Bill Text: NY A05225 | 2009-2010 | General Assembly | Amended


Bill Title: Requires hospitals to provide language assistance services to a patient or a patient's assistant for communication of clinical and other information, including but not limited to health care, billing and making appointments, to ensure effective communication; provides that such interpreter may be a qualified interpreter, volunteer or medical personnel at such hospital; provides for such services to be available at all locations during all times that patient care is available; provides that transactions of frequently used forms essential to a patient's care and treatment be available in all of the hospital's primary language; provides for training of those providing interpretation services; requires the hospital to submit to the commissioner an annual report assessing compliance; defines primary language and patient visits.

Spectrum: Moderate Partisan Bill (Democrat 16-3)

Status: (Engrossed - Dead) 2010-06-22 - REFERRED TO RULES [A05225 Detail]

Download: New_York-2009-A05225-Amended.html
                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                        5225--A
                                                               Cal. No. 327
                              2009-2010 Regular Sessions
                                 I N  A S S E M B L Y
                                   February 11, 2009
                                      ___________
       Introduced  by  M.  of A. ESPAILLAT, COLTON, GOTTFRIED, V. LOPEZ, TOWNS,
         ROSENTHAL -- Multi-Sponsored by -- M.  of  A.  ALFANO,  AUBRY,  BARRA,
         BING,  COOK,  GLICK,  HOOPER,  JACOBS,  MAGNARELLI,  J. MILLER, ORTIZ,
         PERRY, ROBINSON -- read once and referred to the Committee  on  Health
         --  reported  from committee, advanced to a third reading, amended and
         ordered reprinted, retaining its place on the order of third reading
       AN ACT to amend the public health law, in relation to  requiring  hospi-
         tals to provide language assistance services
         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  section
    2  2803-s to read as follows:
    3    S  2803-S.  PROVISION  OF LANGUAGE ASSISTANCE. 1. EVERY HOSPITAL SHALL
    4  PROVIDE LANGUAGE ASSISTANCE SERVICES TO A PATIENT OR  PATIENT  ASSISTANT
    5  SO  AS  TO  ENSURE  THAT  ALL  PATIENTS WHO CANNOT SPEAK, READ, WRITE OR
    6  UNDERSTAND THE ENGLISH  LANGUAGE  WITH  THE  PROFICIENCY  NECESSARY  FOR
    7  ADEQUATE  COMMUNICATION  WITH  HEALTH CARE PROVIDERS AND OTHER PERSONNEL
    8  HAVE EFFECTIVE ACCESS TO THE HOSPITAL'S PROGRAMS AND SERVICES, INCLUDING
    9  BUT NOT LIMITED TO HEALTH CARE, BILLING AND MAKING APPOINTMENTS.   EVERY
   10  HOSPITAL SHALL ENSURE THAT ALL INDIVIDUALS PROVIDING LANGUAGE ASSISTANCE
   11  SERVICES  TO  PATIENTS  HAVE  SUFFICIENT FLUENCY IN BOTH ENGLISH AND THE
   12  RELEVANT LANGUAGE TO COMMUNICATE CLINICAL AND OTHER  INFORMATION  NECES-
   13  SARY  FOR  THE PATIENT TO ACCESS SERVICES.  LANGUAGE ASSISTANCE SERVICES
   14  FOR  PRIMARY  AND  NON-PRIMARY  LANGUAGES  SHALL  BE  AVAILABLE  AT  ALL
   15  LOCATIONS DURING ALL TIMES THAT PATIENT CARE IS AVAILABLE, AND SHALL, TO
   16  THE  EXTENT  PRACTICABLE,  BE  PROVIDED  IN  PERSON. TRANSLATIONS OF ALL
   17  FREQUENTLY USED FORMS, AND OTHER WRITTEN MATERIALS THAT ARE ESSENTIAL TO
   18  A PATIENT'S CARE AND TREATMENT OR ARE  OTHERWISE  NECESSARY  TO  PROVIDE
   19  ADEQUATE  ACCESS TO THE HOSPITAL'S SERVICES SHALL BE AVAILABLE IN ALL OF
   20  THE HOSPITAL'S PRIMARY  LANGUAGES.  EVERY  HOSPITAL  SHALL  DEVELOP  AND
   21  IMPLEMENT  A  COMPREHENSIVE  LANGUAGE  ASSISTANCE  PLAN THAT ESTABLISHES
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
       A                                                          LBD09098-02-9
       A. 5225--A                          2
    1  UNIFORM  POLICIES  AND  PROCEDURES  FOR  PROVIDING  LANGUAGE  ASSISTANCE
    2  SERVICES,  INCLUDING  PROCEDURES  FOR  DOCUMENTING  THE PROVISION OF, OR
    3  REFUSAL OF, LANGUAGE ASSISTANCE SERVICES, AND THAT REQUIRES TRAINING  TO
    4  ENSURE  THAT  ALL  STAFF  WHO HAVE CONTACT WITH PATIENTS COMPLY WITH THE
    5  PLAN, AND THAT ALL STAFF  MEMBERS  WHO  PROVIDE  MEDICAL  INTERPRETATION
    6  SERVICES  IN  PRIMARY LANGUAGES HAVE RECEIVED TRAINING IN MEDICAL INTER-
    7  PRETATION. SUCH INDIVIDUAL PROVIDING LANGUAGE ASSISTANCE SERVICES MAY BE
    8  A QUALIFIED INTERPRETER, VOLUNTARY WORKER OR OTHER  PERSONNEL  CURRENTLY
    9  EMPLOYED  BY  SAID  HOSPITAL AND MAY PERFORM OTHER DUTIES AS DIRECTED BY
   10  THE HOSPITAL.
   11    2.  THE  STATEMENT  REGARDING  PATIENT  RIGHTS  AND   RESPONSIBILITIES
   12  REQUIRED  PURSUANT  TO PARAGRAPH (G) OF SUBDIVISION ONE OF SECTION TWEN-
   13  TY-EIGHT HUNDRED THREE OF THIS ARTICLE SHALL INCLUDE A PROVISION NOTIFY-
   14  ING PATIENTS  OF  THE  AVAILABILITY  OF  LANGUAGE  ASSISTANCE  SERVICES,
   15  INCLUDING  ORAL INTERPRETATION AND TRANSLATIONS OF FORMS AND OTHER MATE-
   16  RIALS. NOTICE OF THE AVAILABILITY OF LANGUAGE ASSISTANCE SERVICES  SHALL
   17  ALSO  BE  POSTED IN CONSPICUOUS LOCATIONS THROUGHOUT THE HOSPITAL AND IN
   18  OUTPATIENT CLINICS, IN ALL PRIMARY LANGUAGES.
   19    3. (A) EVERY HOSPITAL SHALL  SUBMIT  TO  THE  COMMISSIONER  AN  ANNUAL
   20  REPORT  ASSESSING  ITS COMPLIANCE WITH THE REQUIREMENTS OF THIS SECTION.
   21  THE REPORT SHALL IDENTIFY THE PRIMARY LANGUAGES USED  BY  ITS  PATIENTS,
   22  AND THE PERCENTAGE OF THE HOSPITAL'S PATIENTS WHO SPEAK EACH SUCH PRIMA-
   23  RY LANGUAGE.
   24    (B)  THE  HOSPITAL  SHALL  MAINTAIN  A  RECORD OF THE FOREIGN LANGUAGE
   25  PRIMARILY SPOKEN BY ANY PATIENT SEEKING OR RECEIVING LANGUAGE ASSISTANCE
   26  SERVICES AT THE HOSPITAL. SUCH INFORMATION SHALL BE RECORDED WHETHER  OR
   27  NOT SUCH PATIENT ACTUALLY OBTAINS SUCH SERVICES.
   28    4.    THE  COMMISSIONER SHALL PROMULGATE SUCH RULES AND REGULATIONS AS
   29  MAY BE NECESSARY AND PROPER TO IMPLEMENT THE PROVISIONS OF THIS SECTION,
   30  WHICH SHALL INCLUDE THE METHODOLOGY TO BE USED BY HOSPITALS IN DETERMIN-
   31  ING PRIMARY LANGUAGES.
   32    5. FOR PURPOSES OF THIS SECTION:
   33    (A) "PRIMARY LANGUAGE" MEANS A LANGUAGE OTHER  THAN  ENGLISH  THAT  IS
   34  EITHER  (I)  USED TO COMMUNICATE, DURING AT LEAST ONE PERCENT OF PATIENT
   35  VISITS IN A YEAR, BY PATIENTS WHO CANNOT SPEAK, READ,  WRITE  OR  UNDER-
   36  STAND  THE  ENGLISH  LANGUAGE  AT THE LEVEL OF PROFICIENCY NECESSARY FOR
   37  EFFECTIVE COMMUNICATION WITH HEALTH CARE PROVIDERS; OR  (II)  SPOKEN  BY
   38  NON-ENGLISH SPEAKING INDIVIDUALS COMPRISING MORE THAN ONE PERCENT OF THE
   39  PRIMARY  HOSPITAL  SERVICE AREA POPULATION, AS CALCULATED BY USING DEMO-
   40  GRAPHIC INFORMATION AVAILABLE FROM  THE  UNITED  STATES  BUREAU  OF  THE
   41  CENSUS, SUPPLEMENTED BY DATA FROM SCHOOL SYSTEMS;
   42    (B) "PATIENT VISITS" SHALL INCLUDE ALL VISITS BY PATIENTS TO EMERGENCY
   43  ROOMS  AND  OUTPATIENT  CLINICS,  AS WELL AS INPATIENT ADMISSIONS OF THE
   44  HOSPITAL;
   45    (C) "PATIENT ASSISTANT" SHALL MEAN AN INDIVIDUAL WHO  COMMUNICATES  ON
   46  BEHALF  OF  ANOTHER WHO, BY REASON OF AGE OR INCAPACITY, CANNOT COMMUNI-
   47  CATE FOR HIMSELF OR HERSELF; AND
   48    (D) "HOSPITAL" SHALL MEAN A GENERAL HOSPITAL AS DEFINED IN SUBDIVISION
   49  TEN OF SECTION TWENTY-EIGHT HUNDRED ONE OF THIS ARTICLE.
   50    6. NOTHING IN THIS SECTION  SHALL  PRECLUDE  MEDICAL  FACILITIES  FROM
   51  PROVIDING  LANGUAGE  ASSISTANCE  SERVICES  IN ADDITION TO THOSE REQUIRED
   52  UNDER THIS SECTION.
   53    S 2. This act shall take effect on the one hundred eightieth day after
   54  it shall have become a law.
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