STATE OF NEW YORK
        ________________________________________________________________________
                                         8226--A
                               2015-2016 Regular Sessions
                   IN ASSEMBLY
                                      June 12, 2015
                                       ___________
        Introduced  by M. of A. BRAUNSTEIN, ABINANTI, ZEBROWSKI, COLTON, JAFFEE,
          STECK -- Multi-Sponsored by -- M. of A. CROUCH, GRAF, HIKIND,  MARKEY,
          MONTESANO,  O'DONNELL,  SALADINO, SIMANOWITZ -- read once and referred
          to the Committee on Health -- recommitted to the Committee  on  Health
          in accordance with Assembly Rule 3, sec. 2 -- reported and referred to
          the  Committee on Codes -- committee discharged, bill amended, ordered
          reprinted as amended and recommitted to said committee
        AN ACT to amend the public health law, in relation to the protection  of
          private patient information by ambulance services
          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:
     1    Section 1.  Section 3001 of the public health law is amended by adding
     2  two new subdivisions 22 and 23 to read as follows:
     3    22. "Individual identifying information" means information identifying
     4  or tending to identify a patient.
     5    23. "Marketing" means, but is not limited to, advertising,  detailing,
     6  marketing, promotion, or any activity that is intended to be or could be
     7  used to influence business volume, sales or market share or evaluate the
     8  effectiveness of marketing practices or personnel, regardless of whether
     9  the  beneficiary of the marketing is a governmental, for-profit, or not-
    10  for-profit entity.
    11    § 2. The public health law is amended by adding a new  section  3006-a
    12  to read as follows:
    13    §  3006-a.  Patient  privacy.  1.  No ambulance service, advanced life
    14  support first response service, or employee,  member  or  agent  thereof
    15  shall disclose, sell, transfer, exchange or use any individual identify-
    16  ing information to any person or entity for the purpose of marketing.
    17    2.  Notwithstanding  subdivision  one  of this section, and subject to
    18  otherwise applicable law,  individual  identifying  information  may  be
    19  disclosed, sold, transferred or exchanged to:
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD11644-03-6

        A. 8226--A                          2
     1    (a)  the  patient  who  is the subject of the information, or a person
     2  authorized to make health care decisions for the patient;
     3    (b) a health care provider providing care or treatment to the patient,
     4  for  the  purpose  of  such  care  or treatment; or a health information
     5  system subject to regulations of the department, for the purpose of such
     6  care or treatment;
     7    (c) an officer, inspector or investigator  for  a  government  health,
     8  licensing  or  law  enforcement  agency  acting  under appropriate legal
     9  authority;
    10    (d) a person authorized by a court order to receive such information;
    11    (e) the patient's health plan, insurer, or third party  payer,  or  an
    12  agent  thereof,  for  the purpose of payment or reimbursement for health
    13  care services, including determining compliance with the terms of cover-
    14  age or medical necessity, or utilization review;
    15    (f) a person or entity to whom, and for a purpose for  which,  disclo-
    16  sure or transfer is otherwise explicitly authorized or required by law;
    17    (g)  a  person or entity acting as an employee or agent of a person or
    18  entity under any  preceding  paragraph  of  this  subdivision,  for  the
    19  purpose of and consistent with that paragraph; or
    20    (h) a government entity as provided by law.
    21    3.  Nothing in this section shall prohibit the collection, use, trans-
    22  fer, or sale of patient data by zip code, geographic region, or  medical
    23  specialty for marketing purposes, providing it does not contain individ-
    24  ual identifying information.
    25    4.  This  section shall not prevent a person from disclosing, selling,
    26  transferring, or exchanging for value his or her own individual  identi-
    27  fying  information,  for any purpose; provided that the information does
    28  not include individual identifying information pertaining to  any  other
    29  person.
    30    5.  This  section  does  not prohibit a not-for-profit or governmental
    31  ambulance service or advanced life support first  response  service,  or
    32  agent  thereof,  from  using  a  patient's  name and address in order to
    33  contact such patient or a family member at such  address  with  requests
    34  for donations to such service; providing that such use shall not include
    35  disclosing any other individual identifying information.
    36    6.  No person or entity to whom or which individual identifying infor-
    37  mation is disclosed, sold,  transferred  or  exchanged  shall  disclose,
    38  sell, transfer or exchange it to any person or entity other than for the
    39  lawful  purpose  for  which  it  was  disclosed,  sold,  transferred  or
    40  exchanged to the person or entity, and  without  satisfactory  assurance
    41  that  the  recipient  will safeguard the records from being disclosed or
    42  used for marketing purposes.
    43    7. This section does not authorize any disclosure, sale, transfer,  or
    44  exchange  of  individual  identifying  information that is not otherwise
    45  authorized or required by law.
    46    8. In addition to the commissioner's authority to enforce this section
    47  under section three thousand twelve of this article, the attorney gener-
    48  al shall have the authority to bring an  action  to  enforce  compliance
    49  with this section without referral by the commissioner.
    50    § 3. This act shall take effect on the one hundred eightieth day after
    51  it  shall  have  become a law; provided that, effective immediately, the
    52  commissioner of health may  make  regulations  and  take  other  actions
    53  reasonably necessary to implement this act on such date.