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A00212 Summary:

BILL NOA00212
 
SAME ASSAME AS UNI. S00474
 
SPONSORGalef (MS)
 
COSPNSRDinowitz, Williams, Miller MG, Blake, D'Urso, Ortiz, Hyndman, Cook, Seawright, Jaffee, Raia, Byrne, Norris, Miller ML, Weprin
 
MLTSPNSRDe La Rosa, Englebright, Simon
 
Amd §2994-ll, Pub Health L
 
Relates to central venous lines; requires hospitals upon discharge of a patient who has a condition that requires a central venous line after discharge, to consult with the designated caregiver to determine his or her capabilities and limitations.
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A00212 Actions:

BILL NOA00212
 
01/09/2019referred to health
01/15/2019reported
01/17/2019advanced to third reading cal.3
01/23/2019passed assembly
01/23/2019delivered to senate
01/23/2019REFERRED TO HEALTH
05/06/2019SUBSTITUTED FOR S474
05/06/20193RD READING CAL.453
05/06/2019PASSED SENATE
05/06/2019RETURNED TO ASSEMBLY
12/06/2019delivered to governor
12/10/2019signed chap.617
12/10/2019approval memo.36
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A00212 Committee Votes:

HEALTH Chair:Gottfried DATE:01/15/2019AYE/NAY:25/0 Action: Favorable
GottfriedAyeRaiaAye
SchimmingerExcusedMcDonoughAye
GalefAyeRaAye
DinowitzAyeGarbarinoAye
CahillAyeByrneAye
PaulinAyeByrnesAye
CymbrowitzAyeAshbyAye
GuntherAye
RosenthalAye
HevesiAye
JaffeeAye
SteckAye
AbinantiAye
BraunsteinAye
KimAye
SolagesAye
BichotteAye
BarronAye
SayeghAye

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A00212 Floor Votes:

DATE:01/23/2019Assembly Vote  YEA/NAY: 145/0
AbbateYCrespoYGanttERLiPetriYPerryYSimonY
AbinantiYCrouchYGarbarinoYLupardoYPheffer AmatoYSimotasY
ArroyoYCruzYGiglioYMagnarelliYPichardoYSmithY
AshbyYCusickYGlickYMalliotakisYPretlowYSmullenY
AubryYCymbrowitzYGoodellYManktelowYQuartYSolagesY
BarclayYDavilaYGottfriedYMcDonaldYRaYStecY
BarnwellYDe La RosaYGriffinYMcDonoughYRaiaYSteckY
BarrettYDenDekkerYGuntherYMcMahonYRamosYSternY
BarronYDeStefanoYHawleyYMikulinYRaynorYStirpeY
BenedettoYDickensYHevesiYMiller B YReillyYTagueY
BichotteYDilanYHunterYMiller MGYReyesYTaylorY
BlakeYDinowitzYHyndmanYMiller MLYRichardsonYThieleY
BlankenbushYDiPietroYJacobsonYMontesanoYRiveraYTitusY
BrabenecYD'UrsoYJaffeeYMorinelloYRodriguezYVanelY
BraunsteinYEichensteinYJean-PierreYMosleyYRomeoYWalczykY
BronsonYEnglebrightYJohnsYNiouYRosenthal D YWalkerY
BuchwaldYEpsteinYJonesYNolanYRosenthal L YWallaceY
BurkeYFahyYJoynerYNorrisYRozicYWalshY
ButtenschonYFallYKimYO'DonnellYRyanYWeinsteinY
ByrneYFernandezYKolbYOrtizYSalkaYWeprinY
ByrnesYFinchERLalorYOtisYSantabarbaraYWilliamsY
CahillYFitzpatrickYLavineYPalmesanoYSayeghYWoernerY
CarrollYFriendYLawrenceYPalumboYSchimmingerERWrightY
ColtonYFrontusYLentolERPaulinYSchmittYZebrowskiY
CookYGalefYLiftonERPeoples-StokesYSeawrightYMr. SpeakerY

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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.
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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
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A00212 LFIN:

 NO LFIN
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A00212 Chamber Video/Transcript:

1-23-19Video (@ 00:17:29)Transcript pdf Transcript html
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