Bill Text: NY A06308 | 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 6-0)

Status: (Introduced) 2024-01-03 - referred to health [A06308 Detail]

Download: New_York-2023-A06308-Introduced.html



                STATE OF NEW YORK
        ________________________________________________________________________

                                          6308

                               2023-2024 Regular Sessions

                   IN ASSEMBLY

                                      April 3, 2023
                                       ___________

        Introduced  by  M. of A. GONZALEZ-ROJAS -- read once and referred 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

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

        A. 6308                             2

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