S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                        5802--A
                              2013-2014 Regular Sessions
                                   I N  S E N A T E
                                     June 15, 2013
                                      ___________
       Introduced  by Sens. GRIFFO, CARLUCCI -- read twice and ordered printed,
         and when printed to be committed to the Committee on Rules  --  recom-
         mitted  to  the Committee on Mental Health and Developmental Disabili-
         ties in accordance with Senate Rule 6, sec. 8 -- committee discharged,
         bill amended, ordered reprinted as amended  and  recommitted  to  said
         committee
       AN  ACT to amend the mental hygiene law, in relation to establishing the
         diagnostic and statistical manual of mental disorders  (DSM-5)  imple-
         mentation  council;  and  providing  for the repeal of such provisions
         upon expiration thereof
         THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section  1.  Legislative  intent.  The  legislature  finds that early,
    2  continuous and  appropriate  treatment  facilitates  the  best  possible
    3  outcome  for children diagnosed with autism spectrum disorder (ASD). The
    4  legislature further finds that while periodic reformation of  diagnostic
    5  criteria is vital to ensure quality care, the legislature and state must
    6  be  able  to  respond accordingly if such changes may impact individuals
    7  currently receiving  treatment.  Therefore,  the  legislature  finds  it
    8  appropriate to establish a council consisting of stakeholders, including
    9  parents  and  physicians,  to  advise  the  state and legislature on the
   10  implementation and impact of the transition from the fourth  edition  of
   11  the  Diagnostic and Statistical Manual of Mental Disorders to the crite-
   12  ria implemented by the fifth edition  to  ensure  that  individuals  who
   13  qualify  under DSM-IV will continue to qualify under DSM-5. The legisla-
   14  ture further finds that until such time that the state  understands  the
   15  impacts  it  is  important  to  ensure  the continued benefits and state
   16  services for individuals with a diagnosis.
   17    S 2. The mental hygiene law is amended by adding a new  section  16.38
   18  to read as follows:
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD11530-05-4
       S. 5802--A                          2
    1  S 16.38 DIAGNOSTIC  AND  STATISTICAL  MANUAL OF MENTAL DISORDERS (DSM-5)
    2            IMPLEMENTATION COUNCIL.
    3    1.(A)  THE  OFFICE SHALL ESTABLISH A DIAGNOSTIC AND STATISTICAL MANUAL
    4  OF MENTAL DISORDERS (DSM-5) IMPLEMENTATION COUNCIL.
    5    (B) THE COUNCIL SHALL CONSIST OF NINETEEN MEMBERS,  APPOINTED  BY  THE
    6  GOVERNOR.  SIX  SHALL  BE  PARENTS OR GUARDIANS, THREE OF WHOM WHO SHALL
    7  HAVE CHILDREN DIAGNOSED WITH A PERVASIVE  DEVELOPMENTAL  DISORDER  (PDD)
    8  UNDER  THE  FOURTH  EDITION  OF THE DIAGNOSTIC AND STATISTICAL MANUAL OF
    9  MENTAL DISORDERS (DSM-IV), AND THREE OF WHOM  WHO  SHALL  HAVE  CHILDREN
   10  DIAGNOSED WITH AN AUTISM SPECTRUM DISORDER (ASD) OR SOCIAL COMMUNICATION
   11  DISORDER (SCD) UNDER THE FIFTH EDITION OF THE DIAGNOSTIC AND STATISTICAL
   12  MANUAL  OF  MENTAL  DISORDERS  (DSM-5); FIVE SHALL BE REPRESENTATIVES OF
   13  PUBLIC OR PRIVATE PROVIDERS OF SERVICES TO  INDIVIDUALS  WITH  ASDS,  AT
   14  LEAST  ONE  OF  WHOM SHALL BE A PSYCHIATRIST LICENSED TO PRACTICE IN THE
   15  STATE, AT LEAST ONE OF WHOM SHALL BE A REPRESENTATIVE OF  A  CENTER  FOR
   16  AUTISM  AND  RELATED DISABILITIES LOCATED WITHIN THE STATE, AND AT LEAST
   17  ONE OF WHOM SHALL BE ASSOCIATED WITH A SCHOOL DISTRICT  OR  A  BOARD  OF
   18  COOPERATIVE EDUCATIONAL SERVICES; TWO SHALL BE REPRESENTATIVES OF ORGAN-
   19  IZATIONS THAT ADVOCATE FOR INDIVIDUALS WITH ASDS; TWO SHALL BE REPRESEN-
   20  TATIVES  OF  AUTHORIZED  INSURERS  ISSUING  POLICIES PURSUANT TO ARTICLE
   21  THIRTY-TWO OR FORTY-THREE OF THE INSURANCE LAW; AND FOUR  SHALL  BE  THE
   22  COMMISSIONER, THE COMMISSIONER OF EDUCATION, THE COMMISSIONER OF HEALTH,
   23  AND  THE  SUPERINTENDENT  OF  FINANCIAL  SERVICES,  OR THEIR APPROPRIATE
   24  DESIGNEES WITH SUFFICIENT AUTHORITY TO ENGAGE  IN  POLICY  PLANNING  AND
   25  IMPLEMENTATION ON BEHALF OF THEIR AGENCIES.
   26    (C)  THE GOVERNOR SHALL APPOINT THE MEMBERS. SIX SHALL BE APPOINTED ON
   27  THE RECOMMENDATION OF THE TEMPORARY PRESIDENT  OF  THE  SENATE  AND  SIX
   28  SHALL BE APPOINTED ON THE RECOMMENDATION OF THE SPEAKER OF THE ASSEMBLY,
   29  EACH  OF  WHOM SHALL RECOMMEND THREE MEMBERS AS FOLLOWS: ONE PARENT OF A
   30  CHILD WITH A PDD UNDER DSM-IV, ONE PARENT OF A CHILD WITH AN ASD OR  SCD
   31  UNDER  DSM-5;  ONE  REPRESENTATIVE  OF  PUBLIC  OR  PRIVATE PROVIDERS OF
   32  SERVICES TO INDIVIDUALS WITH ASDS.
   33    (D) VACANCIES IN THE COUNCIL SHALL BE FILLED IN  THE  SAME  MANNER  AS
   34  ORIGINAL APPOINTMENTS.
   35    2. DUTIES OF THE COUNCIL SHALL INCLUDE, BUT NOT BE LIMITED TO:
   36    (A)  GATHERING STAKEHOLDER INPUT REGARDING THE IMPLEMENTATION OF DSM-5
   37  CRITERIA, AND PROPOSED REGULATORY OR STATUTORY  AMENDMENTS  RELATING  TO
   38  THE TRANSITION FROM DSM-IV.
   39    (B)  ASSISTING THE OFFICE, THE STATE EDUCATION DEPARTMENT, THE DEPART-
   40  MENT OF HEALTH AND THE DEPARTMENT OF FINANCIAL SERVICES IN  PROMULGATING
   41  REGULATIONS AND GUIDANCE TO ENSURE THOSE WITH PDD DIAGNOSES UNDER DSM-IV
   42  RECEIVE  THE SAME LEGAL ENTITLEMENTS AS THOSE WITH ASD AND SCD DIAGNOSES
   43  UNDER DSM-5.
   44    (C) MONITORING STUDIES EVALUATING THE NEW DIAGNOSTIC CRITERIA; AS WELL
   45  AS ANY AMENDMENTS TO, OR GUIDANCE RELATING TO, DSM-5.
   46    (D) PROVIDING RECOMMENDATIONS FOR STATUTORY AMENDMENTS RELATING TO THE
   47  TRANSITION TO DSM-5 FROM DSM-IV TO ENSURE  THAT  INDIVIDUALS  WHO  WOULD
   48  QUALIFY  FOR  BENEFITS AND STATE SERVICES UNDER DSM-IV WOULD CONTINUE TO
   49  QUALIFY UNDER DMS-5.
   50    (E) PREPARE AND SUBMIT AN ANNUAL REPORT, THE FIRST OF WHICH  SHALL  BE
   51  SUBMITTED  NO  LATER  THAN  OCTOBER  FIRST, TWO THOUSAND FIFTEEN, TO THE
   52  GOVERNOR AND LEGISLATURE ON THE STATUS OF THE TRANSITION TO  DSM-5  FROM
   53  DSM-IV.
   54    3.  THE COUNCIL SHALL MEET AT LEAST TWO TIMES A YEAR. SPECIAL MEETINGS
   55  MAY BE CALLED AT THE REQUEST OF THE COMMISSIONER.
       S. 5802--A                          3
    1    4. THE MEMBERS OF THE COUNCIL SHALL BE ALLOWED  THEIR  REASONABLE  AND
    2  NECESSARY  EXPENSES  INCURRED  IN  THE PERFORMANCE OF THEIR DUTIES HERE-
    3  UNDER.
    4    S  3.  This  act shall take effect immediately and shall expire and be
    5  deemed repealed three years after the effective date of this act.