Bill S2376-2013

Establishes the health care practitioner hygienic dress code program within the department of health to address clothing and jewelry that may cause infections

Establishes the health care practitioner hygienic dress code program within the department of health to address clothing, jewelry and identification tags worn by health care professionals that may cause infection, disease and bacteria in patients, visitors and the general public.

Details

Actions

  • Jan 14, 2014: RECOMMIT, ENACTING CLAUSE STRICKEN
  • Jan 8, 2014: REFERRED TO HEALTH
  • Jan 16, 2013: REFERRED TO HEALTH

Memo

BILL NUMBER:S2376

TITLE OF BILL: An act to amend the public health law, the education law and the insurance law, in relation to establishing a health care practitioner hygienic dress code; and providing for the repeal of certain provisions upon expiration thereof

PURPOSE: The purpose of this bill is to help reduce the rate of practitioner and patient injury due to the inadvertent spread of infections, bacteria, and diseases due to cross-infections via clothes and other items. Further, it is to help reduce the rising cost of medical malpractice insurance faced by health care practitioners due to the increased damages from injuries caused by such infections.

SUMMARY OF PROVISIONS:

Section 1: Amends Article 2 of the Public Health Law by adding new title 6, "Health Care Practitioner Hygienic Dress Code." This section creates a State health care practitioner hygienic dress code council comprised of twenty-five members appointed by the commissioner of health with the advice of the commissioner of education and financial services. This council is to advise the health and education commissioners on (i) the best practices for mitigating and eliminating the spread of disease among the health-care practitioner community and to their patients via garments and accessories, (ii) the promotion of better coordinated interdisciplinary policies to ensure hygienic practices, (iii) establish materials and curricula to be used in continuing education programs related to hygienic dress codes.

This council also may provide guidance to practitioners and health care facilities on the best practices to mitigate and eliminate the spread of infection and disease by vectors related to health care practitioners' clothes and identification tags. The council should examine and consider the adoption of rules and regulations including education and instruction to patients and practitioners, provision of clean scrubs and uniforms, implementation of best-practices dress codes, and prohibition of wearing clothing worn during treatment outside of the health care facility.

This section also creates Health care practitioner hygienic resource centers as the commissioner may designate. These centers shall act as a source of support and information for practitioners in the area of sanitary and hygienic conditions for patient treatment. These centers may be contracted for with not-for-profit organizations at the discretion of the Health Department and with the council's consultation.

The council, in consultation with the health and education departments, as well as practitioner professional organizations, is to develop course materials on sanitary dress code policies and practices and, within two years, make recommendations for inclusions into the continuing education curriculum of such policies or practices.

Lastly, every other year, the council shall submit a report on activities or accomplishments on sanitary and hygienic conditions

recommended by the council in health care facilities, including legislative proposals.

Section 2: Amends section 6507 of the education law and adds new paragraph d to subdivision 3. It establishes standards for continuing education for health care practitioners on the best practices and approaches for mitigating and eliminating the spread of disease by health care practitioners by implementing to the extent practicable the recommendations of the state health care practitioner hygienic dress code council.

Section 3: Amends 2343 of the insurance law by adding subsection (f) which instructs the superintendent to approve and implement programs to encourage health care facilities and practitioners to adopt hygienic dress codes to obtain better or cheaper medical malpractice coverage. Such programs can include enhanced coverage levels, lower deductibles, or an actuarially appropriate premium reduction for facilities and health care providers which have implemented a successful practitioner dress code.

Section 4: Amends 3436 of the insurance law by adding subsection (f) to chapter 266 which instructs insurers to provide for actuarially appropriate premium reductions or other medical malpractice insurance enhancements such as enhanced coverage levels and lower deductibles for health care providers and facilities which implement a successful practitioner dress code.

Section 5: Amends section 5505 of the insurance law by adding subsection e which provides for an actuarially appropriate premium discounts or other medical malpractice insurance enhancements such as enhanced coverage levels and lower deductibles by the association for facilities and practitioners which implement a successful practitioner dress code.

Section 6: This act is effective on the first on January next succeeding date on which is shall have become law and section one expires January 1, 2023.

JUSTIFICATION: Approaches to improve patient and practitioner safety have been increasingly researched for curtailing medical malpractice liability costs. Addressing the issue of costs through the lens of infection rates not only is a viable method of combating an underlying cause of increases, but also enhances practitioner and patient safety.

New York is facing a crisis with regard to the availability and affordability of medical liability insurance coverage. New York health care providers pay the highest premium rates in the country for their medical liability insurance and those rates continue to rise.

Malpractice claims that involve preventable injuries often result in large jury awards. Information indicates that, rather than increased frequency of claims, the soaring amount of individual malpractice awards accounts for increasing malpractice costs. Therefore, it is logical to reduce, and, when possible, eliminate preventable injuries to curtail medical malpractice costs and accompanying premium rates.

In a report issued by Senator Klein, it was found that while other methods and avenues for addressing rising medical malpractice costs and overall health care costs, such as attempting to cap damages in medical malpractice suits or other methods of tort reform, there were other ways to address the underlying causes of increased insurance rates. Namely, that by addressing some of the underlying causes of injury rates in patients such as the spread of infections, such as nosocomial infections like methicillin resistant staphylococcus aureus (MRSA), that these reduced incidence rates would necessarily reduce the number of claims and thus the rising costs of medical malpractice insurance.

One major way of curtailing the number of these infections among patients and practitioners alike involves avoiding having to treat drug-resistant afflictions altogether and work to mitigate their initial spread. That is, mitigating the spread of these infections is an effective method of Combating them. Thus, as research indicates that the health care practitioners themselves may be unwitting agents of these infections, examining how they are being spread and then addressing that cause may be an effective tool.

Exploring and possibly implementing all or some of a health care practitioner dress code may lead to fewer injuries to practitioners and patients as well as lowered insurance premiums. Further, this can lessen the practice of defensive medicine-that is, care tailored toward preventing lawsuits and not carefully planned to a patient's needs which also drives up the cost of care.

PRIOR LEGISLATIVE HISTORY: 2011 - S. 4909, Referred to Finance

FISCAL IMPLICATIONS: This bill is designed to lower rising medical malpractice costs by targeting some of the underlying causes such as the spread of several types of infection. Lowering such rates should also lead to fewer claims and less time in the hospital, thus alleviating associated health care costs to all parties involved, including the state.

EFFECTIVE DATE: This act shall take effect on the first of January next succeeding the date on which it shall have become law and section one of this act shall expire and be deemed repealed January 1, 2023.


Text

STATE OF NEW YORK ________________________________________________________________________ 2376 2013-2014 Regular Sessions IN SENATE January 16, 2013 ___________
Introduced by Sens. KLEIN, CARLUCCI, SAVINO, VALESKY -- read twice and ordered printed, and when printed to be committed to the Committee on Health AN ACT to amend the public health law, the education law and the insur- ance law, in relation to establishing a health care practitioner hygienic dress code; and providing for the repeal of certain provisions upon expiration thereof THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Article 2 of the public health law is amended by adding a new title 6 to read as follows: TITLE 6 HEALTH CARE PRACTITIONER HYGIENIC DRESS CODE SECTION 266. HEALTH CARE PRACTITIONER HYGIENIC DRESS CODE. S 266. HEALTH CARE PRACTITIONER HYGIENIC DRESS CODE. 1. DEFINITIONS. THE FOLLOWING WORDS OR PHRASES AS USED IN THIS TITLE SHALL HAVE THE FOLLOWING MEANINGS: (A) "CONTINUING EDUCATION" SHALL MEAN ALL PROFESSIONAL CONTINUING EDUCATION PROGRAMS REQUIRED EITHER BY STATE LAW, OR BY PROFESSIONAL ASSOCIATIONS AUTHORIZED BY THE EDUCATION DEPARTMENT TO MONITOR THE REQUIREMENTS OF LICENSURE OR CERTIFICATION AND TO CONDUCT CONTINUING EDUCATION REQUIRED TO BE COMPLETED BY A HEALTH CARE PRACTITIONER. (B) "COUNCIL" SHALL MEAN THE STATE HEALTH CARE PRACTITIONER HYGIENIC DRESS CODE COUNCIL ESTABLISHED BY SUBDIVISION TWO OF THIS SECTION. (C) "HEALTH CARE FACILITY" SHALL MEAN AND INCLUDE A HOSPITAL AND RESI- DENTIAL HEALTH CARE FACILITY AS DEFINED IN SECTION TWENTY-EIGHT HUNDRED ONE OF THIS CHAPTER, AND ANY SETTING IN WHICH A HEALTH CARE PRACTITIONER REGULARLY PRACTICES HIS OR HER PROFESSION. (D) "HEALTH CARE PRACTITIONER" SHALL MEAN ANY PERSON LICENSED AS A PHYSICIAN PURSUANT TO ARTICLE ONE HUNDRED THIRTY-ONE OF THE EDUCATION
LAW, PHYSICIAN ASSISTANT OR SPECIALIST ASSISTANT PURSUANT TO ARTICLE ONE HUNDRED THIRTY-ONE-B OF THE EDUCATION LAW, NURSE PURSUANT TO ARTICLE ONE HUNDRED THIRTY-NINE OF THE EDUCATION LAW, OR MIDWIFE PURSUANT TO ARTICLE ONE HUNDRED FORTY OF THE EDUCATION LAW. 2. STATE HEALTH CARE PRACTITIONER HYGIENIC DRESS CODE COUNCIL. (A) THE STATE HEALTH CARE PRACTITIONER HYGIENIC DRESS CODE COUNCIL IS HEREBY ESTABLISHED IN THE DEPARTMENT TO BE AN EXPERT PANEL TO ADVISE THE COMMISSIONER AND THE COMMISSIONER OF EDUCATION ON: (I) THE BEST PRAC- TICES RELATED TO MITIGATING AND ELIMINATING THE SPREAD OF DISEASE, INFECTION AND BACTERIA TO PATIENTS, VISITORS AND THE GENERAL PUBLIC IN HEALTH CARE FACILITIES BY MEANS OF THE UNHYGIENIC CLOTHING, JEWELRY AND HEALTH CARE FACILITY IDENTIFICATION TAGS WORN BY HEALTH CARE PRACTITION- ERS AND THE CLEANING PERSONNEL OF SUCH FACILITIES, (II) THE PROMOTION OF BETTER AND COORDINATED POLICIES TO ENSURE BETTER HYGIENIC PRACTICES IN HEALTH CARE FACILITIES, AND (III) THE DEVELOPMENT OF GUIDELINES TO ASSIST THE EDUCATION DEPARTMENT IN ESTABLISHING MATERIALS AND CURRICULA TO BE USED IN PROVIDING CONTINUING EDUCATION PROGRAMS TO HEALTH CARE PRACTITIONERS ON THE USE OF A HYGIENIC DRESS CODE TO MINIMIZE THE SPREAD OF DISEASE, INFECTION AND BACTERIA TO PATIENTS, VISITORS AND THE GENERAL PUBLIC. (B) THE COUNCIL SHALL BE COMPOSED OF TWENTY-FIVE MEMBERS APPOINTED BY THE COMMISSIONER. THE COMMISSIONER SHALL SEEK RECOMMENDATIONS FOR APPOINTMENTS FROM THE COMMISSIONER OF EDUCATION AND THE SUPERINTENDENT OF FINANCIAL SERVICES. THE MEMBERSHIP OF THE COUNCIL SHALL INCLUDE REPRESENTATIVES OF THE VARIOUS PROFESSIONS WITHIN THE DEFINITION OF HEALTH CARE PRACTITIONER, THE VARIOUS FACILITIES AND SETTINGS WITHIN THE DEFINITION OF HEALTH CARE FACILITY, EDUCATORS OF HEALTH CARE PRACTITION- ERS, CLEANING AND STERILIZATION SERVICES FOR HEALTH CARE FACILITIES, PHARMACEUTICAL COMPANIES, AND INSURERS AND CORPORATIONS PROVIDING HEALTH CARE COVERAGE. THE CHAIR OF THE COUNCIL SHALL BE A MEMBER THEREOF AS IS SO DESIGNATED BY THE COMMISSIONER. (C) THE MEMBERS OF THE COUNCIL SHALL HAVE EXPERTISE IN THE MAINTENANCE AND CREATION OF SANITARY AND HYGIENIC CONDITIONS IN THE TREATMENT OF PATIENTS BY HEALTH CARE PRACTITIONERS AND IN HEALTH CARE FACILITIES. THE TERM OF OFFICE OF SUCH MEMBERS SHALL BE FOUR YEARS. THE MEMBERS OF THE COUNCIL SHALL RECEIVE NO COMPENSATION FOR THEIR SERVICES, BUT SHALL BE ALLOWED THEIR ACTUAL AND NECESSARY EXPENSES IN THE PERFORMANCE OF THEIR DUTIES. (D) THE COUNCIL SHALL MEET UPON THE CALL OF THE COMMISSIONER OR THE CHAIR. THE COUNCIL MAY ADOPT REGULATIONS CONSISTENT WITH THIS SECTION. (E) THE COMMISSIONER SHALL DESIGNATE SUCH EMPLOYEE AND PROVIDE FOR OTHER RESOURCES OF THE DEPARTMENT AS MAY BE REASONABLY NECESSARY TO PROVIDE SUPPORT AND SERVICES FOR THE WORK OF THE COUNCIL. (F) THE COUNCIL MAY PROVIDE TECHNICAL INFORMATION AND GUIDANCE TO HEALTH CARE PRACTITIONERS AND HEALTH CARE FACILITIES ON THE LATEST AND BEST PRACTICES AND STRATEGIES RELATED TO MITIGATING AND ELIMINATING THE SPREAD OF DISEASE, INFECTION AND BACTERIA DURING THE COURSE OF TREATMENT OF PATIENTS AS IT RELATES TO THE USE OF HYGIENIC HEALTH CARE PRACTITION- ER CLOTHING, ATTIRE AND A DRESS CODE. 3. POLICIES TO BE CONSIDERED, EXAMINED AND POSSIBLY ADVANCED AFTER EVIDENCE-BASED REVIEW BY THE COUNCIL. THE COUNCIL SHALL CONSIDER AND EXAMINE THE FOLLOWING POLICIES AND GUIDELINES IN THE ADOPTION OF RULES AND REGULATIONS: (A) THE PROVISION OF EDUCATION AND INSTRUCTION TO PATIENTS AND HEALTH CARE PRACTITIONERS ON HOW ENHANCED SANITARY AND HYGIENIC POLICIES,
INCLUDING THE USE OF HYGIENIC HEALTH CARE PRACTITIONER CLOTHING, ATTIRE AND A DRESS CODE, CAN HELP TO REDUCE THE RISK OF CROSS-INFECTION; (B) ENCOURAGING HEALTH CARE FACILITIES TO PROVIDE ADEQUATE SUPPLIES OF CLEAN SCRUBS, OTHER ARTICLES OF CLOTHING AND HEALTH CARE FACILITY IDEN- TIFICATION TAGS TO HEALTH CARE PRACTITIONERS TO ENSURE FREQUENT CHANGES THEREOF; (C) ENCOURAGING HEALTH CARE FACILITIES TO PROVIDE CHANGING ROOMS, AND INSTRUCTION ON HOW TO APPROPRIATELY WASH CLOTHING WORN BY HEALTH CARE PRACTITIONERS; (D) THE WEARING OF PATHOGEN-RESISTANT SCRUBS AND COATS, APRONS OR SLIPS MADE OF PLASTIC OR WICKING MATERIALS, AND DOUBLE GLOVES; (E) THE ADOPTION OF A PROHIBITION ON THE WEARING OUTSIDE OF A HEALTH CARE FACILITY BY HEALTH CARE PRACTITIONERS OF CLOTHING WORN DURING TREATMENT OF PATIENTS; AND (F) CONSIDERATION OF ALTERATIONS IN MEDICAID AND PRIVATE PAYOR REIMBURSEMENT RATES AND PRACTICES TO ENCOURAGE MORE OPTIMUM SANITARY AND HYGIENIC CONDITIONS IN HEALTH CARE FACILITIES. 4. HEALTH CARE PRACTITIONER HYGIENIC RESOURCE CENTERS. THE COMMISSION- ER, IN CONSULTATION WITH THE COUNCIL, MAY DESIGNATE A HEALTH CARE PRAC- TITIONER HYGIENIC RESOURCE CENTER OR CENTERS. SUCH RESOURCE CENTER MAY BE STATEWIDE OR REGIONAL, AND SHALL ACT AS A SOURCE OF TECHNICAL SUPPORT, INFORMATION AND GUIDANCE FOR HEALTH CARE PRACTITIONERS AND HEALTH CARE FACILITIES ON THE LATEST STRATEGIES AND BEST PRACTICES WITH REGARD TO ESTABLISHING SANITARY AND HYGIENIC CONDITIONS FOR THE TREAT- MENT OF PATIENTS. THE DEPARTMENT, IN CONSULTATION WITH THE COUNCIL, MAY CONTRACT WITH NOT-FOR-PROFIT ORGANIZATIONS OR ASSOCIATIONS TO ESTABLISH AND MANAGE SUCH RESOURCE CENTERS. SUCH RESOURCE CENTERS MAY CHARGE A FEE TO HELP OFFSET THE COST OF PROVIDING SUCH SERVICES. 5. CONTINUING EDUCATION FOR HEALTH CARE PRACTITIONERS. THE COUNCIL, IN CONSULTATION WITH THE DEPARTMENT, THE EDUCATION DEPARTMENT AND HEALTH CARE PRACTITIONER PROFESSIONAL ORGANIZATIONS, SHALL DEVELOP, COMPILE AND PUBLISH INFORMATION AND COURSE MATERIALS ON SANITARY AND HYGIENIC PRAC- TICES THAT SHOULD BE FOLLOWED BY HEALTH CARE PRACTITIONERS AND HEALTH CARE FACILITIES TO MITIGATE AND ELIMINATE THE SPREAD OF DISEASE, INFECTION AND BACTERIA TO PATIENTS, VISITORS AND THE GENERAL PUBLIC BY MEANS OF THE CLOTHING, JEWELRY AND HEALTH CARE FACILITY IDENTIFICATION TAGS WORN BY HEALTH CARE PRACTITIONERS AND THE CLEANING PERSONNEL OF SUCH FACILITIES. IN ADDITION, WITHIN TWO YEARS OF THE EFFECTIVE DATE OF THIS TITLE, THE COUNCIL SHALL MAKE RECOMMENDATIONS TO THE EDUCATION DEPARTMENT FOR THE COURSE WORK, TRAINING AND CURRICULUM TO BE INCLUDED IN THE CONTINUING EDUCATION ON THE BEST PRACTICES, STRATEGIES AND APPROACHES RELATED TO MITIGATING AND ELIMINATING THE SPREAD OF DISEASE, INFECTION AND BACTERIA TO PATIENTS, VISITORS AND THE GENERAL PUBLIC IN HEALTH CARE FACILITIES BY MEANS OF THE CLOTHING, JEWELRY AND HEALTH CARE FACILITY IDENTIFICATION TAGS WORN BY HEALTH CARE PRACTITIONERS AND THE CLEANING PERSONNEL OF SUCH FACILITIES. 6. REPORT. ON OR BEFORE MARCH FIRST OF EACH EVEN NUMBERED YEAR, THE COUNCIL SHALL SUBMIT TO THE GOVERNOR, THE COMMISSIONER, THE COMMISSIONER OF EDUCATION, THE TEMPORARY PRESIDENT OF THE SENATE, THE SPEAKER OF THE ASSEMBLY, THE MINORITY LEADER OF THE SENATE, THE MINORITY LEADER OF THE ASSEMBLY, AND THE CHAIRS OF THE SENATE AND ASSEMBLY COMMITTEES ON HEALTH A REPORT ON ITS ACTIVITIES AND ACCOMPLISHMENTS PURSUANT TO THIS ARTICLE RELATING TO SANITARY AND HYGIENIC CONDITIONS IN HEALTH CARE FACILITIES. SUCH REPORT MAY ALSO INCLUDE SUCH LEGISLATIVE PROPOSALS AS IT DEEMS NECESSARY TO MORE EFFECTIVELY IMPLEMENT THE PROVISIONS OF THIS TITLE.
S 2. Paragraphs b and c of subdivision 3 of section 6507 of the educa- tion law, as added by chapter 987 of the laws of 1971, are amended and a new paragraph d is added to read as follows: b. Review qualifications in connection with licensing requirements; [and] c. Provide for licensing examinations and reexaminations[.]; AND D. (I) ESTABLISH STANDARDS FOR CONTINUING EDUCATION FOR HEALTH CARE PRACTITIONERS ON THE BEST PRACTICES, STRATEGIES AND APPROACHES RELATED TO MITIGATING AND ELIMINATING THE SPREAD OF DISEASE, INFECTION AND BACTERIA TO PATIENTS, VISITORS AND THE GENERAL PUBLIC IN HEALTH CARE FACILITIES BY MEANS OF THE CLOTHING, JEWELRY AND HEALTH CARE FACILITY IDENTIFICATION TAGS WORN BY HEALTH CARE PRACTITIONERS AND THE CLEANING PERSONNEL OF SUCH FACILITIES. IN PROMULGATION OF SUCH STANDARDS, THE DEPARTMENT AND THE APPROPRIATE BOARD OF EACH SUCH PROFESSION SHALL CONSIDER AND, TO THE EXTENT PRACTICABLE, IMPLEMENT THE RECOMMENDATIONS OF THE STATE HEALTH CARE PRACTITIONER HYGIENIC DRESS CODE COUNCIL. (II) FOR THE PURPOSES OF THIS PARAGRAPH: (A) "HEALTH CARE FACILITY" SHALL MEAN AND INCLUDE A HOSPITAL AND A RESIDENTIAL HEALTH CARE FACILITY AS DEFINED IN SECTION TWENTY-EIGHT HUNDRED ONE OF THE PUBLIC HEALTH LAW, AND ANY SETTING IN WHICH A HEALTH CARE PRACTITIONER REGULARLY PRACTICES HIS OR HER PROFESSION. (B) "HEALTH CARE PRACTITIONER" SHALL MEAN ANY PERSON LICENSED AS A PHYSICIAN PURSUANT TO ARTICLE ONE HUNDRED THIRTY-ONE OF THIS TITLE, PHYSICIAN ASSISTANT OR SPECIALIST ASSISTANT PURSUANT TO ARTICLE ONE HUNDRED THIRTY-ONE-B OF THIS TITLE, NURSE PURSUANT TO ARTICLE ONE HUNDRED THIRTY-NINE OF THIS TITLE, OR MIDWIFE PURSUANT TO ARTICLE ONE HUNDRED FORTY OF THIS TITLE. S 3. Section 2343 of the insurance law is amended by adding a new subsection (f) to read as follows: (F) THE SUPERINTENDENT SHALL APPROVE AND IMPLEMENT PROGRAMS TO ENCOUR- AGE HEALTH CARE PROVIDERS, HEALTH CARE FACILITIES AND MEDICAL MALPRAC- TICE INSURERS TO PARTICIPATE IN HEALTH CARE PROVIDER HYGIENIC DRESS CODE PROGRAMS. SUCH PROGRAMS MAY INCLUDE, BUT SHALL BE LIMITED TO, ENHANCED COVERAGE LEVELS, REDUCTIONS IN DEDUCTIBLE LEVELS OR ACTUARIALLY APPRO- PRIATE PREMIUM REDUCTION FOR INSURED HEALTH CARE PROVIDERS AND HEALTH CARE FACILITIES WHICH HAVE IMPLEMENTED A SUCCESSFUL HEALTH CARE PRACTI- TIONER DRESS CODE PROGRAM, PURSUANT TO TITLE SIX OF ARTICLE TWO OF THE PUBLIC HEALTH LAW, WHICH IS APPROVED BY THE COMMISSIONER OF HEALTH. S 4. Section 3436 of the insurance law, as added by chapter 266 of the laws of 1986, is amended by adding a new subsection (f) to read as follows: (F) AN INSURER WHICH ISSUES POLICIES FOR PRIMARY LEVELS OF MEDICAL MALPRACTICE INSURANCE SHALL UPON THE ISSUANCE OR RENEWAL THEREOF, PROVIDE FOR PROGRAMS TO ENCOURAGE HEALTH CARE PROVIDERS, HEALTH CARE FACILITIES AND MEDICAL MALPRACTICE INSURERS TO PARTICIPATE IN HEALTH CARE PROVIDER HYGIENIC DRESS CODE PROGRAMS. SUCH PROGRAMS MAY INCLUDE, BUT SHALL BE LIMITED TO, ENHANCED COVERAGE LEVELS, REDUCTIONS IN DEDUCT- IBLE LEVELS OR ACTUARIALLY APPROPRIATE PREMIUM REDUCTION FOR INSURED HEALTH CARE PROVIDERS AND HEALTH CARE FACILITIES WHICH HAVE IMPLEMENTED A SUCCESSFUL HEALTH CARE PRACTITIONER DRESS CODE PROGRAM, PURSUANT TO TITLE SIX OF ARTICLE TWO OF THE PUBLIC HEALTH LAW, WHICH IS APPROVED BY THE COMMISSIONER OF HEALTH. S 5. Section 5505 of the insurance law is amended by adding a new subsection (e) to read as follows: (E) THE ASSOCIATION'S RATES, RATING PLANS AND RATING CLASSIFICATIONS SHALL PROVIDE FOR PROGRAMS TO ENCOURAGE HEALTH CARE PROVIDERS, HEALTH
CARE FACILITIES AND MEDICAL MALPRACTICE INSURERS TO PARTICIPATE IN HEALTH CARE PROVIDER HYGIENIC DRESS CODE PROGRAMS. SUCH PROGRAMS MAY INCLUDE, BUT SHALL BE LIMITED TO, ENHANCED COVERAGE LEVELS, REDUCTIONS IN DEDUCTIBLE LEVELS OR ACTUARIALLY APPROPRIATE PREMIUM DISCOUNTS FOR HEALTH CARE PROVIDERS AND HEALTH CARE FACILITIES WHICH HAVE IMPLEMENTED A SUCCESSFUL HEALTH CARE PRACTITIONER DRESS CODE PROGRAM, PURSUANT TO TITLE SIX OF ARTICLE TWO OF THE PUBLIC HEALTH LAW, WHICH IS APPROVED BY THE COMMISSIONER OF HEALTH. S 6. This act shall take effect on the first of January next succeed- ing the date on which it shall have become a law and section one of this act shall expire and be deemed repealed January 1, 2023.

Comments

Open Legislation comments facilitate discussion of New York State legislation. All comments are subject to moderation. Comments deemed off-topic, commercial, campaign-related, self-promotional; or that contain profanity or hate speech; or that link to sites outside of the nysenate.gov domain are not permitted, and will not be published. Comment moderation is generally performed Monday through Friday.

By contributing or voting you agree to the Terms of Participation and verify you are over 13.

Discuss!

blog comments powered by Disqus