Bill Text: NY S08519 | 2023-2024 | General Assembly | Introduced


Bill Title: Authorizes certain nursing students to administer certain vaccines pursuant to patient specific orders or non-patient specific orders; authorizes physicians and certified nurse practitioners to prescribe and order a patient specific order or non-patient specific order to a nursing student to administer certain vaccines.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced) 2024-02-08 - REFERRED TO HIGHER EDUCATION [S08519 Detail]

Download: New_York-2023-S08519-Introduced.html



                STATE OF NEW YORK
        ________________________________________________________________________

                                          8519

                    IN SENATE

                                    February 8, 2024
                                       ___________

        Introduced  by  Sen. SKOUFIS -- read twice and ordered printed, and when
          printed to be committed to the Committee on Higher Education

        AN ACT to amend the education law and the public health law, in relation
          to authorizing certain nursing students to administer certain vaccines
          pursuant to patient specific orders or non-patient specific orders and
          authorizing physicians and certified nurse practitioners to  prescribe
          and  order a patient specific order or non-patient specific order to a
          nursing student to administer certain vaccines

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

     1    Section  1.  Section  6901 of the education law is amended by adding a
     2  new subdivision 4 to read as follows:
     3    4. "Nursing student" shall mean any person either receiving an  educa-
     4  tion  in nursing or who has completed an education in nursing within the
     5  prior year, where completing such education in nursing may  permit  such
     6  person to be granted licensure under this article in accordance with the
     7  applicable commissioner's regulations.
     8    § 2. The education law is amended by adding a new section 6913 to read
     9  as follows:
    10    §  6913.  Vaccination by nursing students. 1. Any nursing student may,
    11  pursuant to a patient specific order or  a  non-patient  specific  order
    12  under  sections  sixty-nine  hundred nine and sixty-five hundred twenty-
    13  seven of this title while overseen or  approved  by  the  department  of
    14  health or local health departments and operated under the medical super-
    15  vision  of licensed physicians, licensed physician assistants, or certi-
    16  fied nurse practitioners: (a)  administering  immunizations  to  prevent
    17  influenza  to  patients two years of age or older; and (b) administering
    18  immunizations to prevent pneumococcal, acute herpes zoster, hepatitis A,
    19  hepatitis B, human papillomavirus, measles, mumps,  rubella,  varicella,
    20  COVID-19,  meningococcal,  tetanus,  diphtheria or pertussis disease and
    21  medications required for emergency treatment of anaphylaxis to  patients
    22  eighteen  years  of  age or older; and (c) administering other immuniza-
    23  tions recommended by the advisory committee on immunization practices of
    24  the centers for disease control and  prevention  for  patients  eighteen

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD13286-01-3

        S. 8519                             2

     1  years of age or older if the commissioner of health in consultation with
     2  the  commissioner determines that an immunization: (i) (A) may be safely
     3  administered by a licensed pharmacist within their lawful scope of prac-
     4  tice;  and  (B)  is  needed  to prevent the transmission of a reportable
     5  communicable disease that is prevalent in New York state; or (ii)  is  a
     6  recommended  immunization  for  such patients who: (A) meet age require-
     7  ments, (B) lack documentation of such immunization, (C) lack evidence of
     8  past infection, or (D) have an additional risk factor or  another  indi-
     9  cation  as  recommended  by the advisory committee on immunization prac-
    10  tices of the centers for disease control and prevention.
    11    2. Prior to  administering  immunizations,  a  nursing  student  shall
    12  receive  training  in  the following areas, as determined by the commis-
    13  sioner of health after consultation with the commissioner:
    14    (a) techniques, indications, precautions, contraindications, infection
    15  control practices;
    16    (b) use of personal protective equipment  sufficient  to  provide  the
    17  basic level of competence for such tasks; and
    18    (c)  a  current  certificate  in  basic cardiopulmonary resuscitation,
    19  which at a minimum must include a certification in basic cardiopulmonary
    20  resuscitation by an online program that has received accreditation  from
    21  the  American Nurses Credentialing Center, the Accreditation Council for
    22  Pharmacy Education (ACPE), or the Accreditation Council  for  Continuing
    23  Medical Education.
    24    3. When a nursing student administers an immunization, they shall:
    25    (a)  report  such  administration  to  the department of health either
    26  through the statewide immunization information system  or  the  citywide
    27  immunization  registry  under  section twenty-one hundred sixty-eight of
    28  the public health law; and
    29    (b) prior to administering the immunization, inform  the  patient  or,
    30  where applicable, the person legally responsible for the patient, on the
    31  importance of having a primary health care practitioner.
    32    §  3.  Paragraph  (b)  of  subdivision 3 of section 2168 of the public
    33  health law is amended by adding a new  subparagraph  (iii)  to  read  as
    34  follows:
    35    (iii)  A nursing student, as defined in section sixty-nine hundred one
    36  of the education law, who administers  a  vaccine  pursuant  to  section
    37  sixty-nine  hundred  thirteen  of the education law to a person nineteen
    38  years of age or older shall, with the consent of  the  vaccinee,  report
    39  all  such  immunizations to the department in a format prescribed by the
    40  commissioner within fourteen days of administration  of  such  immuniza-
    41  tions.  A  nursing student, as defined in section sixty-nine hundred one
    42  of the education law, who administers  a  vaccine  pursuant  to  section
    43  sixty-nine  hundred  thirteen  of the education law to a person nineteen
    44  years of age or older in the city of New York shall, with the consent of
    45  the vaccinee, report in a format prescribed by  the  city  of  New  York
    46  commissioner of health and mental hygiene, all such immunizations to the
    47  citywide immunization registry.
    48    §  4.  Section  6527  of  the education law is amended by adding a new
    49  subdivision 7-b to read as follows:
    50    7-b. A licensed physician may prescribe and order a  patient  specific
    51  order  or  a non-patient specific order to a nursing student, as defined
    52  in section sixty-nine hundred one of this title, pursuant to regulations
    53  made by the commissioner, and consistent with  the  public  health  law,
    54  for:  (a)  administering  immunizations to prevent influenza to patients
    55  two years of age  or  older;  and  (b)  administering  immunizations  to
    56  prevent  pneumococcal,  acute  herpes  zoster, hepatitis A, hepatitis B,

        S. 8519                             3

     1  human papillomavirus,  measles,  mumps,  rubella,  varicella,  COVID-19,
     2  meningococcal,  tetanus, diphtheria or pertussis disease and medications
     3  required for emergency treatment of  anaphylaxis  to  patients  eighteen
     4  years  of age or older; and (c) administering other immunizations recom-
     5  mended by the  advisory  committee  on  immunization  practices  of  the
     6  centers  for  disease control and prevention for patients eighteen years
     7  of age or older if the commissioner of health in consultation  with  the
     8  commissioner  determines  that  an  immunization:  (i) (A) may be safely
     9  administered by a licensed pharmacist within their lawful scope of prac-
    10  tice; and (B) is needed to prevent  the  transmission  of  a  reportable
    11  communicable  disease  that is prevalent in New York state; or (ii) is a
    12  recommended immunization for such patients who: (A)  meet  age  require-
    13  ments, (B) lack documentation of such immunization, (C) lack evidence of
    14  past  infection,  or (D) have an additional risk factor or another indi-
    15  cation as recommended by the advisory committee  on  immunization  prac-
    16  tices of the centers for disease control and prevention.
    17    §  5.  Section  6909  of  the education law is amended by adding a new
    18  subdivision 7-a to read as follows:
    19    7-a. A certified nurse practitioner may prescribe and order a  patient
    20  specific  order  or  a  non-patient  specific order to a nursing student
    21  pursuant to regulations made by the commissioner,  and  consistent  with
    22  the  public  health law, for: (a) administering immunizations to prevent
    23  influenza to patients two years of age or older; and  (b)  administering
    24  immunizations to prevent pneumococcal, acute herpes zoster, hepatitis A,
    25  hepatitis  B,  human papillomavirus, measles, mumps, rubella, varicella,
    26  COVID-19, meningococcal, tetanus, diphtheria or  pertussis  disease  and
    27  medications  required for emergency treatment of anaphylaxis to patients
    28  eighteen years of age or older; and (c)  administering  other  immuniza-
    29  tions recommended by the advisory committee on immunization practices of
    30  the  centers  for  disease  control and prevention for patients eighteen
    31  years of age or older if the commissioner of health in consultation with
    32  the commissioner determines that an immunization: (i) (A) may be  safely
    33  administered by a licensed pharmacist within their lawful scope of prac-
    34  tice;  and  (B)  is  needed  to prevent the transmission of a reportable
    35  communicable disease that is prevalent in New York state; or (ii)  is  a
    36  recommended  immunization  for  such patients who: (A) meet age require-
    37  ments, (B) lack documentation of such immunization, (C) lack evidence of
    38  past infection, or (D) have an additional risk factor or  another  indi-
    39  cation  as  recommended  by the advisory committee on immunization prac-
    40  tices of the centers for disease control and prevention.
    41    § 6. This act shall take effect immediately.
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