Bill Text: NY S09116 | 2023-2024 | General Assembly | Introduced


Bill Title: Provides that substituted consent by a guardian, health care proxy, or other third party shall not authorize a procedure resulting in sterilization in the absence of the informed consent of the person being sterilized.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced) 2024-04-26 - REFERRED TO HEALTH [S09116 Detail]

Download: New_York-2023-S09116-Introduced.html



                STATE OF NEW YORK
        ________________________________________________________________________

                                          9116

                    IN SENATE

                                     April 26, 2024
                                       ___________

        Introduced  by  Sen.  RIVERA -- read twice and ordered printed, and when
          printed to be committed to the Committee on Health

        AN ACT to amend the public health law, in relation  to  prohibiting  any
          substituted consent for a sterilization procedure

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

     1    Section 1. The public health law is amended by adding  a  new  section
     2  2806-c to read as follows:
     3    §  2806-c.  Substituted  consent  for sterilization prohibited.   1. A
     4  health care provider shall not perform a procedure resulting in sterili-
     5  zation without the informed consent  of  the  person  being  sterilized.
     6  Substituted  consent  by  a  guardian, health care proxy, or other third
     7  party shall not authorize a procedure resulting in sterilization in  the
     8  absence of the informed consent of the person being sterilized.
     9    2. Applicability. This section shall not apply to procedures resulting
    10  in  sterilization that are necessary to preserve the life of an individ-
    11  ual or prevent serious impairment to their physical health.
    12    3. Supported decision-making. A person with a disability may voluntar-
    13  ily and without undue influence or coercion enter into a supported deci-
    14  sion-making agreement when  considering  a  sterilization  procedure.  A
    15  supported  decision-making  agreement  shall  authorize  a  supporter to
    16  assist the person with a disability with any or all of the following, as
    17  determined by the person with a disability, without making the  decision
    18  on behalf of the individual with a disability:
    19    a.  Understand the nature, benefits, risks, and consequences of steri-
    20  lization and available alternatives;
    21    b. Access, collect, and obtain information relevant  to  the  decision
    22  regarding sterilization, including medical, psychological, financial, or
    23  treatment records;
    24    c.  Understand the information described in paragraph b of subdivision
    25  four of this section; and
    26    d. Communicate the person with a disability's choice of a health  care
    27  provider  or  other  appropriate  person,  if necessary and specifically
    28  requested by the individual.

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD06960-01-3

        S. 9116                             2

     1    4. Obligations of health care providers. a.  A  health  care  provider
     2  shall  provide  the information and accommodations a person with a disa-
     3  bility needs to understand the procedure resulting in sterilization,  to
     4  make  their  own decision, and to avoid undue pressure or coercion. Such
     5  information and accommodations may include but are not limited to:
     6    (i) Providing explanations in a language or format the individual with
     7  a disability understands;
     8    (ii)  Using  pictures,  demonstrations, videos, models, or other tech-
     9  niques that may assist the individual to understand their options; or
    10    (iii) Ascertaining the wishes of the individual without  the  presence
    11  of a guardian, family member, or caregiver.
    12    b.  A  health  care provider shall not perform a sterilization if they
    13  reasonably believe that the person with a disability lacks the  capacity
    14  to  provide  informed  consent  even with accommodations and supports. A
    15  health care provider shall not presume that a person with  a  disability
    16  lacks the capacity to provide informed consent solely on the basis of:
    17    (i) their disability or diagnosis;
    18    (ii) their use of supported decision-making;
    19    (iii) their current or former placement under guardianship; or
    20    (iv) a court's adjudication that the individual is incapacitated in an
    21  area other than health care decision-making.
    22    5. Definitions. As used in this section the following terms shall have
    23  the following meanings:
    24    a.  "Person  with  a disability" means any person with a disability as
    25  that term is defined in subdivision twenty-one of  section  two  hundred
    26  ninety-two of the executive law.
    27    b.  "Supporter"  means  a person who is not a person with a disability
    28  who enters into a supported decision-making agreement with a person with
    29  a disability.
    30    c. "Health care provider" shall mean a practitioner in  an  individual
    31  practice, group practice, partnership, professional corporation or other
    32  authorized form of association, a hospital or other health care institu-
    33  tion  issued  an  operating  certificate pursuant to this chapter or the
    34  mental hygiene law, a certified home health agency or  a  licensed  home
    35  care services agency, and any other purveyor of health or health related
    36  items  or services including but not limited to a clinical laboratory, a
    37  physiological laboratory, a pharmacy, a purveyor  of  X-ray  or  imaging
    38  services,  a purveyor of physical therapy services, a purveyor of health
    39  or health related supplies, appliances or  equipment,  or  an  ambulance
    40  service.
    41    §  2.  This  act shall take effect on the ninetieth day after it shall
    42  have become a law.
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