Bill Text: NY A07325 | 2021-2022 | General Assembly | Amended


Bill Title: Provides for prevention and screening for elevated lead levels in children.

Spectrum: Partisan Bill (Democrat 4-0)

Status: (Introduced - Dead) 2022-05-09 - substituted by s5024d [A07325 Detail]

Download: New_York-2021-A07325-Amended.html



                STATE OF NEW YORK
        ________________________________________________________________________

                                         7325--C

                               2021-2022 Regular Sessions

                   IN ASSEMBLY

                                       May 5, 2021
                                       ___________

        Introduced  by  M. of A. PEOPLES-STOKES, REYES, OTIS, GALEF -- read once
          and referred to the Committee on Health -- reported  and  referred  to
          the Committee on Ways and Means -- committee discharged, bill amended,
          ordered  reprinted  as  amended  and  recommitted to said committee --
          recommitted to the Committee on Ways  and  Means  in  accordance  with
          Assembly Rule 3, sec. 2 -- committee discharged, bill amended, ordered
          reprinted  as  amended  and  recommitted  to  said  committee -- again
          reported from said committee with  amendments,  ordered  reprinted  as
          amended and recommitted to said committee

        AN  ACT  to  amend  the public health law, in relation to prevention and
          screening for elevated lead levels in children

          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:

     1    Section 1. This act shall be known and may be cited as "Dakota's Law".
     2    §  2. Paragraphs (c) and (d) of subdivision 2 of section 1370-a of the
     3  public health law, paragraph (c) as amended by section 4 of  part  A  of
     4  chapter  58  of  the laws of 2009, and paragraph (d) as added by chapter
     5  485 of the laws of 1992, are amended and two new paragraphs (e) and  (f)
     6  are added to read as follows:
     7    (c) establish a statewide registry of lead levels of children provided
     8  such information is maintained as confidential except for (i) disclosure
     9  for  medical  treatment  purposes;  (ii)  disclosure  of non-identifying
    10  epidemiological data; and (iii)  disclosure  of  information  from  such
    11  registry to the statewide immunization information system established by
    12  section twenty-one hundred sixty-eight of this chapter; [and]
    13    (d)  develop  and  implement  public  education and community outreach
    14  programs on lead exposure, detection and risk reduction[.];
    15    (e) require primary health care providers to  provide  the  parent  or
    16  guardian  of  each child under six years of age anticipatory guidance on
    17  lead poisoning prevention as part of routine  care,  including  but  not

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD09876-12-2

        A. 7325--C                          2

     1  limited  to  contact information for the state-designated childhood lead
     2  poisoning primary prevention program serving their county; and
     3    (f) develop and update as necessary, in consultation with the New York
     4  state advisory council on lead poisoning prevention, a standardized lead
     5  exposure  risk  assessment  questionnaire that shall be available on the
     6  department's website for primary health care providers to utilize pursu-
     7  ant to subdivision two-a of section thirteen hundred seventy-c  of  this
     8  title.
     9    §  3.  Section  1370-c of the public health law is amended by adding a
    10  new subdivision 2-a to read as follows:
    11    2-a. Every primary health care provider shall conduct a lead  exposure
    12  risk  assessment questionnaire provided by the department for each child
    13  who is at least six months of age and continuing until six years of  age
    14  at  each  routine  well-child visit, or at least annually if a child has
    15  not had routine well-child visits.
    16    § 4. Section 1370-d of the public health law, as added by chapter  485
    17  of the laws of 1992, is amended to read as follows:
    18    §  1370-d.  Lead screening of child care [or], pre-school, pre-kinder-
    19  garten or kindergarten enrollees. 1.  Except  as  provided  pursuant  to
    20  regulations  of  the  department,  each  child care provider, public and
    21  private  nursery  school  [and],  pre-school,  and  pre-kindergarten  or
    22  kindergarten licensed, certified or approved by any state or local agen-
    23  cy  shall, prior to or within three months after initial enrollment of a
    24  child under six years of age, obtain from a parent or  guardian  of  the
    25  child evidence that said child has been screened for lead.
    26    2. Whenever there exists no evidence of lead screening as provided for
    27  in  subdivision  one of this section or other acceptable evidence of the
    28  child's screening for lead, the child care provider, principal, teacher,
    29  owner or person in charge of the nursery  school  [or],  pre-school,  or
    30  pre-kindergarten or kindergarten shall provide the parent or guardian of
    31  the  child  with  information  on  lead  poisoning  in children and lead
    32  poisoning prevention and refer the parent or guardian to a primary  care
    33  provider or the local health authority.
    34    3.  (a)  If  any  parent or guardian to such child is unable to obtain
    35  lead testing, such person may present such child to the  health  officer
    36  of  the  county  in  which  the child resides, who shall then perform or
    37  arrange for the required screening.
    38    (b) The local public health district shall develop and implement a fee
    39  schedule for households with incomes in excess of two hundred percent of
    40  the federal poverty level for lead screening  pursuant  to  section  six
    41  hundred  six  of  this  chapter,  which  shall vary depending on patient
    42  household income.
    43    § 5. Paragraph (d) of subdivision 8 of  section  2168  of  the  public
    44  health  law, as amended by chapter 154 of the laws of 2013, subparagraph
    45  (i) as amended by chapter 733 of the laws of 2021, is amended to read as
    46  follows:
    47    (d) The following authorized users shall have access to the  statewide
    48  immunization  information  system and the blood lead information in such
    49  system and the citywide immunization registry for the purposes stated in
    50  this paragraph:  (i) schools for the purpose of  verifying  immunization
    51  status  for  eligibility  for admission, for the purpose of confirming a
    52  student has been screened for lead when enrolling in  child  care,  pre-
    53  school,  pre-kindergarten  or  kindergarten,  and  for  the provision of
    54  appropriate educational materials developed by the  department  pursuant
    55  to  section thirteen hundred seventy-a of this chapter on the dangers of
    56  lead exposure, and the health risks associated with elevated blood  lead

        A. 7325--C                          3

     1  levels to the parents or legal guardians of the student with an elevated
     2  blood  lead level, as such term is defined in subdivision six of section
     3  thirteen hundred seventy of this chapter,  as  well  as  information  on
     4  programs  that  may be available to the student and the parents or legal
     5  guardians of the student, provided  that,  for  every  school  that  has
     6  applied  for and been granted access to identifiable registrant informa-
     7  tion pursuant to this subdivision, the department shall  make  available
     8  the  capability  to  batch download sets of immunization records of only
     9  those children under their administrative responsibility; (ii)  colleges
    10  for  verifying  immunization status for eligibility for admission; (iii)
    11  professional and technical schools for verifying immunization status for
    12  eligibility for admission; (iv) children's overnight  camps  and  summer
    13  day  camps for verifying immunization status of children attending camp;
    14  (v) third party payer for performing quality  assurance,  accountability
    15  and  outreach,  relating  to enrollees covered by the third party payer;
    16  (vi) commissioners of local social services districts with regard  to  a
    17  child  in his/her legal custody; (vii) the commissioner of the office of
    18  children and family services with regard  to  children  in  their  legal
    19  custody,  and  for quality assurance and accountability of commissioners
    20  of local social services districts, care and treatment  of  children  in
    21  the  custody  of  commissioners  of local social services districts; and
    22  (viii) WIC programs for the purposes of verifying immunization and  lead
    23  testing status for those seeking or receiving services.
    24    § 6. This act shall take effect immediately.
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