Bill Text: NY A09152 | 2023-2024 | General Assembly | Amended


Bill Title: Requires disclosure of information concerning non-invasive prenatal screening for chromosomal abnormalities including the benefits and limitations of non-invasive prenatal testing, the difference between non-invasive prenatal testing and prenatal diagnostic testing, and current recommendations from the American College of Obstetricians and Gynecologists (ACOG), the Society for Maternal Fetal Medicine, and the American College of Medical Genetics and Genomics (ACMG).

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced) 2024-04-04 - print number 9152a [A09152 Detail]

Download: New_York-2023-A09152-Amended.html



                STATE OF NEW YORK
        ________________________________________________________________________

                                         9152--A

                   IN ASSEMBLY

                                    February 8, 2024
                                       ___________

        Introduced by M. of A. PAULIN -- read once and referred to the Committee
          on  Health -- committee discharged, bill amended, ordered reprinted as
          amended and recommitted to said committee

        AN ACT to amend the public health law, in relation to requiring  disclo-
          sure  of  information  concerning  non-invasive prenatal screening for
          chromosomal abnormalities

          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  2533 to read as follows:
     3    § 2533. Disclosure of  information  concerning  non-invasive  prenatal
     4  screening  for  chromosomal abnormalities.   1. For the purposes of this
     5  section, the term "non-invasive prenatal screening" shall mean any  non-
     6  invasive  prenatal  screening  or  cell free fetal DNA screening used to
     7  ascertain whether a fetus is at  risk  for  certain  chromosomal  abnor-
     8  malities.
     9    2.  Non-invasive prenatal screenings shall be accompanied by a written
    10  notice, provided by the entity which manufactured, supplied,  or  other-
    11  wise created such  test  or which  advertised  performing these prenatal
    12  screening  tests, about the use of such test for screening purposes, the
    13  fact that not all high risk occurrences correspond to a positive result,
    14  the fact that not all low risk results correspond to a negative  result,
    15  a  clear  statement indicating that non-invasive prenatal screenings are
    16  intended solely for screening purposes to assess risk of possible  fetal
    17  genetic  abnormalities  and  is  not  intended to be used for diagnostic
    18  purposes to determine whether such abnormalities actually exist and that
    19  any positive result should be followed by confirmatory diagnostic  test-
    20  ing,  and  that  additional  follow  up is recommended for all high risk
    21  screening.  Such written notice shall be provided  to  a  patient  or  a
    22  potential  parent:  (a)  prior  to any prenatal test; (b) with such test
    23  results; and (c) with any materials provided by the   entity   providing
    24  or  facilitating  the  prenatal  testing.  Such  written notice shall be
    25  reviewed and approved by the department. Such written  notice  shall  be

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD04085-05-4

        A. 9152--A                          2

     1  plainly  worded and prominently displayed in any material presented to a
     2  patient or a potential parent about prenatal testing services.
     3    c.  Nothing  contained  in  this section shall be construed to limit a
     4  health care practitioner licensed, certified, or authorized under  title
     5  eight  of  the  education law from recommending certain prenatal testing
     6  services according to  the  practitioner's  reasonable  and  good  faith
     7  professional judgment based on the facts of a patient's case.
     8    §  2.  Section 266 of the public health law is amended by adding a new
     9  subdivision 7 to read as follows:
    10    7. Non-invasive prenatal  testing.  In  addition  to  the  information
    11  provided  pursuant  to this section, the commissioner shall also develop
    12  comprehensive informational materials regarding the benefits and limita-
    13  tions of non-invasive prenatal testing, including the difference between
    14  non-invasive prenatal testing  and  prenatal  diagnostic  testing.  Such
    15  information  shall  be  posted  on the website in a printable format, in
    16  multiple languages in accordance with section two hundred two-a  of  the
    17  executive  law  to allow all general hospitals, diagnostic and treatment
    18  centers, obstetricians, primary  care  providers,  midwives,  and  other
    19  health  care programs providing women's wellness services to provide the
    20  information to their patients as part of their prenatal care activities.
    21  The informational materials shall also include:
    22    (a) the current recommendations on non-invasive prenatal testing  made
    23  by  the  American College of Obstetricians and Gynecologists (ACOG), and
    24  the Society for Maternal Fetal Medicine, and  the  American  College  of
    25  Medical Genetics and Genomics (ACMG);
    26    (b) a statement informing individuals that non-invasive prenatal test-
    27  ing is used for screening purposes to determine the potential for possi-
    28  ble fetal genetic abnormalities and is not intended to determine whether
    29  or not such abnormalities exist;
    30    (c) a statement informing individuals that non-invasive prenatal test-
    31  ing  carries  a  risk  of  false-positive  results and that any positive
    32  result should be followed up with prenatal diagnostic testing; and
    33    (d) a list of the non-invasive screening tests that have been approved
    34  or cleared by the federal Food and Drug Administration  (FDA),  the  New
    35  York State Clinical Laboratory Evaluation Program (CLEP), or both, and a
    36  summary  of  the  known  performance characteristics of these tests when
    37  available.
    38    § 3. This act shall take effect on the one hundred eightieth day after
    39  it shall have become a law. Effective immediately, the addition,  amend-
    40  ment and/or repeal of any rule or regulation necessary for the implemen-
    41  tation  of  this act on its effective date are authorized to be made and
    42  completed on or before such effective date.
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