Bill Text: NY S03793 | 2017-2018 | General Assembly | Amended
Bill Title: Provides for dispensing emergency contraception under certain conditions.
Spectrum: Partisan Bill (Democrat 9-0)
Status: (Introduced - Dead) 2018-01-24 - PRINT NUMBER 3793A [S03793 Detail]
Download: New_York-2017-S03793-Amended.html
STATE OF NEW YORK ________________________________________________________________________ 3793--A 2017-2018 Regular Sessions IN SENATE January 27, 2017 ___________ Introduced by Sens. KRUEGER, AVELLA, BAILEY, HOYLMAN, MONTGOMERY, PARK- ER, SERRANO, STAVISKY -- read twice and ordered printed, and when printed to be committed to the Committee on Higher Education -- recom- mitted to the Committee on Higher Education in accordance with Senate Rule 6, sec. 8 -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee AN ACT to amend the education law, the insurance law and the public health law, in relation to providing for dispensing emergency contra- ception under certain conditions The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Short title. This act shall be known and may be cited as 2 the "unintended pregnancy prevention act". 3 § 2. Legislative findings. The United States Food and Drug Adminis- 4 tration (FDA) has declared emergency contraceptive drugs to be safe and 5 effective. There is neither medical nor public health research that 6 validates an age restriction on access to emergency contraception (EC). 7 Furthermore, no specific medical conditions preclude a woman from using 8 EC. The only contraindication to EC use is pregnancy itself, not because 9 it represents a danger to the woman or to the embryo but because it 10 would be inefficient in preventing the pregnancy. Pregnancy prevention, 11 not abortion, is caused by the use of emergency contraceptive drugs. 12 The legislature deems it necessary to guarantee immediate access to EC 13 to all, especially young women. Nearly thirty percent of United States 14 teenage girls become pregnant before reaching twenty years of age. Teens 15 are more likely than adults to experience contraceptive failure, which 16 may lead to unintended pregnancies and consequently dangerous medical 17 issues for both mother and baby. 18 The legislature deems it necessary to create a structure for simplify- 19 ing access to EC for these women, while respecting and preserving the 20 prescribing scope of practice for physicians, nurse practitioners, and EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD07629-03-8S. 3793--A 2 1 midwives; the treating and case-finding scope of practice of registered 2 professional nurses; and the dispensing scope of practice of pharma- 3 cists. This act does not alter the scope of such professions, nor does 4 this legislation interfere with non-prescription access to EC where it 5 is otherwise lawful. 6 § 3. Subdivision 6 of section 6527 of the education law, as added by 7 chapter 573 of the laws of 1999, paragraph (c) as amended by chapter 464 8 of the laws of 2015, paragraph (d) as added by chapter 429 of the laws 9 of 2005, paragraph (e) as added by chapter 352 of the laws of 2014, 10 paragraph (f) as added by section 6 of part V of chapter 57 of the laws 11 of 2015 and paragraph (g) as added by chapter 502 of the laws of 2016, 12 is amended to read as follows: 13 6. A licensed physician may prescribe and order a non-patient specific 14 regimen [to a registered professional nurse], pursuant to regulations 15 promulgated by the commissioner, and consistent with the public health 16 law, [for] to: 17 (a) a registered professional nurse for: 18 (i) administering immunizations[.]; 19 [(b)] (ii) the emergency treatment of anaphylaxis[.]; 20 [(c)] (iii) administering purified protein derivative (PPD) tests or 21 other tests to detect or screen for tuberculosis infections[.]; 22 [(d)] (iv) administering tests to determine the presence of the human 23 immunodeficiency virus[.]; 24 [(e)] (v) administering tests to determine the presence of the hepati- 25 tis C virus[.]; 26 [(f)] (vi) the urgent or emergency treatment of opioid related over- 27 dose or suspected opioid related overdose[.]; 28 [(g)] (vii) screening of persons at increased risk of syphilis, gonor- 29 rhea and chlamydia[.]; 30 (viii) emergency contraception, to be administered to or dispensed to 31 be self-administered by the patient, under section sixty-eight hundred 32 thirty-two of this title; or 33 (b) A licensed pharmacist, for dispensing emergency contraception, to 34 be self-administered by the patient, under section sixty-eight hundred 35 thirty-two of this title. 36 § 4. Subdivision 3 of section 6807 of the education law, as added by 37 chapter 573 of the laws of 1999, is amended and a new subdivision 4 is 38 added to read as follows: 39 3. A pharmacist may dispense drugs and devices to a registered profes- 40 sional nurse, and a registered professional nurse may possess and admin- 41 ister, drugs and devices, pursuant to a non-patient specific regimen 42 prescribed or ordered by a licensed physician, licensed midwife or 43 certified nurse practitioner, pursuant to regulations promulgated by the 44 commissioner and the public health law. 45 4. A licensed pharmacist may dispense a non-patient specific regimen 46 of emergency contraception, to be self-administered by the patient, 47 prescribed or ordered by a licensed physician, certified nurse practi- 48 tioner, or licensed midwife, under section sixty-eight hundred thirty- 49 two of this article. 50 § 5. The education law is amended by adding a new section 6832 to read 51 as follows: 52 § 6832. Emergency contraception; non-patient specific prescription or 53 order. 1. As used in this section, the following terms shall have the 54 following meanings, unless the context requires otherwise: 55 (a) "Emergency contraception" means one or more prescription or non- 56 prescription drugs, used separately or in combination, in a dosage andS. 3793--A 3 1 manner for preventing pregnancy when used after intercourse, found safe 2 and effective for that use by the United States food and drug adminis- 3 tration, and dispensed or administered for that purpose. 4 (b) "Prescriber" means a licensed physician, certified nurse practi- 5 tioner or licensed midwife. 6 2. This section applies to the administering or dispensing of emergen- 7 cy contraception by a registered professional nurse or licensed pharma- 8 cist pursuant to a prescription or order for a non-patient specific 9 regimen made by a prescriber under section sixty-five hundred twenty- 10 seven, sixty-nine hundred nine or sixty-nine hundred fifty-one of this 11 title. This section does not apply to administering or dispensing emer- 12 gency contraception when lawfully done without such a prescription or 13 order. 14 3. The administering or dispensing of emergency contraception by a 15 registered professional nurse or licensed pharmacist shall be done in 16 accordance with professional standards of practice and in accordance 17 with written procedures and protocols agreed to by the registered 18 professional nurse or licensed pharmacist and the prescriber or a hospi- 19 tal (licensed under article twenty-eight of the public health law) that 20 provides gynecological or family planning services. 21 4. (a) When emergency contraception is administered or dispensed, the 22 registered professional nurse or licensed pharmacist shall provide to 23 the patient written material that includes: (i) the clinical consider- 24 ations and recommendations for use of the drug; (ii) the appropriate 25 method for using the drug; (iii) information on the importance of 26 follow-up health care; (iv) information on the health risks and other 27 dangers of unprotected intercourse; and (v) referral information relat- 28 ing to health care and services relating to sexual abuse and domestic 29 violence. 30 (b) Such written material shall be developed or approved by the 31 commissioner in consultation with the department of health and the Amer- 32 ican college of obstetricians and gynecologists. 33 § 6. Subdivision 4 of section 6909 of the education law, as added by 34 chapter 573 of the laws of 1999, paragraph (a) as amended by chapter 221 35 of the laws of 2002, paragraph (c) as amended by chapter 464 of the laws 36 of 2015, paragraph (d) as added by chapter 429 of the laws of 2005, 37 paragraph (e) as added by chapter 352 of the laws of 2014, paragraph (f) 38 as added by section 5 of part V of chapter 57 of the laws of 2015 and 39 paragraph (g) as added by chapter 502 of the laws of 2016, is amended to 40 read as follows: 41 4. A certified nurse practitioner may prescribe and order a non-pa- 42 tient specific regimen [to a registered professional nurse], pursuant to 43 regulations promulgated by the commissioner, consistent with subdivision 44 three of section six thousand nine hundred two of this article, and 45 consistent with the public health law, [for] to: 46 (a) a registered professional nurse for: 47 (i) administering immunizations[.]; 48 [(b)](ii) the emergency treatment of anaphylaxis[.]; 49 [(c)](iii) administering purified protein derivative (PPD) tests or 50 other tests to detect or screen for tuberculosis infections[.]; 51 [(d)](iv) administering tests to determine the presence of the human 52 immunodeficiency virus[.]; 53 [(e)](v) administering tests to determine the presence of the hepati- 54 tis C virus[.]; 55 [(f)](vi) the urgent or emergency treatment of opioid related overdose 56 or suspected opioid related overdose[.];S. 3793--A 4 1 [(g)](vii) screening of persons at increased risk for syphilis, gonor- 2 rhea and chlamydia[.]; 3 (viii) emergency contraception, to be administered to or dispensed to 4 be self-administered by the patient, under section sixty-eight hundred 5 thirty-two of this title; or 6 (b) a licensed pharmacist, for dispensing emergency contraception, to 7 be self-administered by the patient, under section sixty-eight hundred 8 thirty-two of this title. 9 § 7. Subdivision 5 of section 6909 of the education law, as added by 10 chapter 573 of the laws of 1999, is amended to read as follows: 11 5. A registered professional nurse may execute a non-patient specific 12 regimen prescribed or ordered by a licensed physician, licensed midwife 13 or certified nurse practitioner, pursuant to regulations promulgated by 14 the commissioner. 15 § 8. Section 6951 of the education law is amended by adding a new 16 subdivision 4 to read as follows: 17 4. A licensed midwife may prescribe and order a non-patient specific 18 regimen pursuant to regulations promulgated by the commissioner, 19 consistent with this section and the public health law, to: 20 (a) a registered professional nurse for emergency contraception, to be 21 administered to or dispensed to be self-administered by the patient, 22 under section sixty-eight hundred thirty-two of this title; or 23 (b) a licensed pharmacist, for dispensing emergency contraception, to 24 be self-administered by the patient, under section sixty-eight hundred 25 thirty-two of this title. 26 § 9. Section 3216 of the insurance law is amended by adding a new 27 subsection (n) to read as follows: 28 (n) Any policy under this article that covers contraception when 29 provided pursuant to a prescription shall cover emergency contraception 30 as defined in paragraph (a) of subdivision one of section sixty-eight 31 hundred thirty-two of the education law, when provided pursuant to an 32 ordinary prescription or order under section sixty-eight hundred thir- 33 ty-two of the education law and when lawfully provided other than 34 through a prescription or order. 35 § 10. Section 3221 of the insurance law is amended by adding a new 36 subsection (t) to read as follows: 37 (t) Any policy under this article that covers contraception when 38 provided pursuant to a prescription, shall cover emergency contraception 39 as defined in paragraph (a) of subdivision one of section sixty-eight 40 hundred thirty-two of the education law, when provided pursuant to an 41 ordinary prescription or order under section sixty-eight hundred thir- 42 ty-two of the education law and when lawfully provided other than 43 through a prescription or order. 44 § 11. Section 4304 of the insurance law is amended by adding a new 45 subsection (n) to read as follows: 46 (n) Any policy under this article that covers contraception when 47 provided pursuant to a prescription, shall cover emergency contraception 48 as defined in paragraph (a) of subdivision one of section sixty-eight 49 hundred thirty-two of the education law, when provided pursuant to an 50 ordinary prescription or order under section sixty-eight hundred thir- 51 ty-two of the education law and when lawfully provided other than 52 through a prescription or order. 53 § 12. Subdivision 1 of section 207 of the public health law is amended 54 by adding a new paragraph (o) to read as follows: 55 (o) Emergency contraception, including information about its safety, 56 efficacy, appropriate use and availability.S. 3793--A 5 1 § 13. This act shall take effect on the one hundred eightieth day 2 after it shall have become a law; provided, however, that sections nine, 3 ten and eleven of this act shall apply to policies and contracts issued, 4 renewed, modified, altered or amended on or after such effective date. 5 The commissioner of education is authorized to promulgate any and all 6 rules and regulations and take any other measures necessary to implement 7 this act on its effective date on or before such effective date.
