Bill Text: NY A04842 | 2023-2024 | General Assembly | Amended


Bill Title: Prohibits public funding to facilities or programs using aversive interventions on children; establishes a holistic autism spectrum disorder treatment center.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced) 2024-01-03 - referred to children and families [A04842 Detail]

Download: New_York-2023-A04842-Amended.html



                STATE OF NEW YORK
        ________________________________________________________________________

                                         4842--A

                               2023-2024 Regular Sessions

                   IN ASSEMBLY

                                    February 23, 2023
                                       ___________

        Introduced  by M. of A. SIMON -- read once and referred to the Committee
          on Children  and  Families  --  committee  discharged,  bill  amended,
          ordered reprinted as amended and recommitted to said committee

        AN  ACT  to  amend  the  social services law, in relation to prohibiting
          public funding to facilities  using  aversive  interventions;  and  to
          amend  the  mental hygiene law, in relation to establishing a holistic
          autism spectrum disorder treatment center

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

     1    Section  1.  Subdivisions  7,  8  and 9 of section 483-d of the social
     2  services law are renumbered subdivisions 8, 9 and 10 and a new  subdivi-
     3  sion 7 is added to read as follows:
     4    7. Aversive interventions.  (a) No public funding shall support place-
     5  ment  of  a  child  in  any program or school that engages in the use of
     6  aversive interventions on children in violation of this subdivision.   A
     7  school  or  program  using  aversive  interventions in violation of this
     8  subdivision shall be removed from any registry of  approved  schools  or
     9  programs after written notice by the member agency.
    10    (b) Definitions. As used in this subdivision:
    11    (i)  "Aversive  interventions" means an intervention known or intended
    12  to induce pain or discomfort for the purpose of eliminating or  reducing
    13  maladaptive behaviors, and include but are not limited to:
    14    (1)  contingent  application of noxious, painful, intrusive stimuli or
    15  activities;
    16    (2) any form of noxious, painful, or intrusive taste, spray, or  inha-
    17  lant;
    18    (3) withholding sleep, shelter, bedding, bathroom facilities or cloth-
    19  ing;
    20    (4)  contingent food programs that include denial or delay of meals or
    21  intentionally altering  staple  food  or  drink  in  order  to  make  it
    22  distasteful;

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD09528-03-3

        A. 4842--A                          2

     1    (5) movement limitation used as a punishment, including but not limit-
     2  ed to use of helmets and mechanical restraint devices;
     3    (6) electric shock therapy; and
     4    (7) other similar stimuli, treatments, interventions, or actions.
     5    The  foregoing to the contrary notwithstanding, aversive interventions
     6  do not include interventions such as voice  control,  limited  to  loud,
     7  firm commands; time-limited ignoring of a specific behavior; token fines
     8  as  part  of a token economy system; brief physical prompts to interrupt
     9  or prevent a specific behavior; interventions  medically  necessary  for
    10  the  treatment  or  protection  of  the student; or other similar inter-
    11  ventions.
    12    (ii) "Child" means an individual who is twenty-one  years  of  age  or
    13  less,  provided  that  a  member agency may utilize an alternative defi-
    14  nition of a child, including specifying a different age, for purposes of
    15  compliance with this subdivision, so long as such definition is standard
    16  and appropriate to its placement procedures.
    17    (iii) "Member agency" means a state agency that is  a  member  of  the
    18  out-of-state placement committee.
    19    (iv)  "Public funding" means funding for care, services, programs, and
    20  services programs which are provided or approved directly or  indirectly
    21  by  or  under  the jurisdiction of a member agency, exclusive of funding
    22  for which federal requirements or  directives  override,  supersede,  or
    23  require approval in a manner contrary to the requirements of this subdi-
    24  vision,  or  for which, in the judgment of the member agency, compliance
    25  with this subdivision would violate federal law or regulations.
    26    (v) The terms "care", "services", and  "services  programs"  have  the
    27  same  meanings  as  in  subdivision  one of section four hundred eighty-
    28  three-b of this article.
    29    (vi) "School" means  any  residential  or  non-residential  public  or
    30  private  school  located  within  or  outside  the  state  that provides
    31  instruction to  a  child  and  that:    (A)  is  subject  to  oversight,
    32  inspection,  regulation,  approval  or licensure or certification by any
    33  member agency; or (B) receives public funding, including funding for the
    34  placement of any child in such school.  School as used herein includes a
    35  public school, BOCES, charter school, preschool program, private school,
    36  state-operated or state-supported school in this state, approved out-of-
    37  state day  or  residential  school,  or  registered  nonpublic  nursery,
    38  kindergarten, elementary or secondary school in this state.
    39    (vii)  "Program"  means  any  residential or non-residential public or
    40  private program, other than a  school,  that  provides  care,  services,
    41  programs,  and  services programs to a child and that: (A) is subject to
    42  oversight, inspection, regulation,  approval  or  licensure  or  certif-
    43  ication  by any member agency; or (B) receives public funding, including
    44  funding for the placement of any child in such school.
    45    § 2. The mental hygiene law is amended by adding a new  section  13.44
    46  to read as follows:
    47  § 13.44 Holistic autism spectrum disorder treatment center.
    48    (a) There is hereby established within the children's hospital at SUNY
    49  downstate  medical  center a holistic autism spectrum disorder treatment
    50  center. The center shall focus on innovative and demonstrably  effective
    51  treatments  that avoid any of the aversive interventions as described in
    52  subdivision seven of section four hundred eighty-three-d of  the  social
    53  services  law, and that attempt, to the extent feasible, to minimize the
    54  use of prescription drugs and focus  on  complementary  and  alternative
    55  medicine.

        A. 4842--A                          3

     1    (b)  The  center  shall  also  attempt to integrate holistic treatment
     2  techniques into existing communities with special emphasis on  providing
     3  access  to  affordable  holistic care and treatment, organic and natural
     4  food regimens, family respite opportunities,  violence  prevention  best
     5  practices, and educational course coordination.
     6    (c) The holistic autism spectrum disorder treatment center shall serve
     7  as  the applied medicine focus of the autism spectrum disorders advisory
     8  board as established in section 13.42 of this article.
     9    (d) The autism spectrum disorders advisory  board  shall,  within  one
    10  year  of  the effective date of this section, recommend to the chairs of
    11  the senate and assembly health committees a minimum budget  and  funding
    12  for  the  holistic  spectrum  disorder  treatment  center  and oversee a
    13  selection search for a chair of the center.
    14    (e) The center shall also serve as a designated center  of  excellence
    15  for  research  into holistic therapies for the treatment of the array of
    16  autism spectrum disorders.
    17    (f) In order to tap fully the benefits to the people of New York state
    18  the holistic autism spectrum  disorder  treatment  center  will  require
    19  affiliation  with  and  cooperation  among  all  major centers of higher
    20  learning, including medical colleges, and existing life science research
    21  institutes in the state.  The board of trustees of the state  university
    22  is  encouraged to enter into appropriate legal agreements to enable this
    23  cooperation to prosper.
    24    § 3. Severability. If any portion of this act or the application ther-
    25  eof to any person or circumstances shall be adjudged invalid by a  court
    26  of  competent  jurisdiction, such order or judgment shall be confined in
    27  its operation to the controversy in which it was rendered, and shall not
    28  affect or invalidate the remainder of any provision of this act  or  the
    29  application of any part thereof to any other person or circumstances and
    30  to this end each of the provisions of this act are hereby declared to be
    31  separable.
    32    §  4. This act shall take effect January 1, 2024. Effective immediate-
    33  ly, the addition, amendment, and/or repeal of  any  rule  or  regulation
    34  necessary  for  the implementation of this act on its effective date are
    35  authorized to be made and completed on or before such effective date.
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