Bill Text: NY S05024 | 2021-2022 | General Assembly | Amended


Bill Title: Provides for prevention and screening for elevated lead levels in children.

Spectrum: Partisan Bill (Democrat 14-0)

Status: (Passed) 2022-08-17 - SIGNED CHAP.532 [S05024 Detail]

Download: New_York-2021-S05024-Amended.html



                STATE OF NEW YORK
        ________________________________________________________________________

                                         5024--D
            Cal. No. 275

                               2021-2022 Regular Sessions

                    IN SENATE

                                    February 22, 2021
                                       ___________

        Introduced by Sens. RIVERA, KENNEDY, BIAGGI, BROUK, GAUGHRAN, GOUNARDES,
          HOYLMAN,  JACKSON,  MAY,  RAMOS,  SANDERS, SEPULVEDA -- read twice and
          ordered printed, and when printed to be committed to the Committee  on
          Health  --  committee  discharged,  bill amended, ordered reprinted as
          amended and recommitted to said committee -- reported  favorably  from
          said  committee, ordered to first and second report, amended on second
          report, ordered to a third reading, and to be  reprinted  as  amended,
          retaining  its  place  in the order of third reading -- recommitted to
          the Committee on Health in accordance with Senate Rule 6,  sec.  8  --
          committee  discharged,  bill amended, ordered reprinted as amended and
          recommitted to said committee -- reported favorably from said  commit-
          tee,  ordered  to first and second report, ordered to a third reading,
          amended and ordered reprinted, retaining its place  in  the  order  of
          third reading

        AN  ACT  to  amend  the public health law, in relation to prevention and
          screening for elevated lead levels in children

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

     1    Section 1. This act shall be known and may be cited as "Dakota's Law".
     2    §  2. Paragraphs (c) and (d) of subdivision 2 of section 1370-a of the
     3  public health law, paragraph (c) as amended by section 4 of  part  A  of
     4  chapter  58  of  the laws of 2009, and paragraph (d) as added by chapter
     5  485 of the laws of 1992, are amended and two new paragraphs (e) and  (f)
     6  are added to read as follows:
     7    (c) establish a statewide registry of lead levels of children provided
     8  such information is maintained as confidential except for (i) disclosure
     9  for  medical  treatment  purposes;  (ii)  disclosure  of non-identifying
    10  epidemiological data; and (iii)  disclosure  of  information  from  such
    11  registry to the statewide immunization information system established by
    12  section twenty-one hundred sixty-eight of this chapter; [and]

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD09876-11-2

        S. 5024--D                          2

     1    (d)  develop  and  implement  public  education and community outreach
     2  programs on lead exposure, detection and risk reduction[.];
     3    (e)  require  primary  health  care providers to provide the parent or
     4  guardian of each child under six years of age anticipatory  guidance  on
     5  lead  poisoning  prevention  as  part of routine care, including but not
     6  limited to contact information for the state-designated  childhood  lead
     7  poisoning primary prevention program serving their county; and
     8    (f) develop and update as necessary, in consultation with the New York
     9  state advisory council on lead poisoning prevention, a standardized lead
    10  exposure  risk  assessment  questionnaire that shall be available on the
    11  department's website for primary health care providers to utilize pursu-
    12  ant to subdivision two-a of section thirteen hundred seventy-c  of  this
    13  title.
    14    §  3.  Section  1370-c of the public health law is amended by adding a
    15  new subdivision 2-a to read as follows:
    16    2-a. Every primary health care provider shall conduct a lead  exposure
    17  risk  assessment questionnaire provided by the department for each child
    18  who is at least six months of age and continuing until six years of  age
    19  at  each  routine  well-child visit, or at least annually if a child has
    20  not had routine well-child visits.
    21    § 4. Section 1370-d of the public health law, as added by chapter  485
    22  of the laws of 1992, is amended to read as follows:
    23    §  1370-d.  Lead screening of child care [or], pre-school, pre-kinder-
    24  garten or kindergarten enrollees. 1.  Except  as  provided  pursuant  to
    25  regulations  of  the  department,  each  child care provider, public and
    26  private  nursery  school  [and],  pre-school,  and  pre-kindergarten  or
    27  kindergarten licensed, certified or approved by any state or local agen-
    28  cy  shall, prior to or within three months after initial enrollment of a
    29  child under six years of age, obtain from a parent or  guardian  of  the
    30  child evidence that said child has been screened for lead.
    31    2. Whenever there exists no evidence of lead screening as provided for
    32  in  subdivision  one of this section or other acceptable evidence of the
    33  child's screening for lead, the child care provider, principal, teacher,
    34  owner or person in charge of the nursery  school  [or],  pre-school,  or
    35  pre-kindergarten or kindergarten shall provide the parent or guardian of
    36  the  child  with  information  on  lead  poisoning  in children and lead
    37  poisoning prevention and refer the parent or guardian to a primary  care
    38  provider or the local health authority.
    39    3.  (a)  If  any  parent or guardian to such child is unable to obtain
    40  lead testing, such person may present such child to the  health  officer
    41  of  the  county  in  which  the child resides, who shall then perform or
    42  arrange for the required screening.
    43    (b) The local public health district shall develop and implement a fee
    44  schedule for households with incomes in excess of two hundred percent of
    45  the federal poverty level for lead screening  pursuant  to  section  six
    46  hundred  six  of  this  chapter,  which  shall vary depending on patient
    47  household income.
    48    § 5. Paragraph (d) of subdivision 8 of  section  2168  of  the  public
    49  health  law, as amended by chapter 154 of the laws of 2013, subparagraph
    50  (i) as amended by chapter 733 of the laws of 2021, is amended to read as
    51  follows:
    52    (d) The following authorized users shall have access to the  statewide
    53  immunization  information  system and the blood lead information in such
    54  system and the citywide immunization registry for the purposes stated in
    55  this paragraph:  (i) schools for the purpose of  verifying  immunization
    56  status  for  eligibility  for admission, for the purpose of confirming a

        S. 5024--D                          3

     1  student has been screened for lead when enrolling in  child  care,  pre-
     2  school,  pre-kindergarten  or  kindergarten,  and  for  the provision of
     3  appropriate educational materials developed by the  department  pursuant
     4  to  section thirteen hundred seventy-a of this chapter on the dangers of
     5  lead exposure, and the health risks associated with elevated blood  lead
     6  levels to the parents or legal guardians of the student with an elevated
     7  blood  lead level, as such term is defined in subdivision six of section
     8  thirteen hundred seventy of this chapter,  as  well  as  information  on
     9  programs  that  may be available to the student and the parents or legal
    10  guardians of the student, provided  that,  for  every  school  that  has
    11  applied  for and been granted access to identifiable registrant informa-
    12  tion pursuant to this subdivision, the department shall  make  available
    13  the  capability  to  batch download sets of immunization records of only
    14  those children under their administrative responsibility; (ii)  colleges
    15  for  verifying  immunization status for eligibility for admission; (iii)
    16  professional and technical schools for verifying immunization status for
    17  eligibility for admission; (iv) children's overnight  camps  and  summer
    18  day  camps for verifying immunization status of children attending camp;
    19  (v) third party payer for performing quality  assurance,  accountability
    20  and  outreach,  relating  to enrollees covered by the third party payer;
    21  (vi) commissioners of local social services districts with regard  to  a
    22  child  in his/her legal custody; (vii) the commissioner of the office of
    23  children and family services with regard  to  children  in  their  legal
    24  custody,  and  for quality assurance and accountability of commissioners
    25  of local social services districts, care and treatment  of  children  in
    26  the  custody  of  commissioners  of local social services districts; and
    27  (viii) WIC programs for the purposes of verifying immunization and  lead
    28  testing status for those seeking or receiving services.
    29    § 6. This act shall take effect immediately.
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