Bill Text: NY A02461 | 2017-2018 | General Assembly | Introduced


Bill Title: Authorizes the department of health to establish a program for familial dysautonomia, Canavan's and Tay-Sachs disease screening and counseling and to provide grants and to enter into contracts with public and non-profit private entities to assist in such program; and provides that participation in such program shall be voluntary and all information shall be confidential.

Spectrum: Moderate Partisan Bill (Democrat 5-1)

Status: (Introduced - Dead) 2018-01-03 - referred to ways and means [A02461 Detail]

Download: New_York-2017-A02461-Introduced.html


                STATE OF NEW YORK
        ________________________________________________________________________
                                          2461
                               2017-2018 Regular Sessions
                   IN ASSEMBLY
                                    January 20, 2017
                                       ___________
        Introduced  by  M.  of A. DINOWITZ, JAFFEE, HEVESI, ROSENTHAL, WEPRIN --
          Multi-Sponsored by -- M. of A.  CURRAN,  McKEVITT  --  read  once  and
          referred to the Committee on Health
        AN  ACT to amend the public health law, in relation to the establishment
          of a program for familial dysautonomia,  Canavan's  disease  and  Tay-
          Sachs disease screening and counseling
          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:
     1    Section 1.  The public health law is amended by adding a  new  article
     2  27-DDD to read as follows:
     3                                ARTICLE  27-DDD
     4            PROGRAM FOR FAMILIAL DYSAUTONOMIA, CANAVAN'S DISEASE
     5               AND TAY-SACHS DISEASE SCREENING AND COUNSELING
     6  Section 2770. Legislative findings and declaration of purpose.
     7          2771.  Program  for familial dysautonomia, Canavan's disease and
     8                 Tay-Sachs disease screening and counseling.
     9          2772. Commissioner; functions, powers and duties.
    10          2773. Costs.
    11          2774. Voluntary participation.
    12          2774-a. Application; administration as to grants and contracts.
    13          2774-b. Confidentiality of information.
    14          2774-c. Reports.
    15    § 2770.   Legislative findings and declaration of  purpose.    1.  The
    16  legislature hereby finds and declares:
    17    (a)  that  familial  dysautonomia,  Canavan's  disease  and  Tay-Sachs
    18  disease are debilitating, inheritable diseases that have  affected  many
    19  citizens of the state;
    20    (b)  that  familial  dysautonomia,  Canavan's  disease  and  Tay-Sachs
    21  disease are deadly and tragic burdens which are likely  to  strike  one-
    22  fourth  of the children born to parents both of whom are familial dysau-
    23  tonomia, Canavan's disease and Tay-Sachs disease carriers;
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD03221-01-7

        A. 2461                             2
     1    (c)  that efforts with respect  to  familial  dysautonomia,  Canavan's
     2  disease  and  Tay-Sachs  disease  must be directed toward the education,
     3  screening,  and  counseling  of  carriers  of   familial   dysautonomia,
     4  Canavan's disease and Tay-Sachs disease;
     5    (d)  that  simple  and  inexpensive  screening tests have been devised
     6  which identify those who have the diseases or are familial dysautonomia,
     7  Canavan's disease and Tay-Sachs disease carriers;
     8    (e) that programs with respect  to  familial  dysautonomia,  Canavan's
     9  disease  and Tay-Sachs disease must be based entirely upon the voluntary
    10  cooperation of the individuals involved;
    11    (f) that the application of methods of screening and  counseling  with
    12  respect  to  familial  dysautonomia,  Canavan's  disease  and  Tay-Sachs
    13  disease deserve the highest priority; and
    14    (g) that the establishment of familial dysautonomia, Canavan's disease
    15  and Tay-Sachs disease education, screening, and counseling programs will
    16  be cost beneficial to the citizens of the state.
    17    2. In order to preserve and protect the public health and welfare, the
    18  legislature hereby declares  as  its  purpose  the  establishment  of  a
    19  program  for  familial  dysautonomia,  Canavan's  disease  and Tay-Sachs
    20  disease screening and counseling.
    21    § 2771. Program for familial dysautonomia, Canavan's disease and  Tay-
    22  Sachs  disease  screening and counseling.  The commissioner shall estab-
    23  lish  within  the  department  a  program  for  familial   dysautonomia,
    24  Canavan's disease and Tay-Sachs disease screening and counseling for the
    25  purposes of:
    26    1. the establishment and operation of voluntary familial dysautonomia,
    27  Canavan's   disease  and  Tay-Sachs  disease  screening  and  counseling
    28  programs, primarily through other existing health programs; and
    29    2. the development of information and educational  materials  relating
    30  to  familial  dysautonomia, Canavan's disease and Tay-Sachs disease, and
    31  the dissemination of such information and materials to persons providing
    32  health care and to the public generally.
    33    § 2772. Commissioner; functions, powers and duties.   In carrying  out
    34  the  provisions of this article, the commissioner shall have the follow-
    35  ing functions, powers and duties:
    36    1. in his or  her  discretion,  to  make  grants  to  and  enter  into
    37  contracts  with,  public and nonprofit private entities for projects for
    38  the establishment and  operation  of  voluntary  familial  dysautonomia,
    39  Canavan's   disease  and  Tay-Sachs  disease  screening  and  counseling
    40  programs;
    41    2. to carry out a program to develop information and educational mate-
    42  rials relating to familial dysautonomia, Canavan's disease and Tay-Sachs
    43  disease and to disseminate such information  and  materials  to  persons
    44  providing health care and to the public generally;
    45    3.  to  make  grants  to  public and nonprofit private entities and to
    46  enter into contracts with public and private  entities  and  individuals
    47  for  the  purpose of effectuating the duty prescribed by subdivision two
    48  of this section;
    49    4. to adopt, promulgate, amend and rescind suitable  rules  and  regu-
    50  lations to carry out the provisions and purposes of this article; and
    51    5.  to exercise and perform such other functions, powers and duties as
    52  are contained in this article or as may from time to time  be  conferred
    53  or imposed by law.
    54    §  2773.  Costs. Costs incurred by the commissioner in making payments
    55  pursuant to grants and contracts  authorized  by  subdivisions  one  and
    56  three  of section twenty-seven hundred seventy-two of this article shall

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     1  be payable, after submission of a voucher certified by the commissioner,
     2  upon audit and warrant of the comptroller from moneys made available for
     3  such purpose by appropriation.
     4    §  2774.  Voluntary participation. The participation by any individual
     5  in any program or portion thereof established under this  article  shall
     6  be  wholly  voluntary and shall not be a prerequisite to eligibility for
     7  or receipt of any other service or assistance from, or to  participation
     8  in, any other program.
     9    §  2774-a. Application; administration as to grants and contracts.  1.
    10  A grant authorized by section twenty-seven hundred seventy-two  of  this
    11  article  may  be made upon application to the commissioner at such time,
    12  in such manner, upon such forms,  containing  and  accompanied  by  such
    13  information,  as  the  commissioner  shall  deem necessary and, by regu-
    14  lation, prescribe.
    15    2.  Notwithstanding the provisions of subdivision one of this section,
    16  any application made pursuant to this section shall at least provide:
    17    (a)  that the programs and activities for which assistance under  this
    18  article  is  sought  will be administered by or under the supervision of
    19  the applicant;
    20    (b)  for strict confidentiality of all test results, medical  records,
    21  and  other information regarding screening or counseling, except for (i)
    22  such information as the patient (or his or her guardian) consents to  be
    23  released;  or  (ii)  statistical  data compiled without reference to the
    24  identity of any such patient;
    25    (c) for appropriate community representation in  the  development  and
    26  operation of any program funded by a grant under this article;
    27    (d)  in  the case of an application for a grant authorized by subdivi-
    28  sion one of section twenty-seven hundred seventy-two  of  this  article,
    29  assurances  satisfactory  to the commissioner that (i) the screening and
    30  counseling services to be provided  under  the  program  for  which  the
    31  application  is  made  will  be directed first to the blood relatives of
    32  known familial dysautonomia,  Canavan's  disease  or  Tay-Sachs  disease
    33  victims;  and  second, to the high-risk population groups in which fami-
    34  lial dysautonomia, Canavan's disease and Tay-Sachs disease  occurs  with
    35  greatest  frequency  and especially to those persons in these groups who
    36  are entering their childbearing years; and (ii) appropriate arrangements
    37  have been made to provide genetic counseling  to  persons  found  to  be
    38  familial dysautonomia, Canavan's disease or Tay-Sachs carriers;
    39    (e)  for  such  fiscal  control  and fund accounting procedures as the
    40  commissioner may deem necessary to assure  proper  disbursement  of  and
    41  accounting for funds paid to the applicant pursuant to this article; and
    42    (f)  for making such reports in such form and containing such informa-
    43  tion as the commissioner may, by regulation, reasonably require.
    44    3. In making or entering into any grant or contract pursuant  to  this
    45  article, the commissioner shall:
    46    (a)  take  into  account  the  number  of  persons to be served by the
    47  program supported by such grant or contract  and  the  extent  to  which
    48  rapid  and  effective  use  will  be  made  of  funds under the grant or
    49  contract; and
    50    (b) give priority to programs operating in areas which the commission-
    51  er determines to have the greatest number of  persons  in  need  of  the
    52  screening and counseling services provided under such programs.
    53    §  2774-b.  Confidentiality of information.  All test results, medical
    54  records and  any  other  information  regarding  familial  dysautonomia,
    55  Canavan's disease and Tay-Sachs disease screening or counseling acquired
    56  or  made by a public or private entity or an individual under this arti-

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     1  cle shall be kept confidential, and shall not be admissible as  evidence
     2  in  an  action  or proceeding in any court or before any other tribunal,
     3  board, agency or person; provided, however, that the provisions of  this
     4  section shall not apply to:
     5    1.  such  information as the patient, or his or her guardian, consents
     6  to be released; or
     7    2. statistical data compiled without reference to the identity of  any
     8  such patient; or
     9    3.  such  information  as  is  released by written order of a court of
    10  record, issued by such court after receipt of an application  on  appro-
    11  priate  notice  and an opportunity for all relevant parties to be heard,
    12  showing good cause for the following reasons:
    13    (a) other ways of obtaining the information are not available or would
    14  be ineffective; and
    15    (b) there is a reasonable likelihood that the  records  will  disclose
    16  information of substantial value in a civil and/or criminal proceeding.
    17    In  any  application  brought under this subdivision, unless the court
    18  orders all papers filed under seal, the subject of the record  shall  be
    19  identified  only  by fictitious name, and the application and responding
    20  papers shall not contain or otherwise disclose the subject's identity or
    21  other confidential information.
    22    § 2774-c. Reports. 1. The commissioner shall prepare and submit to the
    23  governor and the legislature as soon as practicable after the  enactment
    24  of  this article, but no later than one year following such enactment, a
    25  comprehensive report on the administration of this article.
    26    2. Such report  shall  contain  such  recommendations  for  additional
    27  legislation as the commissioner deems necessary.
    28    § 2. This act shall take effect on the one hundred eightieth day after
    29  it shall have become a law, provided, however, that effective immediate-
    30  ly,  the  addition,  amendment  and/or  repeal of any rule or regulation
    31  necessary for the implementation of this act on its effective  date  are
    32  authorized  and  directed  to  be  made  and completed on or before such
    33  effective date.
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