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.