Bill Text: NY A01985 | 2025-2026 | General Assembly | Introduced


Bill Title: Establishes a state frontotemporal degeneration registry; designates frontotemporal degeneration and related dementias as diseases required to be reported in the state; establishes a frontotemporal degeneration registry advisory committee to assist in the development and implementation of the registry; allows a patient to opt out of participation in the registry; requires annual reports to the legislature and governor on the incidents and prevalence of frontotemporal degeneration in the state by county; requires the department of health to create and maintain a webpage.

Spectrum: Moderate Partisan Bill (Democrat 4-1)

Status: (Introduced) 2025-01-14 - referred to health [A01985 Detail]

Download: New_York-2025-A01985-Introduced.html



                STATE OF NEW YORK
        ________________________________________________________________________

                                          1985

                               2025-2026 Regular Sessions

                   IN ASSEMBLY

                                    January 14, 2025
                                       ___________

        Introduced by M. of A. PAULIN, DE LOS SANTOS, BEEPHAN, BORES, EPSTEIN --
          read once and referred to the Committee on Health

        AN  ACT  to  amend  the public health law, in relation to establishing a
          state frontotemporal degeneration registry

          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:

     1    Section  1.  Article 2 of the public health law is amended by adding a
     2  new title 9 to read as follows:
     3                                  TITLE IX
     4                      STATE FRONTOTEMPORAL DEGENERATION
     5                                  REGISTRY
     6  Section 269-a. Definitions.
     7          269-b. Registry established.
     8          269-c. Reports.
     9          269-d. New  York  state  frontotemporal  degeneration   research
    10                   registry website.
    11    § 269-a. Definitions. For the purposes of this title:
    12    1.  "Frontotemporal degeneration" means a group of disorders caused by
    13  progressive nerve cell loss in the brain's frontal lobes or its temporal
    14  lobes which can lead to loss of function in these brain  regions,  which
    15  variably  cause deterioration in behavior, personality and/or difficulty
    16  with producing or comprehending language.   For  the  purposes  of  this
    17  title frontotemporal degeneration is the same as "FTD".
    18    2.  "Dementia"  means  a  usually  progressive condition marked by the
    19  development of multiple cognitive deficits, which may include but is not
    20  exclusive to memory impairment, aphasia, and the inability to  plan  and
    21  initiate  complex behavior. Dementia includes but is not limited to FTD,
    22  Alzheimer's disease, Lewy Body Dementia and Vascular Dementia.
    23    § 269-b. Registry established. 1. The department, in conjunction  with
    24  the  state  office for the aging, shall collect data on the incidence of
    25  frontotemporal degeneration in  this  state  and  other  epidemiological

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD02004-01-5

        A. 1985                             2

     1  data.  The registry and system of collection and dissemination of infor-
     2  mation shall be under the direction of the commissioner, who  may  enter
     3  into  contracts,  grants  or  other  agreements as are necessary for the
     4  conduct of the registry.
     5    2.  (a) The department shall, within ninety days of the effective date
     6  of this section, establish a frontotemporal degeneration registry  advi-
     7  sory  committee  to  assist in the development and implementation of the
     8  registry; determine what data shall be collected,  in  addition  to  the
     9  data  required  by  section  two  hundred sixty-nine-c of this title for
    10  annual reports; and generally, advise the  department.    Following  the
    11  completion  of  the  registry,  the  advisory committee shall assist the
    12  department with the creation and publication of the reports required  by
    13  section two hundred sixty-nine-c of this title.
    14    (b)  Members  of  the committee shall be selected by the governor, the
    15  legislature and the commissioner. The governor, the temporary  president
    16  of  the  senate,  the speaker of the assembly and the commissioner shall
    17  each select two committee members and the minority leaders of the senate
    18  and the assembly shall each select one committee member.  Membership  of
    19  the committee shall include:
    20    (i) a neurologist;
    21    (ii) a speech pathologist;
    22    (iii) a primary care provider;
    23    (iv) a physician informaticist;
    24    (v) a patient living with frontotemporal degeneration;
    25    (vi) a caregiver of a patient living with frontotemporal degeneration;
    26    (vii) a public health professional;
    27    (viii) a population health researcher familiar with registries;
    28    (ix) a frontotemporal degeneration researcher;
    29    (x)  a  member  of  an  organization  that  raises awareness about and
    30  promotes research for the treatment of frontotemporal degeneration; and
    31    (xi) anyone else the commissioner deems necessary.
    32    3. (a) The department shall designate frontotemporal degeneration  and
    33  related  dementias  as  advised  by  the advisory committee as dementias
    34  required to be reported in the state or any part of the state.
    35    (b) The department shall establish a system  for  the  collection  and
    36  dissemination of information determining the incidence and prevalence of
    37  frontotemporal  degeneration  and  related  dementias, as advised by the
    38  advisory committee.
    39    (c) All cases of frontotemporal degeneration diagnosed or  treated  in
    40  this  state shall be reported to the department, provided the mere inci-
    41  dence of a patient with frontotemporal degeneration shall  be  the  sole
    42  required  information  for this registry for any patient who chooses not
    43  to participate. For the subset of patients who  choose  not  to  partic-
    44  ipate, no further data shall be reported to the registry. The department
    45  may  create, review and revise a list of data points required as part of
    46  mandated frontotemporal degeneration reporting under this section.  Such
    47  list  shall include, but not be limited to necessary triggering diagnos-
    48  tic conditions, consistent with  the  latest  International  Statistical
    49  Classification  of  Diseases  and Related Health Problems, and resulting
    50  case data including,  but  not  limited  to,  diagnosis,  treatment  and
    51  survival.  The  department  may  implement and administer this paragraph
    52  through a bulletin, or similar instruction, to providers without  taking
    53  regulatory action.
    54    (d) The department shall provide notification of the mandatory report-
    55  ing  of  frontotemporal  degeneration and other related dementias on its
    56  website and may also provide that information  to  professional  associ-

        A. 1985                             3

     1  ations  representing  physicians,  nurse practitioners, and hospitals at
     2  least ninety days prior to requiring information be reported.
     3    (e)  A hospital, facility, physician, surgeon, physician assistant and
     4  nurse practitioners who diagnose or are  treating  a  patient  diagnosed
     5  with  frontotemporal  degeneration  or  other dementias and have primary
     6  responsibility for the treatment and care of the patient for  frontotem-
     7  poral  degeneration or other dementias shall report each case of fronto-
     8  temporal degeneration or other dementias to the department in  a  format
     9  prescribed  by  the  department.   The department is authorized to enter
    10  into data sharing contracts with data reporting entities and their asso-
    11  ciated electronic medical record systems vendors to securely and  confi-
    12  dentially  receive  information  related  to frontotemporal degeneration
    13  testing, diagnosis and treatment.
    14    4. All patients diagnosed with frontotemporal  degeneration  or  other
    15  dementias,  as  advised  by  the advisory committee, shall be provided a
    16  notice in writing and orally regarding the collection of information and
    17  patient data on frontotemporal degeneration. Patients who do not wish to
    18  participate in the collection of data for purposes of research  in  this
    19  registry  shall affirmatively opt-out in writing after an opportunity to
    20  review the documents and ask questions.   The  patient's  caregiver  may
    21  opt-out  on  the  patient's behalf, if the patient is unable to do so of
    22  their own accord.  No patient shall be required to participate  in  this
    23  registry.
    24    5.  The department may enter into agreements to furnish data collected
    25  in this registry to other  states'  frontotemporal  degeneration  regis-
    26  tries,  federal  frontotemporal  degeneration  control  agencies,  local
    27  health officers, or health researchers for the study  of  frontotemporal
    28  degeneration.  Before  confidential  information  is  disclosed to those
    29  agencies,  officers,  researchers,  or  out-of-state   registries,   the
    30  requesting entity shall agree in writing to maintain the confidentiality
    31  of  the  information, and in the case of researchers, shall also do both
    32  of the following:
    33    (a) obtain approval of their committee for  the  protection  of  human
    34  subjects established in accordance with Part 46 (commencing with Section
    35  46.101) of Title 45 of the Code of Federal Regulations; and
    36    (b)  provide  documentation to the department that demonstrates to the
    37  department's satisfaction that the entity has established the procedures
    38  and ability to maintain the confidentiality of the information.
    39    6. Except as otherwise  provided  in  this  section,  all  information
    40  collected  pursuant  to this section shall be confidential. For purposes
    41  of this section, this information shall be referred to  as  confidential
    42  information. To ensure privacy, the department shall promulgate a coding
    43  system that removes any identifying information about the patient.
    44    7.  (a) Notwithstanding any other law, a disclosure authorized by this
    45  section shall include only the  information  necessary  for  the  stated
    46  purpose  of the requested disclosure, used for the approved purpose, and
    47  not be further disclosed.
    48    (b) Provided the security of confidentiality has been documented,  the
    49  furnishing  of confidential information to the department or its author-
    50  ized representative in accordance with this section shall not expose any
    51  person, agency or entity furnishing information to liability, and  shall
    52  not  be  considered a waiver of any privilege or a violation of a confi-
    53  dential relationship.
    54    (c) The department shall maintain an accurate record  of  all  persons
    55  who  are  given  access  to  confidential  information. The record shall
    56  include:   the name of  the  person  authorizing  access;  name,  title,

        A. 1985                             4

     1  address,  and  organizational affiliation of persons given access; dates
     2  of access; and the specific purpose for which information is to be used.
     3  The record of access shall be open to public  inspection  during  normal
     4  operating hours of the department.
     5    (d)  Notwithstanding any other law, confidential information shall not
     6  be available for subpoena,  shall  not  be  disclosed,  discoverable  or
     7  compelled to be produced in any civil, criminal, administrative or other
     8  proceeding.  Confidential  information shall not be deemed admissible as
     9  evidence in any civil, criminal, administrative  or  other  tribunal  or
    10  court for any reason.
    11    (e)  This subdivision does not prohibit the publication by the depart-
    12  ment of reports and statistical compilations that  do  not  in  any  way
    13  identify individual cases or individual sources of information.
    14    (f) Notwithstanding the restrictions in this subdivision, the individ-
    15  ual  to whom the information pertains shall have access to such individ-
    16  ual's own information.
    17    8. This section does not preempt the authority of facilities or  indi-
    18  viduals  providing  diagnostic  or  treatment  services to patients with
    19  frontotemporal degeneration to maintain their own facility-based fronto-
    20  temporal degeneration registries.
    21    § 269-c. Reports. 1.  On or before January first, two  thousand  twen-
    22  ty-seven, and every year thereafter, the department, in conjunction with
    23  the  advisory  committee, shall report to the legislature and governor a
    24  yearly program summary update on the incidence and prevalence of fronto-
    25  temporal degeneration in the state.  Such report shall include:
    26    (a) the incidence and prevalence  of  frontotemporal  degeneration  by
    27  county;
    28    (b)  how  many records have been included and reported into the regis-
    29  try;
    30    (c) demographic information such as patients by age, gender and race;
    31    (d) the number of new diagnoses in the preceding year;
    32    (e) a summary of advancements in the  treatment  and  newly  developed
    33  treatments of frontotemporal degeneration;
    34    (f)  a  list  of resources for the families of patients diagnosed with
    35  frontotemporal degeneration and other dementias, which shall include but
    36  not be limited to support from the state or federal government,  support
    37  groups and helplines;
    38    (g) the resources available for the care of patients with frontotempo-
    39  ral degeneration by region;
    40    (h)  the average yearly cost of care for a patient with frontotemporal
    41  degeneration; and
    42    (i) the number of patients with frontotemporal  degeneration  who  had
    43  previously  received  an  incorrect  diagnosis  for their frontotemporal
    44  degeneration related symptoms and the amount of time it took to  receive
    45  the correct diagnosis.
    46    2.  The  yearly  report shall be published in a downloadable format on
    47  the department's website and the designated New York state  frontotempo-
    48  ral degeneration research registry website.
    49    §  269-d. New York state frontotemporal degeneration research registry
    50  website. On or before January  first,  two  thousand  twenty-seven,  the
    51  department  shall  create  and  maintain  a webpage called the "New York
    52  State Frontotemporal Degeneration Research Registry"  where  the  public
    53  may  view information related to the registry, a yearly program summary,
    54  the information required to be included in the yearly  reports  pursuant
    55  to  section  two hundred sixty-nine-c of this title, and any other rele-

        A. 1985                             5

     1  vant or helpful information related to the registry as deemed  necessary
     2  by the advisory council.
     3    §  2.  This  act shall take effect on the thirtieth day after it shall
     4  have become a law.
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