STATE OF NEW YORK ________________________________________________________________________ 9675 IN ASSEMBLY January 31, 2018 ___________ Introduced by M. of A. GOTTFRIED, WEPRIN, ORTIZ, SIMON, DICKENS, SEPULVEDA, McDONALD, ARROYO, JAFFEE, D'URSO, DE LA ROSA, ABINANTI, LAVINE, ERRIGO, PEOPLES-STOKES, MOSLEY, AUBRY, PELLEGRINO, WRIGHT -- Multi-Sponsored by -- M. of A. CROUCH -- read once and referred to the Committee on Health AN ACT to amend the public health law, in relation to health facilities and services in correctional facilities The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Subdivision 1 of section 2801 of the public health law, as 2 amended by chapter 397 of the laws of 2016, is amended to read as 3 follows: 4 1. "Hospital" means a facility or institution engaged principally in 5 providing services by or under the supervision of a physician or, in the 6 case of a dental clinic or dental dispensary, of a dentist, or, in the 7 case of a midwifery birth center, of a midwife, for the prevention, 8 diagnosis or treatment of human disease, pain, injury, deformity or 9 physical condition, including, but not limited to, a general hospital, 10 public health center, diagnostic center, treatment center, dental clin- 11 ic, dental dispensary, rehabilitation center other than a facility used 12 solely for vocational rehabilitation, nursing home, tuberculosis hospi- 13 tal, chronic disease hospital, maternity hospital, midwifery birth 14 center, lying-in-asylum, out-patient department, out-patient lodge, 15 dispensary, correctional health care facility and a laboratory or 16 central service facility serving one or more such institutions, but the 17 term hospital shall not include an institution, sanitarium or other 18 facility engaged principally in providing services for the prevention, 19 diagnosis or treatment of mental disability and which is subject to the 20 powers of visitation, examination, inspection and investigation of the 21 department of mental hygiene except for those distinct parts of such a 22 facility which provide hospital service. The provisions of this article 23 shall not apply to a facility or institution engaged principally in 24 providing services by or under the supervision of the bona fide members 25 and adherents of a recognized religious organization whose teachings EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD14259-01-8

A. 9675 2 1 include reliance on spiritual means through prayer alone for healing in 2 the practice of the religion of such organization and where services are 3 provided in accordance with those teachings. 4 § 2. Section 2801 of the public health law is amended by adding a new 5 subdivision 12 to read as follows: 6 12. "Correctional health care facility" means a facility or part of a 7 facility providing health care services to persons confined in a correc- 8 tional facility or local correctional facility, that is operated by, 9 operated under contract with or supervised by the department of 10 corrections and community supervision, by a county or the city of New 11 York or by a correctional facility or local correctional facility. As 12 used in this subdivision, "correctional facility" and "local correction- 13 al facility" shall have the same meaning as in section two of the 14 correction law, except that the exclusion of certain facilities under 15 paragraph (b) of subdivision four of that section shall not apply. 16 § 3. Section 2803 of the public health law is amended by adding a new 17 subdivision 12 to read as follows: 18 12. (a) The commissioner, in consultation with the commissioner of 19 corrections and community supervision, representatives of local correc- 20 tional facilities, the commissioner of mental health and the commission- 21 er of alcoholism and substance abuse services, shall make regulations 22 relating to correctional health care facilities, including, but not 23 limited to, their establishment, construction, and operation, consider- 24 ing the standards of state and national organizations knowledgeable in 25 correctional health care services. 26 (b) A correctional health care facility in operation on the effective 27 date of this subdivision may continue to operate for two years after 28 such date regardless of whether it is has been established under this 29 section. 30 § 4. Subdivision 26 of section 206 of the public health law, as 31 amended by section 127-t of subpart B of part C of chapter 62 of the 32 laws of 2011, is amended to read as follows: 33 26. The commissioner is hereby authorized and directed to review any 34 policy or practice instituted in facilities operated by the department 35 of corrections and community supervision, and in all local correctional 36 facilities, as defined in subdivision sixteen of section two of the 37 correction law, regarding [human immunodeficiency virus (HIV), acquired 38 immunodeficiency syndrome (AIDS), and hepatitis C (HCV)] health care 39 services provided to persons confined in the facility, including the 40 prevention of [the transmission] infection or disease [of HIV and HCV 41 and the treatment of AIDS, HIV and HCV among inmates]. Such review shall 42 be performed annually and shall focus on whether such [HIV, AIDS or HCV] 43 policy or practice is consistent with current, generally accepted 44 medical standards and procedures used [to prevent the transmission of 45 HIV and HCV and to treat AIDS, HIV and HCV among] in relation to the 46 general public. In performing such reviews, in order to determine the 47 quality and adequacy of care and treatment provided, department person- 48 nel are authorized to enter correctional facilities and inspect policy 49 and procedure manuals and medical protocols, interview health services 50 providers and inmate-patients, review medical grievances, and inspect a 51 representative sample of medical records of inmates [known to be 52 infected with HIV or HCV or have AIDS]. Prior to initiating a review of 53 a correctional system, the commissioner shall inform the public, includ- 54 ing patients, their families and patient advocates, of the scheduled 55 review and invite them to provide the commissioner with relevant infor- 56 mation. Upon the completion of such review, the department shall, in

A. 9675 3 1 writing, approve such policy or practice as instituted in facilities 2 operated by the department of corrections and community supervision, and 3 in any local correctional facility, or, based on specific, written 4 recommendations, direct the department of corrections and community 5 supervision, or the authority responsible for the provision of medical 6 care to inmates in local correctional facilities to prepare and imple- 7 ment a corrective plan to address deficiencies in areas where such poli- 8 cy or practice fails to conform to current, generally accepted medical 9 standards and procedures. The commissioner shall monitor the implemen- 10 tation of such corrective plans and shall conduct such further reviews 11 as the commissioner deems necessary to ensure that identified deficien- 12 cies in [HIV, AIDS and HCV] policies and practices are corrected. All 13 written reports pertaining to reviews provided for in this subdivision 14 shall be maintained, under such conditions as the commissioner shall 15 prescribe, as public information [available for public inspection] and 16 shall be posted on the department's website in searchable and downloada- 17 ble form; provided that patient individual identifying information shall 18 be kept confidential by the commissioner. This subdivision shall not 19 diminish any other authority or jurisdiction of the commissioner. 20 § 5. This act shall take effect one year after it shall have become a 21 law; provided that, effective immediately, the commissioners of health, 22 corrections and community supervision, mental health, and alcoholism and 23 substance abuse services shall promulgate rules and regulations and take 24 other actions reasonably necessary prior to such effective date neces- 25 sary to implement the provisions of this act.