A09523 Summary:

BILL NOA09523
 
SAME ASSAME AS S06941
 
SPONSORGottfried
 
COSPNSR
 
MLTSPNSR
 
Amd §1, Chap of 2019; amd §§4300, 4301, 4305, 4302, 4304, 4306, 4306-a & 4307, add Art 43-A §4351, Pub Health L (as proposed in S.6000-A & A.7800-A)
 
Relates to anatomical gifts; provides for anatomical gift duties of hospitals and procurement organizations; makes technical corrections.
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A09523 Actions:

BILL NOA09523
 
01/23/2020referred to health
02/04/2020reported referred to codes
02/25/2020reported
02/27/2020advanced to third reading cal.443
03/04/2020substituted by s6941
 S06941 AMEND= RIVERA
 01/06/2020REFERRED TO RULES
 01/08/2020REFERRED TO RULES
 01/09/2020ORDERED TO THIRD READING CAL.20
 01/21/2020PASSED SENATE
 01/21/2020DELIVERED TO ASSEMBLY
 01/21/2020referred to health
 03/04/2020substituted for a9523
 03/04/2020ordered to third reading cal.443
 03/04/2020passed assembly
 03/04/2020returned to senate
 04/17/2020DELIVERED TO GOVERNOR
 04/17/2020SIGNED CHAP.45
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A09523 Committee Votes:

HEALTH Chair:Gottfried DATE:02/04/2020AYE/NAY:23/0 Action: Favorable refer to committee Codes
GottfriedAyeByrneAye
SchimmingerExcusedMcDonoughExcused
GalefAyeGarbarinoAye
DinowitzAyeByrnesAye
CahillAyeAshbyAye
PaulinAyeMillerAye
CymbrowitzAyeSalkaAye
GuntherAye
RosenthalAye
HevesiExcused
JaffeeAye
SteckAye
AbinantiAye
BraunsteinAye
KimAye
SolagesAye
BichotteAye
BarronAye
SayeghAye

CODES Chair:Lentol DATE:02/25/2020AYE/NAY:21/0 Action: Favorable
LentolAyeMorinelloAye
SchimmingerExcusedGiglioAye
PretlowAyeMontesanoAye
CookAyePalumboAye
CymbrowitzAyeGarbarinoAye
O'DonnellAyeReillyAye
LavineAye
PerryAye
AbinantiAye
WeprinAye
MosleyAye
HevesiAye
FahyAye
SeawrightAye
RosenthalAye
WalkerAye

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A09523 Floor Votes:

There are no votes for this bill in this legislative session.
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A09523 Memo:

NEW YORK STATE ASSEMBLY
MEMORANDUM IN SUPPORT OF LEGISLATION
submitted in accordance with Assembly Rule III, Sec 1(f)
 
BILL NUMBER: A9523
 
SPONSOR: Gottfried
  TITLE OF BILL: An act to amend the public health law, in relation to definitions and conforming changes pertaining to anatomical gifts; and to amend a chap- ter of the laws of 2019 amending the public health law relating to anatomical gifts, as proposed in legislative bills numbers S. 6000-A and A. 7800-A, in relation to making technical corrections thereto   PURPOSE OR GENERAL IDEA OF BILL: The purpose of this bill is to clarify and improve the laws governing organ donation to increase the number of donors and donations.   SUMMARY OF SPECIFIC PROVISIONS: Section 1 would make technical amendments necessary to effectuate the changes outlined in this bill. Section 2 would make various technical amendments to terminology. This section would also amend definitions to allow for organ donations conducted in accordance with foreign and state laws that are approved by the Commissioner of Health. The section would also amend the definition of "organ", which excludes heart valves as they are treated as tissue donations. Section 3 would make technical amendments necessary to effectuate the changes outlined in this bill. Section 4 would clarify the timing of when an amendment or revocation of an anatomical gift may be made, and how such an amendment or revocation interacts with other documents or statements. This section would also require a majority to revoke an organ donation if there are multiple people authorized to make a decision relating to organ donation due to the prospective donor being unable to make a decision. Section 5 would restore current provisions governing the procedures for contacting organ procurement organizations. Prohibits a hospital from withdrawing life-sustaining treatment for an individual that has either made a gift or who's donation status is unknown until an organ procure- ment organization is able to advise the applicable family or health care proxy of the ability to make a donation and receive a response; and acted upon such response if the decision is to make a donation. Section 6 would make technical amendments necessary to effectuate the changes outlined in this bill. Section 7 would make technical amendments necessary to effectuate the changes outlined in this bill. Section 8 would amend definitions to allow for organ donations conducted in accordance with foreign and state laws that are approved by the Commissioner of Health and would establish civil and criminal liability protections for such individuals acting in good faith when making an organ donation pursuant to these provisions. Section 9 would make technical amendments necessary to effectuate the changes outlined in this bill. Section 10 would make technical amendments necessary to effectuate the changes outlined in this bill. Section 11 establishes the effective date.   JUSTIFICATION: Chapter 742 of the Laws of 2019 made significant changes to the organ donation process in order to bring New York into greater conformity with standards recognized in several other states. This bill makes changes to clarify aspects of this legislation and several modifications to improve the organ donation process in New York, with the goal of increasing the number of potential donors and improving the donation process. This legislation will serve to improve the donation rates, which will result in more New Yorkers being able to receive life-saving organ and tissue donations   PRIOR LEGISLATIVE HISTORY: New Legislation.   FISCAL IMPLICATIONS: None to the State.   EFFECTIVE DATE: This act shall take effect immediately; provided, however, that sections one through ten of this act shall take effect on the same date and in the same manner as a chapter of the laws of 2019, amending the public health law relating to definitions and conforming changes pertaining to anatomical gifts, as proposed in legislative bills numbers S.6000-A and A.7800-A, takes effect.
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A09523 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          9523
 
                   IN ASSEMBLY
 
                                    January 23, 2020
                                       ___________
 
        Introduced  by  M.  of  A.  GOTTFRIED  --  read once and referred to the
          Committee on Health
 
        AN ACT to amend the public health law, in relation  to  definitions  and
          conforming  changes  pertaining  to  anatomical  gifts; and to amend a
          chapter of the laws of 2019 amending the public health law relating to
          anatomical gifts, as proposed in legislative bills numbers  S.  6000-A
          and A. 7800-A, in relation to making technical corrections thereto
 
          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:
 
     1    Section 1. Section 1 of a chapter of the laws of  2019,  amending  the
     2  public  health law relating to anatomical gifts, as proposed in legisla-
     3  tive bills numbers S. 6000-A and A.   7800-A,  is  amended  to  read  as
     4  follows:
     5    Section  1.  Legislative intent. The purpose of this legislation is to
     6  incorporate the amended provisions of the Uniform  Anatomical  Gift  Act
     7  (UAGA) as drafted by the National Conference of Commissioners on Uniform
     8  State  Laws to enhance the organ donation process.  The UAGA was enacted
     9  in 1968 following the first successful heart transplant and was  revised
    10  in 1987 and 2006 to clarify consent rules and other processes. While New
    11  York  has  made  recent  improvements to its organ donation registry and
    12  processes, it still faces a severe organ shortage.  It is estimated that
    13  bringing New York's anatomical gift consent rules alone  into  agreement
    14  with  the  UAGA  would  result  in increased numbers of organ donors and
    15  would save lives through transplantation. Provisions of this act  should
    16  not  be  construed  to  interfere with a [potential] prospective donor's
    17  recorded intent to make a whole body donation  in  instances  where  the
    18  [potential]  prospective  donor's  body is suitable for such donation at
    19  death, nor does the gift of a whole body preclude  donation  for  trans-
    20  plant,  unless such use is expressly refused by the donor or the author-
    21  izing party.
    22    § 2. Subdivisions 4, 11 and 12 of section 4300 of  the  public  health
    23  law,  as  added by section 1 of part A of a chapter of the laws of 2019,
    24  amending the public health law relating to  definitions  and  conforming
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD11680-11-9

        A. 9523                             2
 
     1  changes pertaining to anatomical gifts, as proposed in legislative bills
     2  numbers S. 6000-A and A. 7800-A, are amended to read as follows:
     3    4.  "Document  of  gift" means an organ donor card, whole body [organ]
     4  donor card, driver's license authorization to make an  anatomical  gift,
     5  pursuant  to  paragraph  (a)  of subdivision one of section five hundred
     6  four of the vehicle and traffic law, authorization to make an anatomical
     7  gift pursuant to any of the  methods  in  subdivision  five  of  section
     8  forty-three  hundred  ten of this article, or any other written authori-
     9  zation for an anatomical gift. The term "document of  gift"  includes  a
    10  statement  on  a  driver's license, identification card, enrollment in a
    11  donor registry, or any other anatomical gift document valid pursuant  to
    12  the  laws  of  this  or any other state or of any document of gift valid
    13  pursuant to the laws of any other country appearing on a list  of  coun-
    14  tries  maintained  by the commissioner for such purpose and published on
    15  the department's website.
    16    11. ["Human paired organ donation" means the donation and  receipt  of
    17  human organs under the following circumstances:
    18    (a)  An  individual  (referred  to  in  this subdivision as the "first
    19  donor") desires to make a living donation of a human organ  specifically
    20  to  a  particular  patient  (referred  to  in this subdivision as "first
    21  patient"), but such donor is biologically incompatible as  a  donor  for
    22  such patient.
    23    (b)  A  second  individual  (referred  to  in  this subdivision as the
    24  "second donor") desires to make a  living  donation  of  a  human  organ
    25  specifically  to a second particular patient (referred to in this subdi-
    26  vision as the "second patient"), but such donor is  biologically  incom-
    27  patible as a donor for such patient.
    28    (c)  Subject  to paragraph (d) of this subdivision, the first donor is
    29  biologically compatible as a donor of  a  human  organ  for  the  second
    30  patient, and the second donor is biologically compatible as a donor of a
    31  human organ for the first patient.
    32    (d)  If  there  is  any  additional donor-patient pair as described in
    33  paragraph (a) or (b) of this subdivision, each donor  in  the  group  of
    34  donor-patient  pairs  is  biologically  compatible as a donor of a human
    35  organ for a patient in such group.
    36    (e) All donors and  patients  in  the  group  of  donor-patient  pairs
    37  (whether  two  pairs, or more than two pairs) enter into a single agree-
    38  ment to donate and receive such human organs, respectively, according to
    39  such biological compatibility in the group.
    40    (f) Other than as described in paragraph (e) of this  subdivision,  no
    41  valuable  consideration  is  knowingly  acquired, received, or otherwise
    42  transferred with respect to the human organs referred to in  such  para-
    43  graph.
    44    12.]  "Non-transplant anatomic bank" means any person or facility that
    45  solicits, retrieves, performs donor selection and/or testing, preserves,
    46  transport,  allocates,  distributes,  acquires,  processes,  stores,  or
    47  arranges  for  the  storage  of non-transplant anatomic parts, including
    48  whole bodies, body segments, organs, or tissues from living or  deceased
    49  donors,  for  education and/or research purposes specifically authorized
    50  by section forty-three hundred two of this article. The following  shall
    51  not constitute a non-transplant anatomic bank:
    52    (a)  Any  person  or entity that stores non-transplant anatomic parts,
    53  except whole bodies and body segments, solely for purposes  of  research
    54  and/or education conducted by such person; provided the person or entity
    55  maintains  on  its  premises a properly executed anatomical gift consent
    56  document, and

        A. 9523                             3
 
     1    (i) such person or entity is a legal donee pursuant to section  forty-
     2  three  hundred two of this article and obtains all organs/tissues from a
     3  tissue bank or non-transplant anatomic bank licensed by the  department;
     4  or
     5    (ii)  is  a general hospital conducting pathology services or research
     6  on non-transplant anatomic parts including whole bodies, recovered  from
     7  within the facility from a living or deceased source;
     8    (b) Any person or entity whose activities within the state of New York
     9  are limited to distribution of non-transplant anatomic parts to a tissue
    10  bank or non-transplant anatomic bank licensed by the department;
    11    (c)  Any  person or entity that uses prepared slides and/or human-der-
    12  ived stem cell lines for purposes of education and/or research; and
    13    (d) An employee of the federal government, provided an anatomical gift
    14  consent document has been executed in  accordance  with  section  forty-
    15  three hundred one of this article.
    16    12. "Organ" shall have the same definition as in article forty-three-B
    17  of  this  chapter,  but  shall  not  be  applied to heart valves for the
    18  purposes of this article.
    19    § 3. Subdivision 4 of section 4301 of the public health law, as  added
    20  by  section  1  of part B of a chapter of the laws of 2019, amending the
    21  public health law relating to changes in anatomical gift revocation  and
    22  amendment,  as  proposed  in  legislative bills numbers S. 6000-A and A.
    23  7800-A, is amended to read as follows:
    24    4. Any gift by a person designated in subdivision two of this  section
    25  shall  be by a document signed by him or her or made by his or her tele-
    26  graphic, recorded telephonic, or other recorded message. Where a gift is
    27  made under this subdivision, either:   (a) the authorizing  party  shall
    28  indicate  in the document or message that he or she has no actual notice
    29  of contrary indications by the decedent and no reason to believe that an
    30  anatomical gift  is  contrary  to  the  decedent's  religious  or  moral
    31  beliefs; or (b) an agent of the [federally designated] organ procurement
    32  organization or of the donee shall make reasonable efforts to inquire of
    33  the  authorizing party or otherwise determine that the authorizing party
    34  has no actual notice of contrary indications  by  the  decedent  and  no
    35  reason  to believe that an anatomical gift is contrary to the decedent's
    36  religious or moral beliefs.
    37    § 4. Section 4305 of the public health law, as amended by section 2 of
    38  part B of a chapter of the laws of 2019, amending the public health  law
    39  relating  to  changes  in  anatomical  gift revocation and amendment, as
    40  proposed in legislative bills  numbers  S.  6000-A  and  A.  7800-A,  is
    41  amended to read as follows:
    42    § 4305. Amendments or revocation of the gift. 1. An individual who has
    43  created  a  document  of  gift may only amend or revoke [the] his or her
    44  gift by:
    45    (a) a record signed, subsequently to the creation of the  document  of
    46  gift by:
    47    (i) [the donor] such individual;
    48    (ii)  another  person authorized to make the anatomical gift on behalf
    49  of such individual; or
    50    (iii) another [individual] person acting  at  the  direction  of  [the
    51  donor] such individual or other person authorized to make the anatomical
    52  gift  if [those individuals are physically] such individual is unable to
    53  sign; or
    54    (b) an oral statement of revocation, subsequent to the creation of the
    55  gift, made by such individual in the presence of two persons,  at  least
    56  one of whom is a disinterested witness; or

        A. 9523                             4
 
     1    (c)  a  later-executed  document  of gift made by such individual that
     2  amends or revokes a previous anatomical gift or portion of an anatomical
     3  gift either expressly or by inconsistency; or
     4    (d)  a  statement  during a terminal illness or injury addressed to an
     5  attending physician and communicated to the donee made by such  individ-
     6  ual; or
     7    (e)  a  signed  card  or document, found on [the prospective  donor's]
     8  such individual's person or in [the prospective donor's]  such  individ-
     9  ual's effects; or
    10    (f) [the] such individual's will, created subsequently to the creation
    11  of  the document of gift, whether or not the will is admitted to probate
    12  or invalidated after [the] such individual's death.
    13    2. (a) Subject to paragraphs (b) and  (c)  of  this  subdivision,  [an
    14  individual]  a person authorized to make an anatomical gift on behalf of
    15  another individual pursuant to subdivision two  of  section  forty-three
    16  hundred one of this article may revoke or amend such gift by:
    17    (i) a record signed by [the donor] that individual; or
    18    (ii)  an  oral  statement of revocation, subsequent to the creation of
    19  the document of gift, made by that individual in  the  presence  of  two
    20  persons, at least one of whom is a disinterested witness; or
    21    (iii)  a  later-executed  document  of  gift  that amends or revokes a
    22  previous anatomical gift or portion of an anatomical gift made  by  that
    23  individual, either expressly or by inconsistency.
    24    (b)  If  more  than one member of a class listed in subparagraph (iv),
    25  (vi), (vii), or (viii) of paragraph (a) of subdivision  two  of  section
    26  forty-three  hundred one of this article is reasonably available, a gift
    27  made pursuant to subdivision two of section forty-three hundred  one  of
    28  this article [may] shall be amended or revoked only if a majority of the
    29  reasonably  available  members  agree  [to  the amending of the gift, or
    30  revoked only if a majority of the reasonably available members agree  to
    31  the revoking of the gift or if they are equally divided as to whether to
    32  revoke the gift].
    33    (c)  [A]  An  amendment  or revocation is effective only if, before an
    34  incision has been made to remove a part from the donor's body or  before
    35  invasive procedures have begun to prepare the recipient, the procurement
    36  organization,  transplant  hospital, or physician or technician knows of
    37  the revocation.
    38    3. Any document of gift may be revoked in the manner set out in subdi-
    39  vision one or two of this section or by  destruction,  cancellation,  or
    40  mutilation of the document and all executed copies thereof.
    41    4.  Any  gift  made  by a will may be revoked or amended in the manner
    42  provided for revocation or amendment of wills or as provided in subdivi-
    43  sion one of this section.
    44    5. In the absence of contrary indications by the donor,  a  revocation
    45  or  amendment  of  an  anatomical  gift is not a refusal to make another
    46  anatomical gift not otherwise prohibited by the revocation or amendment,
    47  either by the prospective donor or another person specified in  subdivi-
    48  sion two of section forty-three hundred one of this article.
    49    §  5. The public health law is amended by adding a new article 43-A to
    50  read as follows:
 
    51                                ARTICLE 43-A
    52             ANATOMICAL GIFT DUTIES OF HOSPITALS AND PROCUREMENT
    53                                ORGANIZATIONS

        A. 9523                             5
 
     1  Section 4351. Duties  of  hospital  administrators,  organ   procurement
     2                  organizations, banks or storage facilities.
     3    § 4351. Duties of hospital administrators, organ procurement organiza-
     4  tions, eye banks or tissue banks. 1. (a) When the death of a person in a
     5  hospital  has  occurred  or  is imminent, the hospital shall contact the
     6  organ procurement organization in order to make a  preliminary  determi-
     7  nation of the suitability of the person for organ donation, except where
     8  not  required  by  paragraph (c) of this subdivision.  If a hospital has
     9  ascertained that the individual expressed a desire not to receive  life-
    10  sustaining  treatment,  pursuant to section forty-three hundred six-b of
    11  this chapter, the hospital shall make the organ procurement organization
    12  aware.
    13    (b) Where contact with  the  organ  procurement  organization  is  not
    14  required  under  criteria  developed regionally by the organ procurement
    15  organization subject to the approval of such criteria by the department,
    16  the hospital shall contact the appropriate  eye  bank  or  tissue  bank,
    17  except where not required by paragraph (c) of this subdivision.
    18    (c)  The  organ  procurement  organization,  in  consultation with the
    19  tissue procurement providers, may issue criteria under which a  hospital
    20  shall not be required to make the contact under this subdivision.
    21    (d)  All  hospitals  shall select at least one eye bank or tissue bank
    22  for the procurement of tissue, as defined in section forty-three hundred
    23  sixty of this chapter. A hospital shall  notify  the  organ  procurement
    24  organization of its choice of tissue procurement provider. If a hospital
    25  selects more than one eye bank or tissue bank, it may specify a rotation
    26  of referrals for purposes of tissue procurement.
    27    2.  Where  the organ procurement organization, eye bank or tissue bank
    28  is contacted, it shall, in consultation with the hospital, after  appro-
    29  priate  medical  screening  (which  may  include  serological testing if
    30  applicable) determine suitability for organ, eye and tissue donation, as
    31  appropriate. Where an organ procurement organization  is  contacted,  it
    32  shall  contact  the  appropriate eye bank or tissue bank with respect to
    33  suitability for eye or tissue donation.
    34    § 6. Subdivisions 5 and 8 of section 4302 of the public health law, as
    35  added by section 1 of part C of a chapter of the laws of 2019,  amending
    36  the  public  health  law relating to uses and dispositions of anatomical
    37  gifts, as proposed in legislative bills numbers S. 6000-A and A. 7800-A,
    38  are amended to read as follows:
    39    5. If a document of gift specifies only a general intent  to  make  an
    40  anatomical gift by words such as "donor", "organ donor" or "body donor",
    41  or  [by] a [symbol or] statement of similar import, the gift may be used
    42  only for transplantation or therapy, and the gift passes  in  accordance
    43  with subdivision six of this section.
    44    8.  If a [potential] prospective donor has been referred to a procure-
    45  ment organization or tissue bank pursuant to state or federal  law,  and
    46  the  procurement  organization has determined that the gift is medically
    47  unsuitable for transplant,  or  to  the  extent  that  a  non-transplant
    48  anatomical gift may still be honored after a gift has been made pursuant
    49  to  a  superseding  document  of gift, then the procurement organization
    50  shall make reasonable efforts to determine whether the donor has  previ-
    51  ously made a gift of his or her body or parts for education or research,
    52  and  the procurement organization informed of such gift shall notify the
    53  non-transplant anatomic bank of the gift  consistent  with  the  donor's
    54  intent.
    55    § 7. Section 4304 of the public health law, as amended by section 1 of
    56  part  D of a chapter of the laws of 2019, amending the public health law

        A. 9523                             6
 
     1  relating to delivery of documents of gift, as  proposed  in  legislative
     2  bills numbers S. 6000-A and A. 7800-A, is amended to read as follows:
     3    § 4304. Delivery of document of gift. If the gift is made by the donor
     4  to a specified donee, the will, card or other document or a copy [there-
     5  of] of the executed document, may be delivered to him or her to expedite
     6  the  appropriate procedures immediately after death; however delivery is
     7  not necessary to the validity of the gift.  On request of an  interested
     8  party  upon  or  after the donor's death, the person in possession shall
     9  produce the document for examination.
    10    § 8. Subdivisions 1, 3 and 4 of section 4306 of the public health law,
    11  as amended by section 1 of part E of a chapter  of  the  laws  of  2019,
    12  amending  the  public health law relating to rights and duties of donees
    13  at death, as proposed in legislative bills  numbers  S.  6000-A  and  A.
    14  7800-A, are amended to read as follows:
    15    1.  The  donee  may  accept or reject the gift. If the donee accepts a
    16  gift of the entire body, [he or she] the donee may, subject to the terms
    17  of the gift, authorize embalming and the use  of  the  body  in  funeral
    18  services.    If  the  gift  is of a part of the body, the donee upon the
    19  death of the donor and prior to embalming, may  cause  the  part  to  be
    20  removed  without  unnecessary  mutilation.  After  removal  of the part,
    21  custody of the remainder of the body vests in the surviving spouse, next
    22  of kin, or other persons under obligation to dispose of the body.
    23    3. (a) (i) A person who acts in good faith in accord with the terms of
    24  this article or with the anatomical gift laws of another  [jurisdiction]
    25  state, is not liable for damages in any civil action or subject to pros-
    26  ecution in any criminal proceeding for his or her act.
    27    (ii)  A  person  who  acts in good faith in accord with the anatomical
    28  gift laws of another country is not liable  for  damages  in  any  civil
    29  action  or  subject to prosecution in any criminal proceeding for his or
    30  her act provided that:
    31    (A) such country has anatomical gift laws similar in requirements  and
    32  effects to the anatomical gift laws of this state;
    33    (B)  such country appears on a list of such countries promulgated as a
    34  regulation by the department for such purpose; and
    35    (C) such country appeared on such list at the time of such act.
    36    (b) A person who documents the making,  amending  or  revoking  of  an
    37  anatomical  gift, acting reasonably and in good faith in accordance with
    38  this article, may accept an anatomical gift under this article made by a
    39  person who represents that [he or  she]  the  person  is  an  authorized
    40  person  under  section  forty-three  hundred  one of this article and is
    41  entitled to consent to the donation.
    42    (c) An entity under section forty-three  hundred  two  or  forty-three
    43  hundred  ten  of this article or a health care professional, or an agent
    44  or  employee  thereof,  who  or  which  documents,  records,   recovers,
    45  procures, obtains, or utilizes an organ or tissue in reasonable and good
    46  faith  reliance  on information provided to or contained in the New York
    47  state donate life registry shall not be liable in any civil or  criminal
    48  action or proceeding for action based on such reliance.
    49    4. Any employee or agent of [a federally designated] an organ procure-
    50  ment organization, eye bank or tissue bank acting pursuant to this arti-
    51  cle  shall  be  held  to  the  same  standard of confidentiality as that
    52  imposed on employees of a hospital.
    53    § 9. Subdivision 1 of section 4306-a of  the  public  health  law,  as
    54  added  by section 1 of part F of a chapter of the laws of 2019, amending
    55  the public health law relating to interactions  between  advance  direc-

        A. 9523                             7
 
     1  tives  and anatomical gifts, as proposed in legislative bills numbers S.
     2  6000-A and A. 7800-A, is amended to read as follows:
     3    1. If a [patient] prospective donor in a hospital has a declaration or
     4  advance  health  care  directive  [or proxy document pursuant to article
     5  twenty-nine-C of this chapter,] and terms of the declaration,  directive
     6  or  proxy  document concerning life-sustaining treatment are in conflict
     7  with the express or implied terms of a potential  anatomical  gift  with
     8  regard to the administration of measures necessary to ensure the medical
     9  suitability  of  a  part for transplantation or therapy, the prospective
    10  donor's attending physician and the prospective donor  shall  confer  to
    11  resolve the conflict. For purposes of this section, an advance directive
    12  shall  mean  a written or oral instruction by the adult patient relating
    13  to the provision of health care to the patient  when  an  adult  becomes
    14  incapacitated,  including  but  not  limited  to  a health care proxy, a
    15  consent to the issuance of an order not to resuscitate or  other  orders
    16  for life-sustaining treatment recorded in a patient's medical record, or
    17  a legally-recognized statement of wishes or beliefs.
    18    §  10.  Subdivision  1  of  section  4307 of the public health law, as
    19  amended by section 1 of part G of a chapter of the laws of 2019,  amend-
    20  ing  the  public health law relating to prohibition of sales or purchase
    21  of human organs, as proposed in legislative bills numbers S. 6000-A  and
    22  A. 7800-A, is amended to read as follows:
    23    1.  It shall be unlawful for any person to knowingly acquire, receive,
    24  or otherwise transfer for valuable consideration any  part  for  use  in
    25  human  transplantation.    The  term  "valuable  consideration" does not
    26  include the reasonable payments associated with the removal, transporta-
    27  tion, implantation, processing, preservation, quality control, and stor-
    28  age of a part or  the  expenses  of  travel,  housing,  and  lost  wages
    29  incurred  by  the  donor  of a human [organ] part in connection with the
    30  donation of the [organ or human paired organ]  part or living  donation.
    31  Any  person who violates this section shall be guilty of a class E felo-
    32  ny.
    33    § 11. This act shall take effect immediately; provided, however,  that
    34  sections  one through ten of this act shall take effect on the same date
    35  and in the same manner as a chapter of the laws of  2019,  amending  the
    36  public  health  law  relating  to  definitions  and  conforming  changes
    37  pertaining to anatomical gifts, as proposed in legislative bills numbers
    38  S. 6000-A and A. 7800-A, takes effect.
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