Bill Text: NY A02675 | 2013-2014 | General Assembly | Amended


Bill Title: Requires health care providers (i.e., an entity licensed/certified under certain articles of the public health law or the mental hygiene law, a health care practitioner licensed/registered/certified under title eight of the education law, or a provider of pharmaceutical products/services or durable medical equipment) to disclose errors in diagnosis, treatment or other services that the provider knows has caused substantial harm or significant risk of substantial harm; provides there shall be a rebuttable presumption that the provider knew of the error and the harm or risk of harm if, under the circumstances, the provider reasonably should have had knowledge thereof; provides such disclosure shall be made within a reasonable period of time and be reasonably understandable.

Spectrum: Partisan Bill (Democrat 15-0)

Status: (Introduced - Dead) 2014-04-28 - amended on third reading 2675a [A02675 Detail]

Download: New_York-2013-A02675-Amended.html
                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                        2675--A
                                                               Cal. No. 555
                              2013-2014 Regular Sessions
                                 I N  A S S E M B L Y
                                   January 17, 2013
                                      ___________
       Introduced  by  M.  of  A.  GOTTFRIED, GALEF, GANTT, MAGNARELLI, PAULIN,
         PERRY, RIVERA -- Multi-Sponsored by  --  M.  of  A.  BRENNAN,  COLTON,
         DINOWITZ,  HOOPER,  JACOBS,  ORTIZ, WEINSTEIN, WRIGHT -- 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  --  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 health
         care providers to inform patients or their representatives of  certain
         errors in diagnosis, treatment or other services
         THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section 1. Legislative findings. The legislature finds that the Ameri-
    2  can Medical Association (AMA) has expressed its support  for  physicians
    3  providing  full  disclosure  to  their  patients regarding their medical
    4  treatments and conditions. The AMA's council  on  ethical  and  judicial
    5  affairs  has  stated:  "It  is  a fundamental ethical requirement that a
    6  physician should at all times deal honestly and  openly  with  patients.
    7  Patients  have a right to know their past and present medical status and
    8  to be free of any mistaken beliefs concerning their conditions.    Situ-
    9  ations occasionally occur in which a patient suffers significant medical
   10  complications  that  may  have  resulted from the physician's mistake or
   11  judgment. In these situations, the physician is  ethically  required  to
   12  inform the patient of all the facts necessary to ensure understanding of
   13  what  has  occurred.  Only  through full disclosure is a patient able to
   14  make informed decisions regarding future medical care."   The AMA  adds:
   15  "Concern regarding legal liability which might result following truthful
   16  disclosure  should  not  affect the physician's honesty with a patient."
   17  (code of medical ethics: current opinions of the council on ethical  and
   18  judicial  affairs,  AMA  Policy Finder, E-8.12, updated June, 1994.) The
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD01435-02-4
       A. 2675--A                          2
    1  legislature further finds that this ethical mandate ought  to  have  the
    2  support  of  law,  and ought to apply not only to physicians, but to all
    3  health care providers.
    4    S  2.  The public health law is amended by adding a new section 2805-x
    5  to read as follows:
    6    S 2805-X. HEALTH CARE PROVIDER; DUTY TO INFORM PATIENT OF ERROR.    1.
    7  DEFINITION.  AS  USED  IN  THIS SECTION, "HEALTH CARE PROVIDER" MEANS AN
    8  ENTITY LICENSED OR CERTIFIED UNDER THIS ARTICLE OR ARTICLE THIRTY-SIX OF
    9  THIS CHAPTER OR UNDER ARTICLE THIRTY-ONE OR  THIRTY-TWO  OF  THE  MENTAL
   10  HYGIENE  LAW,  A HEALTH CARE PRACTITIONER LICENSED, REGISTERED OR CERTI-
   11  FIED UNDER TITLE EIGHT OF THE EDUCATION LAW, OR A PROVIDER OF PHARMACEU-
   12  TICAL PRODUCTS OR SERVICES OR DURABLE MEDICAL EQUIPMENT.
   13    2. A HEALTH CARE PROVIDER SHALL DISCLOSE TO HIS, HER, OR  ITS  PATIENT
   14  OR  THE  PATIENT'S  REPRESENTATIVE, ANY ERROR IN DIAGNOSIS, TREATMENT OR
   15  OTHER SERVICE BY THE HEALTH CARE PROVIDER THAT THE HEALTH CARE  PROVIDER
   16  KNOWS  HAS  CAUSED  SUBSTANTIAL  HARM OR SIGNIFICANT RISK OF SUBSTANTIAL
   17  HARM TO THE PATIENT. THERE SHALL BE A REBUTTABLE  PRESUMPTION  THAT  THE
   18  HEALTH CARE PROVIDER KNEW OF SUCH ERROR AND OF SUCH HARM OR RISK OF HARM
   19  IF,  UNDER THE CIRCUMSTANCES, THE HEALTH CARE PROVIDER REASONABLY SHOULD
   20  HAVE HAD KNOWLEDGE THEREOF.  THE  DISCLOSURE  SHALL  BE  MADE  WITHIN  A
   21  REASONABLE  PERIOD  OF  TIME  AND  BE  REASONABLY  UNDERSTANDABLE TO THE
   22  PATIENT OR THE PATIENT'S REPRESENTATIVE, AND SHALL INCLUDE  A  STATEMENT
   23  OF THE HARM OR RISK OF HARM.
   24    3.  A HEALTH CARE PROVIDER SHALL NOT BE LIABLE FOR FAILURE TO DISCLOSE
   25  AN ERROR, HARM OR RISK OF HARM UNDER THIS SECTION  IF  THE  HEALTH  CARE
   26  PROVIDER  REASONABLY BELIEVES THAT SUCH DISCLOSURE HAS ALREADY BEEN MADE
   27  BY ANOTHER HEALTH CARE PROVIDER.
   28    S 3. This act shall take effect immediately.
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