 based initially on
reported 1995 reconciled data as further reconciled to actual reported
2000 data, for 2001 based initially on reported 1995 reconciled data as
further reconciled to actual reported 2001 data, for 2002 based initial-
ly on reported 2000 reconciled data as further reconciled to actual
reported 2002 data, and for state fiscal years beginning on April 1,
2005, based initially on reported 2000 reconciled data as further recon-
ciled to actual reported data for 2005, and for state fiscal years
beginning on April 1, 2006, based initially on reported 2000 reconciled
data as further reconciled to actual reported data for 2006, for state
fiscal years beginning on and after April 1, 2007 through March 31,
2009, based initially on reported 2000 reconciled data as further recon-
ciled to actual reported data for 2007 and 2008, respectively, for state
fiscal years beginning on and after April 1, 2009, based initially on
reported 2007 reconciled data, adjusted for authorized Medicaid rate
changes applicable to the state fiscal year, and as further reconciled
to actual reported data for 2009, for state fiscal years beginning on
and after April 1, 2010, based initially on reported reconciled data
from the base year two years prior to the payment year, adjusted for
authorized Medicaid rate changes applicable to the state fiscal year,
and further reconciled to actual reported data from such payment year,
and to actual reported data for each respective succeeding year. The
payments may be added to rates of payment or made as aggregate payments
to an eligible public general hospital.
§ 8. Section 2 of chapter 137 of the laws of 2023, amending the public
health law relating to establishing a community-based paramedicine
demonstration program, is amended to read as follows:
§ 2. This act shall take effect immediately and shall expire and be
deemed repealed [2] 4 years after such date; provided, however, that if
this act shall have become a law on or after May 22, 2023 this act shall
take effect immediately and shall be deemed to have been in full force
and effect on and after May 22, 2023.
§ 9. Subdivision 12 of section 246 of chapter 81 of the laws of 1995,
amending the public health law and other laws relating to medical
reimbursement and welfare reform, as amended by chapter 161 of the laws
of 2023, is amended to read as follows:
12. Sections one hundred five-b through one hundred five-f of this act
shall expire June 30, [2025] 2027.
§ 10. Section 2 of subpart B of part FFF of chapter 59 of the laws of
2018, amending the public health law relating to authorizing the commis-
sioner of health to redeploy excess reserves of certain not-for-profit
managed care organizations, as amended by chapter 197 of the laws of
2023, is amended to read as follows:
§ 2. This act shall take effect August 1, 2018 and shall expire and be
deemed repealed August 1, [2025] 2027, but, shall not apply to any enti-
ty or any subsidiary or affiliate of such entity that disposes of all or
a material portion of its assets pursuant to a transaction that: (1) was
the subject of a request for regulatory approval first made to the
commissioner of health between January 1, 2017, and December 31, 2017;
and (2) receives regulatory approval from the commissioner of health
prior to July 31, 2018.
S. 3007 8 A. 3007
§ 11. Subdivision 1 of section 20 of chapter 451 of the laws of 2007,
amending the public health law, the social services law and the insur-
ance law relating to providing enhanced consumer and provider
protections, as amended by section 1 of part B of chapter 57 of the laws
of 2023, is amended to read as follows:
1. sections four, eleven and thirteen of this act shall take effect
immediately and shall expire and be deemed repealed June 30, [2025]
2027;
§ 12. Paragraph (b) of subdivision 17 of section 2808 of the public
health law, as amended by section 12 of part B of chapter 57 of the laws
of 2023, is amended to read as follows:
(b) Notwithstanding any inconsistent provision of law or regulation to
the contrary, for the state fiscal years beginning April first, two
thousand ten [and ending March thirty-first, two thousand twenty-five],
the commissioner shall not be required to revise certified rates of
payment established pursuant to this article [for rate periods prior to
April first, two thousand twenty-five], based on consideration of rate
appeals filed by residential health care facilities or based upon
adjustments to capital cost reimbursement as a result of approval by the
commissioner of an application for construction under section twenty-
eight hundred two of this article, in excess of an aggregate annual
amount of eighty million dollars for each such state fiscal year
provided, however, that for the period April first, two thousand eleven
through March thirty-first, two thousand twelve such aggregate annual
amount shall be fifty million dollars. In revising such rates within
such fiscal limit, the commissioner shall, in prioritizing such rate
appeals, include consideration of which facilities the commissioner
determines are facing significant financial hardship as well as such
other considerations as the commissioner deems appropriate and, further,
the commissioner is authorized to enter into agreements with such facil-
ities or any other facility to resolve multiple pending rate appeals
based upon a negotiated aggregate amount and may offset such negotiated
aggregate amounts against any amounts owed by the facility to the
department, including, but not limited to, amounts owed pursuant to
section twenty-eight hundred seven-d of this article; provided, however,
that the commissioner's authority to negotiate such agreements resolving
multiple pending rate appeals as hereinbefore described shall continue
[on and after April first, two thousand twenty-five]. Rate adjustments
made pursuant to this paragraph remain fully subject to approval by the
director of the budget in accordance with the provisions of subdivision
two of section twenty-eight hundred seven of this article.
§ 13. Paragraph (a) of subdivision 13 of section 3614 of the public
health law, as amended by section 13 of part B of chapter 57 of the laws
of 2023, is amended to read as follows:
(a) Notwithstanding any inconsistent provision of law or regulation
and subject to the availability of federal financial participation,
effective April first, two thousand twelve [through March thirty-first,
two thousand twenty-five] AND THEREAFTER, payments by government agen-
cies for services provided by certified home health agencies, except for
such services provided to children under eighteen years of age and other
discreet groups as may be determined by the commissioner pursuant to
regulations, shall be based on episodic payments. In establishing such
payments, a statewide base price shall be established for each sixty day
episode of care and adjusted by a regional wage index factor and an
individual patient case mix index. Such episodic payments may be further
adjusted for low utilization cases and to reflect a percentage limita-
S. 3007 9 A. 3007
tion of the cost for high-utilization cases that exceed outlier thresh-
olds of such payments.
§ 14. Subdivision 4-a of section 71 of part C of chapter 60 of the
laws of 2014, amending the social services law relating to fair hearings
within the Fully Integrated Duals Advantage program, as amended by
section 27 of part B of chapter 57 of the laws of 2023, is amended to
read as follows:
4-a. section twenty-two of this act shall take effect April 1, 2014,
and shall be deemed expired January 1, [2026] 2028;
§ 15. Section 11 of chapter 884 of the laws of 1990, amending the
public health law relating to authorizing bad debt and charity care
allowances for certified home health agencies, as amended by section 29
of part B of chapter 57 of the laws of 2023, is amended to read as
follows:
§ 11. This act shall take effect immediately and:
(a) sections one and three shall expire on December 31, 1996, AND
(b) [sections four through ten shall expire on June 30, 2025, and
(c)] provided that the amendment to section 2807-b of the public
health law by section two of this act shall not affect the expiration of
such section 2807-b as otherwise provided by law and shall be deemed to
expire therewith.
§ 16. Subdivision 5-a of section 246 of chapter 81 of the laws of
1995, amending the public health law and other laws relating to medical
reimbursement and welfare reform, as amended by section 30 of part B of
chapter 57 of the laws of 2023, is amended to read as follows:
5-a. Section sixty-four-a of this act shall be deemed to have been in
full force and effect on and after April 1, 1995 through March 31, 1999
and on and after July 1, 1999 through March 31, 2000 and on and after
April 1, 2000 through March 31, 2003 and on and after April 1, 2003
through March 31, 2007, and on and after April 1, 2007 through March 31,
2009, and on and after April 1, 2009 through March 31, 2011, and on and
after April 1, 2011 through March 31, 2013, and on and after April 1,
2013 through March 31, 2015, and on and after April 1, 2015 through
March 31, 2017 and on and after April 1, 2017 through March 31, 2019,
and on and after April 1, 2019 through March 31, 2021, and on and after
April 1, 2021 through March 31, 2023, and on and after April 1, 2023
through March 31, 2025, AND THEREAFTER;
§ 17. Section 64-b of chapter 81 of the laws of 1995, amending the
public health law and other laws relating to medical reimbursement and
welfare reform, as amended by section 31 of part B of chapter 57 of the
laws of 2023, is amended to read as follows:
§ 64-b. Notwithstanding any inconsistent provision of law, the
provisions of subdivision 7 of section 3614 of the public health law, as
amended, shall remain and be in full force and effect on April 1, 1995
through March 31, 1999 and on July 1, 1999 through March 31, 2000 and on
and after April 1, 2000 through March 31, 2003 and on and after April 1,
2003 through March 31, 2007, and on and after April 1, 2007 through
March 31, 2009, and on and after April 1, 2009 through March 31, 2011,
and on and after April 1, 2011 through March 31, 2013, and on and after
April 1, 2013 through March 31, 2015, and on and after April 1, 2015
through March 31, 2017 and on and after April 1, 2017 through March 31,
2019, and on and after April 1, 2019 through March 31, 2021, and on and
after April 1, 2021 through March 31, 2023, and on and after April 1,
2023 through March 31, 2025, AND THEREAFTER.
§ 18. Section 4-a of part A of chapter 56 of the laws of 2013, amend-
ing chapter 59 of the laws of 2011 amending the public health law and
S. 3007 10 A. 3007
other laws relating to general hospital reimbursement for annual rates,
as amended by section 32 of part B of chapter 57 of the laws of 2023, is
amended to read as follows:
§ 4-a. Notwithstanding paragraph (c) of subdivision 10 of section
2807-c of the public health law, section 21 of chapter 1 of the laws of
1999, or any other contrary provision of law, in determining rates of
payments by state governmental agencies effective for services provided
on and after January 1, 2017 [through March 31, 2025] AND THEREAFTER,
for inpatient and outpatient services provided by general hospitals, for
inpatient services and adult day health care outpatient services
provided by residential health care facilities pursuant to article 28 of
the public health law, except for residential health care facilities or
units of such facilities providing services primarily to children under
twenty-one years of age, for home health care services provided pursuant
to article 36 of the public health law by certified home health agen-
cies, long term home health care programs and AIDS home care programs,
and for personal care services provided pursuant to section 365-a of the
social services law, the commissioner of health shall apply no greater
than zero trend factors attributable to the 2017, 2018, 2019, 2020,
2021, 2022, 2023, 2024 and 2025 calendar years AND THEREAFTER in accord-
ance with paragraph (c) of subdivision 10 of section 2807-c of the
public health law, provided, however, that such no greater than zero
trend factors attributable to such 2017, 2018, 2019, 2020, 2021, 2022,
2023, 2024 and 2025 calendar years AND THEREAFTER shall also be applied
to rates of payment provided on and after January 1, 2017 [through March
31, 2025] AND THEREAFTER for personal care services provided in those
local social services districts, including New York city, whose rates of
payment for such services are established by such local social services
districts pursuant to a rate-setting exemption issued by the commission-
er of health to such local social services districts in accordance with
applicable regulations; and provided further, however, that for rates of
payment for assisted living program services provided on and after Janu-
ary 1, 2017 [through March 31, 2025] AND THEREAFTER, such trend factors
attributable to the 2017, 2018, 2019, 2020, 2021, 2022, 2023, 2024 and
2025 calendar years AND THEREAFTER shall be established at no greater
than zero percent.
§ 19. Subdivision 2 of section 246 of chapter 81 of the laws of 1995,
amending the public health law and other laws relating to medical
reimbursement and welfare reform, as amended by section 33 of part B of
chapter 57 of the laws of 2023, is amended to read as follows:
2. Sections five, seven through nine, twelve through fourteen, and
eighteen of this act shall be deemed to have been in full force and
effect on and after April 1, 1995 through March 31, 1999 and on and
after July 1, 1999 through March 31, 2000 and on and after April 1, 2000
through March 31, 2003 and on and after April 1, 2003 through March 31,
2006 and on and after April 1, 2006 through March 31, 2007 and on and
after April 1, 2007 through March 31, 2009 and on and after April 1,
2009 through March 31, 2011 and sections twelve, thirteen and fourteen
of this act shall be deemed to be in full force and effect on and after
April 1, 2011 through March 31, 2015 and on and after April 1, 2015
through March 31, 2017 and on and after April 1, 2017 through March 31,
2019, and on and after April 1, 2019 through March 31, 2021, and on and
after April 1, 2021 through March 31, 2023, and on and after April 1,
2023 through March 31, 2025, AND THEREAFTER;
S. 3007 11 A. 3007
§ 20. Subparagraph (vi) of paragraph (b) of subdivision 2 of section
2807-d of the public health law, as amended by section 34 of part B of
chapter 57 of the laws of 2023, is amended to read as follows:
(vi) Notwithstanding any contrary provision of this paragraph or any
other provision of law or regulation to the contrary, for residential
health care facilities the assessment shall be six percent of each resi-
dential health care facility's gross receipts received from all patient
care services and other operating income on a cash basis for the period
April first, two thousand two through March thirty-first, two thousand
three for hospital or health-related services, including adult day
services; provided, however, that residential health care facilities'
gross receipts attributable to payments received pursuant to title XVIII
of the federal social security act (medicare) shall be excluded from the
assessment; provided, however, that for all such gross receipts received
on or after April first, two thousand three through March thirty-first,
two thousand five, such assessment shall be five percent, and further
provided that for all such gross receipts received on or after April
first, two thousand five through March thirty-first, two thousand nine,
and on or after April first, two thousand nine through March thirty-
first, two thousand eleven such assessment shall be six percent, and
further provided that for all such gross receipts received on or after
April first, two thousand eleven through March thirty-first, two thou-
sand thirteen such assessment shall be six percent, and further provided
that for all such gross receipts received on or after April first, two
thousand thirteen through March thirty-first, two thousand fifteen such
assessment shall be six percent, and further provided that for all such
gross receipts received on or after April first, two thousand fifteen
through March thirty-first, two thousand seventeen such assessment shall
be six percent, and further provided that for all such gross receipts
received on or after April first, two thousand seventeen through March
thirty-first, two thousand nineteen such assessment shall be six
percent, and further provided that for all such gross receipts received
on or after April first, two thousand nineteen through March thirty-
first, two thousand twenty-one such assessment shall be six percent, and
further provided that for all such gross receipts received on or after
April first, two thousand twenty-one through March thirty-first, two
thousand twenty-three such assessment shall be six percent, and further
provided that for all such gross receipts received on or after April
first, two thousand twenty-three through March thirty-first, two thou-
sand twenty-five such assessment shall be six percent, AND FURTHER
PROVIDED THAT FOR ALL SUCH GROSS RECEIPTS RECEIVED ON OR AFTER APRIL
FIRST, TWO THOUSAND TWENTY-FIVE THROUGH MARCH THIRTY-FIRST, TWO THOUSAND
TWENTY-NINE SUCH ASSESSMENT SHALL BE SIX PERCENT.
§ 21. Section 3 of part MM of chapter 57 of the laws of 2021, amending
the public health law relating to aiding in the transition to adulthood
for children with medical fragility living in pediatric nursing homes
and other settings, as amended by section 35 of part B of chapter 57 of
the laws of 2023, is amended to read as follows:
§ 3. This act shall take effect on the one hundred twentieth day after
it shall have become a law; provided however, that section one of this
act shall expire and be deemed repealed [four] SIX years after such
effective date; and provided further, that section two of this act shall
expire and be deemed repealed [five] SEVEN years after such effective
date.
§ 22. Section 2 of chapter 633 of the laws of 2006, amending the
public health law relating to the home based primary care for the elder-
S. 3007 12 A. 3007
ly demonstration project, as amended by section 1 of item OOO of subpart
B of part XXX of chapter 58 of the laws of 2020, is amended to read as
follows:
§ 2. This act shall take effect immediately and shall expire and be
deemed repealed January 1, [2026] 2031.
§ 23. Section 4 of chapter 19 of the laws of 1998, amending the social
services law relating to limiting the method of payment for prescription
drugs under the medical assistance program, as amended by section 14 of
part B of chapter 57 of the laws of 2023, is amended to read as follows:
§ 4. This act shall take effect 120 days after it shall have become a
law [and shall expire and be deemed repealed March 31, 2025].
§ 24. Subdivisions (b) and (c) of section 8 of part BBB of chapter 56
of the laws of 2022, amending the public health law and other laws
relating to permitting the commissioner of health to submit a waiver
that expands eligibility for New York's basic health program and
increases the federal poverty limit cap for basic health program eligi-
bility from two hundred to two hundred fifty percent, as amended by
section 3 of part J of chapter 57 of the laws of 2024, are amended to
read as follows:
(b) section four of this act shall expire and be deemed repealed
December 31, [2025] 2030; provided, however, the amendments to paragraph
(c) of subdivision 1 of section 369-gg of the social services law made
by such section of this act shall be subject to the expiration and
reversion of such paragraph pursuant to section 2 of part H of chapter
57 of the laws of 2021 when upon such date, the provisions of section
five of this act shall take effect; provided, however, the amendments to
such paragraph made by section five of this act shall expire and be
deemed repealed December 31, [2025] 2030;
(c) section six of this act shall take effect January 1, [2026] 2031;
provided, however, the amendments to paragraph (c) of subdivision 1 of
section 369-gg of the social services law made by such section of this
act shall be subject to the expiration and reversion of such paragraph
pursuant to section 2 of part H of chapter 57 of the laws of 2021 when
upon such date, the provisions of section seven of this act shall take
effect; and
§ 25. Subdivision 10 of section 365-a of the social services law, as
amended by section 1 of part QQ of chapter 57 of the laws of 2022, is
amended to read as follows:
10. The department of health shall establish or procure the services
of an independent assessor or assessors no later than October 1, 2022,
in a manner and schedule as determined by the commissioner of health, to
take over from local departments of social services, Medicaid Managed
Care providers, and Medicaid managed long term care plans performance of
assessments and reassessments required for determining individuals'
needs for personal care services, including as provided through the
consumer directed personal assistance program, and other services or
programs available pursuant to the state's medical assistance program as
determined by such commissioner for the purpose of improving efficiency,
quality, and reliability in assessment and to determine individuals'
eligibility for Medicaid managed long term care plans. Notwithstanding
the provisions of section one hundred sixty-three of the state finance
law, or sections one hundred forty-two and one hundred forty-three of
the economic development law, or any contrary provision of law,
contracts may be entered or the commissioner may amend and extend the
terms of a contract awarded prior to the effective date and entered into
to conduct enrollment broker and conflict-free evaluation services for
S. 3007 13 A. 3007
the Medicaid program, if such contract or contract amendment is for the
purpose of procuring such assessment services from an independent asses-
sor. Contracts entered into, amended, or extended pursuant to this
subdivision shall not remain in force beyond September 30, [2025] 2026.
§ 26. Section 20 of part MM of chapter 56 of the laws of 2020, direct-
ing the department of health to establish or procure the services of an
independent panel of clinical professionals and to develop and implement
a uniform task-based assessment tool, as amended by section 3 of part QQ
of chapter 57 of the laws of 2022, is amended to read as follows:
§ 20. The department of health shall establish or procure services of
an independent panel or panels of clinical professionals no later than
October 1, 2022, in a manner and schedule as determined by the commis-
sioner of health, to provide as appropriate independent physician or
other applicable clinician orders for personal care services, including
as provided through the consumer directed personal assistance program,
available pursuant to the state's medical assistance program and to
determine eligibility for the consumer directed personal assistance
program. Notwithstanding the provisions of section 163 of the state
finance law, or sections 142 and 143 of the economic development law, or
any contrary provision of law, contracts may be entered or the commis-
sioner of health may amend and extend the terms of a contract awarded
prior to the effective date and entered into to conduct enrollment
broker and conflict-free evaluation services for the Medicaid program,
if such contract or contract amendment is for the purpose of establish-
ing an independent panel or panels of clinical professionals as
described in this section. Contracts entered into, amended, or extended
pursuant to this section shall not remain in force beyond September 30,
[2025] 2026.
§ 27. This act shall take effect immediately and shall be deemed to
have been in full force and effect on and after April 1, 2025.
PART C
Section 1. Paragraph (b) of subdivision 3 of section 273 of the public
health law, as added by section 10 of part C of chapter 58 of the laws
of 2005, is amended to read as follows:
(b) In the event that the patient does not meet the criteria in para-
graph (a) of this subdivision, the prescriber may provide additional
information to the program to justify the use of a prescription drug
that is not on the preferred drug list. The program shall provide a
reasonable opportunity for a prescriber to reasonably present [his or
her] THE PRESCRIBER'S justification of prior authorization. [If, after
consultation with the program, the prescriber, in his or her reasonable
professional judgment, determines that] THE PROGRAM WILL CONSIDER THE
ADDITIONAL INFORMATION AND THE JUSTIFICATION PRESENTED TO DETERMINE
WHETHER the use of a prescription drug that is not on the preferred drug
list is warranted, AND the [prescriber's] PROGRAM'S determination shall
be final.
§ 2. Subdivisions 25 and 25-a of section 364-j of the social services
law are REPEALED.
§ 3. This act shall take effect January 1, 2026.
PART D
Section 1. The opening paragraph of subparagraph (i) of paragraph (i)
of subdivision 35 of section 2807-c of the public health law, as amended
S. 3007 14 A. 3007
by section 5 of part D of chapter 57 of the laws of 2024, is amended to
read as follows:
Notwithstanding any inconsistent provision of this subdivision or any
other contrary provision of law and subject to the availability of
federal financial participation, for each state fiscal year from July
first, two thousand ten through December thirty-first, two thousand
twenty-four; and for the calendar year January first, two thousand twen-
ty-five through December thirty-first, two thousand twenty-five[; and
for each calendar year thereafter], the commissioner shall make addi-
tional inpatient hospital payments up to the aggregate upper payment
limit for inpatient hospital services after all other medical assistance
payments, but not to exceed two hundred thirty-five million five hundred
thousand dollars for the period July first, two thousand ten through
March thirty-first, two thousand eleven, three hundred fourteen million
dollars for each state fiscal year beginning April first, two thousand
eleven, through March thirty-first, two thousand thirteen, and no less
than three hundred thirty-nine million dollars for each state fiscal
year until December thirty-first, two thousand twenty-four; and then
from calendar year January first, two thousand twenty-five through
December thirty-first, two thousand twenty-five[; and for each calendar
year thereafter], to general hospitals, other than major public general
hospitals, providing emergency room services and including safety net
hospitals, which shall, for the purpose of this paragraph, be defined as
having either: a Medicaid share of total inpatient hospital discharges
of at least thirty-five percent, including both fee-for-service and
managed care discharges for acute and exempt services; or a Medicaid
share of total discharges of at least thirty percent, including both
fee-for-service and managed care discharges for acute and exempt
services, and also providing obstetrical services. Eligibility to
receive such additional payments shall be based on data from the period
two years prior to the rate year, as reported on the institutional cost
report submitted to the department as of October first of the prior rate
year. Such payments shall be made as medical assistance payments for
fee-for-service inpatient hospital services pursuant to title eleven of
article five of the social services law for patients eligible for feder-
al financial participation under title XIX of the federal social securi-
ty act and in accordance with the following:
§ 2. Clause (A) of subparagraph (ii) of paragraph (b) of subdivision
5-d of section 2807-k of the public health law, as amended by section 1
of part E of chapter 57 of the laws of 2023, is amended to read as
follows:
(A) (1) one hundred thirty-nine million four hundred thousand dollars
shall be distributed as Medicaid Disproportionate Share Hospital ("DSH")
payments to major public general hospitals;
(2) FOR THE CALENDAR YEARS TWO THOUSAND TWENTY-FIVE AND THEREAFTER,
THE TOTAL DISTRIBUTIONS TO MAJOR PUBLIC GENERAL HOSPITALS SHALL BE
SUBJECT TO AN AGGREGATE REDUCTION OF ONE HUNDRED THIRTEEN MILLION FOUR
HUNDRED THOUSAND DOLLARS ANNUALLY, PROVIDED THAT GENERAL HOSPITALS OPER-
ATED BY THE NEW YORK CITY HEALTH AND HOSPITALS CORPORATION AS ESTAB-
LISHED BY CHAPTER ONE THOUSAND SIXTEEN OF THE LAWS OF NINETEEN HUNDRED
SIXTY-NINE, AS AMENDED, SHALL NOT RECEIVE DISTRIBUTIONS PURSUANT TO THIS
SUBDIVISION; and
§ 3. This act shall take effect immediately and shall be deemed to
have been in full force and effect on and after April 1, 2025.
PART E
S. 3007 15 A. 3007
Section 1. Section 602 of the financial services law, as added by
section 26 of part H of chapter 60 of the laws of 2014, is amended to
read as follows:
§ 602. Applicability. [(a)] This article shall not apply to health
care services, including emergency services, where physician fees are
subject to schedules or other monetary limitations under any other law,
including the workers' compensation law and article fifty-one of the
insurance law, and shall not preempt any such law. THIS ARTICLE ALSO
SHALL NOT APPLY TO HEALTH CARE SERVICES, INCLUDING EMERGENCY SERVICES,
SUBJECT TO MEDICAL ASSISTANCE PROGRAM COVERAGE PROVIDED PURSUANT TO
SECTION THREE HUNDRED SIXTY-FOUR-J OF THE SOCIAL SERVICES LAW.
§ 2. Subdivision 3 of section 364-j of the social services law is
amended by adding a new paragraph (d-4) to read as follows:
(D-4) NOTWITHSTANDING PARAGRAPH (A) OF THIS SUBDIVISION, THE FOLLOWING
MEDICAL ASSISTANCE RECIPIENTS SHALL NOT BE ELIGIBLE TO PARTICIPATE IN
THE MANAGED CARE PROGRAM AUTHORIZED BY THIS SECTION OR OTHER CARE COOR-
DINATION MODEL ESTABLISHED BY ARTICLE FORTY-FOUR OF THE PUBLIC HEALTH
LAW: ANY PERSON WHO IS PERMANENTLY PLACED IN A RESIDENTIAL HEALTH CARE
FACILITY FOR A CONSECUTIVE PERIOD OF THREE MONTHS OR MORE. HOWEVER,
NOTHING IN THIS PARAGRAPH SHOULD BE CONSTRUED TO APPLY TO ENROLLEES IN
THE MEDICAID ADVANTAGE PLUS PROGRAM, DEVELOPED TO ENROLL PERSONS IN
MANAGED LONG-TERM CARE WHO ARE NURSING HOME CERTIFIABLE AND WHO ARE
DUALLY ELIGIBLE PURSUANT TO SECTION FORTY-FOUR HUNDRED THREE-F OF THE
PUBLIC HEALTH LAW. IN IMPLEMENTING THIS PROVISION, THE DEPARTMENT SHALL
CONTINUE TO SUPPORT SERVICE DELIVERY AND OUTCOMES THAT RESULT IN COMMU-
NITY LIVING FOR ENROLLEES.
§ 3. Section 364-j of the social services law is amended by adding a
new subdivision 40 to read as follows:
40. (A) THE COMMISSIONER SHALL BE ENTITLED TO PENALIZE MANAGED CARE
PROVIDERS FOR FAILURE TO MEET THE CONTRACTUAL OBLIGATIONS AND PERFORM-
ANCE STANDARDS OF THE EXECUTED CONTRACT BETWEEN THE STATE AND A MANAGED
CARE PROVIDER IN PLACE AT THE TIME OF THE FAILURE.
(B) THE COMMISSIONER SHALL HAVE SOLE DISCRETION IN DETERMINING WHETHER
TO IMPOSE A PENALTY FOR NONCOMPLIANCE WITH ANY PROVISION OF SUCH
CONTRACT.
(C) (I) PENALTIES IMPOSED BY THIS SUBDIVISION AGAINST A MANAGED CARE
PROVIDER SHALL BE FROM TWO HUNDRED FIFTY DOLLARS UP TO TWENTY-FIVE THOU-
SAND DOLLARS PER VIOLATION DEPENDING ON THE SEVERITY OF THE NONCOMPLI-
ANCE AS DETERMINED BY THE COMMISSIONER.
(II) THE COMMISSIONER MAY ELECT, IN THEIR SOLE DISCRETION, TO ASSESS
PENALTIES IMPOSED BY THIS SECTION FROM, AND AS A SET OFF AGAINST,
PAYMENTS DUE TO THE MANAGED CARE PROVIDER, OR PAYMENTS THAT BECOMES DUE
ANY TIME AFTER THE ASSESSMENT OF PENALTIES. DEDUCTIONS MAY CONTINUE
UNTIL THE FULL AMOUNT OF THE NOTICED PENALTIES ARE PAID IN FULL.
(III) ALL PENALTIES IMPOSED BY THE COMMISSIONER PURSUANT TO THIS
SUBDIVISION SHALL BE PAID OUT OF THE ADMINISTRATIVE COSTS AND PROFITS OF
THE MANAGED CARE PROVIDER. THE MANAGED CARE PROVIDER SHALL NOT PASS THE
PENALTIES IMPOSED BY THE COMMISSIONER PURSUANT TO THIS SUBDIVISION
THROUGH TO ANY MEDICAL SERVICES PROVIDER AND/OR SUBCONTRACTOR.
(D) FOR THE PURPOSES OF THIS SUBDIVISION A VIOLATION SHALL MEAN A
DETERMINATION BY THE COMMISSIONER THAT THE MANAGED CARE PROVIDER FAILED
TO ACT AS REQUIRED UNDER THE CONTRACT BETWEEN THE STATE AND THE MANAGED
CARE PROVIDER IN PLACE AT THE TIME OF THE FAILURE, OR APPLICABLE FEDERAL
AND STATE STATUTES, RULES OR REGULATIONS GOVERNING MANAGED CARE PROVID-
ERS. EACH INSTANCE OF A MANAGED CARE PROVIDER FAILING TO FURNISH NECES-
SARY AND/OR REQUIRED MEDICAL SERVICES OR ITEMS TO EACH ENROLLEE SHALL BE
S. 3007 16 A. 3007
A SEPARATE VIOLATION AND EACH DAY THAT AN ONGOING VIOLATION CONTINUES
SHALL BE A SEPARATE VIOLATION.
(E) NO PENALTIES SHALL BE ASSESSED PURSUANT TO THIS SUBDIVISION WITH-
OUT PROVIDING AN OPPORTUNITY FOR A FORMAL HEARING CONDUCTED IN ACCORD-
ANCE WITH SECTION TWELVE-A OF THE PUBLIC HEALTH LAW.
(F) NOTHING IN THIS SUBDIVISION SHALL PROHIBIT THE IMPOSITION OF
DAMAGES, PENALTIES OR OTHER RELIEF, OTHERWISE AUTHORIZED BY LAW, INCLUD-
ING BUT NOT LIMITED TO CASES OF FRAUD, WASTE OR ABUSE.
(G) THE COMMISSIONER MAY PROMULGATE ANY REGULATIONS NECESSARY TO
IMPLEMENT THE PROVISIONS OF THIS SUBDIVISION.
§ 4. This act shall take effect immediately; provided, however, that
section one of this act shall apply to disputes filed with the super-
intendent of financial services pursuant to article six of the financial
services law on or after such effective date; provided further, howev-
er, that section two of this act is subject to federal financial partic-
ipation; and provided further, however, that the amendments to section
364-j of the social services law made by sections two and three of this
act shall not affect the repeal of such section and shall be deemed
repealed therewith.
PART F
Section 1. Section 2807-ff of the public health law, as added by
section 1 of part II of chapter 57 of the laws of 2024, is amended to
read as follows:
§ 2807-ff. New York managed care organization provider tax. 1. The
commissioner, subject to the approval of the director of the budget,
shall: apply for a waiver or waivers of the broad-based and uniformity
requirements related to the establishment of a New York managed care
organization provider tax (the "MCO provider tax") in order to secure
federal financial participation for the costs of the medical assistance
program; [issue regulations to implement the MCO provider tax;] and,
subject to approval by the centers for [medicare and medicaid] MEDICARE
AND MEDICAID services, impose the MCO provider tax as an assessment upon
insurers, health maintenance organizations, and managed care organiza-
tions (COLLECTIVELY REFERRED TO AS "HEALTH PLAN") offering the following
plans or products:
(a) Medical assistance program coverage provided by managed care
providers pursuant to section three hundred sixty-four-j of the social
services law;
(b) A child health insurance plan certified pursuant to section twen-
ty-five hundred eleven of this chapter;
(c) Essential plan coverage certified pursuant to section three
hundred sixty-nine-gg of the social services law;
(d) Coverage purchased on the New York insurance exchange established
pursuant to section two hundred sixty-eight-b of this chapter; or
(e) Any other comprehensive coverage subject to articles thirty-two,
forty-two and forty-three of the insurance law, or article forty-four of
this chapter.
2. The MCO provider tax shall comply with all relevant provisions of
federal laws, rules and regulations.
3. THE DEPARTMENT SHALL POST ON ITS WEBSITE THE MCO PROVIDER TAX
APPROVAL LETTER BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (THE
"APPROVAL LETTER").
4. A HEALTH PLAN, AS DEFINED IN SUBDIVISION ONE OF THIS SECTION, SHALL
PAY THE MCO PROVIDER TAX FOR EACH CALENDAR YEAR AS FOLLOWS:
S. 3007 17 A. 3007
(A) FOR MEDICAID MEMBER MONTHS BELOW TWO HUNDRED FIFTY THOUSAND MEMBER
MONTHS, A HEALTH PLAN SHALL PAY ONE HUNDRED TWENTY-SIX DOLLARS PER
MEMBER MONTH;
(B) FOR MEDICAID MEMBER MONTHS GREATER THAN OR EQUAL TO TWO HUNDRED
FIFTY THOUSAND MEMBER MONTHS BUT LESS THAN FIVE HUNDRED THOUSAND MEMBER
MONTHS, A HEALTH PLAN SHALL PAY EIGHTY-EIGHT DOLLARS PER MEMBER MONTH;
(C) FOR MEDICAID MEMBER MONTHS GREATER THAN OR EQUAL TO FIVE HUNDRED
THOUSAND MEMBER MONTHS, A HEALTH PLAN SHALL PAY TWENTY-FIVE DOLLARS PER
MEMBER MONTH;
(D) FOR ESSENTIAL PLAN MEMBER MONTHS LESS THAN TWO HUNDRED FIFTY THOU-
SAND MEMBER MONTHS, A HEALTH PLAN SHALL PAY THIRTEEN DOLLARS PER MEMBER
MONTH;
(E) FOR ESSENTIAL PLAN MEMBER MONTHS GREATER THAN OR EQUAL TO TWO
HUNDRED FIFTY THOUSAND MEMBER MONTHS, A HEALTH PLAN SHALL PAY SEVEN
DOLLARS PER MEMBER MONTH;
(F) FOR NON-ESSENTIAL PLAN NON-MEDICAID MEMBER MONTHS, CONSISTING OF
THE POPULATIONS COVERED BY THE PRODUCTS DESCRIBED IN PARAGRAPHS (B),
(D), AND (E) OF SUBDIVISION ONE OF THIS SECTION, LESS THAN TWO HUNDRED
FIFTY THOUSAND MEMBER MONTHS, A HEALTH PLAN SHALL PAY TWO DOLLARS PER
MEMBER MONTH; AND
(G) FOR NON-ESSENTIAL PLAN NON-MEDICAID MEMBER MONTHS GREATER THAN OR
EQUAL TO TWO HUNDRED FIFTY THOUSAND MEMBER MONTHS, A HEALTH PLAN SHALL
PAY ONE DOLLAR AND FIFTY CENTS PER MEMBER MONTH.
5. A HEALTH PLAN SHALL REMIT THE MCO PROVIDER TAX DUE PURSUANT TO THIS
SECTION TO THE COMMISSIONER OR THEIR DESIGNEE QUARTERLY OR AT A FREQUEN-
CY DEFINED BY THE COMMISSIONER.
6. FUNDS ACCUMULATED FROM THE MCO PROVIDER TAX, INCLUDING INTEREST AND
PENALTIES, SHALL BE DEPOSITED AND CREDITED BY THE COMMISSIONER, OR THE
COMMISSIONER'S DESIGNEE, TO THE HEALTHCARE STABILITY FUND ESTABLISHED IN
SECTION NINETY-NINE-SS OF THE STATE FINANCE LAW.
7. (A) EVERY HEALTH PLAN SUBJECT TO THE APPROVED MCO PROVIDER TAX
SHALL SUBMIT REPORTS IN A FORM PRESCRIBED BY THE COMMISSIONER TO ACCU-
RATELY DISCLOSE INFORMATION REQUIRED TO IMPLEMENT THIS SECTION.
(B) IF A HEALTH PLAN FAILS TO FILE REPORTS REQUIRED PURSUANT TO THIS
SUBDIVISION WITHIN SIXTY DAYS OF THE DATE SUCH REPORTS ARE DUE AND AFTER
NOTIFICATION OF SUCH REPORTING DELINQUENCY, THE COMMISSIONER MAY ASSESS
A CIVIL PENALTY OF UP TO TEN THOUSAND DOLLARS FOR EACH FAILURE;
PROVIDED, HOWEVER, THAT SUCH CIVIL PENALTY SHALL NOT BE IMPOSED IF THE
HEALTH PLAN DEMONSTRATES GOOD CAUSE FOR THE FAILURE TO TIMELY FILE SUCH
REPORTS.
8. (A) IF A PAYMENT MADE PURSUANT TO THIS SECTION IS NOT TIMELY,
INTEREST SHALL BE PAYABLE IN THE SAME RATE AND MANNER AS DEFINED IN
SUBDIVISION EIGHT OF SECTION TWENTY-EIGHT HUNDRED SEVEN-J OF THIS ARTI-
CLE.
(B) THE COMMISSIONER MAY WAIVE A PORTION OR ALL OF EITHER THE INTEREST
OR PENALTIES, OR BOTH, ASSESSED UNDER THIS SECTION IF THE COMMISSIONER
DETERMINES, IN THEIR SOLE DISCRETION, THAT THE HEALTH PLAN HAS DEMON-
STRATED THAT IMPOSITION OF THE FULL AMOUNT OF THE MCO PROVIDER TAX
PURSUANT TO THE TIMELINES APPLICABLE UNDER THE APPROVAL LETTER HAS A
HIGH LIKELIHOOD OF CREATING AN UNDUE FINANCIAL HARDSHIP FOR THE HEALTH
PLAN OR CREATES A SIGNIFICANT FINANCIAL DIFFICULTY IN PROVIDING NEEDED
SERVICES TO MEDICAID BENEFICIARIES. IN ADDITION, THE COMMISSIONER MAY
WAIVE A PORTION OR ALL OF EITHER THE INTEREST OR PENALTIES, OR BOTH,
ASSESSED UNDER THIS SECTION IF THE COMMISSIONER DETERMINES, IN THEIR
SOLE DISCRETION, THAT THE HEALTH PLAN DID NOT HAVE THE INFORMATION
NECESSARY FROM THE DEPARTMENT TO PAY THE TAX REQUIRED IN THIS SECTION.
S. 3007 18 A. 3007
WAIVER OF SOME OR ALL OF THE INTEREST OR PENALTIES PURSUANT TO THIS
SUBDIVISION SHALL BE CONDITIONED ON THE HEALTH PLAN'S AGREEMENT TO MAKE
MCO PROVIDER TAX PAYMENTS ON AN ALTERNATIVE SCHEDULE DEVELOPED BY THE
DEPARTMENT THAT TAKES INTO ACCOUNT THE FINANCIAL SITUATION OF THE HEALTH
PLAN AND THE POTENTIAL IMPACT ON THE DELIVERY OF SERVICES TO MEDICAID
BENEFICIARIES.
(C) OVERPAYMENT BY OR ON BEHALF OF A HEALTH PLAN OF A PAYMENT SHALL BE
APPLIED TO ANY OTHER PAYMENT DUE FROM THE HEALTH PLAN PURSUANT TO THIS
SECTION, OR, IF NO PAYMENT IS DUE, AT THE ELECTION OF THE HEALTH PLAN,
SHALL BE APPLIED TO FUTURE PAYMENTS OR REFUNDED TO THE HEALTH PLAN.
INTEREST SHALL BE PAID ON OVERPAYMENTS FROM THE DATE OF OVERPAYMENT TO
THE DATE OF CREDITING OR REFUNDING AT THE RATE DETERMINED IN ACCORDANCE
WITH THIS SUBDIVISION ONLY IF THE OVERPAYMENT WAS MADE AT THE DIRECTION
OF THE COMMISSIONER. INTEREST UNDER THIS PARAGRAPH SHALL NOT BE PAID IF
THE AMOUNT THEREOF IS LESS THAN ONE DOLLAR.
9. PAYMENTS AND REPORTS SUBMITTED OR REQUIRED TO BE SUBMITTED TO THE
COMMISSIONER PURSUANT TO THIS SECTION BY A HEALTH PLAN SHALL BE SUBJECT
TO AUDIT BY THE COMMISSIONER FOR A PERIOD OF SIX YEARS FOLLOWING THE
CLOSE OF THE CALENDAR YEAR IN WHICH SUCH PAYMENTS AND REPORTS ARE DUE,
AFTER WHICH SUCH PAYMENTS SHALL BE DEEMED FINAL AND NOT SUBJECT TO
FURTHER ADJUSTMENT OR RECONCILIATION, INCLUDING THROUGH OFFSET ADJUST-
MENTS OR RECONCILIATIONS MADE BY A HEALTH PLAN; PROVIDED, HOWEVER, THAT
NOTHING IN THIS SECTION SHALL BE CONSTRUED AS PRECLUDING THE COMMISSION-
ER FROM PURSUING COLLECTION OF ANY SUCH PAYMENTS WHICH ARE IDENTIFIED AS
DELINQUENT WITHIN SUCH SIX-YEAR PERIOD, OR WHICH ARE IDENTIFIED AS
DELINQUENT AS A RESULT OF AN AUDIT COMMENCED WITHIN SUCH SIX-YEAR PERI-
OD, OR FROM CONDUCTING AN AUDIT OF ANY ADJUSTMENT OR RECONCILIATION MADE
BY A HEALTH PLAN, OR FROM CONDUCTING AN AUDIT OF PAYMENTS MADE PRIOR TO
SUCH SIX-YEAR PERIOD WHICH ARE FOUND TO BE COMMINGLED WITH PAYMENTS
WHICH ARE OTHERWISE SUBJECT TO TIMELY AUDIT PURSUANT TO THIS SECTION.
10. IN THE EVENT OF A MERGER, ACQUISITION, ESTABLISHMENT, OR ANY OTHER
SIMILAR TRANSACTION THAT RESULTS IN THE TRANSFER OF HEALTH PLAN RESPON-
SIBILITY FOR ALL ENROLLEES UNDER THIS SECTION FROM A HEALTH PLAN TO
ANOTHER HEALTH PLAN OR SIMILAR ENTITY, AND THAT OCCURS AT ANY TIME
DURING WHICH THIS SECTION IS EFFECTIVE, THE RESULTANT HEALTH PLAN OR
SIMILAR ENTITY SHALL BE RESPONSIBLE FOR PAYING THE FULL TAX AMOUNT AS
PROVIDED IN THIS SECTION THAT WOULD HAVE BEEN THE RESPONSIBILITY OF THE
HEALTH PLAN TO WHICH THAT FULL TAX AMOUNT WAS ASSESSED UPON THE EFFEC-
TIVE DATE OF ANY SUCH TRANSACTION. IF A MERGER, ACQUISITION, ESTABLISH-
MENT, OR ANY OTHER SIMILAR TRANSACTION RESULTS IN THE TRANSFER OF HEALTH
PLAN RESPONSIBILITY FOR ONLY SOME OF A HEALTH PLAN'S ENROLLEES UNDER
THIS SECTION BUT NOT ALL ENROLLEES, THE FULL TAX AMOUNT AS PROVIDED IN
THIS SECTION SHALL REMAIN THE RESPONSIBILITY OF THAT HEALTH PLAN TO
WHICH THAT FULL TAX AMOUNT WAS ASSESSED.
§ 2. Section 99-rr of the state finance law, as added by section 2 of
part II of chapter 57 of the laws of 2024, is renumbered section 99-ss
and is amended to read to as follows:
§ 99-ss. Healthcare stability fund. 1. There is hereby established in
the joint custody of the state comptroller and the commissioner of taxa-
tion and finance a special fund to be known as the "healthcare stability
fund" ("fund").
2. (A) The fund shall consist of monies received from the imposition
of the centers for medicare and medicaid services-approved MCO provider
tax established pursuant to section twenty-eight hundred seven-ff of the
public health law, and all other monies appropriated, credited, or
transferred thereto from any other fund or source pursuant to law.
S. 3007 19 A. 3007
(B) THE POOL ADMINISTRATOR UNDER CONTRACT WITH THE COMMISSIONER OF
HEALTH PURSUANT TO SECTION TWENTY-EIGHT HUNDRED SEVEN-Y OF THE PUBLIC
HEALTH LAW SHALL COLLECT MONEYS REQUIRED TO BE COLLECTED AS A RESULT OF
THE IMPLEMENTATION OF THE MCO PROVIDER TAX.
3. Notwithstanding any provision of law to the contrary and subject to
available legislative appropriation and approval of the director of the
budget, monies of the fund may be available [for] TO THE DEPARTMENT OF
HEALTH FOR THE PURPOSE OF:
(a) funding the non-federal share of increased capitation payments to
managed care providers, as defined in section three hundred sixty-four-j
of the social services law, for the medical assistance program, pursuant
to a plan developed and approved by the director of the budget;
(b) funding the non-federal share of the medical assistance program,
including supplemental support for the delivery of health care services
to medical assistance program enrollees and quality incentive programs;
(c) reimbursement to the general fund for expenditures incurred in the
medical assistance program, including, but not limited to, reimbursement
pursuant to a savings allocation plan established in accordance with
section ninety-two of part H of chapter fifty-nine of the laws of two
thousand eleven, as amended; and
(d) transfer to the capital projects fund, or any other capital
projects fund of the state to support the delivery of health care
services.
4. THE MONIES SHALL BE PAID OUT OF THE FUND ON THE AUDIT AND WARRANT
OF THE COMPTROLLER ON VOUCHERS CERTIFIED OR APPROVED BY THE COMMISSIONER
OF HEALTH, OR BY AN OFFICER OR EMPLOYEE OF THE DEPARTMENT OF HEALTH
DESIGNATED BY THE COMMISSIONER.
[4] 5. Monies disbursed from the fund shall be exempt from the calcu-
lation of department of health state funds medicaid expenditures under
subdivision one of section ninety-two of part H of chapter fifty-nine of
the laws of two thousand eleven, as amended.
[5] 6. Monies in such fund shall be kept separate from and shall not
be commingled with any other monies in the custody of the comptroller or
the commissioner of taxation and finance. Any monies of the fund not
required for immediate use may, at the discretion of the comptroller, in
consultation with the director of the budget, be invested by the comp-
troller in obligations of the United States or the state. Any income
earned by the investment of such monies shall be added to and become a
part of and shall be used for the purposes of such fund.
[6] 7. The director of the budget shall provide quarterly reports to
the speaker of the assembly, the temporary president of the senate, the
chair of the senate finance committee and the chair of the assembly ways
and means committee, on the receipts and distributions of the healthcare
stability fund, including an itemization of such receipts and disburse-
ments, the historical and projected expenditures, and the projected fund
balance.
8. THE COMPTROLLER SHALL PROVIDE THE POOL ADMINISTRATOR WITH ANY
INFORMATION NEEDED, IN A FORM OR FORMAT PRESCRIBED BY THE POOL ADMINIS-
TRATOR, TO MEET REPORTING REQUIREMENTS AS SET FORTH IN SECTION TWENTY-
EIGHT HUNDRED SEVEN-Y OF THE PUBLIC HEALTH LAW OR AS OTHERWISE PROVIDED
BY LAW.
§ 3. Section 1-a of part I of chapter 57 of the laws of 2022 providing
a one percent across the board payment increase to all qualifying fee-
for-service Medicaid rates, as amended by section 1 of part NN of chap-
ter 57 of the laws of 2024, is amended to read as follows:
S. 3007 20 A. 3007
§ 1-a. Notwithstanding any provision of law to the contrary, for the
state fiscal years beginning April 1, 2023, and thereafter, Medicaid
payments made for the operating component of hospital inpatient services
shall be subject to a uniform rate increase of seven and one-half
percent in addition to the increase contained in section one of this
act, subject to the approval of the commissioner of health and the
director of the budget. Notwithstanding any provision of law to the
contrary, for the state fiscal years beginning April 1, 2023, and there-
after, Medicaid payments made for the operating component of hospital
outpatient services shall be subject to a uniform rate increase of six
and one-half percent in addition to the increase contained in section
one of this act, subject to the approval of the commissioner of health
and the director of the budget. Notwithstanding any provision of law to
the contrary, for the period April 1, 2024 through March 31, 2025 Medi-
caid payments made for hospital services shall be increased by an aggre-
gate amount of up to $525,000,000 in addition to the increase contained
in sections one and one-b of this act subject to the approval of the
commissioner of health and the director of the budget. NOTWITHSTANDING
ANY PROVISION OF LAW TO THE CONTRARY, FOR THE STATE FISCAL YEARS BEGIN-
NING APRIL 1, 2025, AND THEREAFTER, MEDICAID PAYMENTS MADE FOR THE OPER-
ATING COMPONENT OF HOSPITAL OUTPATIENT SERVICES SHALL BE SUBJECT TO A
UNIFORM RATE INCREASE PURSUANT TO A PLAN APPROVED BY THE DIRECTOR OF THE
BUDGET IN ADDITION TO THE APPLICABLE INCREASE CONTAINED IN SECTION ONE
OF THIS ACT AND THIS SECTION, SUBJECT TO THE APPROVAL OF THE COMMISSION-
ER OF HEALTH AND THE DIRECTOR OF THE BUDGET. NOTWITHSTANDING ANY
PROVISION OF LAW TO THE CONTRARY, FOR THE PERIOD APRIL 1, 2025, AND
THEREAFTER, MEDICAID PAYMENTS MADE FOR HOSPITAL SERVICES SHALL BE
INCREASED BY AN AGGREGATE AMOUNT OF UP TO $425,000,000 IN ADDITION TO
THE INCREASE CONTAINED IN SECTION ONE OF THIS ACT AND THIS SECTION,
SUBJECT TO THE APPROVAL OF THE COMMISSIONER OF HEALTH AND THE DIRECTOR
OF THE BUDGET. Such rate increases shall be subject to federal financial
participation AND THE PROVISIONS ESTABLISHED UNDER SECTION ONE-F OF THIS
ACT.
§ 4. Section 1-b of part I of chapter 57 of the laws of 2022 providing
a one percent across the board payment increase to all qualifying fee-
for-service Medicaid rates, as added by section 2 of part NN of chapter
57 of the laws of 2024, is amended to read as follows:
§ 1-b. Notwithstanding any provision of law to the contrary, for the
state fiscal years beginning April 1, 2023, and thereafter, Medicaid
payments made for the operating component of residential health care
facilities services shall be subject to a uniform rate increase of 6.5
percent in addition to the increase contained in subdivision 1 of
section 1 of this part, subject to the approval of the commissioner of
the department of health and the director of the division of the budget;
provided, however, that such Medicaid payments shall be subject to a
uniform rate increase of up to 7.5 percent in addition to the increase
contained in subdivision 1 of section 1 of this part contingent upon
approval of the commissioner of the department of health, the director
of the division of the budget, and the Centers for Medicare and Medicaid
Services. Notwithstanding any provision of law to the contrary, for the
period April 1, 2024 through March 31, 2025 Medicaid payments made for
nursing home services shall be increased by an aggregate amount of up to
$285,000,000 in addition to the increase contained in [sections] SECTION
one [and one-c] of this act AND THIS SECTION subject to the approval of
the commissioner of health and the director of the budget. Such rate
increases shall be subject to federal financial participation. NOTWITH-
S. 3007 21 A. 3007
STANDING ANY PROVISION OF LAW TO THE CONTRARY, FOR STATE FISCAL YEARS
BEGINNING APRIL 1, 2025, AND THEREAFTER MEDICAID PAYMENTS MADE FOR NURS-
ING HOME SERVICES SHALL BE INCREASED BY AN AGGREGATE AMOUNT OF UP TO
$385,000,000 IN ADDITION TO THE INCREASE CONTAINED IN SECTION ONE OF
THIS ACT AND THIS SECTION, SUBJECT TO THE APPROVAL OF THE COMMISSIONER
OF HEALTH AND THE DIRECTOR OF THE BUDGET. SUCH RATE INCREASES SHALL BE
SUBJECT TO FEDERAL FINANCIAL PARTICIPATION AND THE PROVISIONS ESTAB-
LISHED UNDER SECTION ONE-F OF THIS ACT.
§ 5. Sections 1-c and 1-d of part I of chapter 57 of the laws of 2022
providing a one percent across the board payment increase to all quali-
fying fee-for-service Medicaid rates, are renumbered sections 1-d and
1-e and a new section 1-c is added to read as follows:
§ 1-C. NOTWITHSTANDING ANY PROVISION OF LAW TO THE CONTRARY, FOR THE
PERIOD APRIL 1, 2025, AND THEREAFTER, MEDICAID PAYMENTS MADE FOR CLINIC
SERVICE PROVIDED BY FEDERALLY QUALIFIED HEALTH CENTERS AND DIAGNOSTIC
AND TREATMENT CENTERS SHALL BE INCREASED BY AN AGGREGATE AMOUNT OF UP TO
$20,000,000 IN ADDITION TO ANY APPLICABLE INCREASE CONTAINED IN SECTION
ONE OF THIS ACT SUBJECT TO THE APPROVAL OF THE COMMISSIONER OF HEALTH
AND THE DIRECTOR OF THE BUDGET. SUCH RATE INCREASES SHALL BE SUBJECT TO
FEDERAL FINANCIAL PARTICIPATION AND THE PROVISIONS ESTABLISHED UNDER
SECTION ONE-F OF THIS ACT.
§ 6. Section 1-d of part I of chapter 57 of the laws of 2022 providing
a one percent across the board payment increase to all qualifying fee-
for-service Medicaid rates, as amended by section 3 of part NN of chap-
ter 57 of the laws of 2024, and as renumbered by section five of this
act, is amended to read as follows:
§ 1-d. Notwithstanding any provision of law to the contrary, for the
state fiscal years beginning April 1, 2023, and thereafter, Medicaid
payments made for the operating component of assisted living programs as
defined by paragraph (a) of subdivision one of section 461-l of the
social services law shall be subject to a uniform rate increase of 6.5
percent in addition to the increase contained in section one of this
part, subject to the approval of the commissioner of the department of
health and the director of division of the budget. Notwithstanding any
provision of law to the contrary, for the period April 1, 2024 through
March 31, 2025, Medicaid payments for assisted living programs shall be
increased by up to $15,000,000 in addition to the increase contained in
this section subject to the approval of the commissioner of health and
the director of the budget. NOTWITHSTANDING ANY PROVISION OF LAW TO THE
CONTRARY, FOR THE STATE FISCAL YEARS BEGINNING ON APRIL 1, 2025 AND
THEREAFTER, MEDICAID PAYMENTS FOR ASSISTED LIVING PROGRAMS SHALL BE
INCREASED BY UP TO $15,000,000 IN ADDITION TO THE INCREASE CONTAINED IN
THIS SECTION SUBJECT TO THE APPROVAL OF THE COMMISSIONER OF HEALTH AND
THE DIRECTOR OF THE BUDGET. Such rate increases shall be subject to
federal financial participation AND THE PROVISIONS ESTABLISHED UNDER
SECTION ONE-F OF THIS ACT.
§ 7. Section 1-e of part I of chapter 57 of the laws of 2022 providing
a one percent across the board payment increase to all qualifying fee-
for-service Medicaid rates, as added by section 4 of part NN of chapter
57 of the laws of 2024, and as renumbered by section five of this act,
is amended and a new section 1-f is added to read as follows:
§ 1-e. Such increases as added by the chapter of the laws of 2024 that
added this section may take the form of increased rates of payment in
Medicaid fee-for-service and/or Medicaid managed care, lump sum
payments, or state directed payments under 42 CFR 438.6(c). Such rate
S. 3007 22 A. 3007
increases shall be subject to federal financial participation AND THE
PROVISIONS ESTABLISHED UNDER SECTION ONE-F OF THIS ACT.
§ 1-F. SUCH INCREASES AS ADDED BY THE CHAPTER OF THE LAWS OF 2025 THAT
ADDED THIS SECTION SHALL BE CONTINGENT UPON THE AVAILABILITY OF FUNDS
WITHIN THE HEALTHCARE STABILITY FUND ESTABLISHED BY SECTION 99-SS OF THE
STATE FINANCE LAW. UPON A DETERMINATION BY THE DIRECTOR OF THE BUDGET
THAT THE BALANCE OF SUCH FUND IS PROJECTED TO BE INSUFFICIENT TO SUPPORT
THE CONTINUATION OF SUCH INCREASES, THE COMMISSIONER OF HEALTH, SUBJECT
TO THE APPROVAL OF THE DIRECTOR OF THE BUDGET, SHALL TAKE STEPS NECES-
SARY TO SUSPEND OR TERMINATE SUCH INCREASES, UNTIL A DETERMINATION IS
MADE THAT THERE ARE SUFFICIENT BALANCES TO SUPPORT THESE INCREASES.
§ 8. This act shall take effect immediately; provided, however, that
sections three, four, five, six and seven of this act shall be deemed to
have been in full force and effect on and after April 1, 2025.
PART G
Section 1. Paragraph (a) of subdivision 1 of section 18 of chapter 266
of the laws of 1986, amending the civil practice law and rules and other
laws relating to malpractice and professional medical conduct, as
amended by section 1 of part K of chapter 57 of the laws of 2024, is
amended and a new subdivision 9 is added to read as follows:
(a) The superintendent of financial services and the commissioner of
health or their designee shall, from funds available in the hospital
excess liability pool created pursuant to subdivision 5 of this section,
purchase a policy or policies for excess insurance coverage, as author-
ized by paragraph 1 of subsection (e) of section 5502 of the insurance
law; or from an insurer, other than an insurer described in section 5502
of the insurance law, duly authorized to write such coverage and actual-
ly writing medical malpractice insurance in this state; or shall
purchase equivalent excess coverage in a form previously approved by the
superintendent of financial services for purposes of providing equiv-
alent excess coverage in accordance with section 19 of chapter 294 of
the laws of 1985, for medical or dental malpractice occurrences between
July 1, 1986 and June 30, 1987, between July 1, 1987 and June 30, 1988,
between July 1, 1988 and June 30, 1989, between July 1, 1989 and June
30, 1990, between July 1, 1990 and June 30, 1991, between July 1, 1991
and June 30, 1992, between July 1, 1992 and June 30, 1993, between July
1, 1993 and June 30, 1994, between July 1, 1994 and June 30, 1995,
between July 1, 1995 and June 30, 1996, between July 1, 1996 and June
30, 1997, between July 1, 1997 and June 30, 1998, between July 1, 1998
and June 30, 1999, between July 1, 1999 and June 30, 2000, between July
1, 2000 and June 30, 2001, between July 1, 2001 and June 30, 2002,
between July 1, 2002 and June 30, 2003, between July 1, 2003 and June
30, 2004, between July 1, 2004 and June 30, 2005, between July 1, 2005
and June 30, 2006, between July 1, 2006 and June 30, 2007, between July
1, 2007 and June 30, 2008, between July 1, 2008 and June 30, 2009,
between July 1, 2009 and June 30, 2010, between July 1, 2010 and June
30, 2011, between July 1, 2011 and June 30, 2012, between July 1, 2012
and June 30, 2013, between July 1, 2013 and June 30, 2014, between July
1, 2014 and June 30, 2015, between July 1, 2015 and June 30, 2016,
between July 1, 2016 and June 30, 2017, between July 1, 2017 and June
30, 2018, between July 1, 2018 and June 30, 2019, between July 1, 2019
and June 30, 2020, between July 1, 2020 and June 30, 2021, between July
1, 2021 and June 30, 2022, between July 1, 2022 and June 30, 2023,
between July 1, 2023 and June 30, 2024, [and] between July 1, 2024 and
S. 3007 23 A. 3007
June 30, 2025, AND BETWEEN JULY 1, 2025 AND JUNE 30, 2026 or reimburse
the hospital where the hospital purchases equivalent excess coverage as
defined in subparagraph (i) of paragraph (a) of subdivision 1-a of this
section for medical or dental malpractice occurrences between July 1,
1987 and June 30, 1988, between July 1, 1988 and June 30, 1989, between
July 1, 1989 and June 30, 1990, between July 1, 1990 and June 30, 1991,
between July 1, 1991 and June 30, 1992, between July 1, 1992 and June
30, 1993, between July 1, 1993 and June 30, 1994, between July 1, 1994
and June 30, 1995, between July 1, 1995 and June 30, 1996, between July
1, 1996 and June 30, 1997, between July 1, 1997 and June 30, 1998,
between July 1, 1998 and June 30, 1999, between July 1, 1999 and June
30, 2000, between July 1, 2000 and June 30, 2001, between July 1, 2001
and June 30, 2002, between July 1, 2002 and June 30, 2003, between July
1, 2003 and June 30, 2004, between July 1, 2004 and June 30, 2005,
between July 1, 2005 and June 30, 2006, between July 1, 2006 and June
30, 2007, between July 1, 2007 and June 30, 2008, between July 1, 2008
and June 30, 2009, between July 1, 2009 and June 30, 2010, between July
1, 2010 and June 30, 2011, between July 1, 2011 and June 30, 2012,
between July 1, 2012 and June 30, 2013, between July 1, 2013 and June
30, 2014, between July 1, 2014 and June 30, 2015, between July 1, 2015
and June 30, 2016, between July 1, 2016 and June 30, 2017, between July
1, 2017 and June 30, 2018, between July 1, 2018 and June 30, 2019,
between July 1, 2019 and June 30, 2020, between July 1, 2020 and June
30, 2021, between July 1, 2021 and June 30, 2022, between July 1, 2022
and June 30, 2023, between July 1, 2023 and June 30, 2024, [and] between
July 1, 2024 and June 30, 2025, AND BETWEEN JULY 1, 2025 AND JUNE 30,
2026 for physicians or dentists certified as eligible for each such
period or periods pursuant to subdivision 2 of this section by a general
hospital licensed pursuant to article 28 of the public health law;
provided that no single insurer shall write more than fifty percent of
the total excess premium for a given policy year; and provided, however,
that such eligible physicians or dentists must have in force an individ-
ual policy, from an insurer licensed in this state of primary malprac-
tice insurance coverage in amounts of no less than one million three
hundred thousand dollars for each claimant and three million nine
hundred thousand dollars for all claimants under that policy during the
period of such excess coverage for such occurrences or be endorsed as
additional insureds under a hospital professional liability policy which
is offered through a voluntary attending physician ("channeling")
program previously permitted by the superintendent of financial services
during the period of such excess coverage for such occurrences. During
such period, such policy for excess coverage or such equivalent excess
coverage shall, when combined with the physician's or dentist's primary
malpractice insurance coverage or coverage provided through a voluntary
attending physician ("channeling") program, total an aggregate level of
two million three hundred thousand dollars for each claimant and six
million nine hundred thousand dollars for all claimants from all such
policies with respect to occurrences in each of such years provided,
however, if the cost of primary malpractice insurance coverage in excess
of one million dollars, but below the excess medical malpractice insur-
ance coverage provided pursuant to this act, exceeds the rate of nine
percent per annum, then the required level of primary malpractice insur-
ance coverage in excess of one million dollars for each claimant shall
be in an amount of not less than the dollar amount of such coverage
available at nine percent per annum; the required level of such coverage
for all claimants under that policy shall be in an amount not less than
S. 3007 24 A. 3007
three times the dollar amount of coverage for each claimant; and excess
coverage, when combined with such primary malpractice insurance cover-
age, shall increase the aggregate level for each claimant by one million
dollars and three million dollars for all claimants; and provided
further, that, with respect to policies of primary medical malpractice
coverage that include occurrences between April 1, 2002 and June 30,
2002, such requirement that coverage be in amounts no less than one
million three hundred thousand dollars for each claimant and three
million nine hundred thousand dollars for all claimants for such occur-
rences shall be effective April 1, 2002.
(9) THIS SUBDIVISION SHALL APPLY ONLY TO EXCESS INSURANCE COVERAGE OR
EQUIVALENT EXCESS COVERAGE FOR PHYSICIANS OR DENTISTS THAT IS ELIGIBLE
TO BE PAID FOR FROM FUNDS AVAILABLE IN THE HOSPITAL EXCESS LIABILITY
POOL.
(A) NOTWITHSTANDING ANY LAW TO THE CONTRARY, FOR ANY POLICY PERIOD
BEGINNING ON OR AFTER JULY 1, 2024, EXCESS COVERAGE SHALL BE PURCHASED
BY A PHYSICIAN OR DENTIST DIRECTLY FROM A PROVIDER OF EXCESS INSURANCE
COVERAGE OR EQUIVALENT EXCESS COVERAGE. AT THE CONCLUSION OF THE POLICY
PERIOD THE SUPERINTENDENT OF FINANCIAL SERVICES AND THE COMMISSIONER OF
HEALTH OR THEIR DESIGNEE SHALL, FROM FUNDS AVAILABLE IN THE HOSPITAL
EXCESS LIABILITY POOL CREATED PURSUANT TO SUBDIVISION 5 OF THIS SECTION,
PAY FIFTY PERCENT OF THE PREMIUM TO THE PROVIDER OF EXCESS INSURANCE
COVERAGE OR EQUIVALENT EXCESS COVERAGE, AND THE REMAINING FIFTY PERCENT
SHALL BE PAID ONE YEAR THEREAFTER.
(B) NOTWITHSTANDING ANY LAW TO THE CONTRARY, FOR ANY POLICY PERIOD
BEGINNING ON OR AFTER JULY 1, 2025, EXCESS COVERAGE SHALL BE PURCHASED
BY A PHYSICIAN OR DENTIST DIRECTLY FROM A PROVIDER OF EXCESS INSURANCE
COVERAGE OR EQUIVALENT EXCESS COVERAGE. SUCH PROVIDER OF EXCESS INSUR-
ANCE COVERAGE OR EQUIVALENT EXCESS COVERAGE SHALL BILL, IN A MANNER
CONSISTENT WITH PARAGRAPH (F) OF THIS SUBDIVISION, THE PHYSICIAN OR
DENTIST FOR AN AMOUNT EQUAL TO FIFTY PERCENT OF THE PREMIUM FOR SUCH
COVERAGE, AS ESTABLISHED PURSUANT TO PARAGRAPH (D) OF THIS SUBDIVISION,
DURING THE POLICY PERIOD. AT THE CONCLUSION OF THE POLICY PERIOD THE
SUPERINTENDENT OF FINANCIAL SERVICES AND THE COMMISSIONER OF HEALTH OR
THEIR DESIGNEE SHALL, FROM FUNDS AVAILABLE IN THE HOSPITAL EXCESS
LIABILITY POOL CREATED PURSUANT TO SUBDIVISION 5 OF THIS SECTION, PAY
HALF OF THE REMAINING FIFTY PERCENT OF THE PREMIUM TO THE PROVIDER OF
EXCESS INSURANCE COVERAGE OR EQUIVALENT EXCESS COVERAGE, AND THE REMAIN-
ING TWENTY-FIVE PERCENT SHALL BE PAID ONE YEAR THEREAFTER. IF THE FUNDS
AVAILABLE IN THE HOSPITAL EXCESS LIABILITY POOL ARE INSUFFICIENT TO MEET
THE PERCENT OF THE COSTS OF THE EXCESS COVERAGE, THE PROVISIONS OF
SUBDIVISION 8 OF THIS SECTION SHALL APPLY.
(C) IF AT THE CONCLUSION OF THE POLICY PERIOD, A PHYSICIAN OR DENTIST,
ELIGIBLE FOR EXCESS COVERAGE PAID FOR FROM FUNDS AVAILABLE IN THE HOSPI-
TAL EXCESS LIABILITY POOL, HAS FAILED TO PAY AN AMOUNT EQUAL TO FIFTY
PERCENT OF THE PREMIUM AS ESTABLISHED PURSUANT TO PARAGRAPH (D) OF THIS
SUBDIVISION, SUCH EXCESS COVERAGE SHALL BE CANCELLED AND SHALL BE NULL
AND VOID AS OF THE FIRST DAY ON OR AFTER THE COMMENCEMENT OF A POLICY
PERIOD WHERE THE LIABILITY FOR PAYMENT PURSUANT TO THIS SUBDIVISION HAS
NOT BEEN MET. THE PROVIDER OF EXCESS COVERAGE SHALL REMIT ANY PORTION OF
PREMIUM PAID BY THE ELIGIBLE PHYSICIAN OR DENTIST FOR SUCH A POLICY
PERIOD.
(D) THE SUPERINTENDENT OF FINANCIAL SERVICES SHALL ESTABLISH A RATE
CONSISTENT WITH SUBDIVISION 3 OF THIS SECTION THAT PROVIDERS OF EXCESS
INSURANCE COVERAGE OR EQUIVALENT EXCESS COVERAGE WILL CHARGE FOR SUCH
COVERAGE FOR EACH POLICY PERIOD. FOR THE POLICY PERIOD BEGINNING JULY 1,
S. 3007 25 A. 3007
2025, THE SUPERINTENDENT OF FINANCIAL SERVICES MAY DIRECT THAT THE
PREMIUM FOR THAT POLICY PERIOD BE THE SAME AS IT WAS FOR THE POLICY
PERIOD THAT CONCLUDED JUNE 30, 2024.
(E) NO PROVIDER OF EXCESS INSURANCE COVERAGE OR EQUIVALENT EXCESS
COVERAGE SHALL ISSUE EXCESS COVERAGE TO WHICH THIS SUBDIVISION APPLIES
TO ANY PHYSICIAN OR DENTIST UNLESS THAT PHYSICIAN OR DENTIST MEETS THE
ELIGIBILITY REQUIREMENTS FOR SUCH COVERAGE SET FORTH IN THIS SECTION.
THE SUPERINTENDENT OF FINANCIAL SERVICES AND THE COMMISSIONER OF HEALTH
OR THEIR DESIGNEE SHALL NOT MAKE ANY PAYMENT UNDER THIS SUBDIVISION TO A
PROVIDER OF EXCESS INSURANCE COVERAGE OR EQUIVALENT EXCESS COVERAGE FOR
EXCESS COVERAGE ISSUED TO A PHYSICIAN OR DENTIST WHO DOES NOT MEET THE
ELIGIBILITY REQUIREMENTS FOR PARTICIPATION IN THE HOSPITAL EXCESS
LIABILITY POOL PROGRAM SET FORTH IN THIS SECTION.
(F) A PROVIDER OF EXCESS INSURANCE COVERAGE OR EQUIVALENT COVERAGE
THAT ISSUES EXCESS COVERAGE UNDER THIS SUBDIVISION SHALL BILL THE PHYSI-
CIAN OR DENTIST FOR THE PORTION OF THE PREMIUM REQUIRED UNDER PARAGRAPH
(A) OF THIS SUBDIVISION IN TWELVE EQUAL MONTHLY INSTALLMENTS OR IN SUCH
OTHER MANNER AS THE PHYSICIAN OR DENTIST MAY AGREE.
(G) THE SUPERINTENDENT OF FINANCIAL SERVICES IN CONSULTATION WITH THE
COMMISSIONER OF HEALTH MAY PROMULGATE REGULATIONS GIVING EFFECT TO THE
PROVISIONS OF THIS SUBDIVISION.
§ 2. Subdivision 3 of section 18 of chapter 266 of the laws of 1986,
amending the civil practice law and rules and other laws relating to
malpractice and professional medical conduct, as amended by section 2 of
part K of chapter 57 of the laws of 2024, is amended to read as follows:
(3)(a) The superintendent of financial services shall determine and
certify to each general hospital and to the commissioner of health the
cost of excess malpractice insurance for medical or dental malpractice
occurrences between July 1, 1986 and June 30, 1987, between July 1, 1988
and June 30, 1989, between July 1, 1989 and June 30, 1990, between July
1, 1990 and June 30, 1991, between July 1, 1991 and June 30, 1992,
between July 1, 1992 and June 30, 1993, between July 1, 1993 and June
30, 1994, between July 1, 1994 and June 30, 1995, between July 1, 1995
and June 30, 1996, between July 1, 1996 and June 30, 1997, between July
1, 1997 and June 30, 1998, between July 1, 1998 and June 30, 1999,
between July 1, 1999 and June 30, 2000, between July 1, 2000 and June
30, 2001, between July 1, 2001 and June 30, 2002, between July 1, 2002
and June 30, 2003, between July 1, 2003 and June 30, 2004, between July
1, 2004 and June 30, 2005, between July 1, 2005 and June 30, 2006,
between July 1, 2006 and June 30, 2007, between July 1, 2007 and June
30, 2008, between July 1, 2008 and June 30, 2009, between July 1, 2009
and June 30, 2010, between July 1, 2010 and June 30, 2011, between July
1, 2011 and June 30, 2012, between July 1, 2012 and June 30, 2013,
between July 1, 2013 and June 30, 2014, between July 1, 2014 and June
30, 2015, between July 1, 2015 and June 30, 2016, between July 1, 2016
and June 30, 2017, between July 1, 2017 and June 30, 2018, between July
1, 2018 and June 30, 2019, between July 1, 2019 and June 30, 2020,
between July 1, 2020 and June 30, 2021, between July 1, 2021 and June
30, 2022, between July 1, 2022 and June 30, 2023, between July 1, 2023
and June 30, 2024, [and] between July 1, 2024 and June 30, 2025, AND
BETWEEN JULY 1, 2025 AND JUNE 30, 2026 allocable to each general hospi-
tal for physicians or dentists certified as eligible for purchase of a
policy for excess insurance coverage by such general hospital in accord-
ance with subdivision 2 of this section, and may amend such determi-
nation and certification as necessary.
S. 3007 26 A. 3007
(b) The superintendent of financial services shall determine and
certify to each general hospital and to the commissioner of health the
cost of excess malpractice insurance or equivalent excess coverage for
medical or dental malpractice occurrences between July 1, 1987 and June
30, 1988, between July 1, 1988 and June 30, 1989, between July 1, 1989
and June 30, 1990, between July 1, 1990 and June 30, 1991, between July
1, 1991 and June 30, 1992, between July 1, 1992 and June 30, 1993,
between July 1, 1993 and June 30, 1994, between July 1, 1994 and June
30, 1995, between July 1, 1995 and June 30, 1996, between July 1, 1996
and June 30, 1997, between July 1, 1997 and June 30, 1998, between July
1, 1998 and June 30, 1999, between July 1, 1999 and June 30, 2000,
between July 1, 2000 and June 30, 2001, between July 1, 2001 and June
30, 2002, between July 1, 2002 and June 30, 2003, between July 1, 2003
and June 30, 2004, between July 1, 2004 and June 30, 2005, between July
1, 2005 and June 30, 2006, between July 1, 2006 and June 30, 2007,
between July 1, 2007 and June 30, 2008, between July 1, 2008 and June
30, 2009, between July 1, 2009 and June 30, 2010, between July 1, 2010
and June 30, 2011, between July 1, 2011 and June 30, 2012, between July
1, 2012 and June 30, 2013, between July 1, 2013 and June 30, 2014,
between July 1, 2014 and June 30, 2015, between July 1, 2015 and June
30, 2016, between July 1, 2016 and June 30, 2017, between July 1, 2017
and June 30, 2018, between July 1, 2018 and June 30, 2019, between July
1, 2019 and June 30, 2020, between July 1, 2020 and June 30, 2021,
between July 1, 2021 and June 30, 2022, between July 1, 2022 and June
30, 2023, between July 1, 2023 and June 30, 2024, [and] between July 1,
2024 and June 30, 2025, AND BETWEEN JULY 1, 2025 AND JUNE 30, 2026 allo-
cable to each general hospital for physicians or dentists certified as
eligible for purchase of a policy for excess insurance coverage or
equivalent excess coverage by such general hospital in accordance with
subdivision 2 of this section, and may amend such determination and
certification as necessary. The superintendent of financial services
shall determine and certify to each general hospital and to the commis-
sioner of health the ratable share of such cost allocable to the period
July 1, 1987 to December 31, 1987, to the period January 1, 1988 to June
30, 1988, to the period July 1, 1988 to December 31, 1988, to the period
January 1, 1989 to June 30, 1989, to the period July 1, 1989 to December
31, 1989, to the period January 1, 1990 to June 30, 1990, to the period
July 1, 1990 to December 31, 1990, to the period January 1, 1991 to June
30, 1991, to the period July 1, 1991 to December 31, 1991, to the period
January 1, 1992 to June 30, 1992, to the period July 1, 1992 to December
31, 1992, to the period January 1, 1993 to June 30, 1993, to the period
July 1, 1993 to December 31, 1993, to the period January 1, 1994 to June
30, 1994, to the period July 1, 1994 to December 31, 1994, to the period
January 1, 1995 to June 30, 1995, to the period July 1, 1995 to December
31, 1995, to the period January 1, 1996 to June 30, 1996, to the period
July 1, 1996 to December 31, 1996, to the period January 1, 1997 to June
30, 1997, to the period July 1, 1997 to December 31, 1997, to the period
January 1, 1998 to June 30, 1998, to the period July 1, 1998 to December
31, 1998, to the period January 1, 1999 to June 30, 1999, to the period
July 1, 1999 to December 31, 1999, to the period January 1, 2000 to June
30, 2000, to the period July 1, 2000 to December 31, 2000, to the period
January 1, 2001 to June 30, 2001, to the period July 1, 2001 to June 30,
2002, to the period July 1, 2002 to June 30, 2003, to the period July 1,
2003 to June 30, 2004, to the period July 1, 2004 to June 30, 2005, to
the period July 1, 2005 and June 30, 2006, to the period July 1, 2006
and June 30, 2007, to the period July 1, 2007 and June 30, 2008, to the
S. 3007 27 A. 3007
period July 1, 2008 and June 30, 2009, to the period July 1, 2009 and
June 30, 2010, to the period July 1, 2010 and June 30, 2011, to the
period July 1, 2011 and June 30, 2012, to the period July 1, 2012 and
June 30, 2013, to the period July 1, 2013 and June 30, 2014, to the
period July 1, 2014 and June 30, 2015, to the period July 1, 2015 and
June 30, 2016, to the period July 1, 2016 and June 30, 2017, to the
period July 1, 2017 to June 30, 2018, to the period July 1, 2018 to June
30, 2019, to the period July 1, 2019 to June 30, 2020, to the period
July 1, 2020 to June 30, 2021, to the period July 1, 2021 to June 30,
2022, to the period July 1, 2022 to June 30, 2023, to the period July 1,
2023 to June 30, 2024, [and] to the period July 1, 2024 to June 30,
2025, AND TO THE PERIOD JULY 1, 2025 TO JUNE 30, 2026.
§ 3. Paragraphs (a), (b), (c), (d) and (e) of subdivision 8 of section
18 of chapter 266 of the laws of 1986, amending the civil practice law
and rules and other laws relating to malpractice and professional
medical conduct, as amended by section 3 of part K of chapter 57 of the
laws of 2024, are amended to read as follows:
(a) To the extent funds available to the hospital excess liability
pool pursuant to subdivision 5 of this section as amended, and pursuant
to section 6 of part J of chapter 63 of the laws of 2001, as may from
time to time be amended, which amended this subdivision, are insuffi-
cient to meet the costs of excess insurance coverage or equivalent
excess coverage for coverage periods during the period July 1, 1992 to
June 30, 1993, during the period July 1, 1993 to June 30, 1994, during
the period July 1, 1994 to June 30, 1995, during the period July 1, 1995
to June 30, 1996, during the period July 1, 1996 to June 30, 1997,
during the period July 1, 1997 to June 30, 1998, during the period July
1, 1998 to June 30, 1999, during the period July 1, 1999 to June 30,
2000, during the period July 1, 2000 to June 30, 2001, during the period
July 1, 2001 to October 29, 2001, during the period April 1, 2002 to
June 30, 2002, during the period July 1, 2002 to June 30, 2003, during
the period July 1, 2003 to June 30, 2004, during the period July 1, 2004
to June 30, 2005, during the period July 1, 2005 to June 30, 2006,
during the period July 1, 2006 to June 30, 2007, during the period July
1, 2007 to June 30, 2008, during the period July 1, 2008 to June 30,
2009, during the period July 1, 2009 to June 30, 2010, during the period
July 1, 2010 to June 30, 2011, during the period July 1, 2011 to June
30, 2012, during the period July 1, 2012 to June 30, 2013, during the
period July 1, 2013 to June 30, 2014, during the period July 1, 2014 to
June 30, 2015, during the period July 1, 2015 to June 30, 2016, during
the period July 1, 2016 to June 30, 2017, during the period July 1, 2017
to June 30, 2018, during the period July 1, 2018 to June 30, 2019,
during the period July 1, 2019 to June 30, 2020, during the period July
1, 2020 to June 30, 2021, during the period July 1, 2021 to June 30,
2022, during the period July 1, 2022 to June 30, 2023, during the period
July 1, 2023 to June 30, 2024, [and] during the period July 1, 2024 to
June 30, 2025, AND DURING THE PERIOD JULY 1, 2025 TO JUNE 30 2026 allo-
cated or reallocated in accordance with paragraph (a) of subdivision 4-a
of this section to rates of payment applicable to state governmental
agencies, each physician or dentist for whom a policy for excess insur-
ance coverage or equivalent excess coverage is purchased for such period
shall be responsible for payment to the provider of excess insurance
coverage or equivalent excess coverage of an allocable share of such
insufficiency, based on the ratio of the total cost of such coverage for
such physician to the sum of the total cost of such coverage for all
physicians applied to such insufficiency.
S. 3007 28 A. 3007
(b) Each provider of excess insurance coverage or equivalent excess
coverage covering the period July 1, 1992 to June 30, 1993, or covering
the period July 1, 1993 to June 30, 1994, or covering the period July 1,
1994 to June 30, 1995, or covering the period July 1, 1995 to June 30,
1996, or covering the period July 1, 1996 to June 30, 1997, or covering
the period July 1, 1997 to June 30, 1998, or covering the period July 1,
1998 to June 30, 1999, or covering the period July 1, 1999 to June 30,
2000, or covering the period July 1, 2000 to June 30, 2001, or covering
the period July 1, 2001 to October 29, 2001, or covering the period
April 1, 2002 to June 30, 2002, or covering the period July 1, 2002 to
June 30, 2003, or covering the period July 1, 2003 to June 30, 2004, or
covering the period July 1, 2004 to June 30, 2005, or covering the peri-
od July 1, 2005 to June 30, 2006, or covering the period July 1, 2006 to
June 30, 2007, or covering the period July 1, 2007 to June 30, 2008, or
covering the period July 1, 2008 to June 30, 2009, or covering the peri-
od July 1, 2009 to June 30, 2010, or covering the period July 1, 2010 to
June 30, 2011, or covering the period July 1, 2011 to June 30, 2012, or
covering the period July 1, 2012 to June 30, 2013, or covering the peri-
od July 1, 2013 to June 30, 2014, or covering the period July 1, 2014 to
June 30, 2015, or covering the period July 1, 2015 to June 30, 2016, or
covering the period July 1, 2016 to June 30, 2017, or covering the peri-
od July 1, 2017 to June 30, 2018, or covering the period July 1, 2018 to
June 30, 2019, or covering the period July 1, 2019 to June 30, 2020, or
covering the period July 1, 2020 to June 30, 2021, or covering the peri-
od July 1, 2021 to June 30, 2022, or covering the period July 1, 2022 to
June 30, 2023, or covering the period July 1, 2023 to June 30, 2024, or
covering the period July 1, 2024 to June 30, 2025, OR COVERING THE PERI-
OD JULY 1, 2025 TO JUNE 30, 2026 shall notify a covered physician or
dentist by mail, mailed to the address shown on the last application for
excess insurance coverage or equivalent excess coverage, of the amount
due to such provider from such physician or dentist for such coverage
period determined in accordance with paragraph (a) of this subdivision.
Such amount shall be due from such physician or dentist to such provider
of excess insurance coverage or equivalent excess coverage in a time and
manner determined by the superintendent of financial services.
(c) If a physician or dentist liable for payment of a portion of the
costs of excess insurance coverage or equivalent excess coverage cover-
ing the period July 1, 1992 to June 30, 1993, or covering the period
July 1, 1993 to June 30, 1994, or covering the period July 1, 1994 to
June 30, 1995, or covering the period July 1, 1995 to June 30, 1996, or
covering the period July 1, 1996 to June 30, 1997, or covering the peri-
od July 1, 1997 to June 30, 1998, or covering the period July 1, 1998 to
June 30, 1999, or covering the period July 1, 1999 to June 30, 2000, or
covering the period July 1, 2000 to June 30, 2001, or covering the peri-
od July 1, 2001 to October 29, 2001, or covering the period April 1,
2002 to June 30, 2002, or covering the period July 1, 2002 to June 30,
2003, or covering the period July 1, 2003 to June 30, 2004, or covering
the period July 1, 2004 to June 30, 2005, or covering the period July 1,
2005 to June 30, 2006, or covering the period July 1, 2006 to June 30,
2007, or covering the period July 1, 2007 to June 30, 2008, or covering
the period July 1, 2008 to June 30, 2009, or covering the period July 1,
2009 to June 30, 2010, or covering the period July 1, 2010 to June 30,
2011, or covering the period July 1, 2011 to June 30, 2012, or covering
the period July 1, 2012 to June 30, 2013, or covering the period July 1,
2013 to June 30, 2014, or covering the period July 1, 2014 to June 30,
2015, or covering the period July 1, 2015 to June 30, 2016, or covering
S. 3007 29 A. 3007
the period July 1, 2016 to June 30, 2017, or covering the period July 1,
2017 to June 30, 2018, or covering the period July 1, 2018 to June 30,
2019, or covering the period July 1, 2019 to June 30, 2020, or covering
the period July 1, 2020 to June 30, 2021, or covering the period July 1,
2021 to June 30, 2022, or covering the period July 1, 2022 to June 30,
2023, or covering the period July 1, 2023 to June 30, 2024, or covering
the period July 1, 2024 to June 30, 2025, OR COVERING THE PERIOD JULY 1,
2025 TO JUNE 30, 2026 determined in accordance with paragraph (a) of
this subdivision fails, refuses or neglects to make payment to the
provider of excess insurance coverage or equivalent excess coverage in
such time and manner as determined by the superintendent of financial
services pursuant to paragraph (b) of this subdivision, excess insurance
coverage or equivalent excess coverage purchased for such physician or
dentist in accordance with this section for such coverage period shall
be cancelled and shall be null and void as of the first day on or after
the commencement of a policy period where the liability for payment
pursuant to this subdivision has not been met.
(d) Each provider of excess insurance coverage or equivalent excess
coverage shall notify the superintendent of financial services and the
commissioner of health or their designee of each physician and dentist
eligible for purchase of a policy for excess insurance coverage or
equivalent excess coverage covering the period July 1, 1992 to June 30,
1993, or covering the period July 1, 1993 to June 30, 1994, or covering
the period July 1, 1994 to June 30, 1995, or covering the period July 1,
1995 to June 30, 1996, or covering the period July 1, 1996 to June 30,
1997, or covering the period July 1, 1997 to June 30, 1998, or covering
the period July 1, 1998 to June 30, 1999, or covering the period July 1,
1999 to June 30, 2000, or covering the period July 1, 2000 to June 30,
2001, or covering the period July 1, 2001 to October 29, 2001, or cover-
ing the period April 1, 2002 to June 30, 2002, or covering the period
July 1, 2002 to June 30, 2003, or covering the period July 1, 2003 to
June 30, 2004, or covering the period July 1, 2004 to June 30, 2005, or
covering the period July 1, 2005 to June 30, 2006, or covering the peri-
od July 1, 2006 to June 30, 2007, or covering the period July 1, 2007 to
June 30, 2008, or covering the period July 1, 2008 to June 30, 2009, or
covering the period July 1, 2009 to June 30, 2010, or covering the peri-
od July 1, 2010 to June 30, 2011, or covering the period July 1, 2011 to
June 30, 2012, or covering the period July 1, 2012 to June 30, 2013, or
covering the period July 1, 2013 to June 30, 2014, or covering the peri-
od July 1, 2014 to June 30, 2015, or covering the period July 1, 2015 to
June 30, 2016, or covering the period July 1, 2016 to June 30, 2017, or
covering the period July 1, 2017 to June 30, 2018, or covering the peri-
od July 1, 2018 to June 30, 2019, or covering the period July 1, 2019 to
June 30, 2020, or covering the period July 1, 2020 to June 30, 2021, or
covering the period July 1, 2021 to June 30, 2022, or covering the peri-
od July 1, 2022 to June 30, 2023, or covering the period July 1, 2023 to
June 30, 2024, or covering the period July 1, 2024 to June 30, 2025, OR
COVERING THE PERIOD JULY 1, 2025 TO JUNE 30, 2026 that has made payment
to such provider of excess insurance coverage or equivalent excess
coverage in accordance with paragraph (b) of this subdivision and of
each physician and dentist who has failed, refused or neglected to make
such payment.
(e) A provider of excess insurance coverage or equivalent excess
coverage shall refund to the hospital excess liability pool any amount
allocable to the period July 1, 1992 to June 30, 1993, and to the period
July 1, 1993 to June 30, 1994, and to the period July 1, 1994 to June
S. 3007 30 A. 3007
30, 1995, and to the period July 1, 1995 to June 30, 1996, and to the
period July 1, 1996 to June 30, 1997, and to the period July 1, 1997 to
June 30, 1998, and to the period July 1, 1998 to June 30, 1999, and to
the period July 1, 1999 to June 30, 2000, and to the period July 1, 2000
to June 30, 2001, and to the period July 1, 2001 to October 29, 2001,
and to the period April 1, 2002 to June 30, 2002, and to the period July
1, 2002 to June 30, 2003, and to the period July 1, 2003 to June 30,
2004, and to the period July 1, 2004 to June 30, 2005, and to the period
July 1, 2005 to June 30, 2006, and to the period July 1, 2006 to June
30, 2007, and to the period July 1, 2007 to June 30, 2008, and to the
period July 1, 2008 to June 30, 2009, and to the period July 1, 2009 to
June 30, 2010, and to the period July 1, 2010 to June 30, 2011, and to
the period July 1, 2011 to June 30, 2012, and to the period July 1, 2012
to June 30, 2013, and to the period July 1, 2013 to June 30, 2014, and
to the period July 1, 2014 to June 30, 2015, and to the period July 1,
2015 to June 30, 2016, to the period July 1, 2016 to June 30, 2017, and
to the period July 1, 2017 to June 30, 2018, and to the period July 1,
2018 to June 30, 2019, and to the period July 1, 2019 to June 30, 2020,
and to the period July 1, 2020 to June 30, 2021, and to the period July
1, 2021 to June 30, 2022, and to the period July 1, 2022 to June 30,
2023, and to the period July 1, 2023 to June 30, 2024, and to the period
July 1, 2024 to June 30, 2025, AND TO THE PERIOD JULY 1, 2025 TO JUNE
30, 2026 received from the hospital excess liability pool for purchase
of excess insurance coverage or equivalent excess coverage covering the
period July 1, 1992 to June 30, 1993, and covering the period July 1,
1993 to June 30, 1994, and covering the period July 1, 1994 to June 30,
1995, and covering the period July 1, 1995 to June 30, 1996, and cover-
ing the period July 1, 1996 to June 30, 1997, and covering the period
July 1, 1997 to June 30, 1998, and covering the period July 1, 1998 to
June 30, 1999, and covering the period July 1, 1999 to June 30, 2000,
and covering the period July 1, 2000 to June 30, 2001, and covering the
period July 1, 2001 to October 29, 2001, and covering the period April
1, 2002 to June 30, 2002, and covering the period July 1, 2002 to June
30, 2003, and covering the period July 1, 2003 to June 30, 2004, and
covering the period July 1, 2004 to June 30, 2005, and covering the
period July 1, 2005 to June 30, 2006, and covering the period July 1,
2006 to June 30, 2007, and covering the period July 1, 2007 to June 30,
2008, and covering the period July 1, 2008 to June 30, 2009, and cover-
ing the period July 1, 2009 to June 30, 2010, and covering the period
July 1, 2010 to June 30, 2011, and covering the period July 1, 2011 to
June 30, 2012, and covering the period July 1, 2012 to June 30, 2013,
and covering the period July 1, 2013 to June 30, 2014, and covering the
period July 1, 2014 to June 30, 2015, and covering the period July 1,
2015 to June 30, 2016, and covering the period July 1, 2016 to June 30,
2017, and covering the period July 1, 2017 to June 30, 2018, and cover-
ing the period July 1, 2018 to June 30, 2019, and covering the period
July 1, 2019 to June 30, 2020, and covering the period July 1, 2020 to
June 30, 2021, and covering the period July 1, 2021 to June 30, 2022,
and covering the period July 1, 2022 to June 30, 2023 for, and covering
the period July 1, 2023 to June 30, 2024, and covering the period July
1, 2024 to June 30, 2025, AND COVERING THE PERIOD JULY 1, 2025 TO JUNE
30, 2026 a physician or dentist where such excess insurance coverage or
equivalent excess coverage is cancelled in accordance with paragraph (c)
of this subdivision.
§ 4. Section 40 of chapter 266 of the laws of 1986, amending the civil
practice law and rules and other laws relating to malpractice and
S. 3007 31 A. 3007
professional medical conduct, as amended by section 4 of part K of chap-
ter 57 of the laws of 2024, is amended to read as follows:
§ 40. The superintendent of financial services shall establish rates
for policies providing coverage for physicians and surgeons medical
malpractice for the periods commencing July 1, 1985 and ending June 30,
[2025] 2026; provided, however, that notwithstanding any other provision
of law, the superintendent shall not establish or approve any increase
in rates for the period commencing July 1, 2009 and ending June 30,
2010. The superintendent shall direct insurers to establish segregated
accounts for premiums, payments, reserves and investment income attrib-
utable to such premium periods and shall require periodic reports by the
insurers regarding claims and expenses attributable to such periods to
monitor whether such accounts will be sufficient to meet incurred claims
and expenses. On or after July 1, 1989, the superintendent shall impose
a surcharge on premiums to satisfy a projected deficiency that is
attributable to the premium levels established pursuant to this section
for such periods; provided, however, that such annual surcharge shall
not exceed eight percent of the established rate until July 1, [2025]
2026, at which time and thereafter such surcharge shall not exceed twen-
ty-five percent of the approved adequate rate, and that such annual
surcharges shall continue for such period of time as shall be sufficient
to satisfy such deficiency. The superintendent shall not impose such
surcharge during the period commencing July 1, 2009 and ending June 30,
2010. On and after July 1, 1989, the surcharge prescribed by this
section shall be retained by insurers to the extent that they insured
physicians and surgeons during the July 1, 1985 through June 30, [2025]
2026 policy periods; in the event and to the extent physicians and
surgeons were insured by another insurer during such periods, all or a
pro rata share of the surcharge, as the case may be, shall be remitted
to such other insurer in accordance with rules and regulations to be
promulgated by the superintendent. Surcharges collected from physicians
and surgeons who were not insured during such policy periods shall be
apportioned among all insurers in proportion to the premium written by
each insurer during such policy periods; if a physician or surgeon was
insured by an insurer subject to rates established by the superintendent
during such policy periods, and at any time thereafter a hospital,
health maintenance organization, employer or institution is responsible
for responding in damages for liability arising out of such physician's
or surgeon's practice of medicine, such responsible entity shall also
remit to such prior insurer the equivalent amount that would then be
collected as a surcharge if the physician or surgeon had continued to
remain insured by such prior insurer. In the event any insurer that
provided coverage during such policy periods is in liquidation, the
property/casualty insurance security fund shall receive the portion of
surcharges to which the insurer in liquidation would have been entitled.
The surcharges authorized herein shall be deemed to be income earned for
the purposes of section 2303 of the insurance law. The superintendent,
in establishing adequate rates and in determining any projected defi-
ciency pursuant to the requirements of this section and the insurance
law, shall give substantial weight, determined in his discretion and
judgment, to the prospective anticipated effect of any regulations
promulgated and laws enacted and the public benefit of stabilizing
malpractice rates and minimizing rate level fluctuation during the peri-
od of time necessary for the development of more reliable statistical
experience as to the efficacy of such laws and regulations affecting
medical, dental or podiatric malpractice enacted or promulgated in 1985,
S. 3007 32 A. 3007
1986, by this act and at any other time. Notwithstanding any provision
of the insurance law, rates already established and to be established by
the superintendent pursuant to this section are deemed adequate if such
rates would be adequate when taken together with the maximum authorized
annual surcharges to be imposed for a reasonable period of time whether
or not any such annual surcharge has been actually imposed as of the
establishment of such rates.
§ 5. Section 5 and subdivisions (a) and (e) of section 6 of part J of
chapter 63 of the laws of 2001, amending chapter 266 of the laws of
1986, amending the civil practice law and rules and other laws relating
to malpractice and professional medical conduct, as amended by section 5
of part K of chapter 57 of the laws of 2024, are amended to read as
follows:
§ 5. The superintendent of financial services and the commissioner of
health shall determine, no later than June 15, 2002, June 15, 2003, June
15, 2004, June 15, 2005, June 15, 2006, June 15, 2007, June 15, 2008,
June 15, 2009, June 15, 2010, June 15, 2011, June 15, 2012, June 15,
2013, June 15, 2014, June 15, 2015, June 15, 2016, June 15, 2017, June
15, 2018, June 15, 2019, June 15, 2020, June 15, 2021, June 15, 2022,
June 15, 2023, June 15, 2024, [and] June 15, 2025, AND JUNE 15, 2026 the
amount of funds available in the hospital excess liability pool, created
pursuant to section 18 of chapter 266 of the laws of 1986, and whether
such funds are sufficient for purposes of purchasing excess insurance
coverage for eligible participating physicians and dentists during the
period July 1, 2001 to June 30, 2002, or July 1, 2002 to June 30, 2003,
or July 1, 2003 to June 30, 2004, or July 1, 2004 to June 30, 2005, or
July 1, 2005 to June 30, 2006, or July 1, 2006 to June 30, 2007, or July
1, 2007 to June 30, 2008, or July 1, 2008 to June 30, 2009, or July 1,
2009 to June 30, 2010, or July 1, 2010 to June 30, 2011, or July 1, 2011
to June 30, 2012, or July 1, 2012 to June 30, 2013, or July 1, 2013 to
June 30, 2014, or July 1, 2014 to June 30, 2015, or July 1, 2015 to June
30, 2016, or July 1, 2016 to June 30, 2017, or July 1, 2017 to June 30,
2018, or July 1, 2018 to June 30, 2019, or July 1, 2019 to June 30,
2020, or July 1, 2020 to June 30, 2021, or July 1, 2021 to June 30,
2022, or July 1, 2022 to June 30, 2023, or July 1, 2023 to June 30,
2024, or July 1, 2024 to June 30, 2025, OR JULY 1, 2025 TO JUNE 30, 2026
as applicable.
(a) This section shall be effective only upon a determination, pursu-
ant to section five of this act, by the superintendent of financial
services and the commissioner of health, and a certification of such
determination to the state director of the budget, the chair of the
senate committee on finance and the chair of the assembly committee on
ways and means, that the amount of funds in the hospital excess liabil-
ity pool, created pursuant to section 18 of chapter 266 of the laws of
1986, is insufficient for purposes of purchasing excess insurance cover-
age for eligible participating physicians and dentists during the period
July 1, 2001 to June 30, 2002, or July 1, 2002 to June 30, 2003, or July
1, 2003 to June 30, 2004, or July 1, 2004 to June 30, 2005, or July 1,
2005 to June 30, 2006, or July 1, 2006 to June 30, 2007, or July 1, 2007
to June 30, 2008, or July 1, 2008 to June 30, 2009, or July 1, 2009 to
June 30, 2010, or July 1, 2010 to June 30, 2011, or July 1, 2011 to June
30, 2012, or July 1, 2012 to June 30, 2013, or July 1, 2013 to June 30,
2014, or July 1, 2014 to June 30, 2015, or July 1, 2015 to June 30,
2016, or July 1, 2016 to June 30, 2017, or July 1, 2017 to June 30,
2018, or July 1, 2018 to June 30, 2019, or July 1, 2019 to June 30,
2020, or July 1, 2020 to June 30, 2021, or July 1, 2021 to June 30,
S. 3007 33 A. 3007
2022, or July 1, 2022 to June 30, 2023, or July 1, 2023 to June 30,
2024, or July 1, 2024 to June 30, 2025, OR JULY 1, 2025 TO JUNE 30, 2026
as applicable.
(e) The commissioner of health shall transfer for deposit to the
hospital excess liability pool created pursuant to section 18 of chapter
266 of the laws of 1986 such amounts as directed by the superintendent
of financial services for the purchase of excess liability insurance
coverage for eligible participating physicians and dentists for the
policy year July 1, 2001 to June 30, 2002, or July 1, 2002 to June 30,
2003, or July 1, 2003 to June 30, 2004, or July 1, 2004 to June 30,
2005, or July 1, 2005 to June 30, 2006, or July 1, 2006 to June 30,
2007, as applicable, and the cost of administering the hospital excess
liability pool for such applicable policy year, pursuant to the program
established in chapter 266 of the laws of 1986, as amended, no later
than June 15, 2002, June 15, 2003, June 15, 2004, June 15, 2005, June
15, 2006, June 15, 2007, June 15, 2008, June 15, 2009, June 15, 2010,
June 15, 2011, June 15, 2012, June 15, 2013, June 15, 2014, June 15,
2015, June 15, 2016, June 15, 2017, June 15, 2018, June 15, 2019, June
15, 2020, June 15, 2021, June 15, 2022, June 15, 2023, June 15, 2024,
[and] June 15, 2025, AND JUNE 15, 2026 as applicable.
§ 6. Section 20 of part H of chapter 57 of the laws of 2017, amending
the New York Health Care Reform Act of 1996 and other laws relating to
extending certain provisions thereto, as amended by section 6 of part K
of chapter 57 of the laws of 2024, is amended to read as follows:
§ 20. Notwithstanding any law, rule or regulation to the contrary,
only physicians or dentists who were eligible, and for whom the super-
intendent of financial services and the commissioner of health, or their
designee, purchased, with funds available in the hospital excess liabil-
ity pool, a full or partial policy for excess coverage or equivalent
excess coverage for the coverage period ending the thirtieth of June,
two thousand [twenty-four] TWENTY-FIVE, shall be eligible to apply for
such coverage for the coverage period beginning the first of July, two
thousand [twenty-four] TWENTY-FIVE; provided, however, if the total
number of physicians or dentists for whom such excess coverage or equiv-
alent excess coverage was purchased for the policy year ending the thir-
tieth of June, two thousand [twenty-four] TWENTY-FIVE exceeds the total
number of physicians or dentists certified as eligible for the coverage
period beginning the first of July, two thousand [twenty-four] TWENTY-
FIVE, then the general hospitals may certify additional eligible physi-
cians or dentists in a number equal to such general hospital's propor-
tional share of the total number of physicians or dentists for whom
excess coverage or equivalent excess coverage was purchased with funds
available in the hospital excess liability pool as of the thirtieth of
June, two thousand [twenty-four] TWENTY-FIVE, as applied to the differ-
ence between the number of eligible physicians or dentists for whom a
policy for excess coverage or equivalent excess coverage was purchased
for the coverage period ending the thirtieth of June, two thousand
[twenty-four] TWENTY-FIVE and the number of such eligible physicians or
dentists who have applied for excess coverage or equivalent excess
coverage for the coverage period beginning the first of July, two thou-
sand [twenty-four] TWENTY-FIVE.
§ 7. This act shall take effect immediately and shall be deemed to
have been in full force and effect on and after April 1, 2025.
PART H
S. 3007 34 A. 3007
Section 1. Section 461-s of the social services law is REPEALED.
§ 2. Paragraph (c) of subdivision 1 of section 461-b of the social
services law is REPEALED.
§ 3. Subdivision 1, paragraph (f) of subdivision 3, paragraphs (a) and
(d) of subdivision 5 and subdivisions 5-a and 12 of section 2807-m of
the public health law, subdivision 1, paragraph (f) of subdivision 3,
paragraph (a) of subdivision 5 and subdivision 12 as amended and para-
graph (d) of subdivision 5 as added by section 6 of part Y of chapter 56
of the laws of 2020 and subdivision 5-a as amended by section 6 of part
C of chapter 57 of the laws of 2023, are amended to read as follows:
1. Definitions. For purposes of this section, the following defi-
nitions shall apply, unless the context clearly requires otherwise:
(a) ["Clinical research" means patient-oriented research, epidemiolog-
ic and behavioral studies, or outcomes research and health services
research that is approved by an institutional review board by the time
the clinical research position is filled.
(b) "Clinical research plan" means a plan submitted by a consortium or
teaching general hospital for a clinical research position which demon-
strates, in a form to be provided by the commissioner, the following:
(i) financial support for overhead, supervision, equipment and other
resources equal to the amount of funding provided pursuant to subpara-
graph (i) of paragraph (b) of subdivision five-a of this section by the
teaching general hospital or consortium for the clinical research posi-
tion;
(ii) experience the sponsor-mentor and teaching general hospital has
in clinical research and the medical field of the study;
(iii) methods, data collection and anticipated measurable outcomes of
the clinical research to be performed;
(iv) training goals, objectives and experience the researcher will be
provided to assess a future career in clinical research;
(v) scientific relevance, merit and health implications of the
research to be performed;
(vi) information on potential scientific meetings and peer review
journals where research results can be disseminated;
(vii) clear and comprehensive details on the clinical research posi-
tion;
(viii) qualifications necessary for the clinical research position and
strategy for recruitment;
(ix) non-duplication with other clinical research positions from the
same teaching general hospital or consortium;
(x) methods to track the career of the clinical researcher once the
term of the position is complete; and
(xi) any other information required by the commissioner to implement
subparagraph (i) of paragraph (b) of subdivision five-a of this section.
(xii) The clinical review plan submitted in accordance with this para-
graph may be reviewed by the commissioner in consultation with experts
outside the department of health.
(c) "Clinical research position" means a post-graduate residency posi-
tion which:
(i) shall not be required in order for the researcher to complete a
graduate medical education program;
(ii) may be reimbursed by other sources but only for costs in excess
of the funding distributed in accordance with subparagraph (i) of para-
graph (b) of subdivision five-a of this section;
S. 3007 35 A. 3007
(iii) shall exceed the minimum standards that are required by the
residency review committee in the specialty the researcher has trained
or is currently training;
(iv) shall not be previously funded by the teaching general hospital
or supported by another funding source at the teaching general hospital
in the past three years from the date the clinical research plan is
submitted to the commissioner;
(v) may supplement an existing research project;
(vi) shall be equivalent to a full-time position comprising of no less
than thirty-five hours per week for one or two years;
(vii) shall provide, or be filled by a researcher who has formalized
instruction in clinical research, including biostatistics, clinical
trial design, grant writing and research ethics;
(viii) shall be supervised by a sponsor-mentor who shall either (A) be
employed, contracted for employment or paid through an affiliated facul-
ty practice plan by a teaching general hospital which has received at
least one research grant from the National Institutes of Health in the
past five years from the date the clinical research plan is submitted to
the commissioner; (B) maintain a faculty appointment at a medical,
dental or podiatric school located in New York state that has received
at least one research grant from the National Institutes of Health in
the past five years from the date the clinical research plan is submit-
ted to the commissioner; or (C) be collaborating in the clinical
research plan with a researcher from another institution that has
received at least one research grant from the National Institutes of
Health in the past five years from the date the clinical research plan
is submitted to the commissioner; and
(ix) shall be filled by a researcher who is (A) enrolled or has
completed a graduate medical education program, as defined in paragraph
(i) of this subdivision; (B) a United States citizen, national, or
permanent resident of the United States; and (C) a graduate of a
medical, dental or podiatric school located in New York state, a gradu-
ate or resident in a graduate medical education program, as defined in
paragraph (i) of this subdivision, where the sponsoring institution, as
defined in paragraph (q) of this subdivision, is located in New York
state, or resides in New York state at the time the clinical research
plan is submitted to the commissioner.
(d)] "Consortium" means an organization or association, approved by
the commissioner in consultation with the council, of general hospitals
which provide graduate medical education, together with any affiliated
site; provided that such organization or association may also include
other providers of health care services, medical schools, payors or
consumers, and which meet other criteria pursuant to subdivision six of
this section.
[(e)] (B) "Council" means the New York state council on graduate
medical education.
[(f)] (C) "Direct medical education" means the direct costs of resi-
dents, interns and supervising physicians.
[(g)] (D) "Distribution period" means each calendar year set forth in
subdivision two of this section.
[(h)] (E) "Faculty" means persons who are employed by or under
contract for employment with a teaching general hospital or are paid
through a teaching general hospital's affiliated faculty practice plan
and maintain a faculty appointment at a medical school. Such persons
shall not be limited to persons with a degree in medicine.
S. 3007 36 A. 3007
[(i)] (F) "Graduate medical education program" means a post-graduate
medical education residency in the United States which has received
accreditation from a nationally recognized accreditation body or has
been approved by a nationally recognized organization for medical,
osteopathic, podiatric or dental residency programs including, but not
limited to, specialty boards.
[(j)] (G) "Indirect medical education" means the estimate of costs,
other than direct costs, of educational activities in teaching hospitals
as determined in accordance with the methodology applicable for purposes
of determining an estimate of indirect medical education costs for
reimbursement for inpatient hospital service pursuant to title XVIII of
the federal social security act (medicare).
[(k)] (H) "Medicare" means the methodology used for purposes of reim-
bursing inpatient hospital services provided to beneficiaries of title
XVIII of the federal social security act.
[(l)] (I) "Primary care" residents specialties shall include family
medicine, general pediatrics, primary care internal medicine, and prima-
ry care obstetrics and gynecology. In determining whether a residency is
in primary care, the commissioner shall consult with the council.
[(m)] (J) "Regions", for purposes of this section, shall mean the
regions as defined in paragraph (b) of subdivision sixteen of section
twenty-eight hundred seven-c of this article as in effect on June thir-
tieth, nineteen hundred ninety-six. For purposes of distributions pursu-
ant to subdivision five-a of this section, except distributions made in
accordance with paragraph (a) of subdivision five-a of this section,
"regions" shall be defined as New York city and the rest of the state.
[(n)] (K) "Regional pool" means a professional education pool estab-
lished on a regional basis by the commissioner from funds available
pursuant to sections twenty-eight hundred seven-s and twenty-eight
hundred seven-t of this article.
[(o)] (L) "Resident" means a person in a graduate medical education
program which has received accreditation from a nationally recognized
accreditation body or in a program approved by any other nationally
recognized organization for medical, osteopathic or dental residency
programs including, but not limited to, specialty boards.
[(p) "Shortage specialty" means a specialty determined by the commis-
sioner, in consultation with the council, to be in short supply in the
state of New York.
(q)] (M) "Sponsoring institution" means the entity that has the over-
all responsibility for a program of graduate medical education. Such
institutions shall include teaching general hospitals, medical schools,
consortia and diagnostic and treatment centers.
[(r)] (N) "Weighted resident count" means a teaching general hospi-
tal's total number of residents as of July first, nineteen hundred nine-
ty-five, including residents in affiliated non-hospital ambulatory
settings, reported to the commissioner. Such resident counts shall
reflect the weights established in accordance with rules and regulations
adopted by the state hospital review and planning council and approved
by the commissioner for purposes of implementing subdivision twenty-five
of section twenty-eight hundred seven-c of this article and in effect on
July first, nineteen hundred ninety-five. Such weights shall not be
applied to specialty hospitals, specified by the commissioner, whose
primary care mission is to engage in research, training and clinical
care in specialty eye and ear, special surgery, orthopedic, joint
disease, cancer, chronic care or rehabilitative services.
S. 3007 37 A. 3007
[(s)] (O) "Adjustment amount" means an amount determined for each
teaching hospital for periods prior to January first, two thousand nine
by:
(i) determining the difference between (A) a calculation of what each
teaching general hospital would have been paid if payments made pursuant
to paragraph (a-3) of subdivision one of section twenty-eight hundred
seven-c of this article between January first, nineteen hundred ninety-
six and December thirty-first, two thousand three were based solely on
the case mix of persons eligible for medical assistance under the
medical assistance program pursuant to title eleven of article five of
the social services law who are enrolled in health maintenance organiza-
tions and persons paid for under the family health plus program enrolled
in approved organizations pursuant to title eleven-D of article five of
the social services law during those years, and (B) the actual payments
to each such hospital pursuant to paragraph (a-3) of subdivision one of
section twenty-eight hundred seven-c of this article between January
first, nineteen hundred ninety-six and December thirty-first, two thou-
sand three.
(ii) reducing proportionally each of the amounts determined in subpar-
agraph (i) of this paragraph so that the sum of all such amounts totals
no more than one hundred million dollars;
(iii) further reducing each of the amounts determined in subparagraph
(ii) of this paragraph by the amount received by each hospital as a
distribution from funds designated in paragraph (a) of subdivision five
of this section attributable to the period January first, two thousand
three through December thirty-first, two thousand three, except that if
such amount was provided to a consortium then the amount of the
reduction for each hospital in the consortium shall be determined by
applying the proportion of each hospital's amount determined under
subparagraph (i) of this paragraph to the total of such amounts of all
hospitals in such consortium to the consortium award;
(iv) further reducing each of the amounts determined in subparagraph
(iii) of this paragraph by the amounts specified in paragraph [(t)] (P)
of this subdivision; and
(v) dividing each of the amounts determined in subparagraph (iii) of
this paragraph by seven.
[(t)] (P) "Extra reduction amount" shall mean an amount determined for
a teaching hospital for which an adjustment amount is calculated pursu-
ant to paragraph [(s)] (O) of this subdivision that is the hospital's
proportionate share of the sum of the amounts specified in paragraph
[(u)] (Q) of this subdivision determined based upon a comparison of the
hospital's remaining liability calculated pursuant to paragraph [(s)]
(O) of this subdivision to the sum of all such hospital's remaining
liabilities.
[(u)] (Q) "Allotment amount" shall mean an amount determined for
teaching hospitals as follows:
(i) for a hospital for which an adjustment amount pursuant to para-
graph [(s)] (O) of this subdivision does not apply, the amount received
by the hospital pursuant to paragraph (a) of subdivision five of this
section attributable to the period January first, two thousand three
through December thirty-first, two thousand three, or
(ii) for a hospital for which an adjustment amount pursuant to para-
graph [(s)] (O) of this subdivision applies and which received a
distribution pursuant to paragraph (a) of subdivision five of this
section attributable to the period January first, two thousand three
through December thirty-first, two thousand three that is greater than
S. 3007 38 A. 3007
the hospital's adjustment amount, the difference between the distrib-
ution amount and the adjustment amount.
(f) Effective January first, two thousand five through December thir-
ty-first, two thousand eight, each teaching general hospital shall
receive a distribution from the applicable regional pool based on its
distribution amount determined under paragraphs (c), (d) and (e) of this
subdivision and reduced by its adjustment amount calculated pursuant to
paragraph [(s)] (O) of subdivision one of this section and, for distrib-
utions for the period January first, two thousand five through December
thirty-first, two thousand five, further reduced by its extra reduction
amount calculated pursuant to paragraph [(t)] (P) of subdivision one of
this section.
(a) Up to thirty-one million dollars annually for the periods January
first, two thousand through December thirty-first, two thousand three,
and up to twenty-five million dollars plus the sum of the amounts speci-
fied in paragraph [(n)] (K) of subdivision one of this section for the
period January first, two thousand five through December thirty-first,
two thousand five, and up to thirty-one million dollars annually for the
period January first, two thousand six through December thirty-first,
two thousand seven, shall be set aside and reserved by the commissioner
from the regional pools established pursuant to subdivision two of this
section for supplemental distributions in each such region to be made by
the commissioner to consortia and teaching general hospitals in accord-
ance with a distribution methodology developed in consultation with the
council and specified in rules and regulations adopted by the commis-
sioner.
(d) Notwithstanding any other provision of law or regulation, for the
period January first, two thousand five through December thirty-first,
two thousand five, the commissioner shall distribute as supplemental
payments the allotment specified in paragraph [(n)] (K) of subdivision
one of this section.
5-a. Graduate medical education innovations pool. (a) Supplemental
distributions. (i) Thirty-one million dollars for the period January
first, two thousand eight through December thirty-first, two thousand
eight, shall be set aside and reserved by the commissioner from the
regional pools established pursuant to subdivision two of this section
and shall be available for distributions pursuant to subdivision five of
this section and in accordance with section 86-1.89 of title 10 of the
codes, rules and regulations of the state of New York as in effect on
January first, two thousand eight[; provided, however, for purposes of
funding the empire clinical research investigation program (ECRIP) in
accordance with paragraph eight of subdivision (e) and paragraph two of
subdivision (f) of section 86-1.89 of title 10 of the codes, rules and
regulations of the state of New York, distributions shall be made using
two regions defined as New York city and the rest of the state and the
dollar amount set forth in subparagraph (i) of paragraph two of subdivi-
sion (f) of section 86-1.89 of title 10 of the codes, rules and regu-
lations of the state of New York shall be increased from sixty thousand
dollars to seventy-five thousand dollars].
(ii) For periods on and after January first, two thousand nine,
supplemental distributions pursuant to subdivision five of this section
and in accordance with section 86-1.89 of title 10 of the codes, rules
and regulations of the state of New York shall no longer be made and the
provisions of section 86-1.89 of title 10 of the codes, rules and regu-
lations of the state of New York shall be null and void.
S. 3007 39 A. 3007
(b) [Empire clinical research investigator program (ECRIP). Nine
million one hundred twenty thousand dollars annually for the period
January first, two thousand nine through December thirty-first, two
thousand ten, and two million two hundred eighty thousand dollars for
the period January first, two thousand eleven, through March thirty-
first, two thousand eleven, nine million one hundred twenty thousand
dollars each state fiscal year for the period April first, two thousand
eleven through March thirty-first, two thousand fourteen, up to eight
million six hundred twelve thousand dollars each state fiscal year for
the period April first, two thousand fourteen through March thirty-
first, two thousand seventeen, up to eight million six hundred twelve
thousand dollars each state fiscal year for the period April first, two
thousand seventeen through March thirty-first, two thousand twenty, up
to eight million six hundred twelve thousand dollars each state fiscal
year for the period April first, two thousand twenty through March thir-
ty-first, two thousand twenty-three, and up to eight million six hundred
twelve thousand dollars each state fiscal year for the period April
first, two thousand twenty-three through March thirty-first, two thou-
sand twenty-six, shall be set aside and reserved by the commissioner
from the regional pools established pursuant to subdivision two of this
section to be allocated regionally with two-thirds of the available
funding going to New York city and one-third of the available funding
going to the rest of the state and shall be available for distribution
as follows:
Distributions shall first be made to consortia and teaching general
hospitals for the empire clinical research investigator program (ECRIP)
to help secure federal funding for biomedical research, train clinical
researchers, recruit national leaders as faculty to act as mentors, and
train residents and fellows in biomedical research skills based on
hospital-specific data submitted to the commissioner by consortia and
teaching general hospitals in accordance with clause (G) of this subpar-
agraph. Such distributions shall be made in accordance with the follow-
ing methodology:
(A) The greatest number of clinical research positions for which a
consortium or teaching general hospital may be funded pursuant to this
subparagraph shall be one percent of the total number of residents
training at the consortium or teaching general hospital on July first,
two thousand eight for the period January first, two thousand nine
through December thirty-first, two thousand nine rounded up to the near-
est one position.
(B) Distributions made to a consortium or teaching general hospital
shall equal the product of the total number of clinical research posi-
tions submitted by a consortium or teaching general hospital and
accepted by the commissioner as meeting the criteria set forth in para-
graph (b) of subdivision one of this section, subject to the reduction
calculation set forth in clause (C) of this subparagraph, times one
hundred ten thousand dollars.
(C) If the dollar amount for the total number of clinical research
positions in the region calculated pursuant to clause (B) of this
subparagraph exceeds the total amount appropriated for purposes of this
paragraph, including clinical research positions that continue from and
were funded in prior distribution periods, the commissioner shall elimi-
nate one-half of the clinical research positions submitted by each
consortium or teaching general hospital rounded down to the nearest one
position. Such reduction shall be repeated until the dollar amount for
the total number of clinical research positions in the region does not
S. 3007 40 A. 3007
exceed the total amount appropriated for purposes of this paragraph. If
the repeated reduction of the total number of clinical research posi-
tions in the region by one-half does not render a total funding amount
that is equal to or less than the total amount reserved for that region
within the appropriation, the funding for each clinical research posi-
tion in that region shall be reduced proportionally in one thousand
dollar increments until the total dollar amount for the total number of
clinical research positions in that region does not exceed the total
amount reserved for that region within the appropriation. Any reduction
in funding will be effective for the duration of the award. No clinical
research positions that continue from and were funded in prior distrib-
ution periods shall be eliminated or reduced by such methodology.
(D) Each consortium or teaching general hospital shall receive its
annual distribution amount in accordance with the following:
(I) Each consortium or teaching general hospital with a one-year ECRIP
award shall receive its annual distribution amount in full upon
completion of the requirements set forth in items (I) and (II) of clause
(G) of this subparagraph. The requirements set forth in items (IV) and
(V) of clause (G) of this subparagraph must be completed by the consor-
tium or teaching general hospital in order for the consortium or teach-
ing general hospital to be eligible to apply for ECRIP funding in any
subsequent funding cycle.
(II) Each consortium or teaching general hospital with a two-year
ECRIP award shall receive its first annual distribution amount in full
upon completion of the requirements set forth in items (I) and (II) of
clause (G) of this subparagraph. Each consortium or teaching general
hospital will receive its second annual distribution amount in full upon
completion of the requirements set forth in item (III) of clause (G) of
this subparagraph. The requirements set forth in items (IV) and (V) of
clause (G) of this subparagraph must be completed by the consortium or
teaching general hospital in order for the consortium or teaching gener-
al hospital to be eligible to apply for ECRIP funding in any subsequent
funding cycle.
(E) Each consortium or teaching general hospital receiving distrib-
utions pursuant to this subparagraph shall reserve seventy-five thousand
dollars to primarily fund salary and fringe benefits of the clinical
research position with the remainder going to fund the development of
faculty who are involved in biomedical research, training and clinical
care.
(F) Undistributed or returned funds available to fund clinical
research positions pursuant to this paragraph for a distribution period
shall be available to fund clinical research positions in a subsequent
distribution period.
(G) In order to be eligible for distributions pursuant to this subpar-
agraph, each consortium and teaching general hospital shall provide to
the commissioner by July first of each distribution period, the follow-
ing data and information on a hospital-specific basis. Such data and
information shall be certified as to accuracy and completeness by the
chief executive officer, chief financial officer or chair of the consor-
tium governing body of each consortium or teaching general hospital and
shall be maintained by each consortium and teaching general hospital for
five years from the date of submission:
(I) For each clinical research position, information on the type,
scope, training objectives, institutional support, clinical research
experience of the sponsor-mentor, plans for submitting research outcomes
to peer reviewed journals and at scientific meetings, including a meet-
S. 3007 41 A. 3007
ing sponsored by the department, the name of a principal contact person
responsible for tracking the career development of researchers placed in
clinical research positions, as defined in paragraph (c) of subdivision
one of this section, and who is authorized to certify to the commission-
er that all the requirements of the clinical research training objec-
tives set forth in this subparagraph shall be met. Such certification
shall be provided by July first of each distribution period;
(II) For each clinical research position, information on the name,
citizenship status, medical education and training, and medical license
number of the researcher, if applicable, shall be provided by December
thirty-first of the calendar year following the distribution period;
(III) Information on the status of the clinical research plan, accom-
plishments, changes in research activities, progress, and performance of
the researcher shall be provided upon completion of one-half of the
award term;
(IV) A final report detailing training experiences, accomplishments,
activities and performance of the clinical researcher, and data, meth-
ods, results and analyses of the clinical research plan shall be
provided three months after the clinical research position ends; and
(V) Tracking information concerning past researchers, including but
not limited to (A) background information, (B) employment history, (C)
research status, (D) current research activities, (E) publications and
presentations, (F) research support, and (G) any other information
necessary to track the researcher; and
(VI) Any other data or information required by the commissioner to
implement this subparagraph.
(H) Notwithstanding any inconsistent provision of this subdivision,
for periods on and after April first, two thousand thirteen, ECRIP grant
awards shall be made in accordance with rules and regulations promulgat-
ed by the commissioner. Such regulations shall, at a minimum:
(1) provide that ECRIP grant awards shall be made with the objective
of securing federal funding for biomedical research, training clinical
researchers, recruiting national leaders as faculty to act as mentors,
and training residents and fellows in biomedical research skills;
(2) provide that ECRIP grant applicants may include interdisciplinary
research teams comprised of teaching general hospitals acting in collab-
oration with entities including but not limited to medical centers,
hospitals, universities and local health departments;
(3) provide that applications for ECRIP grant awards shall be based on
such information requested by the commissioner, which shall include but
not be limited to hospital-specific data;
(4) establish the qualifications for investigators and other staff
required for grant projects eligible for ECRIP grant awards; and
(5) establish a methodology for the distribution of funds under ECRIP
grant awards.
(c)] Physician loan repayment program. One million nine hundred sixty
thousand dollars for the period January first, two thousand eight
through December thirty-first, two thousand eight, one million nine
hundred sixty thousand dollars for the period January first, two thou-
sand nine through December thirty-first, two thousand nine, one million
nine hundred sixty thousand dollars for the period January first, two
thousand ten through December thirty-first, two thousand ten, four
hundred ninety thousand dollars for the period January first, two thou-
sand eleven through March thirty-first, two thousand eleven, one million
seven hundred thousand dollars each state fiscal year for the period
April first, two thousand eleven through March thirty-first, two thou-
S. 3007 42 A. 3007
sand fourteen, up to one million seven hundred five thousand dollars
each state fiscal year for the period April first, two thousand fourteen
through March thirty-first, two thousand seventeen, up to one million
seven hundred five thousand dollars each state fiscal year for the peri-
od April first, two thousand seventeen through March thirty-first, two
thousand twenty, up to one million seven hundred five thousand dollars
each state fiscal year for the period April first, two thousand twenty
through March thirty-first, two thousand twenty-three, and up to one
million seven hundred five thousand dollars each state fiscal year for
the period April first, two thousand twenty-three through March thirty-
first, two thousand twenty-six, shall be set aside and reserved by the
commissioner from the regional pools established pursuant to subdivision
two of this section and shall be available for purposes of physician
loan repayment in accordance with subdivision ten of this section.
Notwithstanding any contrary provision of this section, sections one
hundred twelve and one hundred sixty-three of the state finance law, or
any other contrary provision of law, such funding shall be allocated
regionally with one-third of available funds going to New York city and
two-thirds of available funds going to the rest of the state and shall
be distributed in a manner to be determined by the commissioner without
a competitive bid or request for proposal process as follows:
(i) Funding shall first be awarded to repay loans of up to twenty-five
physicians who train in primary care or specialty tracks in teaching
general hospitals, and who enter and remain in primary care or specialty
practices in underserved communities, as determined by the commissioner.
(ii) After distributions in accordance with subparagraph (i) of this
paragraph, all remaining funds shall be awarded to repay loans of physi-
cians who enter and remain in primary care or specialty practices in
underserved communities, as determined by the commissioner, including
but not limited to physicians working in general hospitals, or other
health care facilities.
(iii) In no case shall less than fifty percent of the funds available
pursuant to this paragraph be distributed in accordance with subpara-
graphs (i) and (ii) of this paragraph to physicians identified by gener-
al hospitals.
(iv) In addition to the funds allocated under this paragraph, for the
period April first, two thousand fifteen through March thirty-first, two
thousand sixteen, two million dollars shall be available for the
purposes described in subdivision ten of this section;
(v) In addition to the funds allocated under this paragraph, for the
period April first, two thousand sixteen through March thirty-first, two
thousand seventeen, two million dollars shall be available for the
purposes described in subdivision ten of this section;
(vi) Notwithstanding any provision of law to the contrary, and subject
to the extension of the Health Care Reform Act of 1996, sufficient funds
shall be available for the purposes described in subdivision ten of this
section in amounts necessary to fund the remaining year commitments for
awards made pursuant to subparagraphs (iv) and (v) of this paragraph.
[(d)] (C) Physician practice support. Four million nine hundred thou-
sand dollars for the period January first, two thousand eight through
December thirty-first, two thousand eight, four million nine hundred
thousand dollars annually for the period January first, two thousand
nine through December thirty-first, two thousand ten, one million two
hundred twenty-five thousand dollars for the period January first, two
thousand eleven through March thirty-first, two thousand eleven, four
million three hundred thousand dollars each state fiscal year for the
S. 3007 43 A. 3007
period April first, two thousand eleven through March thirty-first, two
thousand fourteen, up to four million three hundred sixty thousand
dollars each state fiscal year for the period April first, two thousand
fourteen through March thirty-first, two thousand seventeen, up to four
million three hundred sixty thousand dollars for each state fiscal year
for the period April first, two thousand seventeen through March thir-
ty-first, two thousand twenty, up to four million three hundred sixty
thousand dollars for each fiscal year for the period April first, two
thousand twenty through March thirty-first, two thousand twenty-three,
and up to four million three hundred sixty thousand dollars for each
fiscal year for the period April first, two thousand twenty-three
through March thirty-first, two thousand twenty-six, shall be set aside
and reserved by the commissioner from the regional pools established
pursuant to subdivision two of this section and shall be available for
purposes of physician practice support. Notwithstanding any contrary
provision of this section, sections one hundred twelve and one hundred
sixty-three of the state finance law, or any other contrary provision of
law, such funding shall be allocated regionally with one-third of avail-
able funds going to New York city and two-thirds of available funds
going to the rest of the state and shall be distributed in a manner to
be determined by the commissioner without a competitive bid or request
for proposal process as follows:
(i) Preference in funding shall first be accorded to teaching general
hospitals for up to twenty-five awards, to support costs incurred by
physicians trained in primary or specialty tracks who thereafter estab-
lish or join practices in underserved communities, as determined by the
commissioner.
(ii) After distributions in accordance with subparagraph (i) of this
paragraph, all remaining funds shall be awarded to physicians to support
the cost of establishing or joining practices in underserved communi-
ties, as determined by the commissioner, and to hospitals and other
health care providers to recruit new physicians to provide services in
underserved communities, as determined by the commissioner.
(iii) In no case shall less than fifty percent of the funds available
pursuant to this paragraph be distributed to general hospitals in
accordance with subparagraphs (i) and (ii) of this paragraph.
[(e)] (D) Work group. For funding available pursuant to paragraphs (B)
AND (c)[, (d) and (e)] of this subdivision:
(i) The department shall appoint a work group from recommendations
made by associations representing physicians, general hospitals and
other health care facilities to develop a streamlined application proc-
ess by June first, two thousand twelve.
(ii) Subject to available funding, applications shall be accepted on a
continuous basis. The department shall provide technical assistance to
applicants to facilitate their completion of applications. An applicant
shall be notified in writing by the department within ten days of
receipt of an application as to whether the application is complete and
if the application is incomplete, what information is outstanding. The
department shall act on an application within thirty days of receipt of
a complete application.
[(f)] (E) Study on physician workforce. Five hundred ninety thousand
dollars annually for the period January first, two thousand eight
through December thirty-first, two thousand ten, one hundred forty-eight
thousand dollars for the period January first, two thousand eleven
through March thirty-first, two thousand eleven, five hundred sixteen
thousand dollars each state fiscal year for the period April first, two
S. 3007 44 A. 3007
thousand eleven through March thirty-first, two thousand fourteen, up to
four hundred eighty-seven thousand dollars each state fiscal year for
the period April first, two thousand fourteen through March thirty-
first, two thousand seventeen, up to four hundred eighty-seven thousand
dollars for each state fiscal year for the period April first, two thou-
sand seventeen through March thirty-first, two thousand twenty, up to
four hundred eighty-seven thousand dollars each state fiscal year for
the period April first, two thousand twenty through March thirty-first,
two thousand twenty-three, and up to four hundred eighty-seven thousand
dollars each state fiscal year for the period April first, two thousand
twenty-three through March thirty-first, two thousand twenty-six, shall
be set aside and reserved by the commissioner from the regional pools
established pursuant to subdivision two of this section and shall be
available to fund a study of physician workforce needs and solutions
including, but not limited to, an analysis of residency programs and
projected physician workforce and community needs. The commissioner
shall enter into agreements with one or more organizations to conduct
such study based on a request for proposal process.
[(g)] (F) Diversity in medicine/post-baccalaureate program. Notwith-
standing any inconsistent provision of section one hundred twelve or one
hundred sixty-three of the state finance law or any other law, one
million nine hundred sixty thousand dollars annually for the period
January first, two thousand eight through December thirty-first, two
thousand ten, four hundred ninety thousand dollars for the period Janu-
ary first, two thousand eleven through March thirty-first, two thousand
eleven, one million seven hundred thousand dollars each state fiscal
year for the period April first, two thousand eleven through March thir-
ty-first, two thousand fourteen, up to one million six hundred five
thousand dollars each state fiscal year for the period April first, two
thousand fourteen through March thirty-first, two thousand seventeen, up
to one million six hundred five thousand dollars each state fiscal year
for the period April first, two thousand seventeen through March thir-
ty-first, two thousand twenty, up to one million six hundred five thou-
sand dollars each state fiscal year for the period April first, two
thousand twenty through March thirty-first, two thousand twenty-three,
and up to one million six hundred five thousand dollars each state
fiscal year for the period April first, two thousand twenty-three
through March thirty-first, two thousand twenty-six, shall be set aside
and reserved by the commissioner from the regional pools established
pursuant to subdivision two of this section and shall be available for
distributions to the Associated Medical Schools of New York to fund its
diversity program including existing and new post-baccalaureate programs
for minority and economically disadvantaged students and encourage
participation from all medical schools in New York. The associated
medical schools of New York shall report to the commissioner on an annu-
al basis regarding the use of funds for such purpose in such form and
manner as specified by the commissioner.
[(h)] (G) In the event there are undistributed funds within amounts
made available for distributions pursuant to this subdivision, such
funds may be reallocated and distributed in current or subsequent
distribution periods in a manner determined by the commissioner for any
purpose set forth in this subdivision.
12. Notwithstanding any provision of law to the contrary, applications
submitted on or after April first, two thousand sixteen, for the physi-
cian loan repayment program pursuant to paragraph [(c)] (B) of subdivi-
sion five-a of this section and subdivision ten of this section or the
S. 3007 45 A. 3007
physician practice support program pursuant to paragraph [(d)] (C) of
subdivision five-a of this section, shall be subject to the following
changes:
(a) Awards shall be made from the total funding available for new
awards under the physician loan repayment program and the physician
practice support program, with neither program limited to a specific
funding amount within such total funding available;
(b) An applicant may apply for an award for either physician loan
repayment or physician practice support, but not both;
(c) An applicant shall agree to practice for three years in an under-
served area and each award shall provide up to forty thousand dollars
for each of the three years; and
(d) To the extent practicable, awards shall be timed to be of use for
job offers made to applicants.
§ 4. Subparagraph (xvi) of paragraph (a) of subdivision 7 of section
2807-s of the public health law, as amended by section 8 of part Y of
chapter 56 of the laws of 2020, is amended to read as follows:
(xvi) provided further, however, for periods prior to July first, two
thousand nine, amounts set forth in this paragraph shall be reduced by
an amount equal to the actual distribution reductions for all facilities
pursuant to paragraph [(s)] (O) of subdivision one of section twenty-
eight hundred seven-m of this article.
§ 5. Subdivision (c) of section 92-dd of the state finance law, as
amended by section 9 of part Y of chapter 56 of the laws of 2020, is
amended to read as follows:
(c) The pool administrator shall, from appropriated funds transferred
to the pool administrator from the comptroller, continue to make
payments as required pursuant to sections twenty-eight hundred seven-k,
twenty-eight hundred seven-m (not including payments made pursuant to
SUBDIVISION FIVE-B AND paragraphs (B), (c)[, (d),, (f)] and [(g)] (F) of
subdivision five-a of section twenty-eight hundred seven-m), and twen-
ty-eight hundred seven-w of the public health law, paragraph (e) of
subdivision twenty-five of section twenty-eight hundred seven-c of the
public health law, paragraphs (b) and (c) of subdivision thirty of
section twenty-eight hundred seven-c of the public health law, paragraph
(b) of subdivision eighteen of section twenty-eight hundred eight of the
public health law, subdivision seven of section twenty-five hundred-d of
the public health law and section eighty-eight of chapter one of the
laws of nineteen hundred ninety-nine.
§ 6. Article 27-H of the public health law, as added by chapter 550 of
the laws of 1998, is REPEALED.
§ 7. This act shall take effect immediately and shall be deemed to
have been in full force and effect on and after April 1, 2025.
PART I
Section 1. Subdivision 1 of section 4148 of the public health law, as
added by chapter 352 of the laws of 2013, is amended to read as follows:
1. The department is hereby authorized and directed to design, imple-
ment and maintain an electronic death registration system for collect-
ing, storing, recording, transmitting, amending, correcting and authen-
ticating information, as necessary and appropriate to complete a death
registration, and to generate such documents as determined by the
department in relation to a death occurring in this state. As part of
the design and implementation of the system established by this section,
the department shall consult with all persons authorized to use such
S. 3007 46 A. 3007
system to the extent practicable and feasible. [The payment referenced
in subdivision five of this section shall be collected for each burial
or removal permit issued on or after the effective date of this section
from the licensed funeral director or undertaker to whom such permit is
issued, in the manner specified by the department and shall be used
solely for the purpose set forth in subdivision five of this section.]
Except as specifically provided in this section, the existing general
duties of, and remuneration received by, local registrars in accepting
and filing certificates of death and issuing burial and removal permits
pursuant to any statute or regulation shall be maintained, and not
altered or abridged in any way by this section.
§ 2. Subdivision 5 of section 4148 of the public health law is
REPEALED.
§ 3. This act shall take effect immediately and shall be deemed to
have been in full force and effect on and after April 1, 2025.
PART J
Section 1. The opening paragraph of subdivision 3 of section 2825-g of
the public health law, as added by section 1 of part K of chapter 57 of
the laws of 2022, is amended to read as follows:
Notwithstanding subdivision two of this section or any inconsistent
provision of law to the contrary, and upon approval of the director of
the budget, the commissioner may, subject to the availability of lawful
appropriation, award up to four hundred fifty million dollars of the
funds made available pursuant to this section for unfunded project
applications submitted in response to the request for application number
18406 issued by the department on September thirtieth, two thousand
twenty-one pursuant to section twenty-eight hundred twenty-five-f of
this article. Authorized amounts to be awarded pursuant to applications
submitted in response to the request for application number 18406 shall
be awarded no later than [December thirty-first, two thousand twenty-
two] FEBRUARY TWENTY-EIGHTH, TWO THOUSAND TWENTY-THREE. Provided, howev-
er, that a minimum of:
§ 2. This act shall take effect immediately and shall be deemed to
have been in full force and effect on and after April 1, 2025.
PART K
Section 1. Subdivisions 1, 2, 3, 4, 5 and 6 of section 2806-a of the
public health law, as added by section 50 of part E of chapter 56 of the
laws of 2013, paragraph (g) of subdivision 1 as added by section 7,
paragraph (a) of subdivision 2 as amended by section 8, and subparagraph
(iii) of paragraph (c) of subdivision 5 as amended by section 9 of part
K of chapter 57 of the laws of 2015, are amended to read as follows:
1. For the purposes of this section:
(a) "adult care facility" shall mean an adult home or enriched housing
program licensed pursuant to article seven of the social services law or
an assisted living residence licensed pursuant to article forty-six-B of
this chapter;
(b) "established operator" shall mean the operator of [an adult care
facility, a general hospital or a diagnostic and treatment center that
has been established and issued an operating certificate as such pursu-
ant to this article] A FACILITY, INCLUDING CORPORATIONS ESTABLISHED
PURSUANT TO ARTICLE TEN-C OF THE PUBLIC AUTHORITIES LAW;
S. 3007 47 A. 3007
(c) "facility" shall mean (i) a general hospital or a diagnostic and
treatment center that has been issued an operating certificate as such
pursuant to this article; or (ii) an adult care facility;
(d) "temporary operator" shall mean any person or entity that:
(i) agrees to operate a facility on a temporary basis in the best
interests of its residents or patients and the community served by the
facility; and
(ii) has demonstrated that [he or she has] THEY HAVE the character,
competence and financial ability to operate the facility in compliance
with applicable standards;
(e) "serious financial instability" shall include but not be limited
to defaulting or violating key covenants of loans, or missed mortgage
payments, or general untimely payment of obligations, including but not
limited to employee benefit fund, PAYROLL OR payroll tax, and insurance
premium obligations, or failure to maintain required debt service cover-
age ratios or, as applicable, factors that have triggered a written
event of default notice to the department by the dormitory authority of
the state of New York; and
(f) "extraordinary financial assistance" shall mean state funds
provided to a facility upon such facility's request for the purpose of
assisting the facility to address serious financial instability. Such
funds may be derived from existing programs within the department,
special appropriations, or other funds.
(g) "improper delegation of management authority by the governing
authority or operator" of a general hospital shall include, but not be
limited to, the delegation to an entity that has not been established as
an operator of the general hospital of (i) authority to hire or fire the
administrator or other key management employees; (ii) maintenance and
control of the books and records; (iii) authority over the disposition
of assets and the incurring of liabilities on behalf of the facility;
and (iv) the adoption and enforcement of policies regarding the opera-
tion of the facility. The criteria set forth in this paragraph shall not
be the sole determining factors, but indicators to be considered with
such other factors that may be pertinent in particular instances.
Professional expertise shall be exercised in the utilization of the
criteria. All of the listed indicia need not be present in a given
instance for there to be an improper delegation of authority.
2. (a) In the event that: (i) a facility seeks extraordinary financial
assistance [and] OR the commissioner finds that the facility is experi-
encing serious financial instability that is jeopardizing existing or
continued access to essential services within the community[,]; or (ii)
the commissioner finds that there are conditions within the facility
that seriously endanger the life, health or safety of residents or
patients[, the commissioner may appoint a temporary operator to assume
sole control and sole responsibility for the operations of that facili-
ty,]; or (iii) the commissioner finds that there has been an improper
delegation of management authority by the governing authority or opera-
tor of a general hospital[,]; the commissioner [shall] MAY appoint a
temporary operator to assume sole control and sole responsibility for
the operations of that facility. The appointment of the temporary opera-
tor shall be effectuated pursuant to this section and shall be in addi-
tion to any other remedies provided by law.
(b) The established operator of a facility may at any time request the
commissioner to appoint a temporary operator. Upon receiving such a
request, the commissioner may, if [he or she determines] THEY DETERMINE
that such an action is necessary to restore or maintain the provision of
S. 3007 48 A. 3007
quality care to the residents or patients, or alleviate the facility's
financial instability, enter into an agreement with the established
operator for the appointment of a temporary operator to assume sole
control and sole responsibility for the operations of that facility.
3. (a) A temporary operator appointed pursuant to this section shall,
[prior to his or her] WITHIN THIRTY DAYS OF THEIR appointment as tempo-
rary operator, provide the commissioner with a work plan satisfactory to
the commissioner to address the facility's deficiencies and serious
financial instability and a schedule for implementation of such plan. [A
work plan shall not be required prior to the appointment of the tempo-
rary operator pursuant to clause (ii) of paragraph (a) of subdivision
two of this section if the commissioner has determined that the immedi-
ate appointment of a temporary operator is necessary because public
health or safety is in imminent danger or there exists any condition or
practice or a continuing pattern of conditions or practices which poses
imminent danger to the health or safety of any patient or resident of
the facility. Where such immediate appointment has been found to be
necessary, the temporary operator shall provide the commissioner with a
work plan satisfactory to the commissioner as soon as practicable.]
(b) The temporary operator shall use [his or her] THEIR best efforts
to implement the work plan provided to the commissioner, if applicable,
and to correct or eliminate any deficiencies or financial instability in
the facility and to promote the quality and accessibility of health care
services in the community served by the facility. THE TEMPORARY OPERA-
TOR'S AUTHORITY SHALL INCLUDE, BUT NOT BE LIMITED TO, HIRING OR FIRING
OF THE FACILITY ADMINISTRATOR AND OTHER KEY MANAGEMENT EMPLOYEES; MAIN-
TENANCE AND CONTROL OF THE BOOKS AND RECORDS; AUTHORITY OVER THE DISPO-
SITION OF ASSETS AND THE INCURRING OF LIABILITIES ON BEHALF OF THE
FACILITY; AND THE ADOPTION AND ENFORCEMENT OF POLICIES REGARDING THE
OPERATION OF THE FACILITY. Such correction or elimination of deficien-
cies or serious financial instability shall not include major alter-
ations of the physical structure of the facility. During the term of
[his or her] THEIR appointment, the temporary operator shall have the
sole authority to direct the management of the facility in all aspects
of operation and shall be afforded full access to the accounts and
records of the facility. The temporary operator shall, during this peri-
od, operate the facility in such a manner as to promote safety and the
quality and accessibility of health care services or residential care in
the community served by the facility. The temporary operator shall have
the power to let contracts therefor or incur expenses on behalf of the
facility, provided that where individual items of repairs, improvements
or supplies exceed ten thousand dollars, the temporary operator shall
obtain price quotations from at least three reputable sources. The
temporary operator shall not be required to file any bond. No security
interest in any real or personal property comprising the facility or
contained within the facility, or in any fixture of the facility, shall
be impaired or diminished in priority by the temporary operator. Neither
the temporary operator nor the department shall engage in any activity
that constitutes a confiscation of property without the payment of fair
compensation.
4. The temporary operator shall be entitled to a reasonable fee, as
determined by the commissioner, and necessary expenses incurred during
[his or her] THEIR performance as temporary operator, to be paid from
the revenue of the facility. The temporary operator shall collect incom-
ing payments from all sources and apply them to the reasonable fee and
to costs incurred in the performance of [his or her] THEIR functions as
S. 3007 49 A. 3007
temporary operator in correcting deficiencies and causes of serious
financial instability. The temporary operator shall be liable only in
[his or her] THEIR capacity as temporary operator for injury to person
and property by reason of conditions of the facility in a case where an
established operator would have been liable; [he or she] THEY shall not
have any liability in [his or her] THEIR personal capacity, except for
gross negligence and intentional acts.
5. (a) The initial term of the appointment of the temporary operator
shall not exceed one hundred eighty days. After one hundred eighty days,
if the commissioner determines that termination of the temporary opera-
tor would cause significant deterioration of the quality of, or access
to, health care or residential care in the community or that reappoint-
ment is necessary to correct the conditions within the facility that
seriously endanger the life, health or safety of residents or patients,
or the financial instability that required the appointment of the tempo-
rary operator, the commissioner may authorize up to two additional
[ninety-day] ONE HUNDRED EIGHTY-DAY terms.
(b) Upon the completion of the [two ninety-day] UP TO THREE ONE
HUNDRED EIGHTY-DAY terms referenced in paragraph (a) of this subdivi-
sion,
(i) if the established operator is the debtor in a bankruptcy proceed-
ing, and the commissioner determines that the temporary operator
requires additional terms to operate the facility during the pendency of
the bankruptcy proceeding and to carry out any plan resulting from the
proceeding, the commissioner may reappoint the temporary operator for
additional ninety-day terms until the termination of the bankruptcy
proceeding, provided that the commissioner shall provide for notice and
a hearing as set forth in subdivision six of this section; or
(ii) if the established operator requests the reappointment of the
temporary operator, the commissioner may reappoint the temporary opera-
tor for one additional ninety-day term, pursuant to an agreement between
the established operator, the temporary operator and the department.
(c) [Within fourteen] NO SOONER THAN SIXTY DAYS AND NO LATER THAN
THIRTY days prior to the termination of each term of the appointment of
the temporary operator, the temporary operator shall submit to the
commissioner and to the established operator a report describing:
(i) the actions taken during the appointment to address [such] THE
deficiencies and financial instability THAT LED TO APPOINTMENT OF THE
TEMPORARY OPERATOR,
(ii) objectives for the continuation of the temporary operatorship if
necessary and a schedule for satisfaction of such objectives,
(iii) recommended actions for the ongoing operation of the facility
subsequent to the term of the temporary operator including recommenda-
tions regarding the proper management of the facility and ongoing agree-
ments with individuals or entities with proper delegation of management
authority; and
(iv) [with respect to the first ninety-day term referenced in para-
graph (a) of this subdivision,] a plan AND TIMELINE for sustainable
operation to avoid closure, or FOR THE transformation of the facility
which may include any option permissible under this chapter or the
social services law and implementing regulations thereof; AND, WHERE
APPLICABLE, A RECOMMENDATION WITH RATIONALE FOR AN ADDITIONAL TEMPORARY
OPERATOR TERM. The report shall reflect best efforts to produce a full
and complete accounting.
EACH REPORT PURSUANT TO THIS PARAGRAPH SHALL BE REVIEWED BY THE COMMIS-
SIONER, WHO MAY CONSULT WITH THE TEMPORARY OPERATOR AND THE ESTABLISHED
S. 3007 50 A. 3007
OPERATOR AND MAKE MODIFICATIONS IF NECESSARY. PRIOR TO EXPIRATION OF THE
TEMPORARY OPERATOR'S FINAL TERM, A FINAL REPORT SHALL BE SUBMITTED BY
THE TEMPORARY OPERATOR AND APPROVED BY THE COMMISSIONER. THE ESTAB-
LISHED OPERATOR SHALL IMPLEMENT THE RECOMMENDED ACTIONS ACCORDING TO THE
FINAL REPORT. IF THE ESTABLISHED OPERATOR AT ANY TIME DEMONSTRATES
UNWILLINGNESS TO MAKE OR IMPLEMENT CHANGES IDENTIFIED IN THE FINAL
REPORT, THE COMMISSIONER MAY EXTEND THE TERM OF, OR REINSTATE, THE
TEMPORARY OPERATOR, AND/OR THE COMMISSIONER MAY MOVE TO AMEND OR REVOKE
THE ESTABLISHED OPERATOR'S OPERATING CERTIFICATE.
(d) The term of the initial appointment and of any subsequent reap-
pointment may be terminated prior to the expiration of the designated
term, if the established operator and the commissioner agree on a plan
of correction and the implementation of such plan.
6. (a) The commissioner, upon making a determination to appoint a
temporary operator pursuant to paragraph (a) of subdivision two of this
section shall, prior to the commencement of the appointment, cause the
established operator of the facility to be notified of the determination
by registered or certified mail addressed to the principal office of the
established operator. Such notification shall include a detailed
description of the findings underlying the determination to appoint a
temporary operator, and the date and time of a required meeting with the
commissioner and/or [his or her] THEIR designee within ten business days
of the date of such notice. At such meeting, the established operator
shall have the opportunity to review and discuss all relevant findings.
At such meeting [or within ten additional business days,] the commis-
sioner and the established operator shall attempt to develop a mutually
satisfactory plan of correction and schedule for implementation. In the
event such plan of correction is agreed upon, the commissioner shall
notify the established operator that the commissioner no longer intends
to appoint a temporary operator. A meeting shall not be required prior
to the appointment of the temporary operator pursuant to clause (ii) of
paragraph (a) of subdivision two of this section if the commissioner has
determined that the immediate appointment of a temporary operator is
necessary because public health or safety is in imminent danger or there
exists any condition or practice or a continuing pattern of conditions
or practices which poses imminent danger to the health or safety of any
patient or resident of the facility. Where such immediate appointment
has been found to be necessary, the commissioner shall provide the
established operator with a notice as required under this paragraph on
the date of the appointment of the temporary operator.
(b) Should the commissioner and the established operator be unable to
establish a plan of correction pursuant to paragraph (a) of this subdi-
vision, or should the established operator fail to respond to the
commissioner's initial notification, a temporary operator shall be
appointed as soon as is practicable and shall operate pursuant to the
provisions of this section.
(c) The established operator shall be afforded an opportunity for an
administrative hearing on the commissioner's determination to appoint a
temporary operator. [Such administrative hearing shall occur prior to
such appointment, except that the hearing shall not be required prior to
the appointment of the temporary operator pursuant to clause (ii) of
paragraph (a) of subdivision two of this section if the commissioner has
determined that the immediate appointment of a temporary operator is
necessary because public health or safety is in imminent danger or there
exists any condition or practice or a continuing pattern of conditions
or practices which poses imminent danger to the health or safety of any
S. 3007 51 A. 3007
patient or resident of the facility.] An administrative hearing as
provided for under this paragraph shall begin no later than [sixty]
THIRTY days from the date [of the notice to the established operator]
THE TEMPORARY OPERATOR IS APPOINTED and shall not be extended without
the consent of both parties. Any such hearing shall be strictly limited
to the issue of whether the determination of the commissioner to appoint
a temporary operator is supported by substantial evidence. A [copy of
the] decision shall be MADE AND sent to the [established operator]
PARTIES NO LATER THAN TEN BUSINESS DAYS AFTER COMPLETION OF THE HEARING.
(d) The commissioner shall, upon making a determination to reappoint a
temporary operator for the first of an additional [ninety-day] ONE
HUNDRED EIGHTY-DAY term pursuant to paragraph (a) of subdivision five of
this section, cause the established operator of the facility to be noti-
fied of the determination by registered or certified mail addressed to
the principal office of the established operator. If the commissioner
determines that additional reappointments pursuant to subparagraph (i)
of paragraph (b) of subdivision five of this section are required, the
commissioner shall again cause the established operator of the facility
to be notified of such determination by registered or certified mail
addressed to the principal office of the established operator at the
commencement of the first of every two additional terms. Upon receipt of
such notification at the principal office of the established operator
and before the expiration of ten days thereafter, the established opera-
tor may request an administrative hearing on the determination, to begin
no later than [sixty] THIRTY days from the date of the reappointment of
the temporary operator. Any such hearing shall be strictly limited to
the issue of whether the determination of the commissioner to reappoint
the temporary operator is supported by substantial evidence.
§ 2. This act shall take effect immediately; provided, however, that
the amendments to section 2806-a of the public health law made by
section one of this act shall not affect the repeal of such section and
shall be deemed repealed therewith.
PART L
Section 1. Section 18-c of the public health law, as added by section
4 of part O of chapter 57 of the laws of 2024, is amended to read as
follows:
§ 18-c. Separate patient consent for treatment and payment for health
care services. Informed consent from a patient to provide any treatment,
procedure, examination or other direct health care services shall be
obtained separately from such patient's consent to pay for the services.
Consent to pay for any NON-EMERGENCY health care services by a patient
shall not be given prior to [the patient receiving such services and]
discussing treatment costs. For purposes of this section, "consent"
means an action which: (a) clearly and conspicuously communicates the
individual's authorization of an act or practice; (b) is made in the
absence of any mechanism in the user interface that has the purpose or
substantial effect of obscuring, subverting, or impairing decision-mak-
ing or choice to obtain consent; and (c) cannot be inferred from
inaction.
§ 2. This act shall take effect immediately and shall be deemed to
have been in full force and effect on and after April 1, 2025.
PART M
S. 3007 52 A. 3007
Section 1. Subdivision 4 of section 2805-a of the public health law,
as renumbered by chapter 2 of the laws of 1988, is renumbered subdivi-
sion 5 and a new subdivision 4 is added to read as follows:
4. EVERY GENERAL HOSPITAL OPERATING UNDER THE PROVISIONS OF THIS ARTI-
CLE SHALL FILE WITH THE COMMISSIONER, IN A FORMAT PRESCRIBED BY THE
DEPARTMENT, WITHIN ONE HUNDRED EIGHTY DAYS AFTER THE END OF ITS FISCAL
YEAR, A CERTIFIED REPORT, TO BE CONSPICUOUSLY POSTED ON THE DEPARTMENT'S
WEBSITE, SHOWING HOW THE HOSPITAL SPENT COMMUNITY BENEFIT EXPENSES,
INCLUDING BUT NOT LIMITED TO:
(A) FINANCIAL ASSISTANCE AT COST, WHICH SHALL INCLUDE ANY FREE OR
DISCOUNTED SERVICES FOR THOSE WHO CANNOT AFFORD TO PAY AND MEET THE
HOSPITAL'S FINANCIAL ASSISTANCE CRITERIA;
(B) UNREIMBURSED COSTS FROM MEDICAID;
(C) UNREIMBURSED COSTS FROM THE CHILDREN'S HEALTH INSURANCE PROGRAM OR
OTHER MEANS-TESTED GOVERNMENT PROGRAMS;
(D) COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPER-
ATIONS, WHICH SHALL INCLUDE COSTS ASSOCIATED WITH PLANNING OR OPERATING
COMMUNITY BENEFIT PROGRAMS, BUT SHALL NOT INCLUDE ACTIVITIES OR PROGRAMS
IF THEY ARE PROVIDED PRIMARILY FOR MARKETING PURPOSES OR IF THEY ARE
MORE BENEFICIAL TO THE HOSPITAL THAN TO THE COMMUNITY;
(E) HEALTH PROFESSIONS EDUCATION PROGRAMS THAT RESULT IN A DEGREE OR
CERTIFICATE OR TRAINING NECESSARY FOR RESIDENTS OR INTERNS TO BE CERTI-
FIED;
(F) SUBSIDIZED HEALTH SERVICES, WHICH SHALL INCLUDE SERVICES WITH A
NEGATIVE MARGIN, SERVICES THAT MEET AN IDENTIFIABLE COMMUNITY NEED AND
SERVICES THAT IF NO LONGER OFFERED WOULD BE UNAVAILABLE OR FALL TO THE
RESPONSIBILITY OF ANOTHER NONPROFIT OR GOVERNMENT AGENCY;
(G) RESEARCH THAT PRODUCES GENERALIZABLE KNOWLEDGE AND IS FUNDED BY
TAX-EXEMPT SOURCES;
(H) CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT, FOR WHICH
IN-KIND DONATIONS MAY INCLUDE THE INDIRECT COST OF SPACE DONATED TO
COMMUNITY GROUPS AND THE DIRECT COST OF DONATED FOOD OR SUPPLIES; AND
(I) HOW SUCH COMMUNITY BENEFIT EXPENSES SUPPORT THE PRIORITIES OF NEW
YORK STATE, AS OUTLINED IN GUIDANCE, INCLUDING BUT NOT LIMITED TO THE
NEW YORK STATE PREVENTION AGENDA AS DEVELOPED BY THE DEPARTMENT.
§ 2. This act shall take effect October 1, 2025. Effective immediate-
ly, the addition, amendment and/or repeal of any rule or regulation
necessary for the implementation of this act on its effective date are
authorized to be made and completed on or before such effective date.
PART N
Section 1. Subdivision 1 of section 250 of the public health law, as
added by chapter 338 of the laws of 1998, is amended to read as follows:
1. A spinal cord injury research board is hereby created within the
department for the purpose of administering spinal cord injury research
projects and administering the spinal cord injury research trust fund
created pursuant to section ninety-nine-f of the state finance law. The
purpose of research projects administered by the board shall be [neuro-
logical] research towards TREATMENT AND a cure for such injuries and
their effects INCLUDING, BUT NOT LIMITED TO, HEALTH-RELATED QUALITY OF
LIFE IMPROVEMENTS. The members of the spinal cord injury research board
shall include but not be limited to representatives of the following
fields: neuroscience, neurology, neuro-surgery, neuro-pharmacology, and
spinal cord rehabilitative medicine. The board shall be composed of
thirteen members, seven of whom shall be appointed by the governor, two
S. 3007 53 A. 3007
of whom shall be appointed by the temporary president of the senate, two
of whom shall be appointed by the speaker of the assembly, one of whom
shall be appointed by the minority leader of the senate, and one of whom
shall be appointed by the minority leader of the assembly.
§ 2. Subdivision 2 of section 251 of the public health law, as added
by chapter 338 of the laws of 1998, is amended to read as follows:
2. Solicit, receive, and review applications from public and private
agencies and organizations and qualified research institutions for
grants from the spinal cord injury research trust fund, created pursuant
to section ninety-nine-f of the state finance law, to conduct research
programs which focus on the treatment and cure of spinal cord [injury]
INJURIES AND THEIR EFFECTS. The board shall make recommendations to the
commissioner, and the commissioner shall, in [his or her] THEIR
discretion, grant approval of applications for grants from those appli-
cations recommended by the board.
§ 3. This act shall take effect immediately.
PART O
Section 1. Subdivision (b) of schedule I of section 3306 of the public
health law is amended by adding eighteen new paragraphs 93, 94, 95, 96,
97, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109 and 110 to
read as follows:
(93) 1-METHOXY-3-{4-(2-METHOXY-2-PHENYLETHYL)PIPERAZIN-1-YL}-1-PHENYLP
ROPAN-2-OL. OTHER NAME: ZIPEPROL.
(94) N,N-DIETHYL-2-(2-(4-METHOXYBENZYL)-5-NITRO-1H-BENZIMIDAZOL-1-YL)E
THAN-1-AMINE. OTHER NAME: METONITAZENE.
(95) N-(3-FLUOROPHENYL)-N-(1-PHENETHYLPIPERIDIN-4-YL)PROPIONAMIDE.
OTHER NAME: META-FLUOROFENTANYL.
(96) N-(3-FLUOROPHENYL)-N-(1-PHENETHYLPIPERIDIN-4-YL)ISOBUTYRAMIDE.
OTHER NAME: META-FLUOROISOBUTYRYL FENTANYL.
(97) N-(4-METHOXYPHENYL)-N-(1-PHENETHYLPIPERIDIN-4-YL)FURAN-2-CARBOXA
MIDE. OTHER NAME: PARA-METHOXYFURANYLFENTANYL.
(98) N-(1-PHENETHYLPIPERIDIN-4-YL)-N-PHENYLFURAN-3-CARBOXAMIDE. OTHER
NAME: 3-FURANYL FENTANYL.
(99) N-(1-(2,5-DIMETHOXYPHENETHYL)PIPERIDIN-4-YL)-N-PHENYLPROPIONA
MIDE. OTHER NAME: 2',5'-DIMETHOXYFENTANYL.
(100) 3-METHYL-N-(1-PHENETHYLPIPERIDIN-4-YL)-N-PHENYLBUTANAMIDE. OTHER
NAME: ISOVALERYL FENTANYL.
(101) N-(2-FLUOROPHENYL)-N-(1-PHENETHYLPIPERIDIN-4-YL)FURAN-2-CARBOXA
MIDE. OTHER NAME: ORTHO-FLUOROFURANYLFENTANYL.
(102) 2-METHYL-N-(1-PHENETHYLPIPERIDIN-4-YL)-N-PHENYLBUTANAMIDE. OTHER
NAME: ALPHA'-METHYL BUTYRYL FENTANYL.
(103) N-(4-METHYLPHENYL)-N-(1-PHENETHYLPIPERIDIN-4-YL)CYCLOPROPANECAR
BOXAMIDE. OTHER NAME: PARA-METHYLCYCLOPROPYL FENTANYL.
(104) 2-(2-(4-ETHOXYBENZYL)-1H-BENZIMIDAZOL-1-YL)-N,N-DIETHYLETHAN-1-
AMINE. OTHER NAMES: ETODESNITAZENE; ETAZENE.
(105) 2-(4-ETHOXYBENZYL)-5-NITRO-1-(2-(PYRROLIDIN-1-YL)ETHYL)-1H-BENZI
MIDAZOLE. OTHER NAMES: N-PYRROLIDINOETONITAZENE; ETONITAZEPYNE.
(106) N,N-DIETHYL-2-(5-NITRO-2-(4-PROPOXYBENZYL)-1H-BENZIMIDAZOL-1-YL)
ETHAN-1-AMINE. OTHER NAME: PROTONITAZENE.
(107) 1-(2-METHYL-4-(3-PHENYLPROP-2-EN-1-YL)PIPERAZIN-1-YL)BUTAN-1-
ONE. OTHER NAME: 2-METHYL AP-237.
(108) 2-(2-(4-BUTOXYBENZYL)-5-NITRO-1H-BENZIMIDAZOL-1-YL)-N,N-DIETHYL
ETHAN-1-AMINE. OTHER NAME: BUTONITAZENE.
S. 3007 54 A. 3007
(109) N,N-DIETHYL-2-(2-(4-FLUOROBENZYL)-5-NITRO-1H-BENZIMIDAZOL-1-YL)
ETHAN-1-AMINE. OTHER NAME: FLUNITAZENE.
(110) N,N-DIETHYL-2-(2-(4-METHOXYBENZYL)-1H-BENZIMIDAZOL-1-YL)ETHAN-1-
AMINE). OTHER NAME: METODESNITAZENE.
§ 2. Paragraphs 11 and 36 of subdivision (d) of schedule I of section
3306 of the public health law, paragraph 11 as added by chapter 664 of
the laws of 1985 and paragraph 36 as added by section 5 of part BB of
chapter 57 of the laws of 2018, are amended to read as follows:
(11) [Ibogane] IBOGAINE. Some trade and other names: [7-ethyl-6, 6&,
7, 8, 9, 10, 12, 13-octahydro-2-methoxy-6, 9-methano-5h-pyrido
{1',2':1,2} azepino {5,4-b} indole: tabernanthe iboga.]
7-ETHYL-6,6&,7,8,9,10,12,13-OCTAHYDRO-2-METHOXY-6, 9-METHANO-5H-PYRIDO{1'
,2':1,2} AZEPINO {5,4-B} INDOLE; TABERNANTHE IBOGA.
(36) 5-methoxy-N,N-dimethyltryptamine. SOME TRADE OR OTHER NAMES:
5-METHOXY-3-{2-(DIMETHYLAMINO)ETHYL}INDOLE; 5-MEO-DMT.
§ 3. Subdivision (d) of schedule I of section 3306 of the public
health law is amended by adding nineteen new paragraphs 32, 39, 40, 41,
42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55 and 56 to read as
follows:
(32) 4-METHYL-N-ETHYLCATHINONE. SOME TRADE OR OTHER NAMES: 4-MEC.
(39) 4-METHYL-ALPHA-PYRROLIDINOPROPIOPHENONE. SOME TRADE OR OTHER
NAMES: 4-MEPPP.
(40) ALPHA-PYRROLIDINOPENTIOPHENONE. SOME TRADE OR OTHER NAMES: @-PVP.
(41) 1-(1,3-BENZODIOXOL-5-YL)-2-(METHYLAMINO)BUTAN-1-ONE. SOME TRADE
OR OTHER NAMES: BUTYLONE; BK-MBDB.
(42) 2-(METHYLAMINO)-1-PHENYLPENTAN-1-ONE. SOME TRADE OR OTHER NAMES:
PENTEDRONE.
(43) 1-(1,3-BENZODIOXOL-5-YL)-2-(METHYLAMINO)PENTAN-1-ONE. SOME TRADE
OR OTHER NAMES: PENTYLONE; BK-MBDP.
(44) 1-(NAPHTHALEN-2-YL)-2-(PYRROLIDIN-1-YL)PENTAN-1-ONE. SOME TRADE
OR OTHER NAMES: NAPHYRONE.
(45) ALPHA-PYRROLIDINOBUTIOPHENONE. SOME TRADE OR OTHER NAMES: @-PBP.
(46) 1-(1,3-BENZODIOXOL-5-YL)-2-(ETHYLAMINO)PROPAN-1-ONE. SOME TRADE
OR OTHER NAMES: ETHYLONE.
(47) N-ETHYLPENTYLONE. SOME TRADE OR OTHER NAMES: EPHYLONE;
1-(1,3-BENZODIOXOL-5-YL)-2-(ETHYLAMINO)PENTAN-1-ONE).
(48) 1-(4-METHOXYPHENYL)-N-METHYLPROPAN-2-AMINE. SOME TRADE OR OTHER
NAMES: PARA-METHOXYMETHAMPHETAMINE; PMMA.
(49) N-ETHYLHEXEDRONE. SOME TRADE OR OTHER NAMES: @-ETHYLAMINOHEXANO
PHENONE; 2-(ETHYLAMINO)-1-PHENYLHEXAN-1-ONE.
(50) ALPHA-PYRROLIDINOHEXANOPHENONE. SOME TRADE OR OTHER NAMES: @-PHP;
1-PHENYL-2-(PYRROLIDIN-1-YL)HEXAN-1-ONE.
(51) 4-METHYL-ALPHA-ETHYLAMINOPENTIOPHENONE. SOME TRADE OR OTHER
NAMES: 4-MEAP; 2-(ETHYLAMINO)-1-(4-METHYLPHENYL)PENTAN-1-ONE.
(52) 4'-METHYL-ALPHA-PYRROLIDINOHEXIOPHENONE. SOME TRADE OR OTHER
NAMES: MPHP; 4'-METHYL-ALPHA-PYRROLIDINOHEXANOPHENONE; 1-(4-METHYLPHE
NYL)-2-(PYRROLIDIN-1-YL)HEXAN-1-ONE.
(53) ALPHA-PYRROLIDINOHEPTAPHENONE. SOME TRADE OR OTHER NAMES: PV8;
1-PHENYL-2-(PYRROLIDIN-1-YL)HEPTAN-1-ONE.
(54) 4'-CHLORO-ALPHA-PYRROLIDINOVALEROPHENONE. SOME TRADE OR OTHER
NAMES: 4-CHLORO-@-PVP; 4'-CHLORO-ALPHA-PYRROLIDINOPENTIOPHENONE; 1-(4-
CHLOROPHENYL)-2-(PYRROLIDIN-1-YL)PENTAN-1-ONE.
(55) 2-(ETHYLAMINO)-2-(3-METHOXYPHENYL)CYCLOHEXAN-1-ONE. SOME TRADE OR
OTHER NAMES: METHOXETAMINE; MXE.
(56) 1-(1,3-BENZODIOXOL-5-YL)-2-(ETHYLAMINO)BUTAN-1-ONE. SOME TRADE OR
OTHER NAMES: EUTYLONE; BK-EBDB.
S. 3007 55 A. 3007
§ 4. Subdivision (e) of schedule I of section 3306 of the public
health law is amended by adding five new paragraphs 7, 8, 9, 10 and 11
to read as follows:
(7) 4-(2-CHLOROPHENYL)-2-ETHYL-9-METHYL-6H-THIENO{3,2-F}{1,2,4}TRIAZOL
O{4,3-A}{1,4}DIAZEPINE. SOME TRADE OR OTHER NAMES: ETIZOLAM.
(8) 8-CHLORO-6-(2-FLUOROPHENYL)-1-METHYL-4H-BENZO{F}{1,2,4}TRIAZOLO{4,
3-A}{1,4}DIAZEPINE. SOME TRADE OR OTHER NAMES: FLUALPRAZOLAM.
(9) 6-(2-CHLOROPHENYL)-1-METHYL-8-NITRO-4H-BENZO{F}{1,2,4}TRIAZOLO{4,3
-A}{1,4}DIAZEPINE. SOME TRADE OR OTHER NAMES: CLONAZOLAM.
(10) 8-BROMO-6-(2-FLUOROPHENYL)-1-METHYL-4H-BENZO{F}{1,2,4}TRIAZOLO{4,
3-A}{1,4}DIAZEPINE. SOME TRADE OR OTHER NAMES: FLUBROMAZOLAM.
(11) 7-CHLORO-5-(2-CHLOROPHENYL)-1-METHYL-1,3-DIHYDRO-2H-BENZO{E}{1,4}
DIAZEPIN-2-ONE. SOME TRADE OR OTHER NAMES: DICLAZEPAM.
§ 5. Paragraphs 13 and 14 of subdivision (f) of schedule I of section
3306 of the public health law, as added by chapter 341 of the laws of
2013, are amended and five new paragraphs 25, 26, 27, 28, and 29 are
added to read as follows:
(13) 3-Fluoromethcathinone. SOME TRADE OR OTHER NAMES: 3-FLUORO-N
-METHYLCATHINONE; 3-FMC.
(14) 4-Fluoromethcathinone. SOME TRADE OR OTHER NAMES: 4-FLUORO-N-
METHYLCATHINONE; 4-FMC; FLEPHEDRONE.
(25) 7-{(10,11-DIHYDRO-5H-DIBENZO{A,D}CYCLOHEPTEN-5-YL)AMINO}HEPTANOIC
ACID. OTHER NAME: AMINEPTINE.
(26) N-PHENYL-N'-(3-(1-PHENYLPROPAN-2-YL)-1,2,3-OXADIAZOL-3-IUM-5-YL)
CARBAMIMIDATE. OTHER NAME: MESOCARB.
(27) N-METHYL-1-(THIOPHEN-2-YL)PROPAN-2-AMINE. OTHER NAME: METHIOPRO-
PAMINE.
(28) 4,4'-DIMETHYLAMINOREX. SOME TRADE OR OTHER NAMES: 4,4'-DMAR; 4,5-
DIHYDRO-4-METHYL-5-(4-METHYLPHENYL)-2-OXAZOLAMINE; 4-METHYL-5-(4-METHYL
PHENYL)-4,5-DIHYDRO-1,3-OXAZOL-2-AMINE.
(29) ETHYL 2-PHENYL-2-(PIPERIDIN-2-YL)ACETATE. OTHER NAME: ETHYLPHENI-
DATE.
§ 6. Paragraphs 2, 6 and 10 of subdivision (g) of schedule I of
section 3306 of the public health law, as added by section 7 of part BB
of chapter 57 of the laws of 2018, are amended to read as follows:
(2) [{1-(5-fluro-pentyl)-1H-indol-3-yl}(2,2,3,3-tetramethylcyclopro
pyl) methanone.] {1-(5-FLUORO-PENTYL)-1H-INDOL-3-YL}(2,2,3,3-TETRAMETHYL
CYCLOPROPYL)METHANONE. Some trade names or other names: 5-fluoro-UR-
144[,]; XLR11.
(6) [N-(1-amino-3-methyl-1-oxobutan-2-yl)-1-(4-fluorobenzyl)-1H-indazo
[-]le-3-carboxamide.] N-(1-AMINO-3-METHYL-1-OXOBUTAN-2-YL)-1-(4-FLUOROB
ENZYL)-1H-INDAZOLE-3-CARBOXAMIDE. Some trade or other names: AB- FUBINA-
CA.
(10) [{1-(5-fluoropentyl)-1H-indazol-3-yl}(naphthalen-1-y1)methanone.]
{1-(5-FLUOROPENTYL)-1H-INDAZOL-3-YL}(NAPHTHALEN-1-YL)METHANONE. Some
trade or other names: THJ-2201.
§ 7. Subdivision (g) of schedule I of section 3306 of the public
health law is amended by adding nineteen new paragraphs 11, 12, 13, 14,
15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28 and 29 to read as
follows:
(11) N-(1-AMINO-3,3-DIMETHYL-1-OXOBUTAN-2-YL)-1-(CYCLOHEXYLMETHYL)-1H-
INDAZOLE-3-CARBOXAMIDE. SOME TRADE OR OTHER NAMES: MAB-CHMINACA; ADB-
CHMINACA.
(12) METHYL 2-(1-(4-FLUOROBENZYL)-1H-INDAZOLE-3-CARBOXAMIDO)-3-METHYL
BUTANOATE. SOME TRADE OR OTHER NAMES: FUB-AMB; MMB-FUBINACA; AMB-
FUBINACA.
S. 3007 56 A. 3007
(13) METHYL 2-(1-(CYCLOHEXYLMETHYL)-1H-INDOLE-3-CARBOXAMIDO)-3,3-
DIMETHYLBUTANOATE. SOME TRADE OR OTHER NAMES: MDMB-CHMICA; MMB-CHMINACA.
(14) METHYL 2-(1-(4-FLUOROBENZYL)-1H-INDAZOLE-3-CARBOXAMIDO)-3,3-
DIMETHYLBUTANOATE. SOME TRADE OR OTHER NAMES: MDMB-FUBINACA.
(15) N-(1-AMINO-3,3-DIMETHYL-1-OXOBUTAN-2-YL)-1-(4-FLUOROBENZYL)-1H-IN
DAZOLE-3-CARBOXAMIDE. SOME TRADE OR OTHER NAMES: ADB-FUBINACA.
(16) N-(ADAMANTAN-1-YL)-1-(5-FLUOROPENTYL)-1H-INDAZOLE-3-CARBOXAMIDE.
SOME TRADE OR OTHER NAMES: 5F-APINACA; 5F-AKB48.
(17) METHYL 2-(1-(5-FLUOROPENTYL)-1H-INDAZOLE-3-CARBOXAMIDO)-3-METH
YLBUTANOATE. SOME TRADE OR OTHER NAMES: 5F-AMB.
(18) METHYL 2-(1-(5-FLUOROPENTYL)-1H-INDAZOLE-3-CARBOXAMIDO)-3,3-
DIMETHYLBUTANOATE. SOME TRADE OR OTHER NAMES: 5F-ADB; 5F-MDMB-PINACA.
(19) NAPHTHALEN-1-YL 1-(5-FLUOROPENTYL)-1H-INDOLE-3-CARBOXYLATE. SOME
TRADE OR OTHER NAMES: NM2201; CBL2201.
(20) N-(1-AMINO-3-METHYL-1-OXOBUTAN-2-YL)-1-(5-FLUOROPENTYL)-1H-INDA
ZOLE-3-CARBOXAMIDE. SOME TRADE OR OTHER NAMES: 5F-AB-PINACA.
(21) 1-(4-CYANOBUTYL)-N-(2-PHENYLPROPAN-2-YL)-1H-INDAZOLE-3-CARBOXA
MIDE. SOME TRADE OR OTHER NAMES: 4-CN-CUMYL-BUTINACA; 4-CYANO-CUMYL-
BUTINACA; 4-CN-CUMYL BINACA; CUMYL-4CN-BINACA; SGT-78.
(22) METHYL2-(1-(CYCLOHEXYLMETHYL)-1H-INDOLE-3-CARBOXAMIDO)-3-METHYL
BUTANOATE. SOME TRADE OR OTHER NAMES: MMB-CHMICA; AMB-CHMICA.
(23) 1-(5-FLUOROPENTYL)-N-(2-PHENYLPROPAN-2-YL)-1H-PYRROLO{2,3-B}PYRID
INE-3-CARBOXAMIDE. SOME TRADE OR OTHER NAMES: 5F-CUMYL-P7AICA.
(24) METHYL 2-(1-(4-FLUOROBUTYL)-1H-INDAZOLE-3-CARBOXAMIDO)-3,3-DIMETH
YLBUTANOATE. SOME TRADE OR OTHER NAMES: 4F-MDMB-BINACA; 4F-MDMB-
BUTINACA.
(25) ETHYL 2-(1-(5-FLUOROPENTYL)-1H-INDAZOLE-3-CARBOXAMIDO)-3,3-DIMETH
YLBUTANOATE. SOME TRADE OR OTHER NAMES: 5F-EDMB-PINACA.
(26) METHYL2-(1-(5-FLUOROPENTYL)-1H-INDOLE-3-CARBOXAMIDO)-3,3-DIMETH
YLBUTANOATE. SOME TRADE OR OTHER NAMES: 5F-MDMB-PICA; 5F-MDMB-2201.
(27) N-(ADAMANTAN-1-YL)-1-(4-FLUOROBENZYL)-1H-INDAZOLE-3-CARBOXAMIDE.
SOME TRADE OR OTHER NAMES: FUB-AKB48; FUB-APINACA; AKB48
N-(4-FLUOROBENZYL).
(28) 1-(5-FLUOROPENTYL)-N-(2-PHENYLPROPAN-2-YL)-1H-INDAZOLE-3-CARBOX
AMIDE. SOME TRADE OR OTHER NAMES: 5F-CUMYL-PINACA; SGT-25.
(29) (1-(4-FLUOROBENZYL)-1H-INDOL-3-YL)(2,2,3,3-TETRAMETHYLCYCLOPRO
PYL)METHANONE. SOME TRADE OR OTHER NAMES: FUB-144.
§ 8. Paragraph 1 of subdivision (b) of schedule II of section 3306 of
the public health law, as amended by section 1 of part C of chapter 447
of the laws of 2012, is amended to read as follows:
(1) Opium and opiate, and any salt, compound, derivative, or prepara-
tion of opium or opiate, excluding apomorphine, dextrorphan, nalbuphine,
NALDEMEDINE, nalmefene, NALOXEGOL, naloxone, [and] 6&-NALTREXOL,
naltrexone, AND SAMIDORPHAN, and their respective salts, but including
the following:
1. Raw opium.
2. Opium extracts.
3. Opium fluid.
4. Powdered opium.
5. Granulated opium.
6. Tincture of opium.
7. Codeine.
8. Ethylmorphine.
9. Etorphine hydrochloride.
10. Hydrocodone (also known as dihydrocodeinone).
11. Hydromorphone.
S. 3007 57 A. 3007
12. Metopon.
13. Morphine.
14. Oxycodone.
15. Oxymorphone.
16. Thebaine.
17. Dihydroetorphine.
18. Oripavine.
19. NOROXYMORPHONE.
§ 9. Paragraph 4 of subdivision (b) of schedule II of section 3306 of
the public health law, as amended by chapter 244 of the laws of 2016, is
amended to read as follows:
(4) Coca leaves and any salt, compound, derivative, or preparation of
coca leaves, and any salt, compound, derivative, or preparation thereof
which is chemically equivalent or identical with any of these substances
including cocaine and ecgonine, their salts, isomers, and salts of isom-
ers, except that the substances shall not include: (A) decocainized coca
leaves or extraction of coca leaves, which extractions do not contain
cocaine or ecgonine; [or] (B) {123I} ioflupane; OR (C) {18F}FP-CIT.
§ 10. Subdivision (c) of schedule II of section 3306 of the public
health law is amended by adding a new paragraph 30 to read as follows:
(30) OLICERIDINE. (N-{(3-METHOXYTHIOPHEN-2-YL)METHYL}({2-{(9R)-9-
(PYRIDIN-2-YL)-6-OXASPIRO{4.5}DECAN-9-YL}ETHYL})AMINE).
§ 11. Subdivision (f) of schedule II of section 3306 of the public
health law, as amended by chapter 589 of the laws of 1996, the undesig-
nated paragraph as amended by chapter 575 of the laws of 2001, is
amended to read as follows:
(f) Hallucinogenic substances.
[Nabilone: Another name for nabilone: (+,-)-trans
-3-(1,1-dimethylheptyl)-6, 6a, 7, 8, 10, 10a-hexahydro-1-hydroxy-6,
6-dimethyl-9H-dibenzo{b,d}pyran-9-one.] (1) NABILONE. ANOTHER NAME FOR
NABILONE:(+,-)-TRANS-3-(1,1-DIMETHYLHEPTYL)-6,6A,7,8,10,10A-HEXAHYDRO-1-
HYDROXY-6,6-DIMETHYL-9H-DIBENZO{B,D}PYRAN-9-ONE.
(2) DRONABINOL {(-)-DELTA-9-TRANSTETRAHYDROCANNABINOL} IN AN ORAL
SOLUTION IN A DRUG PRODUCT APPROVED FOR MARKETING BY THE UNITED STATES
FOOD AND DRUG ADMINISTRATION.
§ 12. Subparagraph (i) of paragraph 3 of subdivision (g) of schedule
II of section 3306 of the public health law, as amended by section 2 of
part BB of chapter 57 of the laws of 2023, is amended to read as
follows:
(i) [4-anilino-N-phenenethylpiperidine] 4-ANILINO-N-PHENETHYLPIPERI
DINE (ANPP)[.];
§ 13. Subdivision (h) of schedule II of section 3306 of the public
health law, as amended by section 8 of part C of chapter 447 of the laws
of 2012, is amended to read as follows:
(h) (1) Anabolic steroids. Unless specifically excepted or unless
listed in another schedule, "anabolic steroid" shall mean any drug or
hormonal substance, chemically and pharmacologically related to testos-
terone (other than estrogens, progestins, corticosteroids and dehydroe-
piandrosterone) and includes:
[(1) 3{beta}, 17-dihydroxy-5a-androstane] (I) 3{BETA},17{BETA}-
DIHYDROXY-5{ALPHA}-ANDROSTANE.
[(2) 3{alpha}, 17{beta}-dihydroxy-5a-androstane] (II) 3{ALPHA},17
{BETA}-DIHYDROXY-5{ALPHA}-ANDROSTANE.
[(3)] (III) 5{alpha}-androstan-3,17-dione.
[(4)] (IV) 1-androstenediol (3{beta},17{beta}-dihydroxy-5{alpha}-
androst-1-ene).
S. 3007 58 A. 3007
[(5)] (V) 1-androstenediol (3{alpha},17{beta}-dihydroxy-5{alpha}-
androst-1-ene).
[(6)] (VI) 4-androstenediol [(3{beta}, 17{beta}-dihydroxy-androst
-4-ene)] (3{BETA},17{BETA}-DIHYDROXY-ANDROST-4-ENE).
[(7)] (VII) 5-androstenediol [(3{beta},17{beta}-dihydroxy-androst-5-
ene)] (3{BETA},17{BETA}-DIHYDROXY-ANDROST-5-ENE).
[(8)] (VIII) 1-androstenedione [({5{alpha}}-androst-1-en-3,17-dione)]
(5{ALPHA}-ANDROST-1-EN-3,17-DIONE).
[(9)] (IX) 4-androstenedione (androst-4-en-3,17-dione).
[(10)] (X) 5-androstenedione (androst-5-en-3,17-dione).
[(11)] (XI) Bolasterone [(7{alpha},17{alpha}-dimethyl-17{beta}-
hydroxyandrost-4-en-3-one)] (7{ALPHA},17{ALPHA}-DIMETHYL-17{BETA}-HYDRO
XYANDROST-4-EN-3-ONE).
[(12)] (XII) Boldenone [(17{beta}-hydroxyandrost-1, 4,-diene-3-one)]
(17{BETA}-HYDROXYANDROST-1,4-DIENE-3-ONE).
[(13)] (XIII) Boldione (androsta-1,4-diene-3,17-dione).
[(14)] (XIV) Calusterone [(7{beta},17{alpha}-dimethyl-17{beta}-
hydroxyandrost-4-en-3-one)] (7{BETA},17{ALPHA}-DIMETHYL-17{BETA}-HYDROXY
ANDROST-4-EN-3-ONE).
[(15)] (XV) Clostebol [(4-chloro-17{beta}-hydroxyandrost-4-en-3-one)]
(4-CHLORO-17{BETA}-HYDROXYANDROST-4-EN-3-ONE).
[(16)] (XVI) Dehydrochloromethyltestosterone (4-chloro-17{beta}-
hydroxy-17{alpha}-methyl-androst-1, 4-dien-3-one).
[(17) {Delta} 1-dihydrotestosterone] (XVII) {DELTA}1-DIHYDROTESTOS
TERONE (a.k.a. '1-testosterone') (17{beta}-hydroxy-5{alpha}-androst-1-
en-3-one).
[(18)] (XVIII) 4-dihydrotestosterone (17{beta}-hydroxy-androstan-
3-one).
[(19)] (XIX) Drostanolone (17{beta}-hydroxy-2{alpha}-methyl
-5{alpha}-androstan-3-one).
[(20)] (XX) Ethylestrenol (17{alpha}-ethyl-17{beta}-hydroxyestr-
4-ene).
[(21)] (XXI) Fluoxymesterone [(9-fluoro-17{alpha}-methyl-11{beta}, 17
{beta}-dihydroxyandrost-4-en-3-one)] (9-FLUORO-17{ALPHA}-METHYL-
11{BETA},17{BETA}-DIHYDROXYANDROST-4-EN-3-ONE).
[(22)] (XXII) Formebolone [(2-formyl-17{alpha}-methyl-11{alpha},
17{beta}-dihydroxyandrost-1, 4-dien-3-one)] (2-FORMYL-17{ALPHA}-METHYL
-11{ALPHA},17{BETA}-DIHYDROXYANDROST-1,4-DIEN-3-ONE).
[(23)] (XXIII) Furazabol [(17{alpha}-methyl-17{beta}-hydroxyandrostano
{2, 3-c}-furazan)] (17{ALPHA}-METHYL-17{BETA}-HYDROXYANDROSTANO{2,3-C}-
FURAZAN).
[(24) 13{beta}-ethyl-17{beta}-hyroxygon-4-en-3-one] (XXIV) 13{BETA}-
ETHYL-17{BETA}-HYDROXYGON-4-EN-3-ONE.
[(25)] (XXV) 4-hydroxytestosterone [(4, 17{beta}-dihydroxy-androst-4-
en-3-one)] (4,17{BETA}-DIHYDROXY-ANDROST-4-EN-3-ONE).
[(26)] (XXVI) 4-hydroxy-19-nortestosterone [(4,17{beta}-dihydroxy
-estr-4-en-3-one)] (4,17{BETA}-DIHYDROXYESTR-4-EN-3-ONE).
[(27) desoxymethyltestosterone] (XXVII) DESOXYMETHYLTESTOSTERONE
(17{alpha}-methyl-5 {alpha}-androst-2-en-17{beta}-ol) (a.k.a., [madol)]
'MADOL').
[(28)] (XXVIII) Mestanolone [(17{alpha}-methyl-17{beta}-hydroxy-5-
androstan-3-one)]
(17{ALPHA}-METHYL-17{BETA}-HYDROXY-5-{ALPHA}-ANDROSTAN- 3-ONE).
[(29)] (XXIX) Mesterolone [(1{alpha}methyl-17{beta}-hydroxy-
{5{alpha}}-androstan-3-one)] (1{ALPHA}-METHYL-17{BETA}-HYDROXY-5{ALPHA}
-ANDROSTAN-3-ONE).
S. 3007 59 A. 3007
[(30)] (XXX) Methandienone [(17{alpha}-methyl-17{beta}-hydroxyandrost-
1, 4-dien-3-one)] (17{ALPHA}-METHYL-17{BETA}-HYDROXYANDROST-1, 4-DIEN-3-
ONE).
[(31)] (XXXI) Methandriol [(17{alpha}-methyl-3{beta}, 17{beta}-dihydro
xyandrost-5-ene)] (17{ALPHA}-METHYL-3{BETA},17{BETA}-DIHYDROXYANDROST-
5-ENE).
[(32)] (XXXII) Methenolone [(1-methyl-17{beta}-hydroxy-5{alpha}
-androst-1-en-3-one)] (1-METHYL-17{BETA}-HYDROXY-5{ALPHA}-ANDROST-1-
EN-3-ONE).
[(33) 17{alpha}-methyl-3{beta}, 17{beta}-dihydroxy-5-androstane]
(XXXIII)
17{ALPHA}-METHYL-3{BETA},17{BETA}-DIHYDROXY-5{ALPHA}-ANDROSTANE.
[(34) 17{alpha}-methyl-3{alpha}, 17{beta}-dihydroxy-5a-androstane]
(XXXIV) 17{ALPHA}-METHYL-3{ALPHA},17{BETA}-DIHYDROXY5{ALPHA}-ANDROSTANE.
[(35) 17{alpha}-methyl-3{beta}, 17{beta}-dihydroxyandrost-4-ene.]
(XXXV) 17{ALPHA}-METHYL-3{BETA},17{BETA}-DIHYDROXYANDROST-4-ENE.
[(36) 17{alpha}-methyl-4-hydroxynandrolone (17{alpha}-methyl-4-hydroxy
-17{beta}-hydroxyestr-4-en-3-one).] (XXXVI) 17{ALPHA}-METHYL-4-HYDROXY
NANDROLONE(17{ALPHA}-METHYL-4-HYDROXY-17{BETA}-HYDROXYESTR-4-EN-3-ONE).
[(37)] (XXXVII) Methyldienolone [(17{alpha}-methyl-17{beta}-hydroxy
estra-4,9(10)-dien-3-one).] (17{ALPHA}-METHYL-17{BETA}-HYDROXYESTRA-4,9
(10)-DIEN-3-ONE).
[(38)] (XXXVIII) Methyltrienolone [(17{alpha}-methyl-17{beta}-hydroxy
estra-4, 9-11-trien-3-one).] (17{ALPHA}-METHYL-17{BETA}-HYDROXYESTRA-4,
9,11-TRIEN-3-ONE).
[(39)] (XXXIX) Methyltestosterone (17{alpha}-methyl-17{beta}-hydroxy
androst-4-en-3-one).
[(40)] (XL) Mibolerone (7{alpha},17{alpha}-dimethyl-17{beta}-hydroxy
estr-4-en-3-one).
[(41) 17{alpha}-methyl-{Delta} 1-dihydrotestosterone(17b{beta}-hydroxy
-17{alpha}-methyl-5{alpha}-androst-1-en-3-one)] (XLI) 17{ALPHA}-METHYL-
{DELTA}1-DIHYDROTESTOSTERONE(17{BETA}-HYDROXY-17{ALPHA}-METHYL-5{ALPHA}-
ANDROST-1-EN-3-ONE) (a.k.a. '17-{alpha}-methyl-1-testosterone').
[(42) Nandrolone(17{beta}-hydroxyestr-4-en-3-one).] (XLII) NANDROLONE
(17{BETA}-HYDROXYESTR-4-EN-3-ONE).
[(43)] (XLIII) 19-nor-4-androstenediol [(3{beta},17{beta}-dihydroxy
estr -4-ene).] (3{BETA},17{BETA}-DIHYDROXYESTR-4-ENE).
[(44)] (XLIV) 19-nor-4-androstenediol [(3{alpha},17{beta}-dihydroxy
estr-4-ene).] (3{ALPHA},17{BETA}-DIHYDROXYESTR-4-ENE).
[(45)] (XLV) 19-nor-5-androstenediol [(3{beta},17{beta}-dihydroxyestr
-5-ene).] (3{BETA},17{BETA}-DIHYDROXYESTR-5-ENE).
[(46)] (XLVI) 19-nor-5-androstenediol [(3{alpha},17{beta}-dihydrox-
yestr-5-ene).] (3{ALPHA},17{BETA}-DIHYDROXYESTR-5-ENE).
[(47) 19-nor-4,9(10)-androstadienedione (estra-4,9(10)-diene-3,17-
dione).] (XLVII) 19-NOR-4,9 (10)-ANDROSTADIENEDIONE (ESTRA-4,9(10)-
DIENE-3,17-DIONE).
[(48)] (XLVIII) 19-nor-4-androstenedione (estr-4-en-3,17-dione).
[(49)] (XLIX) 19-nor-5-androstenedione (estr-5-en-3,17-dione).
[(50)] (L) Norbolethone [(13{beta}, 17{alpha}-diethyl-17{beta}-
hydroxygon-4-en-3-one).] (13{BETA},17{ALPHA}-DIETHYL-17{BETA}-HYDROXYGON
-4-EN-3-ONE).
[(51)] (LI) Norclostebol [(4-chloro-17{beta}-hydroxyestr-4-en-3-
one).] (4-CHLORO-17{BETA}-HYDROXYESTR-4-EN-3-ONE).
[(52)] (LII) Norethandrolone (17{alpha}-ethyl-17{beta}-hydroxyestr-
4-en-3-one).
S. 3007 60 A. 3007
[(53)] (LIII) Normethandrolone [(17{alpha}-methyl-17{beta}-hydroxestr-
4-en-3-one).] (17{ALPHA}-METHYL-17{BETA}-HYDROXYESTR-4-EN-3-ONE).
[(54)] (LIV) Oxandrolone [(17{alpha}-methyl-17{beta}-hydroxy-2-oxa-
{5{alpha}}-androstan-3-one).] (17{ALPHA}-METHYL-17{BETA}-HYDROXY-2-OXA-
5{ALPHA}-ANDROSTAN-3-ONE).
[(55)] (LV) Oxymesterone [(17{alpha}-methyl-4, 17{beta}-dihydroxy
androst-4-en-3-one).] (17{ALPHA}-METHYL-4,17{BETA}-DIHYDROXYANDROST-4-
EN-3-ONE).
[(56)] (LVI) Oxymetholone [(17 {alpha}-methyl-2-hydroxymethylene-17
{beta}-hydroxy-{5{alpha}}- androstan-3-one).] (17{ALPHA}-METHYL-2-HYDRO
XYMETHYLENE-17{BETA}-HYDROXY-5{ALPHA}-ANDROSTAN-3-ONE).
[(57)] (LVII) Stanozolol [(17{alpha}-methyl-17{beta}-hydroxy-
{5{alpha}}-androst-2-eno{3,2-c}-pyrazole).] (17{ALPHA}-METHYL-17{BETA}-
HYDROXY-5{ALPHA}-ANDROST-2-ENO{3,2-C}-PYRAZOLE).
[(58)] (LVIII) Stenbolone [(17{beta}-hydroxy-2-methyl-{5{alpha}}-
androst-1-en-3-one).] (17{BETA}-HYDROXY-2-METHYL-5{ALPHA}-ANDROST-1-EN-
3-ONE).
[(59)] (LIX) Testolactone [(13-hydroxy-3-oxo-13, 17-secoandrosta-1,
4-dien-17-oic acid lactone).] (13-HYDROXY-3-OXO-13,17-SECOANDROSTA1,4-
DIEN-17-OIC ACID LACTONE).
[(60)] (LX) Testosterone (17{beta}-hydroxyandrost-4-en-3-one).
[(61)] (LXI) Tetrahydrogestrinone [(13{beta}, 17{alpha}-diethyl-
17{beta}-hydroxygon-4, 9, 11-trien-3-one).] (13{BETA},17{ALPHA}-DIETHYL-
17{BETA}-HYDROXYGON-4,9,11-TRIEN-3-ONE).
[(62)] (LXII) Trenbolone [(17{beta}-hydroxyestr-4, 9, 11-trien-
3-one).] (17{BETA}-HYDROXYESTR-4,9,11-TRIEN-3-ONE).
[(63)] (LXIII) 5{ALPHA}-ANDROSTAN-3,6,17-TRIONE.
(LXIV) 6-BROMO-ANDROSTA-1,4-DIENE-3,17-DIONE.
(LXV) 6-BROMO-ANDROSTAN-3,17-DIONE.
(LXVI) 4-CHLORO-17{ALPHA}-METHYL-ANDROSTA-1,4-DIENE-3,17{BETA}-DIOL.
(LXVII) 4-CHLORO-17{ALPHA}-METHYL-ANDROST-4-ENE-3{BETA},17{BETA}-DIOL.
(LXVIII) 4-CHLORO-17{ALPHA}-METHYL-17{BETA}HYDROXY-ANDROST-4-EN-3-ONE.
(LXIX) 4-CHLORO-17{ALPHA}-METHYL-17{BETA}HYDROXY-ANDROST-4-ENE-3,11-
DIONE.
(LXX) 2{ALPHA},17{ALPHA}-DIMETHYL-17{BETA}-HYDROXY-5{BETA}-ANDROSTAN-
3-ONE.
(LXXI) 2{ALPHA},3{ALPHA}-EPITHIO-17{ALPHA}-METHYL-5{ALPHA}ANDROSTAN-17
{BETA}-OL.
(LXXII) ESTRA-4,9,11-TRIENE-3,17-DIONE.
(LXXIII) {3,2-C}FURAZAN-5{ALPHA}-ANDROSTAN-17{BETA}-OL.
(LXXIV) 18A-HOMO-3-HYDROXY-ESTRA-2,5(10)-DIEN-17-ONE.
(LXXV) 4-HYDROXY-ANDROST-4-ENE-3,17-DIONE.
(LXXVI) 17{BETA}-HYDROXY-ANDROSTANO{2,3-D}ISOXAZOLE.
(LXXVII) 17{BETA}-HYDROXY-ANDROSTANO{3,2-C}ISOXAZOLE.
(LXXVIII) 3{BETA}-HYDROXY-ESTRA-4,9,11-TRIEN-17-ONE.
(LXXIX) METHASTERONE (2{ALPHA},17{ALPHA}-DIMETHYL-5{ALPHA}-ANDROSTAN-
17{BETA}-OL-3-ONE OR 2{ALPHA},17{ALPHA}-DIMETHYL-17{BETA}-HYDROXY-
5{ALPHA}-ANDROSTAN-3-ONE).
(LXXX) 17{ALPHA}-METHYL-ANDROSTA-1,4-DIENE-3,17{BETA}-DIOL.
(LXXXI) 17{ALPHA}-METHYL-5{ALPHA}-ANDROSTAN-17{BETA}-OL.
(LXXXII) 17{ALPHA}-METHYL-ANDROSTAN-3-HYDROXYIMINE-17{BETA}-OL.
(LXXXIII) 6{ALPHA}-METHYL-ANDROST-4-ENE-3,17-DIONE.
(LXXXIV) 17{ALPHA}-METHYL-ANDROST-2-ENE-3,17{BETA}DIOL.
(LXXXV) PROSTANOZOL (17{BETA}-HYDROXY-5{ALPHA}-ANDROSTANO{3,2-C}
PYRAZOLE) OR {3,2-C}PYRAZOLE-5{ALPHA}-ANDROSTAN-17{BETA}-OL.
(LXXXVI) {3,2-C}PYRAZOLE-ANDROST-4-EN-17{BETA}-OL.
S. 3007 61 A. 3007
(LXXXVII) Any salt, ester or ether of a drug or substance described or
listed in this subdivision.
(2) (I) SUBJECT TO SUBPARAGRAPH (II) OF THIS PARAGRAPH, A DRUG OR
HORMONAL SUBSTANCE, OTHER THAN ESTROGENS, PROGESTINS, CORTICOSTEROIDS,
AND DEHYDROEPIANDROSTERONE, THAT IS NOT LISTED IN PARAGRAPH ONE OF THIS
SUBDIVISION AND IS DERIVED FROM, OR HAS A CHEMICAL STRUCTURE SUBSTAN-
TIALLY SIMILAR TO, ONE OR MORE ANABOLIC STEROIDS LISTED IN PARAGRAPH ONE
OF THIS SUBDIVISION SHALL BE CONSIDERED TO BE AN ANABOLIC STEROID FOR
PURPOSES OF THIS SCHEDULE IF:
(A) THE DRUG OR SUBSTANCE HAS BEEN CREATED OR MANUFACTURED WITH THE
INTENT OF PRODUCING A DRUG OR OTHER SUBSTANCE THAT EITHER:
1. PROMOTES MUSCLE GROWTH; OR
2. OTHERWISE CAUSES A PHARMACOLOGICAL EFFECT SIMILAR TO THAT OF
TESTOSTERONE; OR
(B) THE DRUG OR SUBSTANCE HAS BEEN, OR IS INTENDED TO BE, MARKETED OR
OTHERWISE PROMOTED IN ANY MANNER SUGGESTING THAT CONSUMING IT WILL
PROMOTE MUSCLE GROWTH OR ANY OTHER PHARMACOLOGICAL EFFECT SIMILAR TO
THAT OF TESTOSTERONE.
(II) A SUBSTANCE SHALL NOT BE CONSIDERED TO BE A DRUG OR HORMONAL
SUBSTANCE FOR PURPOSES OF THIS SUBDIVISION IF:
(A) IT IS:
1. AN HERB OR OTHER BOTANICAL;
2. A CONCENTRATE, METABOLITE, OR EXTRACT OF, OR A CONSTITUENT ISOLATED
DIRECTLY FROM, AN HERB OR OTHER BOTANICAL; OR
3. A COMBINATION OF TWO OR MORE SUBSTANCES DESCRIBED IN CLAUSE ONE OR
TWO OF THIS ITEM;
(B) IT IS A DIETARY INGREDIENT FOR PURPOSES OF THE FEDERAL FOOD, DRUG,
AND COSMETIC ACT (21 U.S.C. 301 ET SEQ.); AND
(C) IT IS NOT ANABOLIC OR ANDROGENIC.
(III) IN ACCORDANCE WITH SUBDIVISION ONE OF SECTION THIRTY-THREE
HUNDRED NINETY-SIX OF THIS ARTICLE, ANY PERSON CLAIMING THE BENEFIT OF
AN EXEMPTION OR EXCEPTION UNDER SUBPARAGRAPH (II) OF THIS PARAGRAPH
SHALL BEAR THE BURDEN OF GOING FORWARD WITH THE EVIDENCE WITH RESPECT TO
SUCH EXEMPTION OR EXCEPTION.
§ 14. Subdivision (c) of schedule III of section 3306 of the public
health law is amended by adding a new paragraph 15 to read as follows:
(15) PERAMPANEL, ITS SALTS, ISOMERS AND SALTS OF ISOMERS.
§ 15. Subdivision (c) of schedule IV of section 3306 of the public
health law is amended by adding seven new paragraphs 54, 55, 56, 57, 58,
59 and 60 to read as follows:
(54) ALFAXALONE.
(55) BREXANOLONE.
(56) DARIDOREXANT.
(57) LEMBOREXANT.
(58) REMIMAZOLAM.
(59) SUVOREXANT.
(60) ZURANOLONE.
§ 16. Paragraph 10 of subdivision (e) of schedule IV of section 3306
of the public health law, as amended by chapter 589 of the laws of 1996,
is amended and two new paragraphs 13 and 14 are added to read as
follows:
(10) SPA((-)[)]-1-dimethylamino-1, 2-diphenylethane).
(13) SERDEXMETHYLPHENIDATE.
(14) SOLRIAMFETOL (2-AMINO-3-PHENYLPROPYL CARBAMATE; BENZENEPROPANOL,
BETA-AMINO-, CARBAMATE(ESTER)).
S. 3007 62 A. 3007
§ 17. Subdivision (f) of schedule IV of section 3306 of the public
health law, as added by chapter 664 of the laws of 1985, paragraph 2 as
added by chapter 457 of the laws of 2006 and paragraph 3 as added by
section 14 of part C of chapter 447 of the laws of 2012, is amended to
read as follows:
(f) Other substances. Unless specifically excepted or unless listed in
another schedule, any material, compound, mixture or preparation which
contains any quantity of the following substances, including its salts,
ISOMERS, AND SALTS OF SUCH ISOMERS, WHENEVER THE EXISTENCE OF SUCH
SALTS, ISOMERS, AND SALTS OF ISOMERS IS POSSIBLE:
(1) Pentazocine.
(2) Butorphanol (including its optical isomers).
(3) Tramadol in any quantities.
(4) ELUXADOLINE (5-{{{(2S))-2-AMINO-3-{4-(AMINOCARBONYL)-2,6-DIMETHYL
PHENYL}-1-OXOPROPYL}{(1S)-1-(4-PHENYL-1H-IMIDAZOL-2-YL)ETHYL}AMINO}METH
YL}-2-METHOXYBENZOIC ACID) (INCLUDING ITS OPTICAL ISOMERS) AND ITS
SALTS, ISOMERS, AND SALTS OF ISOMERS.
(5) LORCASERIN.
§ 18. Subdivision (d) of schedule V of section 3306 of the public
health law, as amended by section 16 of part C of chapter 447 of the
laws of 2012, is amended to read as follows:
(d) Depressants. Unless specifically exempted or excluded or unless
listed in another schedule, any material, compound, mixture, or prepara-
tion which contains any quantity of the following substances having a
depressant effect on the central nervous system, including its salts,
isomers, and salts of isomers:
(1) Ezogabine [{N-{2-amino-4-(4-fluorobenzylamino)-phenyl}-carbamic
acid ethyl ester}] (N-{2-AMINO-4-(4-FLUOROBENZYLAMINO)-PHENYL}-CARBAMIC
ACID ETHYL ESTER).
(2) Lacosamide [{(R)-2-acetoamido-N-benzyl-3-methoxy-propionamide}]
((R)-2-ACETOAMIDO-N-BENZYL-3-METHOXY-PROPIONAMIDE).
(3) Pregabalin [{(S)-3-(aminomethyl)-5-methylhexanoic acid}]
((S)-3-(AMINOMETHYL)-5-METHYLHEXONOIC ACID).
(4) BRIVARACETAM ((2S)-2-{(4R)-2-OXO-4-PROPYLPYRROLIDIN-1-YL}BUTANA
MIDE). SOME TRADE OR OTHER NAMES: BRV; UCB-34714; BRIVIACT.
(5) CENOBAMATE ({(1R)-1-(2-CHLOROPHENYL)-2-(TETRAZOL-2-YL)ETHYL}
CARBAMATE; 2H-TETRAZOLE-2-ETHANOL, ALPHA-(2-CHLOROPHENYL)-, CARBAMATE
(ESTER), (ALPHAR)-; CARBAMIC ACID(R)-(+)-1-(2-CHLOROPHENYL)-2-(2H-TETRA
ZOL-2-YL)ETHYL ESTER).
(6) GANAXOLONE (3{ALPHA}-HYDROXY-3{BETA}-METHYL-5{ALPHA}-PREGNAN-20-
ONE).
(7) LASMIDITAN (2,4,6-TRIFLUORO-N-(6-(1-METHYLPIPERIDINE-4-CARBONYL)
PYRIDINE-2-YL-BENZAMIDE).
§ 19. Subdivision 2 of section 3342 of the public health law, as
amended by chapter 466 of the laws of 2024, is amended to read as
follows:
2. An institutional dispenser may dispense controlled substances for
use off its premises only pursuant to a prescription, prepared and filed
in conformity with this title, provided, however, that, in an emergency
situation as defined by rule or regulation of the department, a practi-
tioner in a hospital without a full-time pharmacy may dispense
controlled substances to a patient in a hospital emergency room for use
off the premises of the institutional dispenser for a period not to
exceed twenty-four hours, [unless the federal drug enforcement adminis-
tration has authorized a longer time period for the purpose of initiat-
ing maintenance treatment, detoxification treatment, or both] AND
S. 3007 63 A. 3007
PROVIDED FURTHER THAT A PRACTITIONER IN ANY INSTITUTIONAL DISPENSER MAY
DISPENSE CONTROLLED SUBSTANCES AS EMERGENCY TREATMENT TO A PATIENT FOR
USE OFF THE PREMISES OF THE INSTITUTIONAL DISPENSER AS AUTHORIZED BY THE
FEDERAL DRUG ENFORCEMENT ADMINISTRATION FOR THE PURPOSE OF INITIATING
MAINTENANCE TREATMENT, DETOXIFICATION TREATMENT, OR BOTH.
§ 20. Subdivision 1 of section 3302 of the public health law, as
amended by chapter 92 of the laws of 2021, is amended to read as
follows:
1. ["Addict"] "PERSON WITH A SUBSTANCE USE DISORDER" means a person
who habitually uses a controlled substance for a non-legitimate or
unlawful use, and who by reason of such use is dependent thereon.
§ 21. Subdivision 1 of section 3331 of the public health law, as added
by chapter 878 of the laws of 1972, is amended to read as follows:
1. Except as provided in titles III or V of this article, no substance
in schedules II, III, IV, or V may be prescribed for or dispensed or
administered to [an addict] A PERSON WITH A SUBSTANCE USE DISORDER or
habitual user.
§ 22. The title heading of title 5 of article 33 of the public health
law, as added by chapter 878 of the laws of 1972, is amended to read as
follows:
DISPENSING TO [ADDICTS]
PERSONS WITH A SUBSTANCE USE DISORDER
AND HABITUAL USERS
§ 23. Section 3350 of the public health law, as added by chapter 878
of the laws of 1972, is amended to read as follows:
§ 3350. Dispensing prohibition. Controlled substances may not be
prescribed for, or administered or dispensed to [addicts] PERSONS WITH A
SUBSTANCE USE DISORDER or habitual users of controlled substances,
except as provided by this title or title III OF THIS ARTICLE.
§ 24. Section 3351 of the public health law, as added by chapter 878
of the laws of 1972 and subdivision 5 as amended by chapter 558 of the
laws of 1999, is amended to read as follows:
§ 3351. Dispensing for medical use. 1. Controlled substances may be
prescribed for, or administered or dispensed to [an addict] A PERSON
WITH A SUBSTANCE USE DISORDER or habitual user:
(a) during emergency medical treatment unrelated to [abuse] SUCH
SUBSTANCE USE DISORDER OR HABITUAL USE of controlled substances;
(b) who is a bona fide patient suffering from an incurable and fatal
disease such as cancer or advanced tuberculosis;
(c) who is aged, infirm, or suffering from serious injury or illness
and the withdrawal from controlled substances would endanger the life or
impede or inhibit the recovery of such person.
1-A. A PRACTITIONER MAY PRESCRIBE, ADMINISTER AND DISPENSE ANY SCHED-
ULE III, IV, OR V NARCOTIC DRUG APPROVED BY THE FEDERAL FOOD AND DRUG
ADMINISTRATION SPECIFICALLY FOR USE IN MAINTENANCE OR DETOXIFICATION
TREATMENT TO A PERSON WITH A SUBSTANCE USE DISORDER OR HABITUAL USER.
2. Controlled substances may be ordered for use by [an addict] A
PERSON WITH A SUBSTANCE USE DISORDER or habitual user by a practitioner
and administered by a practitioner [or], registered nurse, EMERGENCY
MEDICAL TECHNICIAN-PARAMEDIC, ACTING WITHIN THEIR SCOPE OF PRACTICE, to
relieve acute withdrawal symptoms.
3. Methadone, or such other controlled substance designated by the
commissioner as appropriate for such use, may be ordered for use [of an
addict] BY A PERSON WITH A SUBSTANCE USE DISORDER by a practitioner and
dispensed or administered by a practitioner or [his] THEIR designated
S. 3007 64 A. 3007
agent as interim treatment for [an addict on a waiting list for admis-
sion to an authorized maintenance program] A PERSON WITH A SUBSTANCE USE
DISORDER WHILE ARRANGEMENTS ARE BEING MADE FOR REFERRAL TO TREATMENT FOR
SUCH SUBSTANCE USE DISORDER.
4. Methadone, or such other controlled substance designated by the
commissioner as appropriate for such use, may be administered to [an
addict] A PERSON WITH A SUBSTANCE USE DISORDER by a practitioner or by
[his] THEIR designated agent acting under the direction and supervision
of a practitioner, as part of a [regime] REGIMEN designed and intended
AS MAINTENANCE OR DETOXIFICATION TREATMENT OR to withdraw a patient from
addiction to controlled substances.
5. [Methadone] NOTWITHSTANDING ANY OTHER LAW AND CONSISTENT WITH
FEDERAL REQUIREMENTS, METHADONE, or such other controlled substance
designated by the commissioner as appropriate for such use, may be
administered OR DISPENSED DIRECTLY to [an addict] A PERSON WITH A
SUBSTANCE USE DISORDER by a practitioner or by [his] THEIR designated
agent acting under the direction and supervision of a practitioner, as
part of a substance [abuse or chemical dependence] USE DISORDER program
approved pursuant to article [twenty-three or] thirty-two of the mental
hygiene law.
§ 25. Section 3372 of the public health law, as amended by chapter 195
of the laws of 1973, is amended to read as follows:
§ 3372. Practitioner patient reporting. It shall be the duty of every
attending practitioner and every consulting practitioner to report
promptly to the commissioner, or [his] THE COMMISSIONER'S duly desig-
nated agent, the name and, if possible, the address of, and such other
data as may be required by the commissioner with respect to, any person
under treatment if [he] THE COMMISSIONER finds that such person is [an
addict or a habitual user of any narcotic drug] A PERSON WITH A
SUBSTANCE USE DISORDER. Such report shall be kept confidential and may
be utilized only for statistical, epidemiological or research purposes,
except that those reports which originate in the course of a criminal
proceeding other than under section 81.25 of the mental hygiene law
shall be subject only to the confidentiality requirements of section
thirty-three hundred seventy-one of this article.
§ 26. This act shall take effect immediately; provided, however, that
the amendments to subdivision 2 of section 3342 of the public health law
made by section nineteen of this act, shall take effect on the same date
and in the same manner as chapter 466 of the laws of 2024, takes effect.
PART P
Section 1. Section 2805-b of the public health law is amended by
adding a new subdivision 6 to read as follows:
6. WHEN EMERGENCY SERVICES ARE PROVIDED AS AN ORGANIZED SERVICE OF A
GENERAL HOSPITAL LICENSED PURSUANT TO THIS ARTICLE, THE HOSPITAL MUST
TERMINATE THE PREGNANCY OF ANY INDIVIDUAL PRESENTING FOR CARE AT THE
HOSPITAL IF THE INDIVIDUAL HAS AN EMERGENCY MEDICAL CONDITION, AND
TERMINATION OF THE PREGNANCY IS NEEDED TO STABILIZE THAT INDIVIDUAL,
UNLESS THE INDIVIDUAL (OR THE INDIVIDUAL'S LEGALLY AUTHORIZED REPRESEN-
TATIVE, WHEN THE LEGALLY AUTHORIZED REPRESENTATIVE IS AUTHORIZED TO ACT
ON BEHALF OF THE INDIVIDUAL) DOES NOT CONSENT TO THE TREATMENT. IF SUCH
CONSENT IS NOT PROVIDED, A GENERAL HOSPITAL MEETS THE REQUIREMENTS OF
THIS SUBDIVISION WITH RESPECT TO AN INDIVIDUAL IF THE HOSPITAL OFFERS
THE INDIVIDUAL THE TREATMENT. HOSPITALS THAT HAVE LIMITED CAPABILITY FOR
RECEIVING AND TREATING HIGH RISK MATERNITY PATIENTS IN NEED OF SPECIAL-
S. 3007 65 A. 3007
IZED EMERGENCY CARE SHALL DEVELOP AND IMPLEMENT STANDARD DESCRIPTIONS OF
SUCH PATIENTS AND HAVE TRIAGE, TREATMENT, AND TRANSFER PROTOCOLS. SUCH
PROTOCOLS SHALL PROVIDE THAT PATIENTS SHALL BE TRANSFERRED TO ANOTHER
HOSPITAL ONLY WHEN:
(A) THE PATIENT'S CONDITION IS STABLE OR BEING MANAGED;
(B) THE ATTENDING PRACTITIONER HAS AUTHORIZED THE TRANSFER; AND
(C) THE RECEIVING HOSPITAL IS INFORMED, CAN PROVIDE THE NECESSARY
RESOURCES TO CARE FOR THE PATIENT, AND HAS ACCEPTED THE PATIENT.
§ 2. Section 2599-bb of the public health law is amended by adding a
new subdivision 1-a to read as follows:
1-A. AT A HEALTH CARE PRESCRIBER'S REQUEST, THE PRESCRIPTION LABEL FOR
ABORTION MEDICATIONS, INCLUDING, BUT NOT LIMITED TO, MIFEPRISTONE AND
MISOPROSTOL SHALL INCLUDE THE PRESCRIBING HEALTH CARE FACILITY NAME OR
ADDRESS INSTEAD OF THE NAME OF THE PRACTITIONER. THE PRESCRIBER SHALL
INFORM THE PATIENT WHETHER THE PRESCRIBER HAS REQUESTED TO INCLUDE THE
HEALTH CARE FACILITY NAME OR ADDRESS ON THE PRESCRIPTION LABEL.
§ 3. Subdivision 1 of section 6810 of the education law, as amended by
section 2 of part V of chapter 57 of the laws of 2012, is amended and a
new subdivision 10-b is added to read as follows:
1. No drug for which a prescription is required by the provisions of
the Federal Food, Drug and Cosmetic Act or by the commissioner of health
shall be distributed or dispensed to any person except upon a
prescription written by a person legally authorized to issue such
prescription. Such drug shall be compounded or dispensed by a licensed
pharmacist, and no such drug shall be dispensed without affixing to the
immediate container in which the drug is sold or dispensed a label bear-
ing the name and address of the owner of the establishment in which it
was dispensed, the date compounded, the number of the prescription under
which it is recorded in the pharmacist's prescription files, the name of
the prescriber, OR THE NAME OR ADDRESS OF THE PRESCRIBING HEALTH CARE
FACILITY PURSUANT TO SECTION TWENTY-FIVE HUNDRED NINETY-NINE-BB OF THE
PUBLIC HEALTH LAW, the name and address of the patient, and the
directions for the use of the drug by the patient as given upon the
prescription. All labels shall conform to such rules and regulations as
promulgated by the commissioner pursuant to section sixty-eight hundred
twenty-nine of this article. The prescribing and dispensing of a drug
which is a controlled substance shall be subject to additional require-
ments provided in article thirty-three of the public health law. The
words "drug" and "prescription required drug" within the meaning of this
article shall not be construed to include soft or hard contact lenses,
eyeglasses, or any other device for the aid or correction of vision.
Nothing in this subdivision shall prevent a pharmacy from furnishing a
drug to another pharmacy which does not have such drug in stock for the
purpose of filling a prescription.
10-B. AT THE REQUEST OF A PRACTITIONER PURSUANT TO SECTION TWENTY-FIVE
HUNDRED NINETY-NINE-BB OF THE PUBLIC HEALTH LAW, A PHARMACY THAT
RECEIVES AN ELECTRONIC PRESCRIPTION SHALL LIST THE PRESCRIBING HEALTH
CARE FACILITY NAME OR ADDRESS ON THE PRESCRIPTION LABEL INSTEAD OF THE
NAME OF THE PRACTITIONER.
§ 4. This act shall take effect immediately and shall be deemed to
have been in full force and effect on and after April 1, 2025.
PART Q
Section 1. Subdivision 2 of section 365-a of the social services law
is amended by adding a new paragraph (nn) to read as follows:
S. 3007 66 A. 3007
(NN) (I) MEDICAL ASSISTANCE SHALL INCLUDE THE COVERAGE OF THE FOLLOW-
ING SERVICES FOR INDIVIDUALS WITH IATROGENIC INFERTILITY DIRECTLY OR
INDIRECTLY CAUSED BY MEDICAL TREATMENT, WHICH IS AN IMPAIRMENT OF
FERTILITY RESULTING FROM SURGERY, RADIATION, CHEMOTHERAPY, SICKLE CELL
TREATMENT, OR OTHER MEDICAL TREATMENT AFFECTING REPRODUCTIVE ORGANS OR
PROCESSES:
(1) STANDARD FERTILITY PRESERVATION SERVICES TO PREVENT OR TREAT
INFERTILITY, WHICH SHALL INCLUDE MEDICALLY NECESSARY COLLECTION, FREEZ-
ING, PRESERVATION AND STORAGE OF OOCYTES OR SPERM, AND SUCH OTHER STAND-
ARD SERVICES THAT ARE NOT EXPERIMENTAL OR INVESTIGATIONAL; TOGETHER WITH
PRESCRIPTION DRUGS, WHICH SHALL BE LIMITED TO FEDERAL FOOD AND DRUG
ADMINISTRATION APPROVED MEDICATIONS AND SUBJECT TO MEDICAL ASSISTANCE
PROGRAM COVERAGE REQUIREMENTS. IN VITRO FERTILIZATION (IVF) SHALL NOT BE
COVERED AS A FERTILITY PRESERVATION SERVICE; AND
(2) COVERAGE OF THE COSTS OF STORAGE OF OOCYTES OR SPERM SHALL BE
SUBJECT TO CONTINUED MEDICAL ASSISTANCE PROGRAM ELIGIBILITY OF THE INDI-
VIDUAL WITH IATROGENIC INFERTILITY, AND SHALL TERMINATE UPON ANY DISCON-
TINUANCE OF MEDICAL ASSISTANCE ELIGIBILITY.
(II) IN THE EVENT THAT FEDERAL FINANCIAL PARTICIPATION FOR SUCH
FERTILITY PRESERVATION SERVICES IS NOT AVAILABLE, MEDICAL ASSISTANCE
SHALL NOT INCLUDE COVERAGE OF THESE SERVICES.
§ 2. Section 4 of part K of chapter 82 of the laws of 2002 amending
the insurance law and the public health law relating to coverage for the
diagnosis and treatment of infertility, is REPEALED.
§ 3. The public health law is amended by adding a new section
2599-bb-2 to read as follows:
§ 2599-BB-2. IMPROVED ACCESS TO INFERTILITY HEALTH CARE SERVICES GRANT
PROGRAM. 1. THE COMMISSIONER, SUBJECT TO THE AVAILABILITY OF FUNDS
PURSUANT TO SECTION TWENTY-EIGHT HUNDRED SEVEN-V OF THIS CHAPTER, SHALL
ESTABLISH A PROGRAM TO PROVIDE GRANTS TO HEALTH CARE PROVIDERS FOR THE
PURPOSE OF IMPROVING ACCESS TO AND EXPANDING HEALTH CARE SERVICES
RELATED TO THE RANGE OF CARE FOR INFERTILITY. SUCH PROGRAM SHALL FUND
UNCOMPENSATED HEALTH CARE SERVICES RELATED TO THE RANGE OF CARE FOR
INFERTILITY, TO ENSURE THE AFFORDABILITY OF AND ACCESS TO CARE FOR INDI-
VIDUALS WHO LACK THE ABILITY TO PAY FOR CARE, LACK INSURANCE COVERAGE,
ARE UNDERINSURED, OR WHOSE INSURANCE IS DEEMED UNUSABLE BY THE RENDERING
PROVIDER. NOTWITHSTANDING SECTIONS ONE HUNDRED TWELVE AND ONE HUNDRED
SIXTY-THREE OF THE STATE FINANCE LAW, GRANTS PROVIDED PURSUANT TO SUCH
PROGRAM MAY BE MADE WITHOUT COMPETITIVE BID OR REQUEST FOR PROPOSAL.
2. SERVICES, TREATMENTS, AND PROCEDURES PAID FOR PURSUANT TO THE GRANT
PROGRAM SHALL BE MADE AVAILABLE ONLY IN ACCORDANCE WITH STANDARDS,
PROTOCOLS, AND OTHER PARAMETERS ESTABLISHED BY THE COMMISSIONER, WHICH
SHALL INCORPORATE BUT NOT BE LIMITED TO THE AMERICAN SOCIETY FOR REPRO-
DUCTIVE MEDICINE (ASRM) AND THE AMERICAN COLLEGE OF OBSTETRICIANS AND
GYNECOLOGISTS (ACOG) STANDARDS FOR THE APPROPRIATENESS OF INDIVIDUALS,
PROVIDERS, TREATMENTS, AND PROCEDURES.
3. AT LEAST ONE SUCH PROVIDER SHALL BE LOCATED IN THE CITY OF NEW YORK
AND ONE SUCH PROVIDER SHALL BE LOCATED IN AN UPSTATE REGION. ANY ORGAN-
IZATION OR PROVIDER RECEIVING FUNDS FROM THE PROGRAM SHALL TAKE ALL
NECESSARY STEPS TO ENSURE THE CONFIDENTIALITY OF THE INDIVIDUALS RECEIV-
ING SERVICES, TREATMENTS OR PROCEDURES PAID FOR PURSUANT TO THE GRANT
PROGRAM PURSUANT TO STATE AND FEDERAL LAWS.
§ 4. This act shall take effect immediately and shall be deemed to
have been in full force and effect on and after April 1, 2025; provided,
however, that section one of this act shall take effect October 1, 2025.
Effective immediately, the addition, amendment and/or repeal of any rule
S. 3007 67 A. 3007
or regulation necessary for the implementation of this act on its effec-
tive date are authorized to be made and completed on or before such
date.
PART R
Section 1. Section 3001 of the public health law is amended by adding
three new subdivisions 22, 23 and 24 to read as follows:
22. "EMERGENCY MEDICAL SERVICES AGENCIES" SHALL MEAN ORGANIZED ENTI-
TIES CERTIFIED OR LICENSED BY THE DEPARTMENT TO PROVIDE EMERGENCY
MEDICAL SERVICE, INCLUDING AMBULANCE SERVICES, ADVANCED LIFE SUPPORT
FIRST RESPONSE SERVICES, AND OTHER INTEGRATED FIRST RESPONSE SERVICES
RESPONSIBLE FOR PROVIDING EMERGENCY MEDICAL SERVICES.
23. "COMMUNITIES" SHALL INCLUDE COUNTIES, CITIES, TOWNS, VILLAGES, AND
SPECIAL DISTRICTS WITHIN NEW YORK STATE.
24. "SCORING MATRIX" SHALL REFER TO THE EMERGENCY MEDICAL COMMUNITY
ASSESSMENT PROGRAM FRAMEWORK OF CRITERIA AND WEIGHTINGS ESTABLISHED BY
THE DEPARTMENT FOR EVALUATING EMERGENCY MEDICAL SERVICES SYSTEMS AND
AGENCIES.
§ 2. Section 3008 of the public health law is amended by adding a new
subdivision 4-a to read as follows:
4-A. IN DETERMINING PUBLIC NEED FOR ADDITIONAL EMERGENCY MEDICAL
SERVICES, THE REGIONAL EMERGENCY MEDICAL SERVICES COUNCILS SHALL CONSID-
ER FACTORS RELATED TO ACCESS, COMMUNITY NEED, CONSISTENCY WITH STATE
EMERGENCY MEDICAL SYSTEM PLANS, AND THE FEASIBILITY AND IMPACT OF THE
PROPOSED SERVICE, INCLUDING ANY INNOVATIONS OR IMPROVEMENTS IN SERVICE
DELIVERY, AND OTHER FACTORS AS DETERMINED BY THE COMMISSIONER.
§ 3. The public health law is amended by adding a new section 3019 to
read as follows:
§ 3019. EMERGENCY MEDICAL COMMUNITY ASSESSMENT PROGRAM. 1. THE EMER-
GENCY MEDICAL COMMUNITY ASSESSMENT PROGRAM IS HEREBY ESTABLISHED TO
EVALUATE AND ENHANCE THE EMERGENCY MEDICAL SERVICES THROUGHOUT THE
STATE. THE PROGRAM SHALL ASSESS THE CAPABILITIES AND PERFORMANCE OF
EMERGENCY MEDICAL SERVICES AGENCIES AND THE SERVICE THEY PROVIDE TO THE
COMMUNITIES THEY SERVE, ASSIGNING SCORES TO IDENTIFY STRENGTHS, DEFI-
CIENCIES, AND AREAS FOR IMPROVEMENT.
2. THE DEPARTMENT, IN CONSULTATION WITH THE STATE COUNCIL AND OTHER
STAKEHOLDERS, SHALL ESTABLISH THE CRITERIA AND SCORING MATRIX TO EVALU-
ATE EMERGENCY MEDICAL SERVICES SYSTEMS. CRITERIA SHALL INCLUDE, BUT NOT
BE LIMITED TO, SYSTEM ORGANIZATION, ACCESS TO CARE, RESPONSE EFFECTIVE-
NESS, OPERATIONAL EFFICIENCY, AND QUALITY IMPROVEMENT. THE SCORING
MATRIX SHALL ENSURE OBJECTIVE EVALUATIONS AND CONSISTENCY STATEWIDE,
WITH ASSESSMENTS INFORMING RESOURCE ALLOCATION AND SYSTEM IMPROVEMENTS.
ASSESSMENT RESULTS SHALL BE PUBLICLY ACCESSIBLE AND INTEGRATED INTO
COUNTY EMERGENCY MEDICAL SERVICES PLANS TO IDENTIFY GAPS, PRIORITIZE
RESOURCES, AND ENHANCE SYSTEM READINESS AND SUSTAINABILITY.
3. THE DEPARTMENT SHALL PREPARE AND PUBLISH, IN A MANNER DETERMINED BY
THE DEPARTMENT, A COMPREHENSIVE STATEWIDE REPORT OF THE EMERGENCY
MEDICAL COMMUNITY ASSESSMENT PROGRAM RESULTS AT LEAST EVERY FIVE YEARS,
OR AT SUCH INTERVALS AS DEEMED NECESSARY BY THE COMMISSIONER.
4. ALL JURISDICTIONS AND EMERGENCY MEDICAL SERVICES AGENCIES, EXCEPT
CITIES WITH POPULATIONS OF ONE MILLION OR MORE, SHALL PARTICIPATE IN THE
PROGRAM AND PROVIDE TIMELY AND ACCURATE INFORMATION.
5. THE COMMISSIONER IS AUTHORIZED TO ALLOCATE FUNDING TO ASSIST COUN-
TIES AND AGENCIES IN IMPLEMENTING THE PROGRAM, CONDUCTING ASSESSMENTS,
ADDRESSING DEFICIENCIES, AND IMPROVING SYSTEM PERFORMANCE AND SHALL
S. 3007 68 A. 3007
PRIORITIZE AREAS WITH SIGNIFICANT RESOURCE GAPS AND ALIGN WITH PROGRAM
OBJECTIVES.
§ 4. The public health law is amended by adding a new section 3019-a
to read as follows:
§ 3019-A. STATEWIDE COMPREHENSIVE EMERGENCY MEDICAL SYSTEM PLAN. 1.
THE STATE EMERGENCY MEDICAL SERVICES COUNCIL, IN COLLABORATION AND WITH
FINAL APPROVAL OF THE DEPARTMENT, SHALL DEVELOP AND MAINTAIN A STATEWIDE
COMPREHENSIVE EMERGENCY MEDICAL SYSTEM PLAN THAT SHALL PROVIDE FOR A
COORDINATED EMERGENCY MEDICAL SYSTEM WITHIN THE STATE, WHICH SHALL
INCLUDE BUT NOT BE LIMITED TO:
(A) ESTABLISHING A COMPREHENSIVE STATEWIDE EMERGENCY MEDICAL SYSTEM,
CONSISTING OF FACILITIES, TRANSPORTATION, WORKFORCE, COMMUNICATIONS, AND
OTHER COMPONENTS TO IMPROVE THE DELIVERY, ACCESS AND UTILIZATION OF
EMERGENCY MEDICAL SERVICES AND THEREBY DECREASE MORBIDITY, HOSPITALIZA-
TION, DISABILITY, AND MORTALITY;
(B) IMPROVING THE ACCESSIBILITY OF HIGH-QUALITY EMERGENCY MEDICAL
SERVICES;
(C) COORDINATING PROFESSIONAL MEDICAL ORGANIZATIONS, HOSPITALS, AND
OTHER PUBLIC AND PRIVATE AGENCIES IN DEVELOPING ALTERNATIVE DELIVERY
MODELS FOR PERSONS WHO ARE PRESENTLY USING EMERGENCY DEPARTMENTS FOR
ROUTINE, NONURGENT AND PRIMARY MEDICAL CARE TO BE SERVED APPROPRIATELY
AND ECONOMICALLY; PROVIDED, HOWEVER, THAT THE PROVISIONS OF THIS SUBDI-
VISION SHALL NOT BE MANDATED FOR CITIES WITH A POPULATION OF ONE MILLION
OR MORE; AND
(D) DEVELOPING, CONDUCTING, PROMOTING, AND ENCOURAGING PROGRAMS OF
INITIAL AND ADVANCED EDUCATION AND TRAINING DESIGNED TO ENHANCE AND
RECOGNIZE THE KNOWLEDGE AND SKILLS OF EMERGENCY MEDICAL SERVICES PRACTI-
TIONERS THROUGHOUT THE STATE WITH EMPHASIS ON REGIONS UNDERSERVED BY OR
WITH LIMITED ACCESS TO EMERGENCY MEDICAL SERVICES.
2. THE STATEWIDE COMPREHENSIVE EMERGENCY MEDICAL SYSTEM PLAN SHALL BE
REVIEWED, UPDATED IF NECESSARY, AND PUBLISHED EVERY FIVE YEARS ON THE
DEPARTMENT'S WEBSITE, OR AT SUCH EARLIER TIMES AS MAY BE NECESSARY TO
IMPROVE THE EFFECTIVENESS AND EFFICIENCY OF THE STATE'S EMERGENCY
MEDICAL SERVICES SYSTEM.
3. EACH COUNTY SHALL DEVELOP AND MAINTAIN A COMPREHENSIVE COUNTY EMER-
GENCY MEDICAL SYSTEM PLAN, IN A MANNER AND FORMAT ESTABLISHED BY THE
DEPARTMENT, THAT SHALL PROVIDE FOR A COORDINATED EMERGENCY MEDICAL
SYSTEM WITHIN THE COUNTY TO PROVIDE ESSENTIAL EMERGENCY MEDICAL SERVICES
FOR ALL RESIDENTS WITHIN THE COUNTY. THE COUNTY OFFICE OF EMERGENCY
MEDICAL SERVICES SHALL BE RESPONSIBLE FOR THE DEVELOPMENT, IMPLEMENTA-
TION, AND MAINTENANCE OF THE COMPREHENSIVE COUNTY EMERGENCY MEDICAL
SYSTEM PLAN.
(A) COUNTY PLANS SHALL REQUIRE REVIEW AND APPROVAL BY THE DEPARTMENT.
THE STATE EMERGENCY MEDICAL SERVICES COUNCIL AND THE REGIONAL EMERGENCY
MEDICAL SERVICES COUNCIL MAY REVIEW COUNTY PLANS AND PROVIDE RECOMMENDA-
TIONS TO THE DEPARTMENT PRIOR TO FINAL APPROVAL.
(B) ANY PERMANENT MODIFICATIONS TO THE APPROVED COUNTY EMERGENCY
MEDICAL SYSTEM PLAN, INCLUDING THE DISSOLUTION OF AN AMBULANCE SERVICE
DISTRICT OR OTHER SIGNIFICANT MODIFICATION OF EMERGENCY MEDICAL SERVICES
AGENCY COVERAGE, INCLUDING BUT NOT LIMITED TO AN AGENCY CHOOSING TO STOP
SERVICING AN AREA THAT IS NOT OTHERWISE SERVED BY AN AGENCY, SHALL
REQUIRE REVIEW AND APPROVAL BY THE DEPARTMENT PRIOR TO IMPLEMENTATION.
SUCH MODIFICATIONS SHALL BE SUBMITTED IN WRITING TO THE DEPARTMENT NO
LESS THAN ONE HUNDRED EIGHTY DAYS BEFORE THE PROPOSED EFFECTIVE DATE OF
THE COUNTY PLANS.
S. 3007 69 A. 3007
(C) THE COUNTY PLAN SHALL DESIGNATE A PRIMARY RESPONDING EMERGENCY
MEDICAL SERVICES AGENCY OR AGENCIES RESPONSIBLE FOR RESPONDING TO
REQUESTS FOR EMERGENCY MEDICAL SERVICES WITHIN EACH PART OF THE COUNTY.
NO EMERGENCY MEDICAL SERVICES AGENCY DESIGNATED IN THE COUNTY PLAN, MAY
REFUSE TO RESPOND TO A REQUEST FOR SERVICE WITHIN THEIR PRIMARY RESPONSE
AREA OR AS LISTED IN THE PLAN UNLESS THEY CAN PROVE, TO THE SATISFACTION
OF THE DEPARTMENT, THAT THEY ARE UNABLE TO RESPOND BECAUSE OF CAPACITY
LIMITATIONS.
(D) THE COUNTY PLAN SHALL INCORPORATE ALL AMBULANCE SERVICES THAT HOLD
A VALID AMBULANCE SERVICE CERTIFICATE AND HAVE ANY DESIGNATED GEOGRAPHIC
AREA WITHIN THE COUNTY LISTED AS PRIMARY TERRITORY ON THE OPERATING
CERTIFICATE ISSUED BY THE DEPARTMENT.
(E) NO COUNTY SHALL REMOVE OR REASSIGN AN AREA SERVED BY AN EXISTING
EMERGENCY MEDICAL SERVICES AGENCY WHERE SUCH EMERGENCY MEDICAL SERVICES
AGENCY IS COMPLIANT WITH ALL STATUTORY AND REGULATORY REQUIREMENTS, AND
HAS AGREED TO PARTICIPATE IN THE PROVISION OF THE APPROVED COUNTY PLAN.
(F) THE COUNTY PLAN SHALL INCORPORATE FINDINGS FROM THE EMERGENCY
MEDICAL COMMUNITY ASSESSMENT PROGRAM, AS DESCRIBED IN SECTION THREE
THOUSAND NINETEEN OF THIS ARTICLE, TO IDENTIFY OPPORTUNITIES FOR
IMPROVEMENT, PRIORITIZE RESOURCE ALLOCATION, AND DETERMINE ADDITIONAL
NEEDS FOR EMERGENCY MEDICAL SERVICES WITHIN THE COUNTY.
(G) THE COUNTY PLAN SHALL INCLUDE ANY FINDINGS WHICH DEMONSTRATE A
PUBLIC NEED FOR ADDITIONAL EMERGENCY MEDICAL SERVICES BASED ON THE
CONSIDERATIONS OUTLINED IN SECTION THREE THOUSAND EIGHT OF THIS ARTICLE.
SUCH FINDINGS SHALL BE SUBMITTED TO THE REGIONAL EMERGENCY MEDICAL
SERVICES COUNCIL AND THE STATE EMERGENCY MEDICAL SERVICES COUNCIL TO
PROVIDE RECOMMENDATIONS AND INFORM DECISIONS RELATED TO REGIONAL DETER-
MINATIONS OF PUBLIC NEED.
§ 5. The opening paragraph of subdivision 1 of section 122-b of the
general municipal law, as amended by chapter 471 of the laws of 2011, is
amended and a new paragraph (g) is added to read as follows:
[Any] GENERAL AMBULANCE SERVICES ARE AN ESSENTIAL SERVICE AND A MATTER
OF STATE CONCERN. EVERY county, city, town [or] AND village, acting
individually or jointly OR IN CONJUNCTION WITH A SPECIAL DISTRICT, [may
provide] SHALL ENSURE THAT an emergency medical service, a general ambu-
lance service or a combination of such services ARE PROVIDED for the
purpose of providing prehospital emergency medical treatment or trans-
porting sick or injured persons found within the boundaries of the muni-
cipality or the municipalities acting jointly to a hospital, clinic,
sanatorium or other place for treatment of such illness or injury, [and
for] PROVIDED, HOWEVER, THE PROVISIONS OF THIS SUBDIVISION SHALL NOT
APPLY TO A CITY WITH A POPULATION OF ONE MILLION OR MORE. FOR PURPOSES
OF THIS SECTION, "SPECIAL DISTRICT" SHALL HAVE THE SAME MEANING AS
"IMPROVEMENT DISTRICTS" AS DEFINED IN ARTICLE TWELVE-A OF THE TOWN LAW.
IN FURTHERANCE OF that purpose, A COUNTY, CITY, TOWN OR VILLAGE may:
(G) ESTABLISH A SPECIAL DISTRICT FOR THE FINANCING AND OPERATION OF
GENERAL AMBULANCE SERVICES, INCLUDING SUPPORT FOR AGENCIES CURRENTLY
PROVIDING EMERGENCY MEDICAL SERVICES, AS SET FORTH BY THIS SECTION,
WHEREBY ANY COUNTY, CITY, TOWN OR VILLAGE, ACTING INDIVIDUALLY, OR
JOINTLY WITH ANY OTHER COUNTY, CITY, TOWN AND/OR VILLAGE, THROUGH ITS
GOVERNING BODY OR BODIES, FOLLOWING APPLICABLE PROCEDURES AS ARE
REQUIRED FOR THE ESTABLISHMENT OF FIRE DISTRICTS IN ARTICLE ELEVEN OF
THE TOWN LAW OR FOLLOWING APPLICABLE PROCEDURES AS ARE REQUIRED FOR THE
ESTABLISHMENT OF JOINT FIRE DISTRICTS IN ARTICLE ELEVEN-A OF THE TOWN
LAW, WITH SUCH SPECIAL DISTRICT BEING AUTHORIZED BY THIS SECTION TO BE
ESTABLISHED IN ALL OR ANY PART OF ANY SUCH PARTICIPATING COUNTY OR COUN-
S. 3007 70 A. 3007
TIES, TOWN OR TOWNS, CITY OR CITIES AND/OR VILLAGE OR VILLAGES; PROVIDED
THAT THE TERM "TOWN BOARD", "TOWN", OR "COMMISSIONER", INSOFAR AS EITHER
IS USED IN ARTICLE ELEVEN OR ARTICLE ELEVEN-A OF THE TOWN LAW, SHALL
MEAN THE LEGISLATIVE BODY OF A VILLAGE, CITY HAVING A POPULATION LESS
THAN ONE MILLION, AND COUNTY OUTSIDE OF ANY SUCH CITY, AS APPLICABLE FOR
SUCH VILLAGE, CITY, AND COUNTY TO ESTABLISH OR EXTEND A SPECIAL DISTRICT
OR SPECIAL IMPROVEMENT DISTRICT AS AUTHORIZED UNDER THIS SECTION.
NOTWITHSTANDING ANY PROVISION OF THIS ARTICLE, RULE OR REGULATION TO THE
CONTRARY, ANY SPECIAL DISTRICT CREATED UNDER THIS SECTION SHALL NOT
OVERLAP WITH A PRE-EXISTING CITY, TOWN OR VILLAGE AMBULANCE DISTRICT
UNLESS SUCH EXISTING DISTRICT IS MERGED INTO THE NEWLY CREATED DISTRICT.
NO CITY, TOWN OR VILLAGE SHALL ELIMINATE OR DISSOLVE A PRE-EXISTING
AMBULANCE DISTRICT WITHOUT EXPRESS APPROVAL AND CONSENT BY THE COUNTY TO
ASSUME RESPONSIBILITY FOR THE EMERGENCY MEDICAL SERVICES PREVIOUSLY
PROVIDED BY SUCH DISTRICT. SUCH EXPRESS COUNTY APPROVAL AND CONSENT
SHALL BE ADOPTED BY RESOLUTION OF THE COUNTY LEGISLATIVE BODY, AND THE
RESOLUTION SHALL BE FILED WITH THE DEPARTMENT OF STATE. WHEN A SPECIAL
DISTRICT IS ESTABLISHED PURSUANT TO THIS ARTICLE, THE CITIES, TOWNS, OR
VILLAGES CONTAINED WITHIN THE COUNTY SHALL NOT REDUCE CURRENT AMBULANCE
FUNDING WITHOUT SUCH CHANGES BEING INCORPORATED INTO THE COMPREHENSIVE
COUNTY EMERGENCY MEDICAL SYSTEM PLAN.
§ 6. Section 3000 of the public health law, as amended by chapter 804
of the laws of 1992, is amended to read as follows:
§ 3000. Declaration of policy and statement of purpose. The furnishing
of medical assistance in an emergency is a matter of vital STATE concern
affecting the public health, safety and welfare. EMERGENCY MEDICAL
SERVICES AND AMBULANCE SERVICES ARE ESSENTIAL SERVICES AND SHALL BE
AVAILABLE TO EVERY PERSON IN THE STATE IN A RELIABLE MANNER. Prehospital
emergency medical care, OTHER EMERGENCY MEDICAL SERVICES, the provision
of prompt and effective communication among ambulances and hospitals and
safe and effective care and transportation of the sick and injured are
essential public health services AND SHALL BE AVAILABLE TO EVERY PERSON
IN THE STATE IN A RELIABLE MANNER.
It is the purpose of this article to promote the public health, safety
and welfare by providing for certification of all advanced life support
first response services and ambulance services; the creation of regional
emergency medical services councils; and a New York state emergency
medical services council to develop minimum training standards for
certified first responders, emergency medical technicians and advanced
emergency medical technicians and minimum equipment and communication
standards for advanced life support first response services and ambu-
lance services.
§ 7. Subdivision 1 of section 3001 of public health law, as amended by
chapter 804 of the laws of 1992, is amended to read as follows:
1. "Emergency medical service" means [initial emergency medical
assistance including, but not limited to, the treatment of trauma,
burns, respiratory, circulatory and obstetrical emergencies.] A COORDI-
NATED SYSTEM OF MEDICAL RESPONSE, INCLUDING ASSESSMENT, TREATMENT,
TRANSPORTATION, EMERGENCY MEDICAL DISPATCH, MEDICAL DIRECTION, AND EMER-
GENCY MEDICAL SERVICES EDUCATION THAT PROVIDES ESSENTIAL EMERGENCY AND
NON-EMERGENCY CARE AND TRANSPORTATION FOR THE ILL AND INJURED, WHILE
SUPPORTING PUBLIC HEALTH, EMERGENCY PREPAREDNESS, AND RISK MITIGATION
THROUGH AN ORGANIZED AND PLANNED RESPONSE SYSTEM.
§ 8. The public health law is amended by adding a new section 3003-c
to read as follows:
S. 3007 71 A. 3007
§ 3003-C. EMERGENCY MEDICAL SERVICES DEMONSTRATION PROGRAMS. 1. THE
PURPOSE OF THIS SECTION IS TO PROMOTE INNOVATION IN EMERGENCY MEDICAL
SERVICES BY ENABLING AGENCIES AND PRACTITIONERS TO DEVELOP AND TEST
NOVEL DELIVERY MODELS AND CARE STRATEGIES THAT ADDRESS THE DIVERSE NEEDS
OF THEIR COMMUNITIES. THIS INCLUDES IMPROVING PATIENT OUTCOMES, SYSTEM
EFFICIENCY, AND COST-EFFECTIVENESS, PARTICULARLY IN RURAL AND UNDER-
SERVED REGIONS. DEMONSTRATION PROGRAMS MAY ENHANCE THE OPERATIONAL GOALS
OF STATE AND COUNTY EMERGENCY MEDICAL SERVICES PLANS AND SERVE AS MODELS
FOR BROADER ADOPTION STATEWIDE.
2. THE COMMISSIONER IS AUTHORIZED TO:
(A) APPROVE EMERGENCY MEDICAL SERVICES DEMONSTRATION PROGRAMS THAT
ALIGN WITH THE OBJECTIVES OF THIS SECTION, ENSURING THAT THEY ADDRESS
REGIONAL NEEDS AND PROMOTE SYSTEM-LEVEL IMPROVEMENTS;
(B) PROVIDE FINANCIAL SUPPORT FOR THESE PROGRAMS, SUBJECT TO THE
AVAILABILITY OF APPROPRIATED FUNDS; AND
(C) GRANT NARROWLY TAILORED WAIVERS FOR SPECIFIC PROVISIONS OF THIS
ARTICLE, ARTICLE THIRTY-A OF THIS CHAPTER, OR APPLICABLE REGULATIONS, AS
NECESSARY TO IMPLEMENT APPROVED DEMONSTRATION PROGRAMS. WAIVERS SHALL
PRIORITIZE PATIENT SAFETY AND THE INTEGRITY OF CARE DELIVERY.
3. EMERGENCY MEDICAL SERVICES DEMONSTRATION PROGRAMS SHALL BE SUBMIT-
TED TO THE DEPARTMENT FOR REVIEW AND APPROVAL PRIOR TO IMPLEMENTATION.
PROPOSALS MUST INCLUDE A DETAILED PLAN OUTLINING PROGRAM OBJECTIVES,
OPERATIONAL DETAILS, ANTICIPATED OUTCOMES, AND MECHANISMS TO ENSURE
PATIENT SAFETY AND COMPLIANCE WITH APPLICABLE LAWS AND REGULATIONS.
APPROVED DEMONSTRATION PROGRAMS SHALL UNDERGO PERIODIC EVALUATION,
ASSESSING METRICS SUCH AS PATIENT OUTCOMES, SYSTEM PERFORMANCE, AND
COST-EFFECTIVENESS, TO ENSURE ALIGNMENT WITH PROGRAM GOALS AND INFORM
POTENTIAL STATEWIDE ADOPTION.
4. DEMONSTRATION PROGRAMS APPROVED UNDER THIS SECTION SHALL NOT
INCLUDE, OVERLAP, OR REPLICATE SERVICES INCLUDED IN THE COMMUNITY-BASED
PARAMEDICINE DEMONSTRATION PROGRAM AS DEFINED UNDER SECTION THREE THOU-
SAND EIGHTEEN OF THIS ARTICLE.
§ 9. Section 3020 of the public health law is amended by adding a new
subdivision 3 to read as follows:
3. THE DEPARTMENT, IN CONSULTATION WITH THE STATE COUNCIL, SHALL
ESTABLISH STANDARDS FOR THE LICENSURE OF EMERGENCY MEDICAL SERVICES
PRACTITIONERS BY THE COMMISSIONER. SUCH STANDARDS SHALL ALIGN WITH
EXISTING REQUIREMENTS FOR CERTIFICATION AND SHALL NOT IMPOSE ADDITIONAL
BURDENS OR REQUIREMENTS BEYOND THOSE NECESSARY TO ENSURE COMPETENCE AND
PUBLIC SAFETY. THE TERM "LICENSED" SHALL REPLACE "CERTIFIED" TO REFLECT
THE PROFESSIONAL STATUS OF EMERGENCY MEDICAL SERVICES PRACTITIONERS,
INCLUDING BUT NOT LIMITED TO EMERGENCY MEDICAL TECHNICIANS AND ADVANCED
EMERGENCY MEDICAL TECHNICIANS.
§ 10. This act shall take effect six months after it shall have become
a law.
PART S
Section 1. Section 4552 of the public health law, as added by section
1 of part M of chapter 57 of the laws of 2023, is amended to read as
follows:
§ 4552. Notice of material transactions; requirements. 1. A health
care entity shall submit to the department written notice, with support-
ing documentation as described below and further defined in regulation
developed by the department, which the department shall be in receipt of
at least [thirty] SIXTY days before the closing date of the transaction,
S. 3007 72 A. 3007
in the form and manner prescribed by the department. Immediately upon
the submission to the department, the department shall submit electronic
copies of such notice with supporting documentation to the antitrust,
health care and charities bureaus of the office of the New York attorney
general. Such written notice shall include, but not be limited to:
(a) The names of the parties to the material transaction and their
current addresses;
(b) Copies of any definitive agreements governing the terms of the
material transaction, including pre- and post-closing conditions;
(c) Identification of all locations where health care services are
currently provided by each party and the revenue generated in the state
from such locations;
(d) Any plans to reduce or eliminate services and/or participation in
specific plan networks;
(e) The closing date of the proposed material transaction;
(f) A brief description of the nature and purpose of the proposed
material transaction including:
(i) the anticipated impact of the material transaction on cost, quali-
ty, access, health equity, and competition in the impacted markets,
which may be supported by data and a formal market impact analysis; and
(ii) any commitments by the health care entity to address anticipated
impacts[.];
(G) A STATEMENT AS TO WHETHER ANY PARTY TO THE TRANSACTION, OR A
CONTROLLING PERSON OR PARENT COMPANY OF SUCH PARTY, OWNS ANY OTHER
HEALTH CARE ENTITY WHICH, IN THE PAST THREE YEARS HAS CLOSED OPERATIONS,
IS IN THE PROCESS OF CLOSING OPERATIONS, OR HAS EXPERIENCED A SUBSTAN-
TIAL REDUCTION IN SERVICES PROVIDED. THE PARTIES SHALL SPECIFICALLY
IDENTIFY THE HEALTH CARE ENTITY OR ENTITIES SUBJECT TO SUCH CLOSURE OR
SUBSTANTIAL SERVICE REDUCTION AND DETAIL THE CIRCUMSTANCES OF SUCH; AND
(H) A STATEMENT AS TO WHETHER A SALE-LEASEBACK AGREEMENT OR MORTGAGE
OR LEASE PAYMENTS OR OTHER PAYMENTS ASSOCIATED WITH REAL ESTATE ARE A
COMPONENT OF THE PROPOSED TRANSACTION AND IF SO, THE PARTIES SHALL
PROVIDE THE PROPOSED SALE-LEASEBACK AGREEMENT OR MORTGAGE, LEASE, OR
REAL ESTATE DOCUMENTS WITH THE NOTICE.
2. [(a) Except as provided in paragraph (b) of this subdivision,
supporting documentation as described in subdivision one of this section
shall not be subject to disclosure under article six of the public offi-
cers law.
(b)] During such [thirty-day] SIXTY-DAY period prior to the closing
date, the department shall post on its website:
[(i)] (A) a summary of the proposed transaction;
[(ii)] (B) an explanation of the groups or individuals likely to be
impacted by the transaction;
[(iii)] (C) information about services currently provided by the
health care entity, commitments by the health care entity to continue
such services and any services that will be reduced or eliminated; and
[(iv)] (D) details about how to submit comments, in a format that is
easy to find and easy to read.
3. (A) A health care entity that is a party to a material transaction
shall notify the department upon closing of the transaction in the form
and manner prescribed by the department.
(B) ANNUALLY, FOR A FIVE-YEAR PERIOD FOLLOWING CLOSING OF THE TRANS-
ACTION AND ON THE DATE OF SUCH ANNIVERSARY, PARTIES TO A MATERIAL TRANS-
ACTION SHALL NOTIFY THE DEPARTMENT, IN THE FORM AND MANNER PRESCRIBED BY
THE DEPARTMENT, OF FACTORS AND METRICS TO ASSESS THE IMPACTS OF THE
TRANSACTION ON COST, QUALITY, ACCESS, HEALTH EQUITY, AND COMPETITION.
S. 3007 73 A. 3007
THE DEPARTMENT MAY REQUIRE THAT ANY PARTY TO A TRANSACTION, INCLUDING
ANY PARENTS OR SUBSIDIARIES THEREOF, SUBMIT ADDITIONAL DOCUMENTS AND
INFORMATION IN CONNECTION WITH THE ANNUAL REPORT REQUIRED UNDER THIS
PARAGRAPH, TO THE EXTENT SUCH ADDITIONAL INFORMATION IS NECESSARY TO
ASSESS THE IMPACTS OF THE TRANSACTION ON COST, QUALITY, ACCESS, HEALTH
EQUITY, AND COMPETITION OR TO VERIFY OR CLARIFY INFORMATION SUBMITTED IN
SUPPORT OR AS PART OF THE ANNUAL REPORT REQUIRED UNDER THIS PARAGRAPH.
PARTIES SHALL SUBMIT SUCH INFORMATION WITHIN TWENTY-ONE DAYS OF REQUEST.
4. (A) THE DEPARTMENT SHALL CONDUCT A PRELIMINARY REVIEW OF ALL
PROPOSED TRANSACTIONS. REVIEW OF A MATERIAL TRANSACTION NOTICE MAY ALSO,
AT THE DISCRETION OF THE DEPARTMENT, CONSIST OF A FULL COST AND MARKET
IMPACT REVIEW. THE DEPARTMENT SHALL NOTIFY THE PARTIES IF AND WHEN IT
DETERMINES THAT A FULL COST AND MARKET IMPACT REVIEW IS REQUIRED AND, IF
SO, THE DATE THAT THE PRELIMINARY REVIEW IS COMPLETED.
(B) IN THE EVENT THE DEPARTMENT DETERMINES THAT A FULL COST AND MARKET
IMPACT REVIEW IS REQUIRED, THE DEPARTMENT SHALL HAVE DISCRETION TO
REQUIRE PARTIES TO DELAY THE PROPOSED TRANSACTION CLOSING UNTIL SUCH
COST AND MARKET IMPACT REVIEW IS COMPLETED, BUT IN NO EVENT SHALL THE
CLOSING BE DELAYED MORE THAN ONE HUNDRED EIGHTY DAYS FROM THE DATE THE
DEPARTMENT COMPLETES ITS PRELIMINARY REVIEW OF THE PROPOSED TRANSACTION.
(C) THE DEPARTMENT MAY ASSESS ON PARTIES TO A MATERIAL TRANSACTION ALL
ACTUAL, REASONABLE, AND DIRECT COSTS INCURRED IN REVIEWING AND EVALUAT-
ING THE NOTICE. ANY SUCH FEES SHALL BE PAYABLE TO THE DEPARTMENT WITHIN
FOURTEEN DAYS OF NOTICE OF SUCH ASSESSMENT.
5. (A) THE DEPARTMENT MAY REQUIRE THAT ANY PARTY TO A TRANSACTION,
INCLUDING ANY PARENTS OR SUBSIDIARIES THEREOF, SUBMIT ADDITIONAL DOCU-
MENTS AND INFORMATION IN CONNECTION WITH A MATERIAL TRANSACTION NOTICE
OR A FULL COST AND MARKET IMPACT REVIEW REQUIRED UNDER THIS SECTION, TO
THE EXTENT SUCH ADDITIONAL INFORMATION IS NECESSARY TO CONDUCT A PRELIM-
INARY REVIEW OF THE TRANSACTION; TO ASSESS THE IMPACTS OF THE TRANS-
ACTION ON COST, QUALITY, ACCESS, HEALTH EQUITY, AND COMPETITION; OR TO
VERIFY OR CLARIFY INFORMATION SUBMITTED PURSUANT TO SUBDIVISION ONE OF
THIS SECTION. PARTIES SHALL SUBMIT SUCH INFORMATION WITHIN TWENTY-ONE
DAYS OF REQUEST.
(B) THE DEPARTMENT SHALL KEEP CONFIDENTIAL ALL NONPUBLIC INFORMATION
AND DOCUMENTS OBTAINED UNDER THIS SUBDIVISION AND SHALL NOT DISCLOSE THE
INFORMATION OR DOCUMENTS TO ANY PERSON WITHOUT THE CONSENT OF THE
PARTIES TO THE PROPOSED TRANSACTION, EXCEPT AS SET FORTH IN PARAGRAPH
(C) OF THIS SUBDIVISION.
(C) ANY DATA REPORTED TO THE DEPARTMENT PURSUANT TO SUBDIVISION THREE
OF THIS SECTION, ANY INFORMATION OBTAINED PURSUANT TO PARAGRAPH (A) OF
THIS SUBDIVISION, AND ANY COST AND MARKET IMPACT REVIEW FINDINGS MADE
PURSUANT TO SUBDIVISION FOUR OF THIS SECTION MAY BE USED AS EVIDENCE IN
INVESTIGATIONS, REVIEWS, OR OTHER ACTIONS BY THE DEPARTMENT OR THE
OFFICE OF THE ATTORNEY GENERAL, INCLUDING BUT NOT LIMITED TO USE BY THE
DEPARTMENT IN ASSESSING CERTIFICATE OF NEED APPLICATIONS SUBMITTED BY
THE SAME HEALTHCARE ENTITIES INVOLVED IN THE REPORTED MATERIAL TRANS-
ACTION OR UNRELATED PARTIES WHICH ARE LOCATED IN THE SAME MARKET AREA
IDENTIFIED IN THE COST AND MARKET IMPACT REVIEW.
6. EXCEPT AS PROVIDED IN SUBDIVISION TWO OF THIS SECTION, DOCUMENTA-
TION, DATA, AND INFORMATION SUBMITTED TO THE DEPARTMENT AS DESCRIBED IN
SUBDIVISIONS ONE, THREE, AND FIVE OF THIS SECTION SHALL NOT BE SUBJECT
TO DISCLOSURE UNDER ARTICLE SIX OF THE PUBLIC OFFICERS LAW.
7. THE COMMISSIONER SHALL PROMULGATE REGULATIONS TO EFFECTUATE THIS
SECTION.
S. 3007 74 A. 3007
8. Failure to [notify the department of a material transaction under]
COMPLY WITH ANY REQUIREMENT OF this section shall be subject to civil
penalties under section twelve of this chapter. Each day in which the
violation continues shall constitute a separate violation.
§ 2. This act shall take effect one year after it shall have become a
law. Effective immediately, the addition, amendment and/or repeal of any
rule or regulation necessary for the implementation of this act on its
effective date are authorized to be made and completed on or before such
effective date.
PART T
Section 1. Paragraphs (a), (b), (c) and (d) of subdivision 1 of
section 2805-i of the public health law are relettered paragraphs (d),
(e), (f) and (g) and three new paragraphs (a), (b) and (c) are added to
read as follows:
(A) MAINTAINING THE FOLLOWING FULL-TIME, PART-TIME, CONTRACTED, OR
ON-CALL STAFF:
(1) ONE OR MORE HOSPITAL SEXUAL VIOLENCE RESPONSE COORDINATORS WHO ARE
DESIGNATED TO ENSURE THAT THE HOSPITAL'S SEXUAL VIOLENCE RESPONSE IS
INTEGRATED WITHIN THE HOSPITAL'S CLINICAL OVERSIGHT AND QUALITY IMPROVE-
MENT STRUCTURE AND TO ENSURE CHAIN OF CUSTODY IS MAINTAINED;
(2) SEXUAL ASSAULT FORENSIC EXAMINERS SUFFICIENT TO MEET HOSPITAL
NEEDS. SUCH INDIVIDUALS SHALL:
(I) BE A REGISTERED PROFESSIONAL NURSE, CERTIFIED NURSE PRACTITIONER,
LICENSED PHYSICIAN ASSISTANT OR LICENSED PHYSICIAN ACTING WITHIN THEIR
LAWFUL SCOPE OF PRACTICE AND SPECIALLY TRAINED IN FORENSIC EXAMINATION
OF SEXUAL OFFENSE VICTIMS AND THE PRESERVATION OF FORENSIC EVIDENCE IN
SUCH CASES AND CERTIFIED AS QUALIFIED TO PROVIDE SUCH SERVICES, PURSUANT
TO REGULATIONS PROMULGATED BY THE COMMISSIONER; AND
(II) HAVE SUCCESSFULLY COMPLETED A DIDACTIC AND CLINICAL TRAINING
COURSE AND POST COURSE PRECEPTORSHIP AS APPROPRIATE TO SCOPE OF PRACTICE
THAT ALIGNS WITH GUIDANCE RELEASED BY THE COMMISSIONER.
(B) ENSURING THAT SUCH SEXUAL ASSAULT FORENSIC EXAMINERS ARE ON-CALL
AND AVAILABLE ON A TWENTY-FOUR HOUR A DAY BASIS EVERY DAY OF THE YEAR;
(C) ENSURING THAT SUCH SEXUAL ASSAULT FORENSIC EXAMINERS MAINTAIN
COMPETENCY IN PROVIDING SEXUAL ASSAULT EXAMINATIONS;
§ 2. Paragraph (a) of subdivision 13 of section 631 of the executive
law, as amended by section 3 of subpart S of part XX of chapter 55 of
the laws of 2020, is amended to read as follows:
(a) Notwithstanding any other provision of law, rule, or regulation to
the contrary, when any New York state accredited hospital, accredited
sexual assault examiner program, or licensed health care provider
furnishes services to any sexual assault survivor, including but not
limited to a health care forensic examination in accordance with the sex
offense evidence collection protocol and standards established by the
department of health, such hospital, sexual assault examiner program, or
licensed healthcare provider shall provide such services to the person
without charge and shall bill the office directly. The office, in
consultation with the department of health, shall define the specific
services to be covered by the sexual assault forensic exam reimbursement
fee, which must include at a minimum forensic examiner services, hospi-
tal or healthcare facility services related to the exam, and any neces-
sary related laboratory tests or pharmaceuticals; including but not
limited to HIV post-exposure prophylaxis provided by a hospital emergen-
cy room at the time of the forensic rape examination pursuant to para-
S. 3007 75 A. 3007
graph [(c)] (F) of subdivision one of section twenty-eight hundred
five-i of the public health law. For a person eighteen years of age or
older, follow-up HIV post-exposure prophylaxis costs shall continue to
be reimbursed according to established office procedure. The office, in
consultation with the department of health, shall also generate the
necessary regulations and forms for the direct reimbursement procedure.
§ 3. Paragraph (d) of subdivision 1 and paragraph (c) of subdivision 2
of section 2805-p of the public health law, as added by chapter 625 of
the laws of 2003, are amended to read as follows:
(d) "Rape survivor" or "survivor" shall mean any [female] person who
alleges or is alleged to have been raped and who presents as a patient.
(c) provide emergency contraception to such survivor, unless contrain-
dicated, upon [her] SUCH SURVIVOR'S request. No hospital may be required
to provide emergency contraception to a rape survivor who is pregnant.
§ 4. This act shall take effect immediately and shall be deemed to
have been in full force and effect on and after April 1, 2025; provided,
however, that sections one and two of this act shall take effect October
1, 2025.
PART U
Section 1. Paragraph (g) of subdivision 2 of section 4100 of the
public health law is REPEALED.
§ 2. Paragraphs (h) and (i) of subdivision 2 of section 4100 of the
public health law, paragraph (h) as added by chapter 545 of the laws of
1965 and paragraph (i) as added by chapter 690 of the laws of 1994, are
amended to read as follows:
[(h)] (G) prescribe and prepare the necessary methods and forms for
obtaining and preserving records and statistics of autopsies which are
conducted by a coroner or by a medical examiner, or by [his] THEIR
order, within the state of New York, and shall require all those
performing such autopsies, for the purpose of determining the cause of
death or the means or manner of death, to enter upon such record the
pathological appearances and findings embodying such information as may
be prescribed, and to append thereto the diagnosis of the cause of death
and the means or manner of death[.]; AND
[(i)] (H) upon notification by the division of criminal justice
services that a person who was born in the state is a missing child,
flag the certificate record of that person in such manner that whenever
a copy of the record is requested, [he or she] SUCH PERSON shall be
alerted to the fact that the record is that of a missing child. The
commissioner shall also notify the appropriate registrar to likewise
flag [his or her] THEIR records. The commissioner or registrar shall
immediately report to the local law enforcement authority and the divi-
sion of criminal justice services any request concerning flagged birth
records or knowledge as to the whereabouts of any missing child. Upon
notification by the division of criminal justice services that the miss-
ing child has been recovered, the commissioner shall remove the flag
from the person's certificate record and shall notify any other previ-
ously notified registrar to remove the flag from [his or her] THEIR
record. In the city of New York, the commissioner of the department of
health for the city of New York shall implement the requirements of this
paragraph.
§ 3. Section 4104 of the public health law, as amended by chapter 491
of the laws of 2019, is amended to read as follows:
S. 3007 76 A. 3007
§ 4104. Vital statistics; application of article. The provisions of
this article except for the provisions contained in paragraph [(i)] (H)
of subdivision two and subdivision four of section four thousand one
hundred, section four thousand one hundred three, subdivision two of
section four thousand one hundred thirty-five, section four thousand one
hundred thirty-five-b, subdivision eight of section four thousand one
hundred seventy-four, paragraphs (b) and (e) of subdivision one, para-
graph (a) and (b) of subdivision three, and subdivisions five and eight
of section four thousand one hundred thirty-eight, subdivision eleven of
section four thousand one hundred thirty-eight-c, paragraph (b) of
subdivision three of section four thousand one hundred thirty-eight-d,
section four thousand one hundred thirty-eight-e and section four thou-
sand one hundred seventy-nine of this article, shall not apply to the
city of New York.
§ 4. Subdivision (h) of section 4170 of the public health law, as
added by chapter 690 of the laws of 1994, is amended to read as follows:
(h) immediately notify the division of criminal justice services in
the event that a copy of a birth certificate or information concerning
the birth records of any person whose record is flagged pursuant to
paragraph [(i)] (H) of subdivision two of section four thousand one
hundred of this article is requested. In the event that a copy of the
birth certificate of a person whose record is so flagged is requested in
person, the registrar's personnel accepting the request shall immediate-
ly notify [his or her] THEIR supervisor who shall notify the local law
enforcement agency and department in accordance with regulations promul-
gated by the department. The person making the request shall complete a
form as prescribed by the commissioner, which shall include the name,
address, telephone numbers and social security numbers of the person
making the request. A motor vehicle operator's license, or if such
license is not available, such other identification as the commissioner
determines to be satisfactory, shall be presented, photocopied and
returned to [him or her] THEM. When a copy of the birth certificate of a
person whose record has been flagged is requested in writing, the
registrar shall notify the local law enforcement agency and the depart-
ment in accordance with regulations promulgated by the department.
§ 5. Subdivisions 2, 3, 8, and 9 of section 4174 of the public health
law, subdivisions 2 and 3 as amended by section 2 and subdivision 9 as
added by section 3 of part W2 of chapter 62 of the laws of 2003 and
subdivision 8 as added by chapter 690 of the laws of 1994, are amended
to read as follows:
2. Each applicant for a certification of birth or death, certificate
of birth data or for a certified copy or certified transcript of a birth
or death certificate or certificate of birth data shall remit to the
commissioner with such application a fee of [thirty] FORTY-FIVE dollars
in payment for the search of the files and records and the furnishing of
a certification, certified copy or certified transcript if such record
is found or for a certification that a search discloses no record of a
birth or of a death.
3. [For any] REGARDING REQUESTS TO search [of the files and] VITAL
records [conducted] for authorized genealogical or research purposes[,
the commissioner or any person authorized by him shall be entitled to,
and the applicant shall pay, a fee of twenty dollars for each hour or
fractional part of an hour of time of search, together with a fee of two
dollars for each uncertified copy or abstract of such record requested
by the applicant or for a certification that a search discloses no
record.]:
S. 3007 77 A. 3007
(A) NOTWITHSTANDING ANY CONTRARY PROVISION OF LAW, THE COMMISSIONER
SHALL HAVE THE AUTHORITY TO DETERMINE THE MEANS AND METHODS BY WHICH THE
FOLLOWING GENEALOGICAL RECORDS MAY BE RELEASED TO AN APPLICANT MEETING
THE QUALIFICATIONS TO RECEIVE THE RELEVANT RECORD TYPE AS DESCRIBED IN
THIS ARTICLE OR ARTICLE THREE OF THE DOMESTIC RELATIONS LAW: (1) A
RECORD OF BIRTH WHICH HAS BEEN ON FILE FOR AT LEAST ONE HUNDRED TWENTY-
FIVE YEARS, WHEN THE PERSON TO WHOM THE RECORD RELATES IS KNOWN TO BE
DECEASED, (2) A RECORD OF DEATH WHICH HAS BEEN ON FILE FOR AT LEAST
SEVENTY-FIVE YEARS, OR (3) A RECORD OF MARRIAGE OR DISSOLUTION OF
MARRIAGE WHICH HAS BEEN ON FILE FOR AT LEAST ONE HUNDRED YEARS, WHEN
BOTH PARTIES TO THE MARRIAGE ARE KNOWN TO BE DECEASED. NO SUCH RECORD OR
ABSTRACT OF SUCH RECORD SHALL BE SUBJECT TO DISCLOSURE UNDER ARTICLE SIX
OF THE PUBLIC OFFICERS LAW.
(B) THE COMMISSIONER OR ANY PERSON AUTHORIZED BY THEM SHALL HAVE THE
AUTHORITY TO APPROVE A REQUEST FOR RECORDS SOUGHT FOR RESEARCH PURPOSES.
IN THE EVENT THAT SUCH APPROVAL IS GRANTED, THE COMMISSIONER OR ANY
PERSON AUTHORIZED BY THEM SHALL BE ENTITLED TO, AND THE APPLICANT SHALL
PAY, A FEE OF FIFTY DOLLARS FOR EACH HOUR OR FRACTIONAL PART OF EACH
HOUR OF TIME DEVOTED TO SEARCH OR RETRIEVAL OF RECORDS, TOGETHER WITH A
FEE OF FORTY-FIVE DOLLARS FOR EACH UNCERTIFIED COPY OR ABSTRACT OF AN
INDIVIDUAL RECORD OR FOR A CERTIFICATION THAT A SEARCH DISCLOSES NO
RECORD.
8. The commissioner, the commissioner of health of the city of New
York, or any person authorized by the commissioner having jurisdiction
shall immediately notify the division of criminal justice services in
the event that a copy of a birth certificate or information concerning
the birth records of any person whose record is flagged pursuant to
paragraph [(i)] (H) of subdivision two of section four thousand one
hundred of this article is requested. In the event that a copy of the
birth certificate of a person whose record is so flagged is requested in
person, the personnel accepting the request shall immediately notify
[his or her] THEIR supervisor. The person making the request shall
complete a form as prescribed by the commissioner or, in the city of New
York, the commissioner of health of the city of New York, which shall
include the name, address and telephone numbers and social security
number of the person making the request. A motor vehicle operator's
license, or if such license is not available, such other identification
as the commissioner, or in the city of New York, the commissioner of the
New York city department of health, determines to be satisfactory, of
the person making the request shall be presented, shall be photocopied
and returned to [him or her] THEM. The person receiving the request
shall note the physical description of the person making the request and
[his or her] THEIR supervisor shall immediately notify the local law
enforcement authority as to the request and the information obtained
pursuant to this [subsection] SUBDIVISION. When a copy of the birth
certificate of a person whose record has been flagged is requested in
writing, the law enforcement authority having jurisdiction shall be
notified as to the request and shall be provided with a copy of the
written request. The registrar shall retain the original written
response.
9. The commissioner may institute an additional fee of [fifteen] THIR-
TY dollars for priority handling for each certification, certified copy
or certified transcript of certificates of birth, death, or dissolution
of marriage; or [fifteen] THIRTY dollars for priority handling for each
certification, certified copy or certified transcript of certificate of
marriage.
S. 3007 78 A. 3007
§ 6. This act shall take effect immediately and shall be deemed to be
in full force and effect on and after April 1, 2025.
PART V
Section 1. This part enacts into law major components of legislation
relating to the scope of practice of certified nurse aides, medical
assistants, pharmacists, and pharmacy technicians. Each component is
wholly contained within a Subpart identified as Subparts A through F.
The effective date for each particular provision contained within such
Subpart is set forth in the last section of such Subpart. Any provision
in any section contained within a Subpart, including the effective date
of the Subpart, which makes reference to a section "of this act", when
used in connection with that particular component, shall be deemed to
mean and refer to the corresponding section of the Subpart in which it
is found. Section three of this Part sets forth the general effective
date of this Part.
SUBPART A
Section 1. Section 6908 of the education law is amended by adding a
new subdivision 3 to read as follows:
3. THIS ARTICLE SHALL NOT BE CONSTRUED AS PROHIBITING MEDICATION
RELATED TASKS PROVIDED BY A CERTIFIED MEDICATION AIDE WORKING IN A RESI-
DENTIAL HEALTH CARE FACILITY, AS DEFINED IN SECTION TWENTY-EIGHT HUNDRED
ONE OF THE PUBLIC HEALTH LAW, IN ACCORDANCE WITH REGULATIONS DEVELOPED
BY THE COMMISSIONER OF HEALTH, IN CONSULTATION WITH THE COMMISSIONER.
THE COMMISSIONER OF HEALTH, IN CONSULTATION WITH THE COMMISSIONER, SHALL
ADOPT REGULATIONS GOVERNING CERTIFIED MEDICATION AIDES THAT, AT A MINI-
MUM, SHALL:
A. SPECIFY THE MEDICATION-RELATED TASKS THAT MAY BE PERFORMED BY
CERTIFIED MEDICATION AIDES PURSUANT TO THIS SUBDIVISION. SUCH TASKS
SHALL INCLUDE THE ADMINISTRATION OF MEDICATIONS WHICH ARE ROUTINE AND
PRE-FILLED OR OTHERWISE PACKAGED IN A MANNER THAT PROMOTES RELATIVE EASE
OF ADMINISTRATION, PROVIDED THAT ADMINISTRATION OF MEDICATIONS BY
INJECTION, STERILE PROCEDURES, AND CENTRAL LINE MAINTENANCE SHALL BE
PROHIBITED. PROVIDED, HOWEVER, SUCH PROHIBITION SHALL NOT APPLY TO
INJECTIONS OF INSULIN OR OTHER INJECTIONS FOR DIABETES CARE, TO
INJECTIONS OF LOW MOLECULAR WEIGHT HEPARIN, AND TO PRE-FILLED AUTO-IN-
JECTIONS OF NALOXONE AND EPINEPHRINE FOR EMERGENCY PURPOSES, AND
PROVIDED, FURTHER, THAT ENTITIES EMPLOYING CERTIFIED MEDICATION AIDES
PURSUANT TO THIS SUBDIVISION SHALL ESTABLISH A SYSTEMATIC APPROACH TO
ADDRESS DRUG DIVERSION;
B. PROVIDE THAT MEDICATION-RELATED TASKS PERFORMED BY CERTIFIED MEDI-
CATION AIDES MAY BE PERFORMED ONLY UNDER APPROPRIATE SUPERVISION AS
DETERMINED BY THE COMMISSIONER OF HEALTH;
C. ESTABLISH A PROCESS BY WHICH A REGISTERED PROFESSIONAL NURSE MAY
ASSIGN MEDICATION-RELATED TASKS TO A CERTIFIED MEDICATION AIDE. SUCH
PROCESS SHALL INCLUDE, BUT NOT BE LIMITED TO:
(I) ALLOWING ASSIGNMENT OF MEDICATION-RELATED TASKS TO A CERTIFIED
MEDICATION AIDE ONLY WHERE SUCH CERTIFIED MEDICATION AIDE HAS DEMON-
STRATED TO THE SATISFACTION OF THE SUPERVISING REGISTERED PROFESSIONAL
NURSE COMPETENCY IN EVERY MEDICATION-RELATED TASK THAT SUCH CERTIFIED
MEDICATION AIDE IS AUTHORIZED TO PERFORM, A WILLINGNESS TO PERFORM SUCH
MEDICATION-RELATED TASKS, AND THE ABILITY TO EFFECTIVELY AND EFFICIENTLY
S. 3007 79 A. 3007
COMMUNICATE WITH THE INDIVIDUAL RECEIVING SERVICES AND UNDERSTAND SUCH
INDIVIDUAL'S NEEDS;
(II) AUTHORIZING THE SUPERVISING REGISTERED PROFESSIONAL NURSE TO
REVOKE ANY ASSIGNED MEDICATION-RELATED TASK FROM A CERTIFIED MEDICATION
AIDE FOR ANY REASON; AND
(III) AUTHORIZING MULTIPLE REGISTERED PROFESSIONAL NURSES TO JOINTLY
AGREE TO ASSIGN MEDICATION-RELATED TASKS TO A CERTIFIED MEDICATION AIDE,
PROVIDED FURTHER THAT ONLY ONE REGISTERED PROFESSIONAL NURSE SHALL BE
REQUIRED TO DETERMINE IF THE CERTIFIED MEDICATION AIDE HAS DEMONSTRATED
COMPETENCY IN THE MEDICATION-RELATED TASK TO BE PERFORMED;
D. PROVIDE THAT MEDICATION-RELATED TASKS MAY BE PERFORMED ONLY IN
ACCORDANCE WITH AND PURSUANT TO AN AUTHORIZED HEALTH PRACTITIONER'S
ORDERED CARE;
E. PROVIDE THAT ONLY A CERTIFIED NURSE AIDE MAY PERFORM MEDICATION-RE-
LATED TASKS AS A CERTIFIED MEDICATION AIDE WHEN SUCH AIDE HAS:
(I) A VALID NEW YORK STATE NURSE AIDE CERTIFICATE;
(II) A HIGH SCHOOL DIPLOMA, OR ITS EQUIVALENT;
(III) EVIDENCE OF BEING AT LEAST EIGHTEEN YEARS OLD;
(IV) AT LEAST ONE YEAR OF EXPERIENCE PROVIDING NURSE AIDE SERVICES IN
A RESIDENTIAL HEALTH CARE FACILITY LICENSED PURSUANT TO ARTICLE TWENTY-
EIGHT OF THE PUBLIC HEALTH LAW OR A SIMILARLY LICENSED FACILITY IN
ANOTHER STATE OR UNITED STATES TERRITORY;
(V) THE ABILITY TO READ, WRITE, AND SPEAK ENGLISH AND TO PERFORM BASIC
MATH SKILLS;
(VI) COMPLETED THE REQUISITE TRAINING AND DEMONSTRATED COMPETENCIES OF
A CERTIFIED MEDICATION AIDE AS DETERMINED BY THE COMMISSIONER OF HEALTH
IN CONSULTATION WITH THE COMMISSIONER;
(VII) SUCCESSFULLY COMPLETED COMPETENCY EXAMINATIONS SATISFACTORY TO
THE COMMISSIONER OF HEALTH IN CONSULTATION WITH THE COMMISSIONER; AND
(VIII) MEETS OTHER APPROPRIATE QUALIFICATIONS AS DETERMINED BY THE
COMMISSIONER OF HEALTH IN CONSULTATION WITH THE COMMISSIONER;
F. PROHIBIT A CERTIFIED MEDICATION AIDE FROM HOLDING THEMSELVES OUT,
OR ACCEPTING EMPLOYMENT AS, A PERSON LICENSED TO PRACTICE NURSING UNDER
THE PROVISIONS OF THIS ARTICLE;
G. PROVIDE THAT A CERTIFIED MEDICATION AIDE IS NOT REQUIRED NOR
PERMITTED TO ASSESS THE MEDICATION OR MEDICAL NEEDS OF AN INDIVIDUAL;
H. PROVIDE THAT A CERTIFIED MEDICATION AIDE SHALL NOT BE AUTHORIZED TO
PERFORM ANY MEDICATION-RELATED TASKS OR ACTIVITIES PURSUANT TO THIS
SUBDIVISION THAT ARE OUTSIDE THE SCOPE OF PRACTICE OF A LICENSED PRACTI-
CAL NURSE OR ANY MEDICATION-RELATED TASKS THAT HAVE NOT BEEN APPROPRI-
ATELY ASSIGNED BY THE SUPERVISING REGISTERED PROFESSIONAL NURSE;
I. PROVIDE THAT A CERTIFIED MEDICATION AIDE SHALL DOCUMENT ALL MEDICA-
TION-RELATED TASKS PROVIDED TO AN INDIVIDUAL, INCLUDING MEDICATION
ADMINISTRATION TO EACH INDIVIDUAL THROUGH THE USE OF A MEDICATION ADMIN-
ISTRATION RECORD; AND
J. PROVIDE THAT THE SUPERVISING REGISTERED PROFESSIONAL NURSE SHALL
RETAIN THE DISCRETION TO DECIDE WHETHER TO ASSIGN MEDICATION-RELATED
TASKS TO CERTIFIED MEDICATION AIDES UNDER THIS PROGRAM AND SHALL NOT BE
SUBJECT TO COERCION, RETALIATION, OR THE THREAT OF RETALIATION.
§ 2. Section 6909 of the education law is amended by adding a new
subdivision 12 to read as follows:
12. A REGISTERED PROFESSIONAL NURSE, WHILE WORKING FOR A RESIDENTIAL
HEALTH CARE FACILITY LICENSED PURSUANT TO ARTICLE TWENTY-EIGHT OF THE
PUBLIC HEALTH LAW, MAY, IN ACCORDANCE WITH THIS SUBDIVISION, ASSIGN
CERTIFIED MEDICATION AIDES TO PERFORM MEDICATION-RELATED TASKS FOR INDI-
VIDUALS PURSUANT TO THE PROVISIONS OF SUBDIVISION THREE OF SECTION
S. 3007 80 A. 3007
SIXTY-NINE HUNDRED EIGHT OF THIS ARTICLE AND SUPERVISE CERTIFIED MEDICA-
TION AIDES WHO PERFORM ASSIGNED MEDICATION-RELATED TASKS.
§ 3. Paragraph (a) of subdivision 3 of section 2803-j of the public
health law, as added by chapter 717 of the laws of 1989, is amended to
read as follows:
(a) Identification of individuals who have successfully completed a
nurse aide training and competency evaluation program, [or] a nurse aide
competency evaluation program, OR A MEDICATION AIDE PROGRAM;
§ 4. The commissioner of health shall, in consultation with the
commissioner of education, issue a report on the implementation of
certified medication aides in residential care facilities in the state
two years after the effective date of this act. Such report shall
include the number of certified medication aides authorized pursuant to
this act; the impact, if any, that the introduction of certified medica-
tion aides had on workforce availability in residential care facilities
and/or the retention of registered nurses and/or licensed practical
nurses working in residential care facilities; the number of complaints
pertaining to services provided by certified medication aides that were
reported to the department of health; and the number of certified medi-
cation aides who had their authorization limited or revoked. Such report
shall provide recommendations to the governor and the chairs of the
senate and assembly health and higher education committees regarding the
implementation of certified medication aides pursuant to this act, and
any recommendations related thereto.
§ 5. This act shall take effect on the one hundred eightieth day after
it shall have become a law and shall expire ten years following such
effective date when upon such date the provisions of this act shall
expire and be deemed repealed.
SUBPART B
Section 1. Section 6526 of the education law is amended by adding a
new subdivision 9-a to read as follows:
9-A. A MEDICAL ASSISTANT WHEN DRAWING AND ADMINISTERING AN IMMUNIZA-
TION IN AN OUTPATIENT OFFICE SETTING UNDER THE DIRECT SUPERVISION OF A
PHYSICIAN OR A PHYSICIAN ASSISTANT.
§ 2. The public health law is amended by adding a new section 2113 to
read as follows:
§ 2113. ADMINISTRATION OF IMMUNIZATIONS; MEDICAL ASSISTANTS. NOTWITH-
STANDING ANY OTHER LAW, RULE, OR REGULATION TO THE CONTRARY, PHYSICIANS
AND PHYSICIAN ASSISTANTS ARE HEREBY AUTHORIZED TO DELEGATE THE TASK OF
DRAWING UP AND ADMINISTERING IMMUNIZATIONS TO MEDICAL ASSISTANTS IN
OUTPATIENT OFFICE SETTINGS PROVIDED SUCH IMMUNIZATIONS ARE RECOMMENDED
BY THE ADVISORY COMMITTEE FOR IMMUNIZATION PRACTICES (ACIP) OF THE
CENTERS FOR DISEASE CONTROL AND PREVENTION; AND PROVIDED FURTHER THAT
MEDICAL ASSISTANTS RECEIVE APPROPRIATE TRAINING AND ADEQUATE SUPERVISION
DETERMINED PURSUANT TO REGULATIONS BY THE COMMISSIONER IN CONSULTATION
WITH THE COMMISSIONER OF EDUCATION.
§ 3. This act shall take effect on the one hundred eightieth day after
it shall have become a law. Effective immediately, the addition, amend-
ment and/or repeal of any rule or regulation necessary for the implemen-
tation of this act on its effective date are authorized to be made and
completed on or before such effective date.
SUBPART C
S. 3007 81 A. 3007
Section 1. Paragraph (a) and (b) of subdivision 7 of section 6527 of
the education law, as amended by chapter 555 of the laws of 2021, are
amended to read as follows:
(a) administering immunizations to prevent influenza AND COVID-19 to
patients two years of age or older; and (b) administering immunizations
to prevent pneumococcal, acute herpes zoster, hepatitis A, hepatitis B,
human papillomavirus, measles, mumps, rubella, varicella, [COVID-19,]
meningococcal, tetanus, diphtheria or pertussis disease and medications
required for emergency treatment of anaphylaxis to patients eighteen
years of age or older; and
§ 2. Paragraph (b) of subdivision 4 of section 6801 of the education
law, as amended by section 1 of part DD of chapter 57 of the laws of
2018, is amended to read as follows:
(b) education materials on influenza AND COVID-19 vaccinations for
children as determined by the commissioner and the commissioner of
health.
§ 3. Subparagraph 2 of paragraph (a) of subdivision 22 of section 6802
of the education law, as amended by chapter 802 of the laws of 2022, is
amended to read as follows:
(2) the direct application of an immunizing agent to children between
the ages of two and eighteen years of age, whether by injection, inges-
tion, inhalation or any other means, pursuant to a patient specific
order or non-patient specific regimen prescribed or ordered by a physi-
cian or certified nurse practitioner, for immunization to prevent influ-
enza AND COVID-19 and medications required for emergency treatment of
anaphylaxis resulting from such immunization. If the commissioner of
health determines that there is an outbreak of influenza OR COVID-19, or
that there is the imminent threat of an outbreak of influenza OR COVID-
19, then the commissioner of health may issue a non-patient specific
regimen applicable statewide.
§ 4. Paragraphs (a) and (b) of subdivision 7 of section 6909 of the
education law, as amended by chapter 555 of the laws of 2021, are
amended to read as follows:
(a) administering immunizations to prevent influenza AND COVID-19 to
patients two years of age or older; and (b) administering immunizations
to prevent pneumococcal, acute herpes zoster, hepatitis A, hepatitis B,
human papillomavirus, measles, mumps, rubella, varicella, [COVID-19,]
meningococcal, tetanus, diphtheria or pertussis disease and medications
required for emergency treatment of anaphylaxis to patients eighteen
years of age or older; and
§ 5. Subdivision 1 of section 6841 of the education law, as added by
chapter 414 of the laws of 2019, is amended to read as follows:
1. (A) A registered pharmacy technician may, under the direct personal
supervision of a licensed pharmacist, assist such licensed pharmacist,
as directed, in compounding, preparing, labeling, or dispensing of drugs
used to fill valid prescriptions or medication orders or in compounding,
preparing, and labeling in anticipation of a valid prescription or medi-
cation order for a patient to be served by the facility, in accordance
with article one hundred thirty-seven of this title where such tasks
require no professional judgment. Such professional judgment shall only
be exercised by a licensed pharmacist. A REGISTERED PHARMACY TECHNICIAN
MAY ADMINISTER THE SAME IMMUNIZATIONS AS LICENSED PHARMACISTS ARE
AUTHORIZED TO ADMINISTER UNDER THE DIRECT SUPERVISION OF A LICENSED
PHARMACIST CONSISTENT WITH THE TRAINING AND OTHER REQUIREMENTS IN ARTI-
CLE ONE HUNDRED THIRTY-SEVEN OF THIS TITLE. A registered pharmacy tech-
nician may only practice in a facility licensed in accordance with arti-
S. 3007 82 A. 3007
cle twenty-eight of the public health law, or a pharmacy owned and
operated by such a facility, under the direct personal supervision of a
licensed pharmacist employed in such a facility or pharmacy. Such facil-
ity shall be responsible for ensuring that the registered pharmacy tech-
nician has received appropriate training, IN ACCORDANCE WITH PARAGRAPH
(B) OF THIS SUBDIVISION, to ensure competence before [he or she] SUCH
REGISTERED PHARMACY TECHNICIAN begins assisting a licensed pharmacist in
compounding, ADMINISTERING IMMUNIZATIONS, preparing, labeling, or
dispensing of drugs, in accordance with this article and article one
hundred thirty-seven of this title. For the purposes of this article,
direct personal supervision means supervision of procedures based on
instructions given directly by a supervising licensed pharmacist who
remains in the immediate area where the procedures are being performed,
authorizes the procedures and evaluates the procedures performed by the
registered pharmacy technicians and a supervising licensed pharmacist
shall approve all work performed by the registered pharmacy technician
prior to the actual dispensing of any drug.
(B) NO REGISTERED PHARMACY TECHNICIAN SHALL ADMINISTER IMMUNIZING
AGENTS WITHOUT RECEIVING TRAINING SATISFACTORY TO THE COMMISSIONER, IN
CONSULTATION WITH THE COMMISSIONER OF HEALTH, AS PRESCRIBED IN REGU-
LATIONS OF THE COMMISSIONER, WHICH SHALL INCLUDE, BUT NOT BE LIMITED TO:
TECHNIQUES FOR SCREENING INDIVIDUALS AND OBTAINING INFORMED CONSENT;
TECHNIQUES OF ADMINISTRATION; INDICATIONS, PRECAUTIONS, AND CONTRAINDI-
CATIONS IN THE USE OF AN AGENT OR AGENTS; RECORDKEEPING OF IMMUNIZATION
AND INFORMATION; AND HANDLING EMERGENCIES, INCLUDING ANAPHYLAXIS AND
NEEDLESTICK INJURIES. THE REGISTERED PHARMACY TECHNICIAN AND THE FACILI-
TY SHALL MAINTAIN DOCUMENTATION THAT THE REGISTERED PHARMACY TECHNICIAN
HAS COMPLETED THE REQUIRED TRAINING, PURSUANT TO REGULATIONS OF THE
COMMISSIONER.
§ 6. This act shall take effect immediately and shall be deemed to
have been in full force and effect on and after April 1, 2025.
SUBPART D
Section 1. Section 6801 of the education law is amended by adding a
new subdivision 10 to read as follows:
10. A LICENSED PHARMACIST WITHIN THEIR LAWFUL SCOPE OF PRACTICE MAY
PRESCRIBE AND ORDER MEDICATIONS TO TREAT NICOTINE DEPENDENCE APPROVED BY
THE FEDERAL FOOD AND DRUG ADMINISTRATION FOR SMOKING CESSATION.
§ 2. This act shall take effect nine months after it shall have become
a law.
SUBPART E
Section 1. Notwithstanding any other provision of law, rule, or regu-
lation to the contrary, the following articles of title 8 of the educa-
tion law governing the healthcare professions are hereby REPEALED and
all removed provisions, and all powers authorized pursuant to such
provisions, are hereby added to the public health law under the authori-
ty of the commissioner of health, pursuant to a plan to be proposed not
inconsistent with this section, which shall include the text of the new
laws to be adopted.
Article 131 MEDICINE
Article 131-A DEFINITIONS OF PROFESSIONAL MISCONDUCT APPLICABLE TO
PHYSICIANS, PHYSICIAN'S ASSISTANTS AND SPECIALIST'S ASSISTANTS
Article 131-B PHYSICIAN ASSISTANTS
S. 3007 83 A. 3007
Article 131-C SPECIALIST ASSISTANTS
§ 2. Transfer of functions, powers, duties and obligations. Notwith-
standing any inconsistent provisions of law to the contrary, effective
January 1, 2026, all functions, powers, duties and obligations of the
education department concerning the professions of medicine, physicians,
physician assistants, and specialist assistants under title 8 of the
education law shall be transferred to the New York state department of
health.
§ 3. Transfer of records. All books, papers and property of the state
education department with respect to the functions, powers and duties
transferred by sections one through nine of this act are to be delivered
to the appropriate offices within the department of health, at such
place and time, and in such manner as the department of health requires.
§ 4. Continuity of authority. For the purpose of all functions,
powers, duties and obligations of the state education department trans-
ferred to and assumed by the department of health, the department of
health shall continue the operation of the provisions previously done by
the state education department, pursuant to sections one through ten of
this act.
§ 5. Completion of unfinished business. Any business or other matter
undertaken or commenced by the state education department pertaining to
or connected with the functions, powers, duties and obligations hereby
transferred and assigned to the department of health and pending on the
effective date of January 1, 2026 shall be conducted and completed by
the department of health in the same manner and under the same terms and
conditions and with the same effect as if conducted and completed by the
state education department.
§ 6. Continuation of rules and regulations. All rules, regulations,
acts, orders, determinations, and decisions of the state education
department in force at the time of such transfer and assumption, shall
continue in force and effect as rules, regulations, acts, orders, deter-
minations and decisions of the department of health until duly modified
or abrogated by the department of health.
§ 7. Terms occurring in laws, contracts and other documents. When-
ever the state education department is referred to or designated in any
law, contract or document pertaining to the functions, powers, obli-
gations and duties hereby transferred and assigned, such reference or
designation shall be deemed to refer to department of health or the
commissioner thereof.
§ 8. Existing rights and remedies preserved. No existing right or
remedy of any character shall be lost, impaired or affected by reason of
sections one through ten of this act.
§ 9. Pending actions or proceedings. No action or proceeding pending
at the time when sections one through ten of this act shall take effect
relating to the functions, powers and duties of the state education
department transferred pursuant to sections one through eight of this
act, brought by or against the state education department or board of
regents shall be affected by any provision of this act, but the same may
be prosecuted or defended in the name of the commissioner of the depart-
ment of health. In all such actions and proceedings, the commissioner of
health, upon application to the court, shall be substituted as a party.
§ 10. Transfer of appropriations heretofore made to the state educa-
tion department. Upon the transfer pursuant to sections one through nine
of this act of the functions and powers possessed by and of the obli-
gations and duties of the education department, all appropriations and
reappropriations which shall have been made available as of the date of
S. 3007 84 A. 3007
such transfer to the education department, or segregated pursuant to
law, to the extent of remaining unexpended or unencumbered balances
thereof, whether allocated or unallocated and whether obligated or unob-
ligated, shall be transferred to and made available for use and expendi-
ture by the department of health and shall be payable on vouchers certi-
fied or approved by the commissioner of taxation and finance, on audit
and warrant of the comptroller. Payments of liabilities for expenses of
personnel services, maintenance and operation which shall have been
incurred as of the date of such transfer by the education department,
and for liabilities incurred and to be incurred in completing its
affairs, shall also be made on vouchers certified or approved by the
commissioner of education on audit and warrant of the comptroller.
§ 11. This act shall take effect January 1, 2026.
SUBPART F
Section 1. Section 6542 of the education law, as amended by chapter
520 of the laws of 2024, is amended to read as follows:
§ 6542. Performance of medical services. 1. Notwithstanding any other
provision of law, a physician assistant may perform medical services,
but only when under the supervision of a physician and only when such
acts and duties as are assigned to such physician assistant are within
the scope of practice of such supervising physician UNLESS OTHERWISE
PERMITTED BY THIS SECTION.
1-A. (A) A PHYSICIAN ASSISTANT MAY PRACTICE WITHOUT THE SUPERVISION OF
A PHYSICIAN UNDER THE FOLLOWING CIRCUMSTANCES:
(I) WHERE THE PHYSICIAN ASSISTANT, LICENSED UNDER SECTION SIXTY-FIVE
HUNDRED FORTY-ONE OF THIS ARTICLE HAS PRACTICED FOR MORE THAN EIGHT
THOUSAND HOURS WITHIN THE SAME OR A SUBSTANTIALLY SIMILAR SPECIALTY THAT
THE PHYSICIAN ASSISTANT SEEKS TO PRACTICE IN WITHOUT SUPERVISION; AND
(A) IS PRACTICING IN PRIMARY CARE. FOR PURPOSES OF THIS CLAUSE, "PRIMARY
CARE" SHALL MEAN NON-SURGICAL CARE IN THE FIELDS OF GENERAL PEDIATRICS,
GENERAL ADULT MEDICINE, GENERAL GERIATRIC MEDICINE, GENERAL INTERNAL
MEDICINE, OBSTETRICS AND GYNECOLOGY, FAMILY MEDICINE, OR SUCH OTHER
RELATED AREAS AS DETERMINED BY THE COMMISSIONER OF HEALTH; OR (B) IS
EMPLOYED BY A HEALTH SYSTEM OR HOSPITAL ESTABLISHED UNDER ARTICLE TWEN-
TY-EIGHT OF THE PUBLIC HEALTH LAW, AND THE HEALTH SYSTEM OR HOSPITAL
DETERMINES THE PHYSICIAN ASSISTANT MEETS THE QUALIFICATIONS OF THE
MEDICAL STAFF BYLAWS AND THE HEALTH SYSTEM OR HOSPITAL GIVES THE PHYSI-
CIAN ASSISTANT PRIVILEGES; AND
(II) WHERE A PHYSICIAN ASSISTANT LICENSED UNDER SECTION SIXTY-FIVE
HUNDRED FORTY-ONE OF THIS ARTICLE HAS COMPLETED A PROGRAM APPROVED BY
THE DEPARTMENT OF HEALTH, IN CONSULTATION WITH THE DEPARTMENT, WHEN SUCH
SERVICES ARE PERFORMED WITHIN THE SCOPE OF SUCH PROGRAM.
(B) THE DEPARTMENT AND THE DEPARTMENT OF HEALTH ARE AUTHORIZED TO
PROMULGATE AND UPDATE REGULATIONS PURSUANT TO THIS SECTION.
(C) IN THE EVENT THAT A PHYSICIAN ASSISTANT SEEKS TO PRACTICE IN A
SUBSTANTIALLY DIFFERENT SPECIALTY, THE PHYSICIAN ASSISTANT SHALL
COMPLETE AT LEAST EIGHT THOUSAND HOURS OF PRACTICE IN SUCH NEW SPECIALTY
BEFORE SUCH PHYSICIAN ASSISTANT MAY PRACTICE WITHOUT PHYSICIAN SUPER-
VISION PURSUANT TO SUBDIVISION (A) OF THIS SECTION.
2. [Supervision] WHERE SUPERVISION IS REQUIRED BY THIS SECTION, IT
shall be continuous but shall not be construed as necessarily requiring
the physical presence of the supervising physician at the time and place
where such services are performed.
S. 3007 85 A. 3007
3. [No physician shall employ or supervise more than six physician
assistants in such physician's private practice at one time.
4.] Nothing in this article shall prohibit a hospital from employing
physician assistants, provided that they [work under the supervision of
a physician designated by the hospital and not beyond the scope of prac-
tice of such physician. The numerical limitation of subdivision three of
this section shall not apply to services performed in a hospital.
5. Notwithstanding any other provision of this article, nothing shall
prohibit a physician employed by or rendering services to the department
of corrections and community supervision under contract from supervising
no more than eight physician assistants in such physician's practice for
the department of corrections and community supervision at one time.
6. Notwithstanding any other provision of law, a trainee in an
approved program may perform medical services when such services are
performed within the scope of such program] MEET THE QUALIFICATIONS OF
THE MEDICAL STAFF BYLAWS AND ARE GIVEN PRIVILEGES AND OTHERWISE MEET THE
REQUIREMENTS OF THIS SECTION.
[7.] 4. A PHYSICIAN ASSISTANT SHALL BE AUTHORIZED TO PRESCRIBE,
DISPENSE, ORDER, ADMINISTER, OR PROCURE ITEMS NECESSARY TO COMMENCE OR
COMPLETE A COURSE OF THERAPY.
5. A PHYSICIAN ASSISTANT MAY PRESCRIBE AND ORDER A PATIENT SPECIFIC
ORDER OR NON-PATIENT SPECIFIC REGIMEN TO A LICENSED PHARMACIST OR REGIS-
TERED PROFESSIONAL NURSE, PURSUANT TO REGULATIONS PROMULGATED BY THE
COMMISSIONER OF HEALTH, AND CONSISTENT WITH THE PUBLIC HEALTH LAW, FOR
ADMINISTERING IMMUNIZATIONS. NOTHING IN THIS SUBDIVISION SHALL AUTHORIZE
UNLICENSED PERSONS TO ADMINISTER IMMUNIZATIONS, VACCINES OR OTHER DRUGS.
6. A physician assistant may prescribe and order a non-patient specif-
ic regimen to a registered professional nurse, pursuant to regulations
promulgated by the commissioner, and consistent with the public health
law, for:
(a) administering immunizations.
(b) the emergency treatment of anaphylaxis.
(c) administering purified protein derived (PPD) tests or other tests
to detect or screen for tuberculosis infections.
(d) administering tests to determine the presence of the human immuno-
deficiency virus.
(e) administering tests to determine the presence of the hepatitis C
virus.
(f) the urgent or emergency treatment of opioid related overdose or
suspected opioid related overdose.
(g) screening of persons at increased risk of syphilis, gonorrhea, and
chlamydia.
(h) administering electrocardiogram tests to detect signs and symptoms
of acute coronary syndrome.
(i) administering point-of-care blood glucose tests to evaluate acute
mental status changes in persons with suspected hypoglycemia.
(j) administering tests and intravenous lines to persons that meet
severe sepsis and septic shock criteria.
(k) administering tests to determine pregnancy.
(l) administering tests to determine the presence of COVID-19 or its
antibodies or influenza virus.
[8.] 7. Nothing in this article, or in article thirty-seven of the
public health law, shall be construed to authorize physician assistants
to perform those specific functions and duties specifically delegated by
law to those persons licensed as allied health professionals under the
public health law or this chapter.
S. 3007 86 A. 3007
§ 2. Subdivision 1 of section 3701 of the public health law, as
amended by chapter 48 of the laws of 2012, is amended to read as
follows:
1. to promulgate regulations defining and restricting the duties
[which may be assigned to] OF physician assistants [by their supervising
physician, the degree of supervision required and the manner in which
such duties may be performed] CONSISTENT WITH SECTION SIXTY-FIVE HUNDRED
FORTY-TWO OF THE EDUCATION LAW;
§ 3. Section 3702 of the public health law, as amended by section 48
of the laws of 2012, and subdivision 1 as amended by chapter 520 of the
laws of 2024, is amended to read as follows:
§ 3702. Special provisions. 1. Inpatient medical orders. A licensed
physician assistant employed or extended privileges by a hospital may,
if permissible under the bylaws, rules and regulations of the hospital,
write medical orders, including those for controlled substances and
durable medical equipment, for inpatients [under the care of the physi-
cian responsible for the supervision of such physician assistant. Coun-
tersignature of such orders may be required if deemed necessary and
appropriate by the supervising physician or the hospital, but in no
event shall countersignature be required prior to execution].
2. Withdrawing blood. A licensed physician assistant or certified
nurse practitioner acting within [his or her] SUCH PHYSICIAN ASSISTANT'S
OR CERTIFIED NURSE PRACTITIONER'S lawful scope of practice may supervise
and direct the withdrawal of blood for the purpose of determining the
alcoholic or drug content therein under subparagraph one of paragraph
(a) of subdivision four of section eleven hundred ninety-four of the
vehicle and traffic law, notwithstanding any provision to the contrary
in clause (ii) of such subparagraph.
3. Prescriptions for controlled substances. A licensed physician
assistant, in good faith and acting within [his or her] SUCH PHYSICIAN
ASSISTANT'S lawful scope of practice, and to the extent assigned by [his
or her] THE supervising physician AS APPLICABLE UNDER SECTION SIXTY-FIVE
HUNDRED FORTY-TWO OF THE EDUCATION LAW, may prescribe controlled
substances as a practitioner under article thirty-three of this chapter,
to patients under the care of such physician responsible for [his or
her] SUCH PHYSICIAN ASSISTANT'S supervision. The commissioner, in
consultation with the commissioner of education, may promulgate such
regulations as are necessary to carry out the purposes of this section.
§ 4. Section 3703 of the public health law, as amended by chapter 48
of the laws of 2012, is amended to read as follows:
§ 3703. Statutory construction. A physician assistant may perform any
function in conjunction with a medical service lawfully performed by the
physician assistant, in any health care setting, that a statute author-
izes or directs a physician to perform and that is appropriate to the
education, training and experience of the licensed physician assistant
and within the ordinary practice of the supervising physician, AS APPLI-
CABLE PURSUANT TO SECTION SIXTY-FIVE HUNDRED FORTY-TWO OF THE EDUCATION
LAW. This section shall not be construed to increase or decrease the
lawful scope of practice of a physician assistant under the education
law.
§ 5. Paragraph a of subdivision 2 of section 902 of the education law,
as amended by chapter 376 of the laws of 2015, is amended to read as
follows:
a. The board of education, and the trustee or board of trustees of
each school district, shall employ, at a compensation to be agreed upon
by the parties, a qualified physician, A PHYSICIAN ASSISTANT, or a nurse
S. 3007 87 A. 3007
practitioner to the extent authorized by the nurse practice act and
consistent with subdivision three of section six thousand nine hundred
two of this chapter, to perform the duties of the director of school
health services, including any duties conferred on the school physician
or school medical inspector under any provision of law, to perform and
coordinate the provision of health services in the public schools and to
provide health appraisals of students attending the public schools in
the city or district. The physicians, PHYSICIAN ASSISTANTS, or nurse
practitioners so employed shall be duly licensed pursuant to applicable
law.
§ 6. Subdivision 27 of section 3302 of the public health law, as
amended by chapter 92 of the laws of 2021, is amended to read as
follows:
27. "Practitioner" means:
A physician, PHYSICIAN ASSISTANT, dentist, podiatrist, veterinarian,
scientific investigator, or other person licensed, or otherwise permit-
ted to dispense, administer or conduct research with respect to a
controlled substance in the course of a licensed professional practice
or research licensed pursuant to this article. Such person shall be
deemed a "practitioner" only as to such substances, or conduct relating
to such substances, as is permitted by [his] THEIR license, permit or
otherwise permitted by law.
§ 7. This act shall take effect December 31, 2025; provided, however,
that if the provisions of chapter 520 of the laws of 2024 have taken
effect on or before such date, then sections one and three of this act
shall take effect on the same date and in the same manner as such chap-
ter of the laws of 2024 takes effect; and provided further, however,
that the amendments to paragraph (l) of subdivision 7 of section 6542 of
the education law made by section one of this act shall not affect the
repeal of such paragraph and shall be deemed repealed therewith.
§ 2. Severability clause. If any clause, sentence, paragraph, subdivi-
sion, section, or subpart of this part shall be adjudged by any court of
competent jurisdiction to be invalid, such judgment shall not affect,
impair, or invalidate the remainder of that subpart or this part, but
shall be confined in its operation to the clause, sentence, paragraph,
subdivision, section, or subpart directly involved in the controversy in
which such judgment shall have been rendered. It is hereby declared to
be the intent of the legislature that this part and each subpart herein
would have been enacted even if such invalid provisions had not been
included herein.
§ 3. This act shall take effect immediately and shall be deemed to
have been in full force and effect on and after April 1, 2025; provided,
however, that the applicable effective dates of Subparts A through F of
this act shall be as specifically set forth in the last section of such
Subparts.
PART W
Section 1. Article 170 of the education law is renumbered article 171
and a new article 170 is added to title 8 of the education law to read
as follows:
ARTICLE 170
NURSE LICENSURE COMPACT
SECTION 8900. NURSE LICENSURE COMPACT.
8901. FINDINGS AND DECLARATION OF PURPOSE.
8902. DEFINITIONS.
S. 3007 88 A. 3007
8903. GENERAL PROVISIONS AND JURISDICTION.
8904. APPLICATIONS FOR LICENSURE IN A PARTY STATE.
8905. ADDITIONAL AUTHORITIES INVESTED IN PARTY STATE LICENSING
BOARDS.
8906. COORDINATED LICENSURE INFORMATION SYSTEM AND EXCHANGE OF
INFORMATION.
8907. ESTABLISHMENT OF THE INTERSTATE COMMISSION OF NURSE LICEN-
SURE COMPACT ADMINISTRATORS.
8908. RULEMAKING.
8909. OVERSIGHT, DISPUTE RESOLUTION AND ENFORCEMENT.
8910. EFFECTIVE DATE, WITHDRAWAL AND AMENDMENT.
8911. CONSTRUCTION AND SEVERABILITY.
§ 8900. NURSE LICENSURE COMPACT. THE NURSE LICENSE COMPACT AS SET
FORTH IN THE ARTICLE IS HEREBY ADOPTED AND ENTERED INTO WITH ALL PARTY
STATES JOINING THEREIN.
§ 8901. FINDINGS AND DECLARATION OF PURPOSE 1. FINDINGS. THE PARTY
STATES FIND THAT:
A. THE HEALTH AND SAFETY OF THE PUBLIC ARE AFFECTED BY THE DEGREE OF
COMPLIANCE WITH AND THE EFFECTIVENESS OF ENFORCEMENT ACTIVITIES RELATED
TO STATE NURSE LICENSURE LAWS;
B. VIOLATIONS OF NURSE LICENSURE AND OTHER LAWS REGULATING THE PRAC-
TICE OF NURSING MAY RESULT IN INJURY OR HARM TO THE PUBLIC;
C. THE EXPANDED MOBILITY OF NURSES AND THE USE OF ADVANCED COMMUNI-
CATION TECHNOLOGIES AS PART OF OUR NATION'S HEALTH CARE DELIVERY SYSTEM
REQUIRE GREATER COORDINATION AND COOPERATION AMONG STATES IN THE AREAS
OF NURSE LICENSURE AND REGULATION;
D. NEW PRACTICE MODALITIES AND TECHNOLOGY MAKE COMPLIANCE WITH INDI-
VIDUAL STATE NURSE LICENSURE LAWS DIFFICULT AND COMPLEX;
E. THE CURRENT SYSTEM OF DUPLICATIVE LICENSURE FOR NURSES PRACTICING
IN MULTIPLE STATES IS CUMBERSOME AND REDUNDANT FOR BOTH NURSES AND
STATES; AND
F. UNIFORMITY OF NURSE LICENSURE REQUIREMENTS THROUGHOUT THE STATES
PROMOTES PUBLIC SAFETY AND PUBLIC HEALTH BENEFITS.
2. DECLARATION OF PURPOSE. THE GENERAL PURPOSES OF THIS COMPACT ARE
TO:
A. FACILITATE THE STATES' RESPONSIBILITY TO PROTECT THE PUBLIC'S
HEALTH AND SAFETY;
B. ENSURE AND ENCOURAGE THE COOPERATION OF PARTY STATES IN THE AREAS
OF NURSE LICENSURE AND REGULATION;
C. FACILITATE THE EXCHANGE OF INFORMATION BETWEEN PARTY STATES IN THE
AREAS OF NURSE REGULATION, INVESTIGATION AND ADVERSE ACTIONS;
D. PROMOTE COMPLIANCE WITH THE LAWS GOVERNING THE PRACTICE OF NURSING
IN EACH JURISDICTION;
E. INVEST ALL PARTY STATES WITH THE AUTHORITY TO HOLD A NURSE ACCOUNT-
ABLE FOR MEETING ALL STATE PRACTICE LAWS IN THE STATE IN WHICH THE
PATIENT IS LOCATED AT THE TIME CARE IS RENDERED THROUGH THE MUTUAL
RECOGNITION OF PARTY STATE LICENSES;
F. DECREASE REDUNDANCIES IN THE CONSIDERATION AND ISSUANCE OF NURSE
LICENSES; AND
G. PROVIDE OPPORTUNITIES FOR INTERSTATE PRACTICE BY NURSES WHO MEET
UNIFORM LICENSURE REQUIREMENTS.
§ 8902. DEFINITIONS. 1. DEFINITIONS. AS USED IN THIS COMPACT:
A. "ADVERSE ACTION" MEANS ANY ADMINISTRATIVE, CIVIL, EQUITABLE OR
CRIMINAL ACTION PERMITTED BY A STATE'S LAWS WHICH IS IMPOSED BY A
LICENSING BOARD OR OTHER AUTHORITY AGAINST A NURSE, INCLUDING ACTIONS
AGAINST AN INDIVIDUAL'S LICENSE OR MULTISTATE LICENSURE PRIVILEGE SUCH
S. 3007 89 A. 3007
AS REVOCATION, SUSPENSION, PROBATION, MONITORING OF THE LICENSEE, LIMI-
TATION ON THE LICENSEE'S PRACTICE, OR ANY OTHER ENCUMBRANCE ON LICENSURE
AFFECTING A NURSE'S AUTHORIZATION TO PRACTICE, INCLUDING ISSUANCE OF A
CEASE AND DESIST ACTION.
B. "ALTERNATIVE PROGRAM" MEANS A NON-DISCIPLINARY MONITORING PROGRAM
APPROVED BY A LICENSING BOARD.
C. "COORDINATED LICENSURE INFORMATION SYSTEM" MEANS AN INTEGRATED
PROCESS FOR COLLECTING, STORING AND SHARING INFORMATION ON NURSE LICEN-
SURE AND ENFORCEMENT ACTIVITIES RELATED TO NURSE LICENSURE LAWS THAT IS
ADMINISTERED BY A NONPROFIT ORGANIZATION COMPOSED OF AND CONTROLLED BY
LICENSING BOARDS.
D. "COMMISSION" MEANS THE INTERSTATE COMMISSION OF NURSE LICENSURE
COMPACT ADMINISTRATORS.
E. "CURRENT SIGNIFICANT INVESTIGATIVE INFORMATION" MEANS:
1. INVESTIGATIVE INFORMATION THAT A LICENSING BOARD, AFTER A PRELIMI-
NARY INQUIRY THAT INCLUDES NOTIFICATION AND AN OPPORTUNITY FOR THE NURSE
TO RESPOND, IF REQUIRED BY STATE LAW, HAS REASON TO BELIEVE IS NOT
GROUNDLESS AND, IF PROVED TRUE, WOULD INDICATE MORE THAN A MINOR INFRAC-
TION; OR
2. INVESTIGATIVE INFORMATION THAT INDICATES THAT THE NURSE REPRESENTS
AN IMMEDIATE THREAT TO PUBLIC HEALTH AND SAFETY REGARDLESS OF WHETHER
THE NURSE HAS BEEN NOTIFIED AND HAD AN OPPORTUNITY TO RESPOND.
F. "ENCUMBRANCE" MEANS A REVOCATION OR SUSPENSION OF, OR ANY LIMITA-
TION ON, THE FULL AND UNRESTRICTED PRACTICE OF NURSING IMPOSED BY A
LICENSING BOARD.
G. "HOME STATE" MEANS THE PARTY STATE WHICH IS THE NURSE'S PRIMARY
STATE OF RESIDENCE.
H. "LICENSING BOARD" MEANS A PARTY STATE'S REGULATORY BODY RESPONSIBLE
FOR ISSUING NURSE LICENSES.
I. "MULTISTATE LICENSE" MEANS A LICENSE TO PRACTICE AS A REGISTERED
NURSE (RN) OR AS A LICENSED PRACTICAL/VOCATIONAL NURSE (LPN/VN), WHICH
IS ISSUED BY A HOME STATE LICENSING BOARD, AND WHICH AUTHORIZES THE
LICENSED NURSE TO PRACTICE IN ALL PARTY STATES UNDER A MULTISTATE LICEN-
SURE PRIVILEGE.
J. "MULTISTATE LICENSURE PRIVILEGE" MEANS A LEGAL AUTHORIZATION ASSO-
CIATED WITH A MULTISTATE LICENSE PERMITTING THE PRACTICE OF NURSING AS
EITHER A RN OR A LPN/VN IN A REMOTE STATE.
K. "NURSE" MEANS RN OR LPN/VN, AS THOSE TERMS ARE DEFINED BY EACH
PARTY STATE'S PRACTICE LAWS.
L. "PARTY STATE" MEANS ANY STATE THAT HAS ADOPTED THIS COMPACT.
M. "REMOTE STATE" MEANS A PARTY STATE, OTHER THAN THE HOME STATE.
N. "SINGLE-STATE LICENSE" MEANS A NURSE LICENSE ISSUED BY A PARTY
STATE THAT AUTHORIZES PRACTICE ONLY WITHIN THE ISSUING STATE AND DOES
NOT INCLUDE A MULTISTATE LICENSURE PRIVILEGE TO PRACTICE IN ANY OTHER
PARTY STATE.
O. "STATE" MEANS A STATE, TERRITORY OR POSSESSION OF THE UNITED STATES
AND THE DISTRICT OF COLUMBIA.
P. "STATE PRACTICE LAWS" MEANS A PARTY STATE'S LAWS, RULES AND REGU-
LATIONS THAT GOVERN THE PRACTICE OF NURSING, DEFINE THE SCOPE OF NURSING
PRACTICE, AND CREATE THE METHODS AND GROUNDS FOR IMPOSING DISCIPLINE.
"STATE PRACTICE LAWS" SHALL NOT INCLUDE REQUIREMENTS NECESSARY TO OBTAIN
AND RETAIN A LICENSE, EXCEPT FOR QUALIFICATIONS OR REQUIREMENTS OF THE
HOME STATE.
§ 8903. GENERAL PROVISIONS AND JURISDICTION. 1. GENERAL PROVISIONS AND
JURISDICTION. A. A MULTISTATE LICENSE TO PRACTICE REGISTERED OR LICENSED
PRACTICAL/VOCATIONAL NURSING ISSUED BY A HOME STATE TO A RESIDENT IN
S. 3007 90 A. 3007
THAT STATE WILL BE RECOGNIZED BY EACH PARTY STATE AS AUTHORIZING A NURSE
TO PRACTICE AS A REGISTERED NURSE (RN) OR AS A LICENSED
PRACTICAL/VOCATIONAL NURSE (LPN/VN), UNDER A MULTISTATE LICENSURE PRIVI-
LEGE, IN EACH PARTY STATE.
B. A STATE SHALL IMPLEMENT PROCEDURES FOR CONSIDERING THE CRIMINAL
HISTORY RECORDS OF APPLICANTS FOR AN INITIAL MULTISTATE LICENSE OR
LICENSURE BY ENDORSEMENT. SUCH PROCEDURES SHALL INCLUDE THE SUBMISSION
OF FINGERPRINTS OR OTHER BIOMETRIC-BASED INFORMATION BY APPLICANTS FOR
THE PURPOSE OF OBTAINING AN APPLICANT'S CRIMINAL HISTORY RECORD INFORMA-
TION FROM THE FEDERAL BUREAU OF INVESTIGATION AND THE AGENCY RESPONSIBLE
FOR RETAINING THAT STATE'S CRIMINAL RECORDS.
C. EACH PARTY STATE SHALL REQUIRE ITS LICENSING BOARD TO AUTHORIZE AN
APPLICANT TO OBTAIN OR RETAIN A MULTISTATE LICENSE IN THE HOME STATE
ONLY IF THE APPLICANT:
I. MEETS THE HOME STATE'S QUALIFICATIONS FOR LICENSURE OR RENEWAL OF
LICENSURE, AND COMPLIES WITH ALL OTHER APPLICABLE STATE LAWS;
II. (1) HAS GRADUATED OR IS ELIGIBLE TO GRADUATE FROM A LICENSING
BOARD-APPROVED RN OR LPN/VN PRELICENSURE EDUCATION PROGRAM; OR
(2) HAS GRADUATED FROM A FOREIGN RN OR LPN/VN PRELICENSURE EDUCATION
PROGRAM THAT HAS BEEN: (A) APPROVED BY THE AUTHORIZED ACCREDITING BODY
IN THE APPLICABLE COUNTRY, AND (B) VERIFIED BY AN INDEPENDENT CREDEN-
TIALS REVIEW AGENCY TO BE COMPARABLE TO A LICENSING BOARD-APPROVED PREL-
ICENSURE EDUCATION PROGRAM;
III. HAS, IF A GRADUATE OF A FOREIGN PRELICENSURE EDUCATION PROGRAM
NOT TAUGHT IN ENGLISH OR IF ENGLISH IS NOT THE INDIVIDUAL'S NATIVE
LANGUAGE, SUCCESSFULLY PASSED AN ENGLISH PROFICIENCY EXAMINATION THAT
INCLUDES THE COMPONENTS OF READING, SPEAKING, WRITING AND LISTENING;
IV. HAS SUCCESSFULLY PASSED AN NCLEX-RN OR NCLEX-PN EXAMINATION OR
RECOGNIZED PREDECESSOR, AS APPLICABLE;
V. IS ELIGIBLE FOR OR HOLDS AN ACTIVE, UNENCUMBERED LICENSE;
VI. HAS SUBMITTED, IN CONNECTION WITH AN APPLICATION FOR INITIAL
LICENSURE OR LICENSURE BY ENDORSEMENT, FINGERPRINTS OR OTHER BIOMETRIC
DATA FOR THE PURPOSE OF OBTAINING CRIMINAL HISTORY RECORD INFORMATION
FROM THE FEDERAL BUREAU OF INVESTIGATION AND THE AGENCY RESPONSIBLE FOR
RETAINING THAT STATE'S CRIMINAL RECORDS;
VII. HAS NOT BEEN CONVICTED OR FOUND GUILTY, OR HAS ENTERED INTO AN
AGREED DISPOSITION, OF A FELONY OFFENSE UNDER APPLICABLE STATE OR FEDER-
AL CRIMINAL LAW;
VIII. HAS NOT BEEN CONVICTED OR FOUND GUILTY, OR HAS ENTERED INTO AN
AGREED DISPOSITION, OF A MISDEMEANOR OFFENSE RELATED TO THE PRACTICE OF
NURSING AS DETERMINED ON A CASE-BY-CASE BASIS;
IX. IS NOT CURRENTLY ENROLLED IN AN ALTERNATIVE PROGRAM;
X. IS SUBJECT TO SELF-DISCLOSURE REQUIREMENTS REGARDING CURRENT
PARTICIPATION IN AN ALTERNATIVE PROGRAM; AND
XI. HAS A VALID UNITED STATES SOCIAL SECURITY NUMBER.
D. ALL PARTY STATES SHALL BE AUTHORIZED, IN ACCORDANCE WITH EXISTING
STATE DUE PROCESS LAW, TO TAKE ADVERSE ACTION AGAINST A NURSE'S MULTI-
STATE LICENSURE PRIVILEGE SUCH AS REVOCATION, SUSPENSION, PROBATION OR
ANY OTHER ACTION THAT AFFECTS A NURSE'S AUTHORIZATION TO PRACTICE UNDER
A MULTISTATE LICENSURE PRIVILEGE, INCLUDING CEASE AND DESIST ACTIONS. IF
A PARTY STATE TAKES SUCH ACTION, IT SHALL PROMPTLY NOTIFY THE ADMINIS-
TRATOR OF THE COORDINATED LICENSURE INFORMATION SYSTEM. THE ADMINISTRA-
TOR OF THE COORDINATED LICENSURE INFORMATION SYSTEM SHALL PROMPTLY NOTI-
FY THE HOME STATE OF ANY SUCH ACTIONS BY REMOTE STATES.
E. A NURSE PRACTICING IN A PARTY STATE SHALL COMPLY WITH THE STATE
PRACTICE LAWS OF THE STATE IN WHICH THE CLIENT IS LOCATED AT THE TIME
S. 3007 91 A. 3007
SERVICE IS PROVIDED. THE PRACTICE OF NURSING IS NOT LIMITED TO PATIENT
CARE BUT SHALL INCLUDE ALL NURSING PRACTICE AS DEFINED BY THE STATE
PRACTICE LAWS OF THE PARTY STATE IN WHICH THE CLIENT IS LOCATED. THE
PRACTICE OF NURSING IN A PARTY STATE UNDER A MULTISTATE LICENSURE PRIVI-
LEGE WILL SUBJECT A NURSE TO THE JURISDICTION OF THE LICENSING BOARD,
THE COURTS AND THE LAWS OF THE PARTY STATE IN WHICH THE CLIENT IS
LOCATED AT THE TIME SERVICE IS PROVIDED.
F. INDIVIDUALS NOT RESIDING IN A PARTY STATE SHALL CONTINUE TO BE ABLE
TO APPLY FOR A PARTY STATE'S SINGLE-STATE LICENSE AS PROVIDED UNDER THE
LAWS OF EACH PARTY STATE. HOWEVER, THE SINGLE-STATE LICENSE GRANTED TO
THESE INDIVIDUALS WILL NOT BE RECOGNIZED AS GRANTING THE PRIVILEGE TO
PRACTICE NURSING IN ANY OTHER PARTY STATE. NOTHING IN THIS COMPACT SHALL
AFFECT THE REQUIREMENTS ESTABLISHED BY A PARTY STATE FOR THE ISSUANCE OF
A SINGLE-STATE LICENSE.
G. ANY NURSE HOLDING A HOME STATE MULTISTATE LICENSE, ON THE EFFECTIVE
DATE OF THIS COMPACT, MAY RETAIN AND RENEW THE MULTISTATE LICENSE ISSUED
BY THE NURSE'S THEN-CURRENT HOME STATE, PROVIDED THAT:
I. A NURSE, WHO CHANGES PRIMARY STATE OF RESIDENCE AFTER THIS
COMPACT'S EFFECTIVE DATE, SHALL MEET ALL APPLICABLE REQUIREMENTS SET
FORTH IN THIS ARTICLE TO OBTAIN A MULTISTATE LICENSE FROM A NEW HOME
STATE.
II. A NURSE WHO FAILS TO SATISFY THE MULTISTATE LICENSURE REQUIREMENTS
SET FORTH IN THIS ARTICLE DUE TO A DISQUALIFYING EVENT OCCURRING AFTER
THIS COMPACT'S EFFECTIVE DATE SHALL BE INELIGIBLE TO RETAIN OR RENEW A
MULTISTATE LICENSE, AND THE NURSE'S MULTISTATE LICENSE SHALL BE REVOKED
OR DEACTIVATED IN ACCORDANCE WITH APPLICABLE RULES ADOPTED BY THE
COMMISSION.
§ 8904. APPLICATIONS FOR LICENSURE IN A PARTY STATE. 1. APPLICATIONS
FOR LICENSURE IN A PARTY STATE. A. UPON APPLICATION FOR A MULTISTATE
LICENSE, THE LICENSING BOARD IN THE ISSUING PARTY STATE SHALL ASCERTAIN,
THROUGH THE COORDINATED LICENSURE INFORMATION SYSTEM, WHETHER THE APPLI-
CANT HAS EVER HELD, OR IS THE HOLDER OF, A LICENSE ISSUED BY ANY OTHER
STATE, WHETHER THERE ARE ANY ENCUMBRANCES ON ANY LICENSE OR MULTISTATE
LICENSURE PRIVILEGE HELD BY THE APPLICANT, WHETHER ANY ADVERSE ACTION
HAS BEEN TAKEN AGAINST ANY LICENSE OR MULTISTATE LICENSURE PRIVILEGE
HELD BY THE APPLICANT AND WHETHER THE APPLICANT IS CURRENTLY PARTICIPAT-
ING IN AN ALTERNATIVE PROGRAM.
B. A NURSE MAY HOLD A MULTISTATE LICENSE, ISSUED BY THE HOME STATE, IN
ONLY ONE PARTY STATE AT A TIME.
C. IF A NURSE CHANGES PRIMARY STATE OF RESIDENCE BY MOVING BETWEEN TWO
PARTY STATES, THE NURSE MUST APPLY FOR LICENSURE IN THE NEW HOME STATE,
AND THE MULTISTATE LICENSE ISSUED BY THE PRIOR HOME STATE WILL BE DEAC-
TIVATED IN ACCORDANCE WITH APPLICABLE RULES ADOPTED BY THE COMMISSION.
I. THE NURSE MAY APPLY FOR LICENSURE IN ADVANCE OF A CHANGE IN PRIMARY
STATE OF RESIDENCE.
II. A MULTISTATE LICENSE SHALL NOT BE ISSUED BY THE NEW HOME STATE
UNTIL THE NURSE PROVIDES SATISFACTORY EVIDENCE OF A CHANGE IN PRIMARY
STATE OF RESIDENCE TO THE NEW HOME STATE AND SATISFIES ALL APPLICABLE
REQUIREMENTS TO OBTAIN A MULTISTATE LICENSE FROM THE NEW HOME STATE.
D. IF A NURSE CHANGES PRIMARY STATE OF RESIDENCE BY MOVING FROM A
PARTY STATE TO A NON-PARTY STATE, THE MULTISTATE LICENSE ISSUED BY THE
PRIOR HOME STATE WILL CONVERT TO A SINGLE-STATE LICENSE, VALID ONLY IN
THE FORMER HOME STATE.
§ 8905. ADDITIONAL AUTHORITIES INVESTED IN PARTY STATE LICENSING
BOARDS. 1. LICENSING BOARD AUTHORITY. IN ADDITION TO THE OTHER POWERS
CONFERRED BY STATE LAW, A LICENSING BOARD SHALL HAVE THE AUTHORITY TO:
S. 3007 92 A. 3007
A. TAKE ADVERSE ACTION AGAINST A NURSE'S MULTISTATE LICENSURE PRIVI-
LEGE TO PRACTICE WITHIN THAT PARTY STATE.
I. ONLY THE HOME STATE SHALL HAVE THE POWER TO TAKE ADVERSE ACTION
AGAINST A NURSE'S LICENSE ISSUED BY THE HOME STATE.
II. FOR PURPOSES OF TAKING ADVERSE ACTION, THE HOME STATE LICENSING
BOARD SHALL GIVE THE SAME PRIORITY AND EFFECT TO REPORTED CONDUCT
RECEIVED FROM A REMOTE STATE AS IT WOULD IF SUCH CONDUCT HAD OCCURRED
WITHIN THE HOME STATE. IN SO DOING, THE HOME STATE SHALL APPLY ITS OWN
STATE LAWS TO DETERMINE APPROPRIATE ACTION.
B. ISSUE CEASE AND DESIST ORDERS OR IMPOSE AN ENCUMBRANCE ON A NURSE'S
AUTHORITY TO PRACTICE WITHIN THAT PARTY STATE.
C. COMPLETE ANY PENDING INVESTIGATIONS OF A NURSE WHO CHANGES PRIMARY
STATE OF RESIDENCE DURING THE COURSE OF SUCH INVESTIGATIONS. THE LICENS-
ING BOARD SHALL ALSO HAVE THE AUTHORITY TO TAKE APPROPRIATE ACTION OR
ACTIONS AND SHALL PROMPTLY REPORT THE CONCLUSIONS OF SUCH INVESTIGATIONS
TO THE ADMINISTRATOR OF THE COORDINATED LICENSURE INFORMATION SYSTEM.
THE ADMINISTRATOR OF THE COORDINATED LICENSURE INFORMATION SYSTEM SHALL
PROMPTLY NOTIFY THE NEW HOME STATE OF ANY SUCH ACTIONS.
D. ISSUE SUBPOENAS FOR BOTH HEARINGS AND INVESTIGATIONS THAT REQUIRE
THE ATTENDANCE AND TESTIMONY OF WITNESSES, AS WELL AS THE PRODUCTION OF
EVIDENCE. SUBPOENAS ISSUED BY A LICENSING BOARD IN A PARTY STATE FOR THE
ATTENDANCE AND TESTIMONY OF WITNESSES OR THE PRODUCTION OF EVIDENCE FROM
ANOTHER PARTY STATE SHALL BE ENFORCED IN THE LATTER STATE BY ANY COURT
OF COMPETENT JURISDICTION, ACCORDING TO THE PRACTICE AND PROCEDURE OF
THAT COURT APPLICABLE TO SUBPOENAS ISSUED IN PROCEEDINGS PENDING BEFORE
IT. THE ISSUING AUTHORITY SHALL PAY ANY WITNESS FEES, TRAVEL EXPENSES,
MILEAGE AND OTHER FEES REQUIRED BY THE SERVICE STATUTES OF THE STATE IN
WHICH THE WITNESSES OR EVIDENCE ARE LOCATED.
E. OBTAIN AND SUBMIT, FOR EACH NURSE LICENSURE APPLICANT, FINGERPRINT
OR OTHER BIOMETRIC-BASED INFORMATION TO THE FEDERAL BUREAU OF INVESTI-
GATION FOR CRIMINAL BACKGROUND CHECKS, RECEIVE THE RESULTS OF THE FEDER-
AL BUREAU OF INVESTIGATION RECORD SEARCH ON CRIMINAL BACKGROUND CHECKS
AND USE THE RESULTS IN MAKING LICENSURE DECISIONS.
F. IF OTHERWISE PERMITTED BY STATE LAW, RECOVER FROM THE AFFECTED
NURSE THE COSTS OF INVESTIGATIONS AND DISPOSITION OF CASES RESULTING
FROM ANY ADVERSE ACTION TAKEN AGAINST THAT NURSE.
G. TAKE ADVERSE ACTION BASED ON THE FACTUAL FINDINGS OF THE REMOTE
STATE, PROVIDED THAT THE LICENSING BOARD FOLLOWS ITS OWN PROCEDURES FOR
TAKING SUCH ADVERSE ACTION.
2. ADVERSE ACTIONS. A. IF ADVERSE ACTION IS TAKEN BY THE HOME STATE
AGAINST A NURSE'S MULTISTATE LICENSE, THE NURSE'S MULTISTATE LICENSURE
PRIVILEGE TO PRACTICE IN ALL OTHER PARTY STATES SHALL BE DEACTIVATED
UNTIL ALL ENCUMBRANCES HAVE BEEN REMOVED FROM THE MULTISTATE LICENSE.
ALL HOME STATE DISCIPLINARY ORDERS THAT IMPOSE ADVERSE ACTION AGAINST A
NURSE'S MULTISTATE LICENSE SHALL INCLUDE A STATEMENT THAT THE NURSE'S
MULTISTATE LICENSURE PRIVILEGE IS DEACTIVATED IN ALL PARTY STATES DURING
THE PENDENCY OF THE ORDER.
B. NOTHING IN THIS COMPACT SHALL OVERRIDE A PARTY STATE'S DECISION
THAT PARTICIPATION IN AN ALTERNATIVE PROGRAM MAY BE USED IN LIEU OF
ADVERSE ACTION. THE HOME STATE LICENSING BOARD SHALL DEACTIVATE THE
MULTISTATE LICENSURE PRIVILEGE UNDER THE MULTISTATE LICENSE OF ANY NURSE
FOR THE DURATION OF THE NURSE'S PARTICIPATION IN AN ALTERNATIVE PROGRAM.
§ 8906. COORDINATED LICENSURE INFORMATION SYSTEM AND EXCHANGE OF
INFORMATION. 1. COORDINATED LICENSURE INFORMATION SYSTEM AND EXCHANGE
OF INFORMATION. A. ALL PARTY STATES SHALL PARTICIPATE IN A COORDINATED
LICENSURE INFORMATION SYSTEM OF ALL LICENSED REGISTERED NURSES (RNS) AND
S. 3007 93 A. 3007
LICENSED PRACTICAL/VOCATIONAL NURSES (LPNS/VNS). THIS SYSTEM WILL
INCLUDE INFORMATION ON THE LICENSURE AND DISCIPLINARY HISTORY OF EACH
NURSE, AS SUBMITTED BY PARTY STATES, TO ASSIST IN THE COORDINATION OF
NURSE LICENSURE AND ENFORCEMENT EFFORTS.
B. THE COMMISSION, IN CONSULTATION WITH THE ADMINISTRATOR OF THE COOR-
DINATED LICENSURE INFORMATION SYSTEM, SHALL FORMULATE NECESSARY AND
PROPER PROCEDURES FOR THE IDENTIFICATION, COLLECTION AND EXCHANGE OF
INFORMATION UNDER THIS COMPACT.
C. ALL LICENSING BOARDS SHALL PROMPTLY REPORT TO THE COORDINATED
LICENSURE INFORMATION SYSTEM ANY ADVERSE ACTION, ANY CURRENT SIGNIFICANT
INVESTIGATIVE INFORMATION, DENIALS OF APPLICATIONS WITH THE REASONS FOR
SUCH DENIALS AND NURSE PARTICIPATION IN ALTERNATIVE PROGRAMS KNOWN TO
THE LICENSING BOARD REGARDLESS OF WHETHER SUCH PARTICIPATION IS DEEMED
NONPUBLIC OR CONFIDENTIAL UNDER STATE LAW.
D. CURRENT SIGNIFICANT INVESTIGATIVE INFORMATION AND PARTICIPATION IN
NONPUBLIC OR CONFIDENTIAL ALTERNATIVE PROGRAMS SHALL BE TRANSMITTED
THROUGH THE COORDINATED LICENSURE INFORMATION SYSTEM ONLY TO PARTY STATE
LICENSING BOARDS.
E. NOTWITHSTANDING ANY OTHER PROVISION OF LAW, ALL PARTY STATE LICENS-
ING BOARDS CONTRIBUTING INFORMATION TO THE COORDINATED LICENSURE INFOR-
MATION SYSTEM MAY DESIGNATE INFORMATION THAT MAY NOT BE SHARED WITH
NON-PARTY STATES OR DISCLOSED TO OTHER ENTITIES OR INDIVIDUALS WITHOUT
THE EXPRESS PERMISSION OF THE CONTRIBUTING STATE.
F. ANY PERSONALLY IDENTIFIABLE INFORMATION OBTAINED FROM THE COORDI-
NATED LICENSURE INFORMATION SYSTEM BY A PARTY STATE LICENSING BOARD
SHALL NOT BE SHARED WITH NON-PARTY STATES OR DISCLOSED TO OTHER ENTITIES
OR INDIVIDUALS EXCEPT TO THE EXTENT PERMITTED BY THE LAWS OF THE PARTY
STATE CONTRIBUTING THE INFORMATION.
G. ANY INFORMATION CONTRIBUTED TO THE COORDINATED LICENSURE INFORMA-
TION SYSTEM THAT IS SUBSEQUENTLY REQUIRED TO BE EXPUNGED BY THE LAWS OF
THE PARTY STATE CONTRIBUTING THAT INFORMATION SHALL ALSO BE EXPUNGED
FROM THE COORDINATED LICENSURE INFORMATION SYSTEM.
H. THE COMPACT ADMINISTRATOR OF EACH PARTY STATE SHALL FURNISH A
UNIFORM DATA SET TO THE COMPACT ADMINISTRATOR OF EACH OTHER PARTY STATE,
WHICH SHALL INCLUDE, AT A MINIMUM:
I. IDENTIFYING INFORMATION;
II. LICENSURE DATA;
III. INFORMATION RELATED TO ALTERNATIVE PROGRAM PARTICIPATION; AND
IV. OTHER INFORMATION THAT MAY FACILITATE THE ADMINISTRATION OF THIS
COMPACT, AS DETERMINED BY COMMISSION RULES.
I. THE COMPACT ADMINISTRATOR OF A PARTY STATE SHALL PROVIDE ALL INVES-
TIGATIVE DOCUMENTS AND INFORMATION REQUESTED BY ANOTHER PARTY STATE.
§ 8907. ESTABLISHMENT OF THE INTERSTATE COMMISSION OF NURSE LICENSURE
COMPACT ADMINISTRATORS. 1. COMMISSION OF NURSE LICENSURE COMPACT ADMIN-
ISTRATORS. THE PARTY STATES HEREBY CREATE AND ESTABLISH A JOINT PUBLIC
ENTITY KNOWN AS THE INTERSTATE COMMISSION OF NURSE LICENSURE COMPACT
ADMINISTRATORS. THE COMMISSION IS AN INSTRUMENTALITY OF THE PARTY
STATES.
2. VENUE. VENUE IS PROPER, AND JUDICIAL PROCEEDINGS BY OR AGAINST THE
COMMISSION SHALL BE BROUGHT SOLELY AND EXCLUSIVELY, IN A COURT OF COMPE-
TENT JURISDICTION WHERE THE PRINCIPAL OFFICE OF THE COMMISSION IS
LOCATED. THE COMMISSION MAY WAIVE VENUE AND JURISDICTIONAL DEFENSES TO
THE EXTENT IT ADOPTS OR CONSENTS TO PARTICIPATE IN ALTERNATIVE DISPUTE
RESOLUTION PROCEEDINGS.
3. SOVEREIGN IMMUNITY. NOTHING IN THIS COMPACT SHALL BE CONSTRUED TO
BE A WAIVER OF SOVEREIGN IMMUNITY.
S. 3007 94 A. 3007
4. MEMBERSHIP, VOTING AND MEETINGS. A. EACH PARTY STATE SHALL HAVE AND
BE LIMITED TO ONE ADMINISTRATOR. THE HEAD OF THE STATE LICENSING BOARD
OR DESIGNEE SHALL BE THE ADMINISTRATOR OF THIS COMPACT FOR EACH PARTY
STATE. ANY ADMINISTRATOR MAY BE REMOVED OR SUSPENDED FROM OFFICE AS
PROVIDED BY THE LAW OF THE STATE FROM WHICH THE ADMINISTRATOR IS
APPOINTED. ANY VACANCY OCCURRING IN THE COMMISSION SHALL BE FILLED IN
ACCORDANCE WITH THE LAWS OF THE PARTY STATE IN WHICH THE VACANCY EXISTS.
B. EACH ADMINISTRATOR SHALL BE ENTITLED TO ONE VOTE WITH REGARD TO THE
PROMULGATION OF RULES AND CREATION OF BYLAWS AND SHALL OTHERWISE HAVE AN
OPPORTUNITY TO PARTICIPATE IN THE BUSINESS AND AFFAIRS OF THE COMMIS-
SION. AN ADMINISTRATOR SHALL VOTE IN PERSON OR BY SUCH OTHER MEANS AS
PROVIDED IN THE BYLAWS. THE BYLAWS MAY PROVIDE FOR AN ADMINISTRATOR'S
PARTICIPATION IN MEETINGS BY TELEPHONE OR OTHER MEANS OF COMMUNICATION.
C. THE COMMISSION SHALL MEET AT LEAST ONCE DURING EACH CALENDAR YEAR.
ADDITIONAL MEETINGS SHALL BE HELD AS SET FORTH IN THE BYLAWS OR RULES OF
THE COMMISSION.
D. ALL MEETINGS SHALL BE OPEN TO THE PUBLIC, AND PUBLIC NOTICE OF
MEETINGS SHALL BE GIVEN IN THE SAME MANNER AS REQUIRED UNDER THE RULE-
MAKING PROVISIONS IN SECTION EIGHTY-NINE HUNDRED EIGHT OF THIS ARTICLE.
5. CLOSED MEETINGS. A. THE COMMISSION MAY CONVENE IN A CLOSED, NONPUB-
LIC MEETING IF THE COMMISSION SHALL DISCUSS:
I. NONCOMPLIANCE OF A PARTY STATE WITH ITS OBLIGATIONS UNDER THIS
COMPACT;
II. THE EMPLOYMENT, COMPENSATION, DISCIPLINE OR OTHER PERSONNEL
MATTERS, PRACTICES OR PROCEDURES RELATED TO SPECIFIC EMPLOYEES OR OTHER
MATTERS RELATED TO THE COMMISSION'S INTERNAL PERSONNEL PRACTICES AND
PROCEDURES;
III. CURRENT, THREATENED OR REASONABLY ANTICIPATED LITIGATION;
IV. NEGOTIATION OF CONTRACTS FOR THE PURCHASE OR SALE OF GOODS,
SERVICES OR REAL ESTATE;
V. ACCUSING ANY PERSON OF A CRIME OR FORMALLY CENSURING ANY PERSON;
VI. DISCLOSURE OF TRADE SECRETS OR COMMERCIAL OR FINANCIAL INFORMATION
THAT IS PRIVILEGED OR CONFIDENTIAL;
VII. DISCLOSURE OF INFORMATION OF A PERSONAL NATURE WHERE DISCLOSURE
WOULD CONSTITUTE A CLEARLY UNWARRANTED INVASION OF PERSONAL PRIVACY;
VIII. DISCLOSURE OF INVESTIGATORY RECORDS COMPILED FOR LAW ENFORCEMENT
PURPOSES;
IX. DISCLOSURE OF INFORMATION RELATED TO ANY REPORTS PREPARED BY OR ON
BEHALF OF THE COMMISSION FOR THE PURPOSE OF INVESTIGATION OF COMPLIANCE
WITH THIS COMPACT; OR
X. MATTERS SPECIFICALLY EXEMPTED FROM DISCLOSURE BY FEDERAL OR STATE
STATUTE.
B. IF A MEETING, OR PORTION OF A MEETING, IS CLOSED PURSUANT TO THIS
PARAGRAPH THE COMMISSION'S LEGAL COUNSEL OR DESIGNEE SHALL CERTIFY THAT
THE MEETING MAY BE CLOSED AND SHALL REFERENCE EACH RELEVANT EXEMPTING
PROVISION. THE COMMISSION SHALL KEEP MINUTES THAT FULLY AND CLEARLY
DESCRIBE ALL MATTERS DISCUSSED IN A MEETING AND SHALL PROVIDE A FULL AND
ACCURATE SUMMARY OF ACTIONS TAKEN, AND THE REASONS THEREFOR, INCLUDING A
DESCRIPTION OF THE VIEWS EXPRESSED. ALL DOCUMENTS CONSIDERED IN
CONNECTION WITH AN ACTION SHALL BE IDENTIFIED IN SUCH MINUTES. ALL
MINUTES AND DOCUMENTS OF A CLOSED MEETING SHALL REMAIN UNDER SEAL,
SUBJECT TO RELEASE BY A MAJORITY VOTE OF THE COMMISSION OR ORDER OF A
COURT OF COMPETENT JURISDICTION.
C. THE COMMISSION SHALL, BY A MAJORITY VOTE OF THE ADMINISTRATORS,
PRESCRIBE BYLAWS OR RULES TO GOVERN ITS CONDUCT AS MAY BE NECESSARY OR
S. 3007 95 A. 3007
APPROPRIATE TO CARRY OUT THE PURPOSES AND EXERCISE THE POWERS OF THIS
COMPACT, INCLUDING BUT NOT LIMITED TO:
I. ESTABLISHING THE FISCAL YEAR OF THE COMMISSION;
II. PROVIDING REASONABLE STANDARDS AND PROCEDURES:
(1) FOR THE ESTABLISHMENT AND MEETINGS OF OTHER COMMITTEES; AND
(2) GOVERNING ANY GENERAL OR SPECIFIC DELEGATION OF ANY AUTHORITY OR
FUNCTION OF THE COMMISSION;
III. PROVIDING REASONABLE PROCEDURES FOR CALLING AND CONDUCTING MEET-
INGS OF THE COMMISSION, ENSURING REASONABLE ADVANCE NOTICE OF ALL MEET-
INGS AND PROVIDING AN OPPORTUNITY FOR ATTENDANCE OF SUCH MEETINGS BY
INTERESTED PARTIES, WITH ENUMERATED EXCEPTIONS DESIGNED TO PROTECT THE
PUBLIC'S INTEREST, THE PRIVACY OF INDIVIDUALS, AND PROPRIETARY INFORMA-
TION, INCLUDING TRADE SECRETS. THE COMMISSION MAY MEET IN CLOSED SESSION
ONLY AFTER A MAJORITY OF THE ADMINISTRATORS VOTE TO CLOSE A MEETING IN
WHOLE OR IN PART. AS SOON AS PRACTICABLE, THE COMMISSION MUST MAKE
PUBLIC A COPY OF THE VOTE TO CLOSE THE MEETING REVEALING THE VOTE OF
EACH ADMINISTRATOR, WITH NO PROXY VOTES ALLOWED;
IV. ESTABLISHING THE TITLES, DUTIES AND AUTHORITY AND REASONABLE
PROCEDURES FOR THE ELECTION OF THE OFFICERS OF THE COMMISSION;
V. PROVIDING REASONABLE STANDARDS AND PROCEDURES FOR THE ESTABLISHMENT
OF THE PERSONNEL POLICIES AND PROGRAMS OF THE COMMISSION. NOTWITHSTAND-
ING ANY CIVIL SERVICE OR OTHER SIMILAR LAWS OF ANY PARTY STATE, THE
BYLAWS SHALL EXCLUSIVELY GOVERN THE PERSONNEL POLICIES AND PROGRAMS OF
THE COMMISSION; AND
VI. PROVIDING A MECHANISM FOR WINDING UP THE OPERATIONS OF THE COMMIS-
SION AND THE EQUITABLE DISPOSITION OF ANY SURPLUS FUNDS THAT MAY EXIST
AFTER THE TERMINATION OF THIS COMPACT AFTER THE PAYMENT OR RESERVING OF
ALL OF ITS DEBTS AND OBLIGATIONS.
6. GENERAL PROVISIONS. A. THE COMMISSION SHALL PUBLISH ITS BYLAWS AND
RULES, AND ANY AMENDMENTS THERETO, IN A CONVENIENT FORM ON THE WEBSITE
OF THE COMMISSION.
B. THE COMMISSION SHALL MAINTAIN ITS FINANCIAL RECORDS IN ACCORDANCE
WITH THE BYLAWS.
C. THE COMMISSION SHALL MEET AND TAKE SUCH ACTIONS AS ARE CONSISTENT
WITH THE PROVISIONS OF THIS COMPACT AND THE BYLAWS.
7. POWERS OF THE COMMISSION. THE COMMISSION SHALL HAVE THE FOLLOWING
POWERS:
A. TO PROMULGATE UNIFORM RULES TO FACILITATE AND COORDINATE IMPLEMEN-
TATION AND ADMINISTRATION OF THIS COMPACT. THE RULES SHALL HAVE THE
FORCE AND EFFECT OF LAW AND SHALL BE BINDING IN ALL PARTY STATES;
B. TO BRING AND PROSECUTE LEGAL PROCEEDINGS OR ACTIONS IN THE NAME OF
THE COMMISSION, PROVIDED THAT THE STANDING OF ANY LICENSING BOARD TO SUE
OR BE SUED UNDER APPLICABLE LAW SHALL NOT BE AFFECTED;
C. TO PURCHASE AND MAINTAIN INSURANCE AND BONDS;
D. TO BORROW, ACCEPT OR CONTRACT FOR SERVICES OF PERSONNEL, INCLUDING,
BUT NOT LIMITED TO, EMPLOYEES OF A PARTY STATE OR NONPROFIT ORGANIZA-
TIONS;
E. TO COOPERATE WITH OTHER ORGANIZATIONS THAT ADMINISTER STATE
COMPACTS RELATED TO THE REGULATION OF NURSING, INCLUDING BUT NOT LIMITED
TO SHARING ADMINISTRATIVE OR STAFF EXPENSES, OFFICE SPACE OR OTHER
RESOURCES;
F. TO HIRE EMPLOYEES, ELECT OR APPOINT OFFICERS, FIX COMPENSATION,
DEFINE DUTIES, GRANT SUCH INDIVIDUALS APPROPRIATE AUTHORITY TO CARRY OUT
THE PURPOSES OF THIS COMPACT, AND TO ESTABLISH THE COMMISSION'S PERSON-
NEL POLICIES AND PROGRAMS RELATING TO CONFLICTS OF INTEREST, QUALIFICA-
TIONS OF PERSONNEL AND OTHER RELATED PERSONNEL MATTERS;
S. 3007 96 A. 3007
G. TO ACCEPT ANY AND ALL APPROPRIATE DONATIONS, GRANTS AND GIFTS OF
MONEY, EQUIPMENT, SUPPLIES, MATERIALS AND SERVICES, AND TO RECEIVE,
UTILIZE AND DISPOSE OF THE SAME; PROVIDED THAT AT ALL TIMES THE COMMIS-
SION SHALL AVOID ANY APPEARANCE OF IMPROPRIETY OR CONFLICT OF INTEREST;
H. TO LEASE, PURCHASE, ACCEPT APPROPRIATE GIFTS OR DONATIONS OF, OR
OTHERWISE TO OWN, HOLD, IMPROVE OR USE, ANY PROPERTY, WHETHER REAL,
PERSONAL OR MIXED; PROVIDED THAT AT ALL TIMES THE COMMISSION SHALL AVOID
ANY APPEARANCE OF IMPROPRIETY;
I. TO SELL, CONVEY, MORTGAGE, PLEDGE, LEASE, EXCHANGE, ABANDON OR
OTHERWISE DISPOSE OF ANY PROPERTY, WHETHER REAL, PERSONAL OR MIXED;
J. TO ESTABLISH A BUDGET AND MAKE EXPENDITURES;
K. TO BORROW MONEY;
L. TO APPOINT COMMITTEES, INCLUDING ADVISORY COMMITTEES COMPRISED OF
ADMINISTRATORS, STATE NURSING REGULATORS, STATE LEGISLATORS OR THEIR
REPRESENTATIVES, AND CONSUMER REPRESENTATIVES, AND OTHER SUCH INTERESTED
PERSONS;
M. TO PROVIDE AND RECEIVE INFORMATION FROM, AND TO COOPERATE WITH, LAW
ENFORCEMENT AGENCIES;
N. TO ADOPT AND USE AN OFFICIAL SEAL; AND
O. TO PERFORM SUCH OTHER FUNCTIONS AS MAY BE NECESSARY OR APPROPRIATE
TO ACHIEVE THE PURPOSES OF THIS COMPACT CONSISTENT WITH THE STATE REGU-
LATION OF NURSE LICENSURE AND PRACTICE.
8. FINANCING OF THE COMMISSION. A. THE COMMISSION SHALL PAY, OR
PROVIDE FOR THE PAYMENT OF, THE REASONABLE EXPENSES OF ITS ESTABLISH-
MENT, ORGANIZATION AND ONGOING ACTIVITIES.
B. THE COMMISSION MAY ALSO LEVY ON AND COLLECT AN ANNUAL ASSESSMENT
FROM EACH PARTY STATE TO COVER THE COST OF ITS OPERATIONS, ACTIVITIES
AND STAFF IN ITS ANNUAL BUDGET AS APPROVED EACH YEAR. THE AGGREGATE
ANNUAL ASSESSMENT AMOUNT, IF ANY, SHALL BE ALLOCATED BASED UPON A FORMU-
LA TO BE DETERMINED BY THE COMMISSION, WHICH SHALL PROMULGATE A RULE
THAT IS BINDING UPON ALL PARTY STATES.
C. THE COMMISSION SHALL NOT INCUR OBLIGATIONS OF ANY KIND PRIOR TO
SECURING THE FUNDS ADEQUATE TO MEET THE SAME; NOR SHALL THE COMMISSION
PLEDGE THE CREDIT OF ANY OF THE PARTY STATES, EXCEPT BY, AND WITH THE
AUTHORITY OF, SUCH PARTY STATE.
D. THE COMMISSION SHALL KEEP ACCURATE ACCOUNTS OF ALL RECEIPTS AND
DISBURSEMENTS. THE RECEIPTS AND DISBURSEMENTS OF THE COMMISSION SHALL BE
SUBJECT TO THE AUDIT AND ACCOUNTING PROCEDURES ESTABLISHED UNDER ITS
BYLAWS. HOWEVER, ALL RECEIPTS AND DISBURSEMENTS OF FUNDS HANDLED BY THE
COMMISSION SHALL BE AUDITED YEARLY BY A CERTIFIED OR LICENSED PUBLIC
ACCOUNTANT, AND THE REPORT OF THE AUDIT SHALL BE INCLUDED IN AND BECOME
PART OF THE ANNUAL REPORT OF THE COMMISSION.
9. QUALIFIED IMMUNITY, DEFENSE AND INDEMNIFICATION. A. THE ADMINISTRA-
TORS, OFFICERS, EXECUTIVE DIRECTOR, EMPLOYEES AND REPRESENTATIVES OF THE
COMMISSION SHALL BE IMMUNE FROM SUIT AND LIABILITY, EITHER PERSONALLY OR
IN THEIR OFFICIAL CAPACITY, FOR ANY CLAIM FOR DAMAGE TO OR LOSS OF PROP-
ERTY OR PERSONAL INJURY OR OTHER CIVIL LIABILITY CAUSED BY OR ARISING
OUT OF ANY ACTUAL OR ALLEGED ACT, ERROR OR OMISSION THAT OCCURRED, OR
THAT THE PERSON AGAINST WHOM THE CLAIM IS MADE HAD A REASONABLE BASIS
FOR BELIEVING OCCURRED, WITHIN THE SCOPE OF THE COMMISSION'S EMPLOYMENT,
DUTIES OR RESPONSIBILITIES; PROVIDED THAT NOTHING IN THIS PARAGRAPH
SHALL BE CONSTRUED TO PROTECT ANY SUCH PERSON FROM SUIT OR LIABILITY FOR
ANY DAMAGE, LOSS, INJURY OR LIABILITY CAUSED BY THE INTENTIONAL, WILLFUL
OR WANTON MISCONDUCT OF THAT PERSON.
B. THE COMMISSION SHALL DEFEND ANY ADMINISTRATOR, OFFICER, EXECUTIVE
DIRECTOR, EMPLOYEE OR REPRESENTATIVE OF THE COMMISSION IN ANY CIVIL
S. 3007 97 A. 3007
ACTION SEEKING TO IMPOSE LIABILITY ARISING OUT OF ANY ACTUAL OR ALLEGED
ACT, ERROR OR OMISSION THAT OCCURRED WITHIN THE SCOPE OF THE COMMIS-
SION'S EMPLOYMENT, DUTIES OR RESPONSIBILITIES, OR THAT THE PERSON
AGAINST WHOM THE CLAIM IS MADE HAD A REASONABLE BASIS FOR BELIEVING
OCCURRED WITHIN THE SCOPE OF THE COMMISSION'S EMPLOYMENT, DUTIES OR
RESPONSIBILITIES; PROVIDED THAT NOTHING HEREIN SHALL BE CONSTRUED TO
PROHIBIT THAT PERSON FROM RETAINING SUCH PERSON'S OWN COUNSEL; AND
PROVIDED FURTHER THAT THE ACTUAL OR ALLEGED ACT, ERROR OR OMISSION DID
NOT RESULT FROM THAT PERSON'S INTENTIONAL, WILLFUL OR WANTON MISCONDUCT.
C. THE COMMISSION SHALL INDEMNIFY AND HOLD HARMLESS ANY ADMINISTRATOR,
OFFICER, EXECUTIVE DIRECTOR, EMPLOYEE OR REPRESENTATIVE OF THE COMMIS-
SION FOR THE AMOUNT OF ANY SETTLEMENT OR JUDGMENT OBTAINED AGAINST THAT
PERSON ARISING OUT OF ANY ACTUAL OR ALLEGED ACT, ERROR OR OMISSION THAT
OCCURRED WITHIN THE SCOPE OF THE COMMISSION'S EMPLOYMENT, DUTIES OR
RESPONSIBILITIES, OR THAT SUCH PERSON HAD A REASONABLE BASIS FOR BELIEV-
ING OCCURRED WITHIN THE SCOPE OF THE COMMISSION'S EMPLOYMENT, DUTIES OR
RESPONSIBILITIES, PROVIDED THAT THE ACTUAL OR ALLEGED ACT, ERROR OR
OMISSION DID NOT RESULT FROM THE INTENTIONAL, WILLFUL OR WANTON MISCON-
DUCT OF THAT PERSON.
§ 8908. RULEMAKING. 1. RULEMAKING. A. THE COMMISSION SHALL EXERCISE
ITS RULEMAKING POWERS PURSUANT TO THE CRITERIA SET FORTH IN THIS ARTICLE
AND THE RULES ADOPTED THEREUNDER. RULES AND AMENDMENTS SHALL BECOME
BINDING AS OF THE DATE SPECIFIED IN EACH RULE OR AMENDMENT AND SHALL
HAVE THE SAME FORCE AND EFFECT AS PROVISIONS OF THIS COMPACT.
B. RULES OR AMENDMENTS TO THE RULES SHALL BE ADOPTED AT A REGULAR OR
SPECIAL MEETING OF THE COMMISSION.
2. NOTICE. A. PRIOR TO PROMULGATION AND ADOPTION OF A FINAL RULE OR
RULES BY THE COMMISSION, AND AT LEAST SIXTY DAYS IN ADVANCE OF THE MEET-
ING AT WHICH THE RULE WILL BE CONSIDERED AND VOTED UPON, THE COMMISSION
SHALL FILE A NOTICE OF PROPOSED RULEMAKING:
I. ON THE WEBSITE OF THE COMMISSION; AND
II. ON THE WEBSITE OF EACH LICENSING BOARD OR THE PUBLICATION IN WHICH
EACH STATE WOULD OTHERWISE PUBLISH PROPOSED RULES.
B. THE NOTICE OF PROPOSED RULEMAKING SHALL INCLUDE:
I. THE PROPOSED TIME, DATE AND LOCATION OF THE MEETING IN WHICH THE
RULE WILL BE CONSIDERED AND VOTED UPON;
II. THE TEXT OF THE PROPOSED RULE OR AMENDMENT, AND THE REASON FOR THE
PROPOSED RULE;
III. A REQUEST FOR COMMENTS ON THE PROPOSED RULE FROM ANY INTERESTED
PERSON; AND
IV. THE MANNER IN WHICH INTERESTED PERSONS MAY SUBMIT NOTICE TO THE
COMMISSION OF THEIR INTENTION TO ATTEND THE PUBLIC HEARING AND ANY WRIT-
TEN COMMENTS.
C. PRIOR TO ADOPTION OF A PROPOSED RULE, THE COMMISSION SHALL ALLOW
PERSONS TO SUBMIT WRITTEN DATA, FACTS, OPINIONS AND ARGUMENTS, WHICH
SHALL BE MADE AVAILABLE TO THE PUBLIC.
3. PUBLIC HEARINGS ON RULES. A. THE COMMISSION SHALL GRANT AN OPPORTU-
NITY FOR A PUBLIC HEARING BEFORE IT ADOPTS A RULE OR AMENDMENT.
B. THE COMMISSION SHALL PUBLISH THE PLACE, TIME AND DATE OF THE SCHED-
ULED PUBLIC HEARING.
I. HEARINGS SHALL BE CONDUCTED IN A MANNER PROVIDING EACH PERSON WHO
WISHES TO COMMENT A FAIR AND REASONABLE OPPORTUNITY TO COMMENT ORALLY OR
IN WRITING. ALL HEARINGS WILL BE RECORDED, AND A COPY WILL BE MADE
AVAILABLE UPON REQUEST.
S. 3007 98 A. 3007
II. NOTHING IN THIS SECTION SHALL BE CONSTRUED AS REQUIRING A SEPARATE
HEARING ON EACH RULE. RULES MAY BE GROUPED FOR THE CONVENIENCE OF THE
COMMISSION AT HEARINGS REQUIRED BY THIS SECTION.
C. IF NO ONE APPEARS AT THE PUBLIC HEARING, THE COMMISSION MAY PROCEED
WITH PROMULGATION OF THE PROPOSED RULE.
D. FOLLOWING THE SCHEDULED HEARING DATE, OR BY THE CLOSE OF BUSINESS
ON THE SCHEDULED HEARING DATE IF THE HEARING WAS NOT HELD, THE COMMIS-
SION SHALL CONSIDER ALL WRITTEN AND ORAL COMMENTS RECEIVED.
4. VOTING ON RULES. THE COMMISSION SHALL, BY MAJORITY VOTE OF ALL
ADMINISTRATORS, TAKE FINAL ACTION ON THE PROPOSED RULE AND SHALL DETER-
MINE THE EFFECTIVE DATE OF THE RULE, IF ANY, BASED ON THE RULEMAKING
RECORD AND THE FULL TEXT OF THE RULE.
5. EMERGENCY RULES. UPON DETERMINATION THAT AN EMERGENCY EXISTS, THE
COMMISSION MAY CONSIDER AND ADOPT AN EMERGENCY RULE WITHOUT PRIOR
NOTICE, OPPORTUNITY FOR COMMENT OR HEARING, PROVIDED THAT THE USUAL
RULEMAKING PROCEDURES PROVIDED IN THIS COMPACT AND IN THIS SECTION SHALL
BE RETROACTIVELY APPLIED TO THE RULE AS SOON AS REASONABLY POSSIBLE, IN
NO EVENT LATER THAN NINETY DAYS AFTER THE EFFECTIVE DATE OF THE RULE.
FOR THE PURPOSES OF THIS PROVISION, AN EMERGENCY RULE IS ONE THAT MUST
BE ADOPTED IMMEDIATELY IN ORDER TO:
A. MEET AN IMMINENT THREAT TO PUBLIC HEALTH, SAFETY OR WELFARE;
B. PREVENT A LOSS OF THE COMMISSION OR PARTY STATE FUNDS; OR
C. MEET A DEADLINE FOR THE PROMULGATION OF AN ADMINISTRATIVE RULE THAT
IS REQUIRED BY FEDERAL LAW OR RULE.
6. REVISIONS. THE COMMISSION MAY DIRECT REVISIONS TO A PREVIOUSLY
ADOPTED RULE OR AMENDMENT FOR PURPOSES OF CORRECTING TYPOGRAPHICAL
ERRORS, ERRORS IN FORMAT, ERRORS IN CONSISTENCY OR GRAMMATICAL ERRORS.
PUBLIC NOTICE OF ANY REVISIONS SHALL BE POSTED ON THE WEBSITE OF THE
COMMISSION. THE REVISION SHALL BE SUBJECT TO CHALLENGE BY ANY PERSON FOR
A PERIOD OF THIRTY DAYS AFTER POSTING. THE REVISION MAY BE CHALLENGED
ONLY ON GROUNDS THAT THE REVISION RESULTS IN A MATERIAL CHANGE TO A
RULE. A CHALLENGE SHALL BE MADE IN WRITING, AND DELIVERED TO THE
COMMISSION, PRIOR TO THE END OF THE NOTICE PERIOD. IF NO CHALLENGE IS
MADE, THE REVISION WILL TAKE EFFECT WITHOUT FURTHER ACTION. IF THE
REVISION IS CHALLENGED, THE REVISION MAY NOT TAKE EFFECT WITHOUT THE
APPROVAL OF THE COMMISSION.
§ 8909. OVERSIGHT, DISPUTE RESOLUTION AND ENFORCEMENT. 1. OVERSIGHT.
A. EACH PARTY STATE SHALL ENFORCE THIS COMPACT AND TAKE ALL ACTIONS
NECESSARY AND APPROPRIATE TO EFFECTUATE THIS COMPACT'S PURPOSES AND
INTENT.
B. THE COMMISSION SHALL BE ENTITLED TO RECEIVE SERVICE OF PROCESS IN
ANY PROCEEDING THAT MAY AFFECT THE POWERS, RESPONSIBILITIES OR ACTIONS
OF THE COMMISSION, AND SHALL HAVE STANDING TO INTERVENE IN SUCH A
PROCEEDING FOR ALL PURPOSES. FAILURE TO PROVIDE SERVICE OF PROCESS IN
SUCH PROCEEDING TO THE COMMISSION SHALL RENDER A JUDGMENT OR ORDER VOID
AS TO THE COMMISSION, THIS COMPACT OR PROMULGATED RULES.
2. DEFAULT, TECHNICAL ASSISTANCE AND TERMINATION. A. IF THE COMMISSION
DETERMINES THAT A PARTY STATE HAS DEFAULTED IN THE PERFORMANCE OF ITS
OBLIGATIONS OR RESPONSIBILITIES UNDER THIS COMPACT OR THE PROMULGATED
RULES, THE COMMISSION SHALL:
I. PROVIDE WRITTEN NOTICE TO THE DEFAULTING STATE AND OTHER PARTY
STATES OF THE NATURE OF THE DEFAULT, THE PROPOSED MEANS OF CURING THE
DEFAULT OR ANY OTHER ACTION TO BE TAKEN BY THE COMMISSION; AND
II. PROVIDE REMEDIAL TRAINING AND SPECIFIC TECHNICAL ASSISTANCE
REGARDING THE DEFAULT.
S. 3007 99 A. 3007
B. IF A STATE IN DEFAULT FAILS TO CURE THE DEFAULT, THE DEFAULTING
STATE'S MEMBERSHIP IN THIS COMPACT MAY BE TERMINATED UPON AN AFFIRMATIVE
VOTE OF A MAJORITY OF THE ADMINISTRATORS, AND ALL RIGHTS, PRIVILEGES AND
BENEFITS CONFERRED BY THIS COMPACT MAY BE TERMINATED ON THE EFFECTIVE
DATE OF TERMINATION. A CURE OF THE DEFAULT DOES NOT RELIEVE THE OFFEND-
ING STATE OF OBLIGATIONS OR LIABILITIES INCURRED DURING THE PERIOD OF
DEFAULT.
C. TERMINATION OF MEMBERSHIP IN THIS COMPACT SHALL BE IMPOSED ONLY
AFTER ALL OTHER MEANS OF SECURING COMPLIANCE HAVE BEEN EXHAUSTED. NOTICE
OF INTENT TO SUSPEND OR TERMINATE SHALL BE GIVEN BY THE COMMISSION TO
THE GOVERNOR OF THE DEFAULTING STATE AND TO THE EXECUTIVE OFFICER OF THE
DEFAULTING STATE'S LICENSING BOARD AND EACH OF THE PARTY STATES.
D. A STATE WHOSE MEMBERSHIP IN THIS COMPACT HAS BEEN TERMINATED IS
RESPONSIBLE FOR ALL ASSESSMENTS, OBLIGATIONS AND LIABILITIES INCURRED
THROUGH THE EFFECTIVE DATE OF TERMINATION, INCLUDING OBLIGATIONS THAT
EXTEND BEYOND THE EFFECTIVE DATE OF TERMINATION.
E. THE COMMISSION SHALL NOT BEAR ANY COSTS RELATED TO A STATE THAT IS
FOUND TO BE IN DEFAULT OR WHOSE MEMBERSHIP IN THIS COMPACT HAS BEEN
TERMINATED UNLESS AGREED UPON IN WRITING BETWEEN THE COMMISSION AND THE
DEFAULTING STATE.
F. THE DEFAULTING STATE MAY APPEAL THE ACTION OF THE COMMISSION BY
PETITIONING THE U.S. DISTRICT COURT FOR THE DISTRICT OF COLUMBIA OR THE
FEDERAL DISTRICT IN WHICH THE COMMISSION HAS ITS PRINCIPAL OFFICES. THE
PREVAILING PARTY SHALL BE AWARDED ALL COSTS OF SUCH LITIGATION, INCLUD-
ING REASONABLE ATTORNEYS' FEES.
3. DISPUTE RESOLUTION. A. UPON REQUEST BY A PARTY STATE, THE COMMIS-
SION SHALL ATTEMPT TO RESOLVE DISPUTES RELATED TO THE COMPACT THAT ARISE
AMONG PARTY STATES AND BETWEEN PARTY AND NON-PARTY STATES.
B. THE COMMISSION SHALL PROMULGATE A RULE PROVIDING FOR BOTH MEDIATION
AND BINDING DISPUTE RESOLUTION FOR DISPUTES, AS APPROPRIATE.
C. IN THE EVENT THE COMMISSION CANNOT RESOLVE DISPUTES AMONG PARTY
STATES ARISING UNDER THIS COMPACT:
I. THE PARTY STATES MAY SUBMIT THE ISSUES IN DISPUTE TO AN ARBITRATION
PANEL, WHICH WILL BE COMPRISED OF INDIVIDUALS APPOINTED BY THE COMPACT
ADMINISTRATOR IN EACH OF THE AFFECTED PARTY STATES, AND AN INDIVIDUAL
MUTUALLY AGREED UPON BY THE COMPACT ADMINISTRATORS OF ALL THE PARTY
STATES INVOLVED IN THE DISPUTE.
II. THE DECISION OF A MAJORITY OF THE ARBITRATORS SHALL BE FINAL AND
BINDING.
4. ENFORCEMENT. A. THE COMMISSION, IN THE REASONABLE EXERCISE OF ITS
DISCRETION, SHALL ENFORCE THE PROVISIONS AND RULES OF THIS COMPACT.
B. BY MAJORITY VOTE, THE COMMISSION MAY INITIATE LEGAL ACTION IN THE
U.S. DISTRICT COURT FOR THE DISTRICT OF COLUMBIA OR THE FEDERAL
DISTRICT IN WHICH THE COMMISSION HAS ITS PRINCIPAL OFFICES AGAINST A
PARTY STATE THAT IS IN DEFAULT TO ENFORCE COMPLIANCE WITH THE PROVISIONS
OF THIS COMPACT AND ITS PROMULGATED RULES AND BYLAWS. THE RELIEF SOUGHT
MAY INCLUDE BOTH INJUNCTIVE RELIEF AND DAMAGES. IN THE EVENT JUDICIAL
ENFORCEMENT IS NECESSARY, THE PREVAILING PARTY SHALL BE AWARDED ALL
COSTS OF SUCH LITIGATION, INCLUDING REASONABLE ATTORNEYS' FEES.
C. THE REMEDIES HEREIN SHALL NOT BE THE EXCLUSIVE REMEDIES OF THE
COMMISSION. THE COMMISSION MAY PURSUE ANY OTHER REMEDIES AVAILABLE UNDER
FEDERAL OR STATE LAW.
§ 8910. EFFECTIVE DATE, WITHDRAWAL AND AMENDMENT. 1. EFFECTIVE DATE.
A. THIS COMPACT SHALL BECOME EFFECTIVE AND BINDING ON THE EARLIER OF
THE DATE OF LEGISLATIVE ENACTMENT OF THIS COMPACT INTO LAW BY NO LESS
THAN TWENTY-SIX STATES OR THE EFFECTIVE DATE OF THE CHAPTER OF THE LAWS
S. 3007 100 A. 3007
OF TWO THOUSAND TWENTY-FIVE THAT ENACTED THIS COMPACT. THEREAFTER, THE
COMPACT SHALL BECOME EFFECTIVE AND BINDING AS TO ANY OTHER COMPACTING
STATE UPON ENACTMENT OF THE COMPACT INTO LAW BY THAT STATE. ALL PARTY
STATES TO THIS COMPACT, THAT ALSO WERE PARTIES TO THE PRIOR NURSE LICEN-
SURE COMPACT, SUPERSEDED BY THIS COMPACT, (HEREIN REFERRED TO AS "PRIOR
COMPACT"), SHALL BE DEEMED TO HAVE WITHDRAWN FROM SAID PRIOR COMPACT
WITHIN SIX MONTHS AFTER THE EFFECTIVE DATE OF THIS COMPACT.
B. EACH PARTY STATE TO THIS COMPACT SHALL CONTINUE TO RECOGNIZE A
NURSE'S MULTISTATE LICENSURE PRIVILEGE TO PRACTICE IN THAT PARTY STATE
ISSUED UNDER THE PRIOR COMPACT UNTIL SUCH PARTY STATE HAS WITHDRAWN FROM
THE PRIOR COMPACT.
2. WITHDRAWAL. A. ANY PARTY STATE MAY WITHDRAW FROM THIS COMPACT BY
ENACTING A STATUTE REPEALING THE SAME. A PARTY STATE'S WITHDRAWAL SHALL
NOT TAKE EFFECT UNTIL SIX MONTHS AFTER ENACTMENT OF THE REPEALING STAT-
UTE.
B. A PARTY STATE'S WITHDRAWAL OR TERMINATION SHALL NOT AFFECT THE
CONTINUING REQUIREMENT OF THE WITHDRAWING OR TERMINATED STATE'S LICENS-
ING BOARD TO REPORT ADVERSE ACTIONS AND SIGNIFICANT INVESTIGATIONS
OCCURRING PRIOR TO THE EFFECTIVE DATE OF SUCH WITHDRAWAL OR TERMINATION.
C. NOTHING CONTAINED IN THIS COMPACT SHALL BE CONSTRUED TO INVALIDATE
OR PREVENT ANY NURSE LICENSURE AGREEMENT OR OTHER COOPERATIVE ARRANGE-
MENT BETWEEN A PARTY STATE AND A NON-PARTY STATE THAT IS MADE IN ACCORD-
ANCE WITH THE OTHER PROVISIONS OF THIS COMPACT.
3. AMENDMENT. A. THIS COMPACT MAY BE AMENDED BY THE PARTY STATES. NO
AMENDMENT TO THIS COMPACT SHALL BECOME EFFECTIVE AND BINDING UPON THE
PARTY STATES UNLESS AND UNTIL IT IS ENACTED INTO THE LAWS OF ALL PARTY
STATES.
B. REPRESENTATIVES OF NON-PARTY STATES TO THIS COMPACT SHALL BE
INVITED TO PARTICIPATE IN THE ACTIVITIES OF THE COMMISSION, ON A NONVOT-
ING BASIS, PRIOR TO THE ADOPTION OF THIS COMPACT BY ALL STATES.
§ 8911. CONSTRUCTION AND SEVERABILITY. 1. CONSTRUCTION AND SEVERABIL-
ITY. THIS COMPACT SHALL BE LIBERALLY CONSTRUED SO AS TO EFFECTUATE THE
PURPOSES THEREOF. THE PROVISIONS OF THIS COMPACT SHALL BE SEVERABLE, AND
IF ANY PHRASE, CLAUSE, SENTENCE OR PROVISION OF THIS COMPACT IS DECLARED
TO BE CONTRARY TO THE CONSTITUTION OF ANY PARTY STATE OR OF THE UNITED
STATES, OR IF THE APPLICABILITY THEREOF TO ANY GOVERNMENT, AGENCY,
PERSON OR CIRCUMSTANCE IS HELD TO BE INVALID, THE VALIDITY OF THE
REMAINDER OF THIS COMPACT AND THE APPLICABILITY THEREOF TO ANY GOVERN-
MENT, AGENCY, PERSON OR CIRCUMSTANCE SHALL NOT BE AFFECTED THEREBY. IF
THIS COMPACT SHALL BE HELD TO BE CONTRARY TO THE CONSTITUTION OF ANY
PARTY STATE, THIS COMPACT SHALL REMAIN IN FULL FORCE AND EFFECT AS TO
THE REMAINING PARTY STATES AND IN FULL FORCE AND EFFECT AS TO THE PARTY
STATE AFFECTED AS TO ALL SEVERABLE MATTERS.
§ 2. This act shall take effect immediately and shall be deemed to
have been in full force and effect on and after April 1, 2025.
PART X
Section 1. Section 6605-b of the education law, as added by chapter
437 of the laws of 2001 and subdivision 1 as amended by chapter 198 of
the laws of 2022, is amended to read as follows:
§ 6605-b. Dental hygiene restricted local infiltration AND BLOCK
anesthesia/nitrous oxide analgesia certificate. 1. A dental hygienist
shall not administer or monitor nitrous oxide analgesia or local infil-
tration OR BLOCK anesthesia in the practice of dental hygiene without a
dental hygiene restricted local infiltration AND BLOCK
S. 3007 101 A. 3007
anesthesia/nitrous oxide analgesia certificate and except under the
personal supervision of a dentist and in accordance with regulations
promulgated by the commissioner. Personal supervision, for purposes of
this section, means that the supervising dentist remains in the dental
office where the local infiltration OR BLOCK anesthesia or nitrous oxide
analgesia services are being performed, personally authorizes and
prescribes the use of local infiltration OR BLOCK anesthesia or nitrous
oxide analgesia for the patient and, before dismissal of the patient,
personally examines the condition of the patient after the use of local
infiltration OR BLOCK anesthesia or nitrous oxide analgesia is
completed. It is professional misconduct for a dentist to fail to
provide the supervision required by this section, and any dentist found
guilty of such misconduct under the procedures prescribed in section
sixty-five hundred ten of this title shall be subject to the penalties
prescribed in section sixty-five hundred eleven of this title.
2. The commissioner shall promulgate regulations establishing stand-
ards and procedures for the issuance of such certificate. Such standards
shall require completion of an educational program and/or course of
training or experience sufficient to ensure that a dental hygienist is
specifically trained in the administration and monitoring of nitrous
oxide analgesia and local infiltration OR BLOCK anesthesia, the possible
effects of such use, and in the recognition of and response to possible
emergency situations.
3. The fee for a dental hygiene restricted local infiltration AND
BLOCK anesthesia/nitrous oxide analgesia certificate shall be twenty-
five dollars and shall be paid on a triennial basis upon renewal of such
certificate. A certificate may be suspended or revoked in the same
manner as a license to practice dental hygiene.
§ 2. Subdivision 1 of section 6606 of the education law, as amended by
chapter 239 of the laws of 2013, is amended to read as follows:
1. The practice of the profession of dental hygiene is defined as the
performance of dental services which shall include removing calcareous
deposits, accretions and stains from the exposed surfaces of the teeth
which begin at the epithelial attachment and applying topical agents
indicated for a complete dental prophylaxis, removing cement, placing or
removing rubber dam, removing sutures, placing matrix band, providing
patient education, applying topical medication, PLACING PRE-FIT ORTHO-
DONTIC BANDS, USING LIGHT-CURE COMPOSITE MATERIAL, TAKING CEPHALOMETRIC
RADIOGRAPHS, TAKING TWO-DIMENSIONAL AND THREE-DIMENSIONAL PHOTOGRAPHY OF
DENTITION, ADJUSTING REMOVABLE APPLIANCES INCLUDING NIGHTGUARDS, BLEACH-
ING TRAYS, RETAINERS AND DENTURES, placing and exposing diagnostic
dental X-ray films, performing topical fluoride applications and topical
anesthetic applications, polishing teeth, taking medical history, chart-
ing caries, taking impressions for study casts, placing and removing
temporary restorations, administering and monitoring nitrous oxide
analgesia and administering and monitoring local infiltration AND BLOCK
anesthesia, subject to certification in accordance with section sixty-
six hundred five-b of this article, and any other function in the defi-
nition of the practice of dentistry as may be delegated by a licensed
dentist in accordance with regulations promulgated by the commissioner.
The practice of dental hygiene may be conducted in the office of any
licensed dentist or in any appropriately equipped school or public
institution but must be done either under the supervision of a licensed
dentist or, in the case of a registered dental hygienist working for a
hospital as defined in article twenty-eight of the public health law[,]
OR pursuant to a collaborative arrangement with a licensed and regis-
S. 3007 102 A. 3007
tered dentist [who has a formal relationship with the same hospital]
PURSUANT TO SECTION SIXTY-SIX HUNDRED SEVEN-A OF THIS ARTICLE AND in
accordance with regulations promulgated by the department in consulta-
tion with the department of health. [Such collaborative arrangement
shall not obviate or supersede any law or regulation which requires
identified services to be performed under the personal supervision of a
dentist. When dental hygiene services are provided pursuant to a colla-
borative agreement, such dental hygienist shall instruct individuals to
visit a licensed dentist for comprehensive examination or treatment.]
§ 3. The education law is amended by adding a new section 6607-a to
read as follows:
§ 6607-A. PRACTICE OF COLLABORATIVE PRACTICE DENTAL HYGIENE AND USE OF
TITLE "REGISTERED DENTAL HYGIENIST, COLLABORATIVE PRACTICE" (RDH-CP). 1.
THE PRACTICE OF THE PROFESSION OF DENTAL HYGIENE, AS DEFINED UNDER THIS
ARTICLE, MAY BE PERFORMED IN COLLABORATION WITH A LICENSED DENTIST
PROVIDED SUCH SERVICES ARE PERFORMED IN ACCORDANCE WITH A WRITTEN PRAC-
TICE AGREEMENT AND WRITTEN PRACTICE PROTOCOLS TO BE KNOWN AS A COLLABO-
RATIVE PRACTICE AGREEMENT. UNDER A COLLABORATIVE PRACTICE AGREEMENT,
DENTAL HYGIENISTS MAY PERFORM ALL SERVICES WHICH ARE DESIGNATED IN REGU-
LATION WITHOUT PRIOR EVALUATION OF A DENTIST OR MEDICAL PROFESSIONAL AND
MAY BE PERFORMED WITHOUT SUPERVISION IN A COLLABORATIVE PRACTICE
SETTING.
2. (A) THE COLLABORATIVE PRACTICE AGREEMENT SHALL INCLUDE CONSIDER-
ATION FOR MEDICALLY COMPROMISED PATIENTS, SPECIFIC MEDICAL CONDITIONS,
AND AGE-AND PROCEDURE-SPECIFIC PRACTICE PROTOCOLS, INCLUDING, BUT NOT
LIMITED TO RECOMMENDED INTERVALS FOR THE PERFORMANCE OF DENTAL HYGIENE
SERVICES AND A PERIODICITY IN WHICH AN EXAMINATION BY A DENTIST SHOULD
OCCUR.
(B) THE COLLABORATIVE AGREEMENT SHALL BE:
(I) SIGNED AND MAINTAINED BY THE DENTIST, THE DENTAL HYGIENIST, AND
THE FACILITY, PROGRAM, OR ORGANIZATION;
(II) REVIEWED ANNUALLY BY THE COLLABORATING DENTIST AND DENTAL HYGIEN-
IST; AND
(III) MADE AVAILABLE TO THE DEPARTMENT AND OTHER INTERESTED PARTIES
UPON REQUEST.
(C) ONLY ONE AGREEMENT BETWEEN A COLLABORATING DENTIST AND REGISTERED
DENTAL HYGIENIST, COLLABORATIVE PRACTICE (RDH-CP) MAY BE IN FORCE AT A
TIME.
3. BEFORE PERFORMING ANY SERVICES AUTHORIZED UNDER THIS SECTION, A
DENTAL HYGIENIST SHALL PROVIDE THE PATIENT WITH A WRITTEN STATEMENT
ADVISING THE PATIENT THAT THE DENTAL HYGIENE SERVICES PROVIDED ARE NOT A
SUBSTITUTE FOR A DENTAL EXAMINATION BY A LICENSED DENTIST AND INSTRUCT-
ING INDIVIDUALS TO VISIT A LICENSED DENTIST FOR COMPREHENSIVE EXAMINA-
TION OR TREATMENT. IF THE DENTAL HYGIENIST MAKES ANY REFERRALS TO THE
PATIENT FOR FURTHER DENTAL PROCEDURES, THE DENTAL HYGIENIST MUST FILL
OUT A REFERRAL FORM AND PROVIDE A COPY OF THE FORM TO THE COLLABORATING
DENTIST.
4. THE COLLABORATIVE PRACTICE DENTAL HYGIENIST MAY ENTER INTO A
CONTRACTUAL ARRANGEMENT WITH ANY NEW YORK STATE LICENSED AND REGISTERED
DENTIST, HEALTH CARE FACILITY, PROGRAM, AND/OR NON-PROFIT ORGANIZATION
TO PERFORM DENTAL HYGIENE SERVICES IN THE FOLLOWING SETTINGS: DENTAL
OFFICES; LONG-TERM CARE FACILITIES/SKILLED NURSING FACILITIES; PUBLIC OR
PRIVATE SCHOOLS; PUBLIC HEALTH AGENCIES/FEDERALLY QUALIFIED HEALTH
CENTERS; CORRECTIONAL FACILITIES; PUBLIC INSTITUTIONS/MENTAL HEALTH
FACILITIES; DRUG TREATMENT FACILITIES; AND DOMESTIC VIOLENCE SHELTERS.
S. 3007 103 A. 3007
5. A COLLABORATING DENTIST SHALL HAVE COLLABORATIVE AGREEMENTS WITH NO
MORE THAN SIX COLLABORATIVE PRACTICE DENTAL HYGIENISTS. THE DEPARTMENT
MAY GRANT EXCEPTIONS TO THESE LIMITATIONS FOR PUBLIC HEALTH SETTINGS ON
A CASE-BY-CASE BASIS.
6. A DENTAL HYGIENIST MUST MAKE APPLICATION TO THE DEPARTMENT TO PRAC-
TICE AS A REGISTERED DENTAL HYGIENIST, COLLABORATIVE PRACTICE (RDH-CP)
AND PAY A FEE SET BY THE DEPARTMENT. AS A CONDITION OF COLLABORATIVE
PRACTICE, THE DENTAL HYGIENIST SHALL HAVE BEEN ENGAGED IN PRACTICE FOR
AT LEAST THREE YEARS WITH A MINIMUM OF FOUR THOUSAND FIVE HUNDRED PRAC-
TICE HOURS AND SHALL COMPLETE AN EIGHT HOUR CONTINUING EDUCATION PROGRAM
THAT INCLUDES INSTRUCTION IN MEDICAL EMERGENCY PROCEDURES, REVIEW OF
CLINICAL RECOMMENDATIONS AND STANDARDS FOR PROVIDING PREVENTIVE SERVICES
(FOR EXAMPLE SEALANTS AND FLUORIDE VARNISH) IN PUBLIC HEALTH SETTINGS,
RISK MANAGEMENT, DENTAL HYGIENE JURISPRUDENCE AND PROFESSIONAL ETHICS.
§ 4. This act shall take effect on the one hundred eightieth day after
it shall have become a law.
PART Y
Section 1. Section 2803 of the public health law is amended by adding
a new subdivision 15 to read as follows:
15. SUBJECT TO THE AVAILABILITY OF FEDERAL FINANCIAL PARTICIPATION AND
NOTWITHSTANDING ANY PROVISION OF THIS ARTICLE, OR ANY RULE OR REGULATION
TO THE CONTRARY, THE COMMISSIONER MAY ALLOW GENERAL HOSPITALS TO PROVIDE
OFF-SITE ACUTE CARE MEDICAL SERVICES, THAT ARE:
(A) NOT HOME CARE SERVICES AS DEFINED IN SUBDIVISION ONE OF SECTION
THIRTY-SIX HUNDRED TWO OF THIS CHAPTER OR THE PROFESSIONAL SERVICES
ENUMERATED IN SUBDIVISION TWO OF SECTION THIRTY-SIX HUNDRED TWO OF THIS
CHAPTER; PROVIDED, HOWEVER, THAT NOTHING SHALL PRECLUDE A HOSPITAL FROM
OFFERING HOSPITAL SERVICES AS DEFINED IN SUBDIVISION FOUR OF SECTION
TWENTY-EIGHT HUNDRED ONE OF THIS ARTICLE;
(B) PROVIDED BY A MEDICAL PROFESSIONAL, INCLUDING A PHYSICIAN, REGIS-
TERED NURSE, NURSE PRACTITIONER, OR PHYSICIAN ASSISTANT, TO A PATIENT
WITH A PREEXISTING CLINICAL RELATIONSHIP WITH THE GENERAL HOSPITAL, OR
WITH THE HEALTH CARE PROFESSIONAL PROVIDING THE SERVICE;
(C) PROVIDED TO A PATIENT FOR WHOM A MEDICAL PROFESSIONAL HAS DETER-
MINED IS APPROPRIATE TO RECEIVE ACUTE MEDICAL SERVICES AT THEIR RESI-
DENCE; AND
(D) CONSISTENT WITH ALL APPLICABLE FEDERAL, STATE, AND LOCAL LAWS, THE
GENERAL HOSPITAL HAS APPROPRIATE DISCHARGE PLANNING IN PLACE TO COORDI-
NATE DISCHARGE TO A HOME CARE AGENCY WHERE MEDICALLY NECESSARY AND
CONSENTED TO BY THE PATIENT AFTER THE PATIENT'S ACUTE CARE EPISODE ENDS.
(E) NOTHING IN THIS SUBDIVISION SHALL PRECLUDE OFF-SITE SERVICES FROM
BEING PROVIDED IN ACCORDANCE WITH SUBDIVISION ELEVEN OF THIS SECTION AND
DEPARTMENT REGULATIONS.
(F) THE DEPARTMENT IS AUTHORIZED TO ESTABLISH MEDICAL ASSISTANCE
PROGRAM RATES TO EFFECTUATE THIS SUBDIVISION. FOR THE PURPOSES OF THE
DEPARTMENT DETERMINING THE APPLICABLE RATES PURSUANT TO SUCH AUTHORITY,
ANY GENERAL HOSPITAL APPROVED PURSUANT TO THIS SUBDIVISION SHALL REPORT
TO THE DEPARTMENT, IN THE FORM AND FORMAT REQUIRED BY THE DEPARTMENT,
ITS ANNUAL OPERATING COSTS AND STATISTICS, SPECIFICALLY FOR SUCH OFF-
SITE ACUTE SERVICES. FAILURE TO TIMELY SUBMIT SUCH COST DATA TO THE
DEPARTMENT MAY RESULT IN REVOCATION OF AUTHORITY TO PARTICIPATE IN A
PROGRAM UNDER THIS SECTION DUE TO THE INABILITY TO ESTABLISH APPROPRIATE
REIMBURSEMENT RATES.
S. 3007 104 A. 3007
§ 2. This act shall take effect immediately and shall be deemed to
have been in full force and effect on and after April 1, 2025.
PART Z
Section 1. Section 4 of chapter 565 of the laws of 2022 amending the
state finance law relating to preferred source status for entities that
provide employment to certain persons, is amended to read as follows:
§ 4. This act shall take effect immediately; provided that [section
one of this act shall expire and be deemed repealed three years after
such effective date; and provided further that] this act shall not apply
to any contracts or requests for proposals issued by government entities
before such date.
§ 2. This act shall take effect immediately.
PART AA
Section 1. Section 2 of part NN of chapter 58 of the laws of 2015,
amending the mental hygiene law relating to clarifying the authority of
the commissioners in the department of mental hygiene to design and
implement time-limited demonstration programs, as amended by section 1
of part Z of chapter 57 of the laws of 2024, is amended to read as
follows:
§ 2. This act shall take effect immediately [and shall expire and be
deemed repealed March 31, 2025].
§ 2. This act shall take effect immediately.
PART BB
Section 1. Section 4 of part L of chapter 59 of the laws of 2016,
amending the mental hygiene law relating to the appointment of temporary
operators for the continued operation of programs and the provision of
services for persons with serious mental illness and/or developmental
disabilities and/or chemical dependence, as amended by section 1 of part
OO of chapter 57 of the laws of 2022, is amended to read as follows:
§ 4. This act shall take effect immediately and shall be deemed to
have been in full force and effect on and after April 1, 2016[;
provided, however, that sections one and two of this act shall expire
and be deemed repealed on March 31, 2025].
§ 2. This act shall take effect immediately.
PART CC
Section 1. Subdivision 1-a of section 84 of part A of chapter 56 of
the laws of 2013, amending the social services law and other laws relat-
ing to enacting the major components of legislation necessary to imple-
ment the health and mental hygiene budget for the 2013-2014 state fiscal
year, as amended by section 1 of part EE of chapter 57 of the laws of
2023, is amended to read as follows:
1-a. sections seventy-three through eighty-a shall expire and be
deemed repealed December 31, [2025] 2027;
§ 2. This act shall take effect immediately and shall be deemed to
have been in full force and effect on and after April 1, 2025.
PART DD
S. 3007 105 A. 3007
Section 1. Subdivision (a) of section 22.11 of the mental hygiene law,
as added by chapter 558 of the laws of 1999, is amended to read as
follows:
(a) For the purposes of this section, the word "minor" shall mean a
person under eighteen years of age, but does not include a person who is
the parent of a child or has married or who is emancipated, OR IS A
HOMELESS YOUTH, AS DEFINED IN SECTION FIVE HUNDRED THIRTY-TWO-A OF THE
EXECUTIVE LAW, OR RECEIVES SERVICES AT AN APPROVED RUNAWAY AND HOMELESS
YOUTH CRISIS SERVICES PROGRAM OR A TRANSITIONAL INDEPENDENT LIVING
SUPPORT PROGRAM AS DEFINED IN SECTION FIVE HUNDRED THIRTY-TWO-A OF THE
EXECUTIVE LAW.
§ 2. Paragraph 1 of subdivision (a) of section 33.21 of the mental
hygiene law, as amended by chapter 461 of the laws of 1994, is amended
to read as follows:
(1) "minor" shall mean a person under eighteen years of age, but shall
not include a person who is the parent of a child, emancipated, has
married or is on voluntary status on [his or her] THEIR own application
pursuant to section 9.13 of this chapter, OR IS A HOMELESS YOUTH, AS
DEFINED IN SECTION FIVE HUNDRED THIRTY-TWO-A OF THE EXECUTIVE LAW, OR
RECEIVES SERVICES AT AN APPROVED RUNAWAY AND HOMELESS YOUTH CRISIS
SERVICES PROGRAM OR A TRANSITIONAL INDEPENDENT LIVING SUPPORT PROGRAM AS
DEFINED IN SECTION FIVE HUNDRED THIRTY-TWO-A OF THE EXECUTIVE LAW;
§ 3. Subdivision 1 of section 2504 of the public health law, as
amended by chapter 107 of the laws of 2023, is amended to read as
follows:
1. Any person who is eighteen years of age or older, or is the parent
of a child or has married, or is a homeless youth as defined in section
five hundred thirty-two-a of the executive law, or receives services at
an approved runaway and homeless youth crisis services program or a
transitional independent living support program as defined in section
five hundred thirty-two-a of the executive law, may give effective
consent for medical, dental, health and hospital services, INCLUDING
BEHAVIORAL HEALTH SERVICES, for themself, and the consent of no other
person shall be necessary.
§ 4. This act shall take effect on the ninetieth day after it shall
have become a law.
PART EE
Section 1. The second and third undesignated paragraphs of section
9.01 of the mental hygiene law, as amended by chapter 723 of the laws of
1989, are amended to read as follows:
"in need of involuntary care and treatment" means that a person has a
mental illness for which care and treatment as a patient in a hospital
is essential to such person's welfare and whose judgment is so impaired
that [he] THE PERSON is unable to understand the need for such care and
treatment.
"likelihood to result in serious harm" or "likely to result in serious
harm" means (a) a substantial risk of physical harm to the person as
manifested by threats of or attempts at suicide or serious bodily harm
or other conduct demonstrating that the person is dangerous to [himself
or herself] THEMSELF, or (b) a substantial risk of physical harm to
other persons as manifested by homicidal or other violent behavior by
which others are placed in reasonable fear of serious physical harm, OR
(C) A SUBSTANTIAL RISK OF PHYSICAL HARM TO THE PERSON DUE TO AN INABILI-
TY OR REFUSAL, AS A RESULT OF THEIR MENTAL ILLNESS, TO PROVIDE FOR THEIR
S. 3007 106 A. 3007
OWN ESSENTIAL NEEDS SUCH AS FOOD, CLOTHING, MEDICAL CARE, SAFETY, OR
SHELTER.
§ 2. The mental hygiene law is amended by adding a new section 9.04 to
read as follows:
§ 9.04 CLINICAL DETERMINATION OF LIKELIHOOD TO RESULT IN SERIOUS HARM.
IN MAKING A CLINICAL DETERMINATION OF WHETHER A PERSON'S MENTAL
ILLNESS IS LIKELY TO RESULT IN SERIOUS HARM TO SELF OR OTHERS, THE EVAL-
UATING CLINICIAN SHALL REVIEW:
1. MEDICAL RECORDS AVAILABLE TO THE EVALUATING CLINICIAN;
2. ALL CREDIBLE REPORTS OF THE PERSON'S RECENT BEHAVIOR;
3. ANY CREDIBLE, KNOWN INFORMATION RELATED TO THE PERSON'S MEDICAL AND
BEHAVIORAL HISTORY; AND
4. ANY OTHER AVAILABLE RELEVANT INFORMATION.
§ 3. Subdivisions (a), (d), (e), and (i) of section 9.27 of the mental
hygiene law, as renumbered by chapter 978 of the laws of 1977 and subdi-
vision (i) as amended by chapter 847 of the laws of 1987, are amended to
read as follows:
(a) The director of a hospital may receive and retain therein as a
patient any person alleged to be mentally ill and in need of involuntary
care and treatment upon the [certificate] CERTIFICATES of two examining
physicians, OR UPON THE CERTIFICATES OF AN EXAMINING PHYSICIAN AND A
PSYCHIATRIC NURSE PRACTITIONER. SUCH CERTIFICATES SHALL BE accompanied
by an application for the admission of such person. The examination may
be conducted jointly but each [examining physician] CERTIFYING PRACTI-
TIONER shall execute a separate certificate.
(d) Before an examining physician OR PSYCHIATRIC NURSE PRACTITIONER
completes the certificate of examination of a person for involuntary
care and treatment, [he] THEY shall consider alternative forms of care
and treatment that might be adequate to provide for the person's needs
without requiring involuntary hospitalization. If the examining physi-
cian OR PSYCHIATRIC NURSE PRACTITIONER knows that the person [he is]
THEY ARE examining for involuntary care and treatment has been under
prior treatment, [he] THEY shall, insofar as possible, consult with the
physician or psychologist furnishing such prior treatment prior to
completing [his] THEIR certificate. Nothing in this section shall
prohibit or invalidate any involuntary admission made in accordance with
the provisions of this chapter.
(e) The director of the hospital where such person is brought shall
cause such person to be examined forthwith by a physician who shall be a
member of the psychiatric staff of such hospital other than the original
examining physicians OR PSYCHIATRIC NURSE PRACTITIONER whose certificate
or certificates accompanied the application and, if such person is found
to be in need of involuntary care and treatment, [he] THEY may be admit-
ted thereto as a patient as herein provided.
(i) After an application for the admission of a person has been
completed and both [physicians] CERTIFYING PRACTITIONERS have examined
such person and separately certified that [he or she] SUCH PERSON is
mentally ill and in need of involuntary care and treatment in a hospi-
tal, either [physician] CERTIFYING PRACTITIONER is authorized to request
peace officers, when acting pursuant to their special duties, or police
officers, who are members of an authorized police department or force or
of a sheriff's department, to take into custody and transport such
person to a hospital for determination by the director whether such
person qualifies for admission pursuant to this section. Upon the
request of either [physician] CERTIFYING PRACTITIONER, an ambulance
service, as defined by subdivision two of section three thousand one of
S. 3007 107 A. 3007
the public health law, is authorized to transport such person to a
hospital for determination by the director whether such person qualifies
for admission pursuant to this section.
§ 4. Subsection (a) of section 9.37 of the mental hygiene law, as
renumbered by chapter 978 of the laws of 1977, is amended to read as
follows:
(a) The director of a hospital, upon application by a director of
community services or an examining physician duly designated by [him]
THEM, may receive and care for in such hospital as a patient any person
who, in the opinion of the director of community services or [his] THEIR
designee, has a mental illness for which immediate inpatient care and
treatment in a hospital is appropriate and which is likely to result in
serious harm to [himself] THEMSELF or others; "likelihood of serious
harm" shall mean:
1. substantial risk of physical harm to [himself] THEMSELF as mani-
fested by threats of or attempts at suicide or serious bodily harm or
other conduct demonstrating that [he is] THEY ARE dangerous to [himself]
THEMSELF, or
2. a substantial risk of physical harm to other persons as manifested
by homicidal or other violent behavior by which others are placed in
reasonable fear or serious physical harm[.]; OR
3. A SUBSTANTIAL RISK OF PHYSICAL HARM TO THE PERSON DUE TO AN INABIL-
ITY OR REFUSAL, AS A RESULT OF THEIR MENTAL ILLNESS, TO PROVIDE FOR
THEIR OWN ESSENTIAL NEEDS SUCH AS FOOD, CLOTHING, MEDICAL CARE, SAFETY,
OR SHELTER.
The need for immediate hospitalization shall be confirmed by a staff
physician of the hospital prior to admission. Within seventy-two hours,
excluding Sunday and holidays, after such admission, if such patient is
to be retained for care and treatment beyond such time and [he does]
THEY DO not agree to remain in such hospital as a voluntary patient, the
certificate of another examining physician who is a member of the
psychiatric staff of the hospital that the patient is in need of invol-
untary care and treatment shall be filed with the hospital. From the
time of [his] THEIR admission under this section the retention of such
patient for care and treatment shall be subject to the provisions for
notice, hearing, review, and judicial approval of continued retention or
transfer and continued retention provided by this article for the admis-
sion and retention of involuntary patients, provided that, for the
purposes of such provisions, the date of admission of the patient shall
be deemed to be the date when the patient was first received in the
hospital under this section.
§ 5. Subsection (a) of section 9.39 of the mental hygiene law, as
amended by chapter 789 of the laws of 1985, is amended to read as
follows:
(a) The director of any hospital maintaining adequate staff and facil-
ities for the observation, examination, care, and treatment of persons
alleged to be mentally ill and approved by the commissioner to receive
and retain patients pursuant to this section may receive and retain
therein as a patient for a period of fifteen days any person alleged to
have a mental illness for which immediate observation, care, and treat-
ment in a hospital is appropriate and which is likely to result in seri-
ous harm to [himself] THEMSELF or others. "Likelihood to result in seri-
ous harm" as used in this article shall mean:
1. substantial risk of physical harm to [himself] THEMSELF as mani-
fested by threats of or attempts at suicide or serious bodily harm or
S. 3007 108 A. 3007
other conduct demonstrating that [he is] THEY ARE dangerous to [himself]
THEMSELF, or
2. a substantial risk of physical harm to other persons as manifested
by homicidal or other violent behavior by which others are placed in
reasonable fear of serious physical harm[.], OR
3. A SUBSTANTIAL RISK OF PHYSICAL HARM TO THE PERSON DUE TO AN INABIL-
ITY OR REFUSAL, AS A RESULT OF THEIR MENTAL ILLNESS, TO PROVIDE FOR
THEIR OWN ESSENTIAL NEEDS SUCH AS FOOD, CLOTHING, MEDICAL CARE, SAFETY,
OR SHELTER.
§ 6. Subdivision (a) of section 9.45 of the mental hygiene law, as
amended by section 6 of part AA of chapter 57 of the laws of 2021, is
amended to read as follows:
(a) The director of community services or the director's designee
shall have the power to direct the removal of any person, within [his or
her] THEIR jurisdiction, to a hospital approved by the commissioner
pursuant to subdivision (a) of section 9.39 of this article, or to a
comprehensive psychiatric emergency program pursuant to subdivision (a)
of section 9.40 of this article, if the parent, adult sibling, spouse
[or], DOMESTIC PARTNER AS DEFINED IN SECTION TWENTY-NINE HUNDRED NINE-
TY-FOUR-A OF THE PUBLIC HEALTH LAW, child of the person, COHABITANT OF
THE PERSON'S RESIDENTIAL UNIT, the committee or legal guardian of the
person, a licensed psychologist, registered professional nurse or certi-
fied social worker currently responsible for providing treatment
services to the person, a supportive or intensive case manager currently
assigned to the person by a case management program which program is
approved by the office of mental health for the purpose of reporting
under this section, a licensed physician, health officer, peace officer
or police officer reports to [him or her] THE DIRECTOR OF COMMUNITY
SERVICES OR THE DIRECTOR'S DESIGNEE that such person has a mental
illness for which immediate care and treatment is appropriate and
[which] THAT is likely to result in serious harm to [himself or herself]
SELF or others. It shall be the duty of peace officers, when acting
pursuant to their special duties, or police officers[,] who are members
of an authorized police department, or force or of a sheriff's depart-
ment to assist representatives of such director to take into custody and
transport any such person. Upon the request of a director of community
services or the director's designee, an ambulance service, as defined in
subdivision two of section three thousand one of the public health law,
is authorized to transport any such person. Such person may then be
retained in a hospital pursuant to the provisions of section 9.39 of
this article or in a comprehensive psychiatric emergency program pursu-
ant to the provisions of section 9.40 of this article.
§ 7. Subparagraph (iii) of paragraph 4 and paragraph 7 of subdivision
(c), subparagraph (ii) of paragraph 1 of subdivision (e), paragraph 2 of
subdivision (h), and paragraph 3 of subdivision (i) of section 9.60 of
the mental hygiene law, as amended by chapter 158 of the laws of 2005,
and subparagraph (iii) of paragraph 4 of subdivision (c) and paragraph 2
of subdivision (h) as amended by section 2 of subpart H of part UU of
chapter 56 of the laws of 2022, are amended to read as follows:
(iii) notwithstanding subparagraphs (i) and (ii) of this paragraph,
resulted in the issuance of a court order for assisted outpatient treat-
ment [which] THAT has expired within the last six months, and since the
expiration of the order[,]; (A) the person has experienced a substantial
increase in symptoms of mental illness [and such symptoms] THAT substan-
tially interferes with or limits [one or more major life activities as
determined by a director of community services who previously was
S. 3007 109 A. 3007
required to coordinate and monitor the care of any individual who was
subject to such expired assisted outpatient treatment order. The appli-
cable director of community services or their designee shall arrange for
the individual to be evaluated by a physician. If the physician deter-
mines court ordered services are clinically necessary and the least
restrictive option, the director of community services may initiate a
court proceeding.] THE PERSON'S ABILITY TO MAINTAIN THEIR HEALTH OR
SAFETY; OR (B) THE PERSON, DUE TO A LACK OF COMPLIANCE WITH RECOMMENDED
TREATMENT, HAS RECEIVED EMERGENCY TREATMENT OR INPATIENT CARE OR HAS
BEEN INCARCERATED;
(7) is likely to benefit from assisted outpatient treatment. PREVIOUS
NON-COMPLIANCE WITH COURT OVERSIGHT OR MANDATED TREATMENT SHALL NOT
PRECLUDE A FINDING THAT THE PERSON IS LIKELY TO BENEFIT FROM ASSISTED
OUTPATIENT TREATMENT.
(ii) the parent, spouse, DOMESTIC PARTNER, sibling eighteen years of
age or older, or child eighteen years of age or older of the subject of
the petition; or
(2) The court shall not order assisted outpatient treatment unless an
examining physician, who recommends assisted outpatient treatment and
has personally examined the subject of the petition no more than ten
days before the filing of the petition, testifies in person or by video-
conference at the hearing. [Provided however, a physician shall only be
authorized to testify by video conference when it has been: (i) shown
that diligent efforts have been made to attend such hearing in person
and the subject of the petition consents to the physician testifying by
video conference; or (ii) the court orders the physician to testify by
video conference upon a finding of good cause.] Such physician shall
state the facts and clinical determinations which support the allegation
that the subject of the petition meets each of the criteria for assisted
outpatient treatment.
(3) The court shall not order assisted outpatient treatment unless a
physician appearing on behalf of a director testifies IN PERSON OR BY
VIDEO CONFERENCE to explain the written proposed treatment plan. Such
physician shall state the categories of assisted outpatient treatment
recommended, the rationale for each such category, facts which establish
that such treatment is the least restrictive alternative, and, if the
recommended assisted outpatient treatment plan includes medication, such
physician shall state the types or classes of medication recommended,
the beneficial and detrimental physical and mental effects of such medi-
cation, and whether such medication should be self-administered or
administered by an authorized professional. If the subject of the peti-
tion has executed a health care proxy, such physician shall state the
consideration given to any directions included in such proxy in develop-
ing the written treatment plan. If a director is the petitioner, testi-
mony pursuant to this paragraph shall be given at the hearing on the
petition. If a person other than a director is the petitioner, such
testimony shall be given on the date set by the court pursuant to para-
graph three of subdivision (j) of this section.
§ 8. The mental hygiene law is amended by adding a new section 9.64 to
read as follows:
§ 9.64 NOTICE OF ADMISSION DETERMINATION TO COMMUNITY PROVIDER.
UPON AN ADMISSION TO A HOSPITAL OR RECEIVED AS A PATIENT IN A COMPRE-
HENSIVE PSYCHIATRIC EMERGENCY PROGRAM PURSUANT TO THE PROVISIONS OF THIS
ARTICLE, THE DIRECTOR OF SUCH HOSPITAL OR PROGRAM SHALL ENSURE THAT
REASONABLE EFFORTS ARE MADE TO IDENTIFY AND PROMPTLY NOTIFY OF SUCH
S. 3007 110 A. 3007
DETERMINATION ANY COMMUNITY PROVIDER OF MENTAL HEALTH SERVICES THAT
MAINTAINS SUCH PERSON ON ITS CASELOAD.
§ 9. Subdivision (f) of section 29.15 of the mental hygiene law, as
amended by chapter 135 of the laws of 1993, is amended to read as
follows:
(f) The discharge or conditional release of all clients at develop-
mental centers, patients at psychiatric centers or patients at psychiat-
ric inpatient services subject to licensure by the office of mental
health shall be in accordance with a written service plan prepared by
staff familiar with the case history of the client or patient to be
discharged or conditionally released and in cooperation with appropriate
social services officials and directors of local governmental units. In
causing such plan to be prepared, the director of the facility shall
take steps to assure that the following persons are interviewed,
provided an opportunity to actively participate in the development of
such plan and advised of whatever services might be available to the
patient through the mental hygiene legal service: the patient to be
discharged or conditionally released; A REPRESENTATIVE OF A COMMUNITY
PROVIDER OF MENTAL HEALTH SERVICES, INCLUDING A PROVIDER OF CASE MANAGE-
MENT SERVICES, THAT MAINTAINS THE PATIENT ON ITS CASELOAD; an authorized
representative of the patient, to include the parent or parents if the
patient is a minor, unless such minor sixteen years of age or older
objects to the participation of the parent or parents and there has been
a clinical determination by a physician that the involvement of the
parent or parents is not clinically appropriate and such determination
is documented in the clinical record and there is no plan to discharge
or release the minor to the home of such parent or parents; and upon the
request of the patient sixteen years of age or older, [a significant] AN
individual SIGNIFICANT to the patient including any relative, close
friend or individual otherwise concerned with the welfare of the
patient, other than an employee of the facility.
§ 10. This act shall take effect ninety days after it shall have
become a law; provided, however, section four of this act shall take
effect on the same date as the reversion of subsection (a) of section
9.37 of the mental hygiene law as provided in section 21 of chapter 723
of the laws of 1989, as amended; provided further, however, the amend-
ments to section 9.45 of the mental hygiene law made by section six of
this act shall not affect the repeal of such section and shall be deemed
repealed therewith; and provided further, however, the amendments to
section 9.60 of the mental hygiene law made by section seven of this act
shall not affect the repeal of such section and shall be deemed repealed
therewith.
PART FF
Section 1. 1. Subject to available appropriations and approval of the
director of the budget, the commissioners of the office of mental
health, office for people with developmental disabilities, office of
addiction services and supports, office of temporary and disability
assistance, office of children and family services, and the state office
for the aging (hereinafter "the commissioners") shall establish a state
fiscal year 2025-2026 targeted inflationary increase, effective April 1,
2025, for projecting for the effects of inflation upon rates of
payments, contracts, or any other form of reimbursement for the programs
and services listed in subdivision four of this section. The targeted
inflationary increase established herein shall be applied to the appro-
S. 3007 111 A. 3007
priate portion of reimbursable costs or contract amounts. Where appro-
priate, transfers to the department of health (DOH) shall be made as
reimbursement for the state and/or local share of medical assistance.
2. Notwithstanding any inconsistent provision of law, subject to the
approval of the director of the budget and available appropriations
therefor, for the period of April 1, 2025 through March 31, 2026, the
commissioners shall provide funding to support a two and one-tenth
percent (2.1%) targeted inflationary increase under this section for all
eligible programs and services as determined pursuant to subdivision
four of this section.
3. Notwithstanding any inconsistent provision of law, and as approved
by the director of the budget, the 2.1 percent targeted inflationary
increase established herein shall be inclusive of all other inflationary
increases, cost of living type increases, inflation factors, or trend
factors that are newly applied effective April 1, 2025. Except for the
2.1 percent targeted inflationary increase established herein, for the
period commencing on April 1, 2025 and ending March 31, 2026 the commis-
sioners shall not apply any other new targeted inflationary increases or
cost of living adjustments for the purpose of establishing rates of
payments, contracts or any other form of reimbursement. The phrase "all
other inflationary increases, cost of living type increases, inflation
factors, or trend factors" as defined in this subdivision shall not
include payments made pursuant to the American Rescue Plan Act or other
federal relief programs related to the Coronavirus Disease 2019 (COVID-
19) pandemic public health emergency. This subdivision shall not
prevent the office of children and family services from applying addi-
tional trend factors or staff retention factors to eligible programs and
services under paragraph (v) of subdivision four of this section.
4. Eligible programs and services. (i) Programs and services funded,
licensed, or certified by the office of mental health (OMH) eligible for
the targeted inflationary increase established herein, pending federal
approval where applicable, include: office of mental health licensed
outpatient programs, pursuant to parts 587 and 599 of title 14 CRR-NY of
the office of mental health regulations including clinic (mental health
outpatient treatment and rehabilitative services programs), continuing
day treatment, day treatment, intensive outpatient programs and partial
hospitalization; outreach; crisis residence; crisis stabilization,
crisis/respite beds; mobile crisis, part 590 comprehensive psychiatric
emergency program services; crisis intervention; home based crisis
intervention; family care; supported single room occupancy; supported
housing programs/services excluding rent; treatment congregate;
supported congregate; community residence - children and youth;
treatment/apartment; supported apartment; community residence single
room occupancy; on-site rehabilitation; employment programs; recreation;
respite care; transportation; psychosocial club; assertive community
treatment; case management; care coordination, including health home
plus services; local government unit administration; monitoring and
evaluation; children and youth vocational services; single point of
access; school-based mental health program; family support children and
youth; advocacy/support services; drop in centers; recovery centers;
transition management services; bridger; home and community based waiver
services; behavioral health waiver services authorized pursuant to the
section 1115 MRT waiver; self-help programs; consumer service dollars;
conference of local mental hygiene directors; multicultural initiative;
ongoing integrated supported employment services; supported education;
mentally ill/chemical abuse (MICA) network; personalized recovery
S. 3007 112 A. 3007
oriented services; children and family treatment and support services;
residential treatment facilities operating pursuant to part 584 of title
14-NYCRR; geriatric demonstration programs; community-based mental
health family treatment and support; coordinated children's service
initiative; homeless services; and promise zones.
(ii) Programs and services funded, licensed, or certified by the
office for people with developmental disabilities (OPWDD) eligible for
the targeted inflationary increase established herein, pending federal
approval where applicable, include: local/unified services; chapter 620
services; voluntary operated community residential services; article 16
clinics; day treatment services; family support services; 100% day
training; epilepsy services; traumatic brain injury services; hepatitis
B services; independent practitioner services for individuals with
intellectual and/or developmental disabilities; crisis services for
individuals with intellectual and/or developmental disabilities; family
care residential habilitation; supervised residential habilitation;
supportive residential habilitation; respite; day habilitation; prevoca-
tional services; supported employment; community habilitation; interme-
diate care facility day and residential services; specialty hospital;
pathways to employment; intensive behavioral services; community transi-
tion services; family education and training; fiscal intermediary;
support broker; and personal resource accounts.
(iii) Programs and services funded, licensed, or certified by the
office of addiction services and supports (OASAS) eligible for the
targeted inflationary increase established herein, pending federal
approval where applicable, include: medically supervised withdrawal
services - residential; medically supervised withdrawal services -
outpatient; medically managed detoxification; inpatient rehabilitation
services; outpatient opioid treatment; residential opioid treatment;
residential opioid treatment to abstinence; problem gambling treatment;
medically supervised outpatient; outpatient rehabilitation; specialized
services substance abuse programs; home and community based waiver
services pursuant to subdivision 9 of section 366 of the social services
law; children and family treatment and support services; continuum of
care rental assistance case management; NY/NY III post-treatment hous-
ing; NY/NY III housing for persons at risk for homelessness; permanent
supported housing; youth clubhouse; recovery community centers; recovery
community organizing initiative; residential rehabilitation services for
youth (RRSY); intensive residential; community residential; supportive
living; residential services; job placement initiative; case management;
family support navigator; local government unit administration; peer
engagement; vocational rehabilitation; HIV early intervention services;
dual diagnosis coordinator; problem gambling resource centers; problem
gambling prevention; prevention resource centers; primary prevention
services; other prevention services; comprehensive outpatient clinic;
jail-based supports; and regional addiction resource centers.
(iv) Programs and services funded, licensed, or certified by the
office of temporary and disability assistance (OTDA) eligible for the
targeted inflationary increase established herein, pending federal
approval where applicable, include: the nutrition outreach and education
program (NOEP).
(v) Programs and services funded, licensed, or certified by the office
of children and family services (OCFS) eligible for the targeted infla-
tionary increase established herein, pending federal approval where
applicable, include: programs for which the office of children and fami-
ly services establishes maximum state aid rates pursuant to section
S. 3007 113 A. 3007
398-a of the social services law and section 4003 of the education law;
emergency foster homes; foster family boarding homes and therapeutic
foster homes; supervised settings as defined by subdivision twenty-two
of section 371 of the social services law; adoptive parents receiving
adoption subsidy pursuant to section 453 of the social services law; and
congregate and scattered supportive housing programs and supportive
services provided under the NY/NY III supportive housing agreement to
young adults leaving or having recently left foster care.
(vi) Programs and services funded, licensed, or certified by the state
office for the aging (SOFA) eligible for the targeted inflationary
increase established herein, pending federal approval where applicable,
include: community services for the elderly; expanded in-home services
for the elderly; and the wellness in nutrition program.
5. Each local government unit or direct contract provider receiving
funding for the targeted inflationary increase established herein shall
submit a written certification, in such form and at such time as each
commissioner shall prescribe, attesting how such funding will be or was
used to first promote the recruitment and retention of support staff,
direct care staff, clinical staff, non-executive administrative staff,
or respond to other critical non-personal service costs prior to
supporting any salary increases or other compensation for executive
level job titles.
6. Notwithstanding any inconsistent provision of law to the contrary,
agency commissioners shall be authorized to recoup funding from a local
governmental unit or direct contract provider for the targeted infla-
tionary increase established herein determined to have been used in a
manner inconsistent with the appropriation, or any other provision of
this section. Such agency commissioners shall be authorized to employ
any legal mechanism to recoup such funds, including an offset of other
funds that are owed to such local governmental unit or direct contract
provider.
§ 2. This act shall take effect immediately and shall be deemed to
have been in full force and effect on and after April 1, 2025.
§ 2. Severability clause. If any clause, sentence, paragraph, subdivi-
sion, section or part of this act shall be adjudged by any court of
competent jurisdiction to be invalid, such judgment shall not affect,
impair, or invalidate the remainder thereof, but shall be confined in
its operation to the clause, sentence, paragraph, subdivision, section
or part thereof directly involved in the controversy in which such judg-
ment shall have been rendered. It is hereby declared to be the intent of
the legislature that this act would have been enacted even if such
invalid provisions had not been included herein.
§ 3. This act shall take effect immediately provided, however, that
the applicable effective date of Parts A through FF of this act shall be
as specifically set forth in the last section of such Parts.
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