New York State Assembly

 
•  Summary 
 
•  Actions 
 
•  Committee Votes 
 
•  Floor Votes 
 
•  Memo 
 
•  Text 
 
•  LFIN 
 
•  Chamber Video/Transcript 

A00212 Summary:

A00212 Actions:

A00212 Committee Votes:

Committee:HEALTH   Chair:Gottfried      
DATE:01/15/2019AYE/NAY:25/0  Action: Favorable         
Gottfried
Aye
Raia
Aye
Schimminger
Excused
McDonough
Aye
Galef
Aye
Ra
Aye
Dinowitz
Aye
Garbarino
Aye
Cahill
Aye
Byrne
Aye
Paulin
Aye
Byrnes
Aye
Cymbrowitz
Aye
Ashby
Aye
Gunther
Aye
Rosenthal
Aye
Hevesi
Aye
Jaffee
Aye
Steck
Aye
Abinanti
Aye
Braunstein
Aye
Kim
Aye
Solages
Aye
Bichotte
Aye
Barron
Aye
Sayegh
Aye

A00212 Floor Votes:

A00212 Memo:

NEW YORK STATE ASSEMBLY
MEMORANDUM IN SUPPORT OF LEGISLATION
 submitted in accordance with Assembly Rule III, Sec 1(f)



 
BILL NUMBER: A212
 
SPONSOR: Galef (MS)

 
TITLE OF BILL:
 
An act to amend the public health law, in relation to central venous
lines
 
 
PURPOSE OR GENERAL IDEA OF BILL:
 
The purpose of this legislation is to ensure that the discharge planning
for a patient with a central venous line will include an identified
caregiver consultation about administering medications and providing
proper central venous line care, and that appropriate services will be
available to them should they be unable to provide such care.
 
 
SUMMARY OF PROVISIONS:

Section 1. A new subdivision 4 is added to Section 2994-11 of the Public
Health Law, and reads as follows: 4. Discharge of any patients who have
a condition that requires a central venous line. As part of discharge
planning for patients who will be discharged from the hospital with a
central venous line, the identified caregiver shall be consulted as soon
as possible, but not later than twenty-four hours prior to discharge,
regarding his or her capabilities and limitations in administering medi-
cations and providing proper central venous line care. In the event that
the identified caregiver is unwilling or unable to confidently provide
proper care of the central venous line, appropriate services, which may
include but not be limited to home health care services, shall be
ordered.
 
Section 2. Establishes the effective date.
 
 
DIFFERENCE BETWEEN ORIGINAL AND AMENDED VERSION (IF APPLICABLE):
 
 
JUSTIFICATION:

Dream Shepherd is an 11-year-old girl who has courageously battled Sick-
le Cell Disease and who suffered a stroke in 2010 at the age of five.
 
In December 2014, as part of a study, Dream received a stem cell trans-
plant as part of her treatment plan and fight against Sickle Cell
Disease. After the transplant she remained in the hospital for several
months, while Doctors worked to stabilize her immune system, which was
crucial to her discharge and transplant success. While in the hospital,
Dream had a Central Venous Line (CVL) placed into her heart. The CVL has
strict care requirements. In New York State Health Facilities only
Registered Nurses are legally allowed to administer I.V. medications
with use of a CVL; which have to be properly managed to ensure that
Dream, and others, do not acquire infections, especially if they are
immuno-compromised. This CVL goes directly into the right atrium of the
heart, and requires immediate action should there be a disconnection for
any reason as a patient with this type of line can exsanguinate should
this go unmonitored or unnoticed.
 
In addition to the high risk of infections, other complications of CVL
include Air Embolism, Pneumothorax, Pinch-off, Syndrome, Drug Precipi-
tates, Thrombosis, Catheter Occlusioh, Catheter Malposition, and Sepsis
 
a severe blood infection caused by bacteria, viruses, and fungi. Sepsis
is extremely serious and can be life-threatening.
 
Due to the high potential for dangerous infections, as part of discharge
planning, Dream's mother, who is not a medical professional, made a
request for a skilled private duty nurse to care for Dream's CVL. This
request was denied by the insurance company as it was "not deemed
medically necessary." Due to this rejection by the insurance company,
the hospital informed Dream's mother, that she was required to provide
the necessary care to Dream's CVL. By not ensuring that Dream would have
the correct and proper skilled nurse to provide care after discharge,
she could have faced irreparable harm. Attempting to force the mother to
provide the care would have required her to lose her job and source of
income, along with saddling her with the anxiety of overseeing the
medical attention that if not done properly, could lead to the loss of
her daughter's life. That is a position no family member or friend
should ever have encounter.
 
 
PRIOR LEGISLATIVE HISTORY:
 
S. 1165-B and A. 5514-C of
2017/2018 S.  7293 of 2015/2016
 
 
FISCAL IMPLICATIONS FOR STATE AND LOCAL GOVERNMENTS:
 
There are no fiscal implications associated with the passage of this
legislation.
 
 
EFFECTIVE DATE:
This act shall take effect immediately; provided, however, that effec-
tive immediately, the addition, amendment and/or repeal of any rule or
regulation necessary for the implementation of this act on its effective
date are authorized and directed to be made and completed on or before
such effective date.

A00212 Text:

 
                STATE OF NEW YORK
        ________________________________________________________________________
 
            S. 474                                                    A. 212
 
                               2019-2020 Regular Sessions
 
                SENATE - ASSEMBLY
 
                                       (Prefiled)
 
                                     January 9, 2019
                                       ___________
 
        IN  SENATE  --  Introduced  by  Sens. CARLUCCI, HOYLMAN, MAYER, PERSAUD,
          SAVINO -- read twice and ordered  printed,  and  when  printed  to  be
          committed to the Committee on Health
 
        IN  ASSEMBLY  --  Introduced  by  M.  of  A.  GALEF, DINOWITZ, WILLIAMS,
          M. G. MILLER, BLAKE, D'URSO, ORTIZ, HYNDMAN, COOK, SEAWRIGHT,  JAFFEE,
          RAIA,  BYRNE,  NORRIS  --  Multi-Sponsored  by -- M. of A. DE LA ROSA,
          ENGLEBRIGHT, SIMON -- read once  and  referred  to  the  Committee  on
          Health
 
        AN  ACT  to  amend  the public health law, in relation to central venous
          lines
 
          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:
 
     1    Section  1.  Section  2994-ll  of  the public health law is amended by
     2  adding a  new subdivision 4 to read as follows:
     3    4. Discharge of any patients who have  a  condition  that  requires  a
     4  central venous line. As part of discharge planning for patients who will
     5  be discharged from a hospital with a central venous line, the identified
     6  caregiver  shall  be  consulted  as soon as possible, but not later than
     7  twenty-four hours prior to discharge, regarding his or her  capabilities
     8  and  limitations  in  administering  medications  and  providing  proper
     9  central venous line care. In the event that the identified caregiver  is
    10  unwilling  or  unable  to confidently provide proper care of the central
    11  venous line, appropriate services, which may include but not be  limited
    12  to home health care services, shall be ordered.
    13    §  2.  This  act shall take effect immediately. Effective immediately,
    14  the addition, amendment and/or repeal of any rule or  regulation  neces-
    15  sary  for  the  implementation  of  this  act  on its effective date are
    16  authorized to be made and completed on or before such effective date.

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD00254-01-9

A00212 LFIN:

 
NO LFIN

A00212 Chamber Video/Transcript: