Bill Text: NY S01650 | 2011-2012 | General Assembly | Introduced


Bill Title: Provides that the state board of medicine shall promulgate regulations requiring cultural competency courses in all colleges of medicine; requires all medical students and all physicians to complete cultural competency training.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2012-01-04 - REFERRED TO HIGHER EDUCATION [S01650 Detail]

Download: New_York-2011-S01650-Introduced.html
                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                         1650
                              2011-2012 Regular Sessions
                                   I N  S E N A T E
                                   January 11, 2011
                                      ___________
       Introduced  by  Sen. SAMPSON -- read twice and ordered printed, and when
         printed to be committed to the Committee on Higher Education
       AN ACT to amend the education law, in relation to authorizing the  state
         board  for  medicine  and  the commissioner of education to promulgate
         rules and regulations for physician training
         THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section 1. The legislature finds and declares that:
    2    a.  The findings of a federally-funded study by Georgetown University,
    3  in conjunction with the Rand Corporation and the University of  Pennsyl-
    4  vania,  which  were  published  in  the New England Journal of Medicine,
    5  indicate that physicians are far less likely to refer blacks  and  women
    6  than white men with identical complaints of chest pain to heart special-
    7  ists  for cardiac catheterization; and the authors of this study suggest
    8  that the difference in referral rates stems from racial and sexual bias-
    9  es;
   10    b. These findings are the latest in a growing body of medical  litera-
   11  ture  which documents race and gender-based disparities in the provision
   12  of health care, especially in the treatment of  cardiovascular  disease;
   13  however,  according  to  the  surgeon  general of the United States, the
   14  Georgetown University study represents the best attempt to date to docu-
   15  ment the racial attitudes of physicians as a factor in the poorer health
   16  of African Americans;
   17    c. It is estimated that the minority population in the  United  States
   18  will have increased by 60% between 2005 and the year 2010;
   19    d. Cultural awareness and cultural competence are essential skills for
   20  providing quality health care to a diverse patient population;
   21    e.  Only  a  small  percentage of medical schools nationwide currently
   22  provide some formal training in cultural competence;
   23    f. The Association of American Medical Colleges  is  working  to  help
   24  medical schools improve the teaching of cultural competency; and
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD05888-01-1
       S. 1650                             2
    1    g.  The  public  interest  in  providing  quality  health  care to all
    2  segments of society dictates the need  for  a  formal  requirement  that
    3  medical  professionals  be trained in the provision of culturally compe-
    4  tent health care as a condition of licensure to practice medicine in the
    5  state of New York.
    6    S  2.  Section 6523 of the education law, as amended by chapter 364 of
    7  the laws of 1991, is amended to read as follows:
    8    S 6523. State board for medicine.  1. A state board for medicine shall
    9  be appointed by the board of regents on recommendation  of  the  commis-
   10  sioner for the purpose of assisting the board of regents and the depart-
   11  ment  on  matters  of  professional licensing in accordance with section
   12  sixty-five hundred eight of this title. The board shall be  composed  of
   13  not less than twenty physicians licensed in this state for at least five
   14  years,  two of whom shall be doctors of osteopathy. The board shall also
   15  consist of not less than two physician's assistants licensed to practice
   16  in this state. The participation of physician's assistant members  shall
   17  be  limited  to  matters relating to article one hundred thirty-one-B of
   18  this [chapter] TITLE.   An executive secretary to  the  board  shall  be
   19  appointed  by the board of regents on recommendation of the commissioner
   20  and shall be either a physician licensed in this state or  a  non-physi-
   21  cian, deemed qualified by the commissioner and board of regents.
   22    2. THE STATE BOARD FOR MEDICINE SHALL PRESCRIBE THE FOLLOWING REQUIRE-
   23  MENTS  FOR  PHYSICIAN  TRAINING, BY REGULATION, IN CONSULTATION WITH THE
   24  COMMISSIONER:
   25    A. THE CURRICULUM IN EACH COLLEGE OF  MEDICINE  IN  THIS  STATE  SHALL
   26  INCLUDE  ONE  OR  MORE CULTURAL COMPETENCY COURSES WHICH ARE DESIGNED TO
   27  ADDRESS THE PROBLEM OF RACE  AND  GENDER-BASED  DISPARITIES  IN  MEDICAL
   28  TREATMENT  DECISIONS  AND ARE DEVELOPED IN CONSULTATION WITH THE ASSOCI-
   29  ATION OF AMERICAN MEDICAL  COLLEGES  OR  ANOTHER  NATIONALLY  RECOGNIZED
   30  ORGANIZATION WHICH REVIEWS MEDICAL SCHOOL CURRICULA.
   31    B. COMPLETION OF A CULTURAL COMPETENCY COURSE AS PROVIDED IN PARAGRAPH
   32  A  OF  THIS  SUBDIVISION SHALL BE REQUIRED AS A CONDITION OF RECEIVING A
   33  DIPLOMA FROM A COLLEGE OF MEDICINE IN THIS STATE.
   34    C. A COLLEGE OF MEDICINE WHICH INCLUDES A CULTURAL  COMPETENCY  COURSE
   35  AS  PROVIDED  IN  PARAGRAPH A OF THIS SUBDIVISION IN ITS CURRICULA SHALL
   36  OFFER FOR CONTINUING  EDUCATION  CREDIT,  CULTURAL  COMPETENCY  TRAINING
   37  WHICH IS PROVIDED THROUGH ONE OR MORE COURSES, WORKSHOPS OR OTHER EDUCA-
   38  TIONAL PROGRAMS SPONSORED BY THE COLLEGE AND WHICH MEETS CRITERIA ESTAB-
   39  LISHED BY THE STATE BOARD FOR MEDICINE CONSISTENT WITH THOSE FOR COURSES
   40  DEVELOPED PURSUANT TO PARAGRAPH A OF THIS SUBDIVISION.
   41    D.  A PERSON WHO RECEIVED A DIPLOMA FROM A COLLEGE OF MEDICINE IN THIS
   42  STATE PRIOR TO THE EFFECTIVE DATE OF REGULATIONS ADOPTED  BY  THE  STATE
   43  BOARD  FOR MEDICINE TO EFFECTUATE THE PURPOSES OF THIS SUBDIVISION SHALL
   44  BE REQUIRED, AS A CONDITION OF INITIAL LICENSURE BY THE STATE BOARD  FOR
   45  MEDICINE  TO  DOCUMENT  COMPLETION  OF  A  MINIMUM  OF  SIXTEEN HOURS OF
   46  CULTURAL COMPETENCY TRAINING WHICH IS OFFERED PURSUANT TO PARAGRAPH C OF
   47  THIS SUBDIVISION TO THE SATISFACTION OF THE STATE BOARD FOR MEDICINE.
   48    E. A PHYSICIAN LICENSED TO PRACTICE MEDICINE IN THIS  STATE  SHALL  BE
   49  REQUIRED,  AS  A  CONDITION  OF RELICENSURE, TO DOCUMENT COMPLETION OF A
   50  MINIMUM OF SIXTEEN  HOURS  OF  CULTURAL  COMPETENCY  TRAINING  WHICH  IS
   51  OFFERED  PURSUANT TO PARAGRAPH C OF THIS SUBDIVISION TO THE SATISFACTION
   52  OF THE STATE BOARD FOR MEDICINE NO LATER  THAN  THREE  YEARS  AFTER  THE
   53  EFFECTIVE DATE OF THIS SUBDIVISION.
   54    F.  THE  STATE  BOARD FOR MEDICINE MAY WAIVE THE REQUIREMENTS OF PARA-
   55  GRAPH D OR E OF THIS SUBDIVISION IF AN APPLICANT FOR LICENSURE OR  RELI-
   56  CENSURE,  AS  APPLICABLE,  DEMONSTRATES TO THE SATISFACTION OF THE STATE
       S. 1650                             3
    1  BOARD FOR MEDICINE THAT  THE  APPLICANT  HAS  ATTAINED  THE  SUBSTANTIAL
    2  EQUIVALENT OF THIS REQUIREMENT THROUGH COMPLETION OF A SIMILAR COURSE IN
    3  HIS  OR HER POST-SECONDARY EDUCATION WHICH MEETS CRITERIA ESTABLISHED BY
    4  REGULATION OF THE STATE BOARD FOR MEDICINE.
    5    S  3.  This  act shall take effect on the ninetieth day after it shall
    6  have become a law.
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