S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                         1823
                              2009-2010 Regular Sessions
                                 I N  A S S E M B L Y
                                   January 12, 2009
                                      ___________
       Introduced  by M. of A. WRIGHT, BENJAMIN, ZEBROWSKI, ESPAILLAT -- Multi-
         Sponsored by -- M. of A. BOYLAND, HIKIND, TOWNS,  WEISENBERG  --  read
         once and referred to the Committee on Health
       AN  ACT  to  amend  the  public  health law, in relation to tuberculosis
         screening, outreach and services and making an appropriation therefor
         THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section  1.  Title 2 of article 22 of the public health law is amended
    2  by adding a new section 2220 to read as follows:
    3    S 2220. TUBERCULOSIS SCREENING, OUTREACH AND SERVICES. 1. THE  DEPART-
    4  MENT  SHALL  ESTABLISH  A PROGRAM, OR ENHANCE EXISTING PROGRAMS, FOR THE
    5  PREVENTION, EARLY DIAGNOSIS AND TREATMENT OF CASES  OF  TUBERCULOSIS  IN
    6  AREAS  OF  THE  STATE  WHERE  THE  INCIDENCE OF TUBERCULOSIS PREVAILS AT
    7  EPIDEMIC LEVELS. SUCH PROGRAM SHALL PROVIDE A STANDARDIZED LEVEL OF CARE
    8  FOR THE SYSTEMATIC, ROUTINE AND PERIODIC EXAMINATION OF MEN, WOMEN,  AND
    9  CHILDREN RESIDING IN SUCH AREAS.
   10    2. ANY PHYSICIAN, HEALTH CARE PROFESSIONAL, OR HEALTH ORGANIZATION WHO
   11  DIAGNOSES  A  CASE OR PROBABLE CASE OF TUBERCULOSIS SHALL MAKE A WRITTEN
   12  REPORT OF SUCH FINDING (I) TO THE PARENT OR  GUARDIAN  OF  THE  AFFECTED
   13  CHILD  OR  TO  THE  AFFECTED  ADULT, AS THE CASE MAY BE, AND (II) TO THE
   14  LOCAL COMMISSIONER OF HEALTH  OR  PUBLIC  HEALTH  DIRECTOR  AND  TO  THE
   15  COMMISSIONER. THE LOCAL COMMISSIONER OF HEALTH OR PUBLIC HEALTH DIRECTOR
   16  SHALL  CAUSE  TO  BE  EXAMINED OTHER FAMILY AND HOUSEHOLD MEMBERS OF THE
   17  AFFECTED PERSON EVERY YEAR FOR THREE YEARS OR SUCH OTHER PERIOD OF  TIME
   18  AS  THE  COMMISSIONER  SHALL  DEEM  ADVISABLE. THE LOCAL COMMISSIONER OF
   19  HEALTH OR PUBLIC HEALTH DIRECTOR SHALL ADVISE OTHER FAMILY AND HOUSEHOLD
   20  MEMBERS OF THE AFFECTED PERSON OF THE SERIOUSNESS OF THE DISEASE, OF THE
   21  NEED TO TAKE APPROPRIATE SANITARY MEASURES, OF  THE  NEED  TO  TAKE  ALL
   22  PRESCRIBED  MEDICATION, OF THE MEANS OF TRANSMISSION OF THE DISEASE, AND
   23  OF OTHER APPROPRIATE PRECAUTIONARY MEASURES.
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD00222-01-9
       A. 1823                             2
    1    3. THE COMMISSIONER, THROUGH LOCAL COMMISSIONERS OF HEALTH AND  PUBLIC
    2  HEALTH DIRECTORS, SHALL ESTABLISH, IN AREAS OF EPIDEMIC, A COMPREHENSIVE
    3  PROGRAM,   OR  EXPAND  EXISTING  PROGRAMS,  FOR  INCREASED  TUBERCULOSIS
    4  OUTREACH  AND  SCREENING,  UPGRADED  TUBERCULOSIS  REGISTRIES,  ENHANCED
    5  FOLLOW-UP  ON TUBERCULOSIS CASE REPORTS, INCREASED CONTACT INVESTIGATION
    6  WITH CASE MANAGEMENT, AND IMPROVED FOLLOW-UP ON  CONTINUED  TUBERCULOSIS
    7  TREATMENT  FOR POSITIVE CASES, INCLUDING PREVENTIVE MEDICATION AND REGU-
    8  LAR SCREENING FOR HIGH RISK CASES.
    9    4. THE COMMISSIONER, AND LOCAL  COMMISSIONERS  OF  HEALTH  AND  PUBLIC
   10  HEALTH  DIRECTORS  SHALL  DEVELOP  AND IMPLEMENT, OR ENHANCE AND FURTHER
   11  IMPLEMENT, IN AREAS OF EPIDEMIC,  A  PROGRAM  FOR  THE  DISBURSEMENT  OF
   12  GRANTS  TO  FACILITIES  SUBJECT TO ARTICLE TWENTY-EIGHT OF THIS CHAPTER,
   13  LOCAL AND STATE CORRECTIONAL FACILITIES, AND OTHER APPROPRIATE  COMMUNI-
   14  TY-BASED   ORGANIZATIONS,  INCLUDING  REPRODUCTIVE  HEALTH  CLINICS  AND
   15  SERVICES, FOR THE PURPOSES OF PROVIDING THE SERVICES SET FORTH IN SUBDI-
   16  VISION THREE OF THIS SECTION.
   17    5. THE COMMISSIONER MAY PROMULGATE SUCH RULES AND REGULATIONS  AS  ARE
   18  NECESSARY TO CARRY OUT THE PROVISIONS OF THIS SECTION.
   19    S 2. The sum of eight million dollars ($8,000,000), or so much thereof
   20  as  may be necessary, is hereby appropriated to the department of health
   21  from any moneys in the state treasury in the general fund to the  credit
   22  of  the  local  assistance  account  not  otherwise appropriated for the
   23  purposes of making grants provided for by the provisions  of  this  act.
   24  Such  sum  shall  be payable on the audit and warrant of the state comp-
   25  troller on vouchers certified or approved by the commissioner of health,
   26  or his duly designated representative in the manner provided by law.  No
   27  expenditure shall be made from this appropriation until a certificate of
   28  approval  of  availability shall have been issued by the director of the
   29  budget and filed with the state comptroller and a copy  filed  with  the
   30  chairman  of the senate finance committee and the chairman of the assem-
   31  bly ways and means committee.  Such certificate may be amended from time
   32  to time by the director of the budget and a copy of each such  amendment
   33  shall  be  filed  with the state comptroller, the chairman of the senate
   34  finance committee and the  chairman  of  the  assembly  ways  and  means
   35  committee.
   36    S 3. This act shall take effect immediately.