Bill Text: NY A11267 | 2017-2018 | General Assembly | Introduced

New York Assembly Bill 11267 (Prior Session Legislation)

Introduced

Bill Title: Provides for the conduct of lead case management by the department of health and local departments of health based on the blood level of a child; establishes protocol for blood levels based on various micrograms.

Spectrum: Bipartisan Bill

Status: (Introduced - Dead) 2018-07-25 - referred to health [A11267 Detail]

Download: New_York-2017-A11267-Introduced.html

                STATE OF NEW YORK
        ________________________________________________________________________
                                          11267
                   IN ASSEMBLY
                                      July 25, 2018
                                       ___________
        Introduced  by  COMMITTEE  ON  RULES -- (at request of M. of A. Ryan) --
          read once and referred to the Committee on Health
        AN ACT to amend the public health law, in relation to the definition  of
          elevated blood lead levels
          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:
     1    Section 1. Subdivision 6 of section 1370 of the public health law,  as
     2  amended  by  chapter  485  of  the  laws  of 1992, is amended to read as
     3  follows:
     4    6. "Elevated lead levels" means a blood lead  level  greater  than  or
     5  equal  to  [ten] five micrograms of lead per deciliter of whole blood or
     6  such lower blood lead level as may  be  established  by  the  department
     7  pursuant to rule or regulation.
     8    §  2. Paragraphs (c) and (d) of subdivision 2 of section 1370-a of the
     9  public health law, paragraph (c) as amended by section 4 of  part  A  of
    10  chapter 58 of the laws of 2009, paragraph (d) as added by chapter 485 of
    11  the  laws  of 1992, are amended and a new paragraph (e) is added to read
    12  as follows:
    13    (c) establish a statewide registry of lead levels of children provided
    14  such information is maintained as confidential except for (i) disclosure
    15  for medical  treatment  purposes;  (ii)  disclosure  of  non-identifying
    16  epidemiological  data;  and  (iii)  disclosure  of information from such
    17  registry to the statewide immunization information system established by
    18  section twenty-one hundred sixty-eight of this chapter; [and]
    19    (d) develop and implement  public  education  and  community  outreach
    20  programs on lead exposure, detection and risk reduction; and
    21    (e)  provide  for  the  conduct  of  lead  case management by both the
    22  department and local departments of health based on the blood lead level
    23  of a child as follows:
    24    (i) a blood lead level greater than or equal  to  five  micrograms  of
    25  lead  per deciliter of whole blood shall require a routine assessment of
    26  nutritional and developmental milestones, along  with  an  environmental
    27  assessment  based on a detailed history to identify potential sources of
    28  lead exposure, include nutritional counseling  related  to  calcium  and
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD16266-01-8

        A. 11267                            2
     1  iron  intake  and  follow-up  blood lead level monitoring at recommended
     2  intervals based on the child's age;
     3    (ii)  a  blood  lead  level greater than or equal to ten micrograms of
     4  lead per deciliter of whole blood shall require a routine assessment  of
     5  nutritional  and  developmental  milestones, along with an environmental
     6  assessment based on a detailed history  and  an  environmental  investi-
     7  gation with a home visit to identify potential sources of lead exposure,
     8  include  nutritional  counseling  related  to  calcium  and iron intake,
     9  consider lab work to assess iron status and follow-up blood  lead  level
    10  monitoring at recommended intervals;
    11    (iii) a blood level greater than or equal to twenty micrograms of lead
    12  per  deciliter of whole blood shall require a complete history and phys-
    13  ical examination, a neurodevelopmental assessment, along with  an  envi-
    14  ronmental  investigation of the home and lead hazard reduction, lab work
    15  on iron status, hemoglobin or hematocrit, also an abdominal  x-ray  with
    16  bowel decontamination if indicated, and follow-up blood lead level moni-
    17  toring at recommended intervals;
    18    (iv) a blood lead level greater than or equal to forty-five micrograms
    19  of  lead  per  deciliter of whole blood shall require a complete history
    20  and physical examination, a complete neurological exam including  neuro-
    21  development  assessment,  an environmental investigation of the home and
    22  lead hazard reduction, lab work on iron status,  hemoglobin  or  hemato-
    23  crit,  an  abdominal x-ray with bowel decontamination if indicated, also
    24  oral chelation therapy with consideration of hospitalization if  a  lead
    25  safe environment cannot be assured, and follow-up blood lead level moni-
    26  toring at recommended intervals; and
    27    (v)  a blood lead level greater than or equal to seventy micrograms of
    28  lead per deciliter of whole blood  shall  require  hospitalization  with
    29  chelation  therapy in conjunction with consultation with a medical toxi-
    30  cologist or a pediatric environmental health specialty unit and  follow-
    31  ing  additional  actions according to interventions for blood lead level
    32  greater than or equal to forty-five micrograms of lead per deciliter  as
    33  set forth in subparagraph four of this paragraph.
    34    § 3. This act shall take effect on the one hundred twentieth day after
    35  it shall have become a law.