Bill S2832A-2013

Directs commissioner of health and commissioner of developmental disabilities to require pediatric care providers to screen for autism; repealer

Directs the commissioner of health and commissioner of the office for people with developmental disabilities to jointly promulgate rules and regulations requiring pediatric health care providers to screen children beginning at the age of 18 months for autism spectrum disorders during each wellness and preventative care examination.

Details

Actions

  • Feb 10, 2014: PRINT NUMBER 2832A
  • Feb 10, 2014: AMEND AND RECOMMIT TO HEALTH
  • Jan 8, 2014: REFERRED TO HEALTH
  • Jan 24, 2013: REFERRED TO HEALTH

Memo

BILL NUMBER:S2832A

TITLE OF BILL: An act to amend the public health law and the mental hygiene law, in relation to directing the commissioner of health and the commissioner of the office for people with developmental disabilities to promulgate rules and regulations requiring every child beginning at the age of eighteen months to be examined for autism spectrum disorders; and to repeal section 2500-j of the public health law relating to screening children for autism spectrum disorders

PURPOSE:

Requires the commissioner of the office for people with developmental disabilities and the commissioner of health to promulgate rules and regulations set forth by section 2500-k, which shall require primary care providers to conduct autism spectrum disorder (ASD) screening during annual wellness and preventative care examination for children over the age of 18 months.

SUMMARY OF PROVISIONS:

Section 1 repeals section 2500-j of the public health law.

Section 2 amends the public health law by adding section 2500-k instructing the commissioner of health and the commissioner of the office of people with developmental disabilities to promulgate rules and regulations requiring all pediatric primary care providers to conduct ASD screening and preventative care examination of children over the age of eighteen months. This section also establishes requirements for the rules and regulations including: best practices for screening and diagnosis, the use of objective autism spectrum disorder tools, and the appropriate referral mechanism based upon initial screening.

Section 3 requires that the commissioners promulgate all rules and regulations required by subdivisions one and two of section 2500-k of the public health law relating to the screening of children for ASD.

Section 4 establishes the effective date.

JUSTIFICATION:

Autism is the fastest growing developmental disability in the nation. In fact, since 1992, there has been more than seven fold increase in the number of children in New York State diagnosed with autism. Autism varies widely in its severity and symptoms and may go unrecognized, especially in mildly affected children.

According to a study by the London School of Economics, the cost of lifelong care can be reduced by 2/3 with early diagnosis and intervention. Section 2500-k requires pediatric primary care providers to conduct a wellness and preventative care examination for children beginning at 18 months of age.

Doctors rely on a core group of behaviors to alert them to the possibility of a diagnosis of autism,

LEGISLATIVE HISTORY:

2011-12: S.3404 - Referred to Health 2009-2010: S.6201/A.8251 Died in Health

FISCAL IMPLICATION:

None.

EFFECTIVE DATE:

This act shall take effect immediately, except that section one of this act shall take effect September 1, 2015.


Text

STATE OF NEW YORK ________________________________________________________________________ 2832--A 2013-2014 Regular Sessions IN SENATE January 24, 2013 ___________
Introduced by Sen. PARKER -- read twice and ordered printed, and when printed to be committed to the Committee on Health -- recommitted to the Committee on Health in accordance with Senate Rule 6, sec. 8 -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee AN ACT to amend the public health law and the mental hygiene law, in relation to directing the commissioner of health and the commissioner of the office for people with developmental disabilities to promulgate rules and regulations requiring every child beginning at the age of eighteen months to be examined for autism spectrum disorders; and to repeal section 2500-j of the public health law relating to screening children for autism spectrum disorders THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Section 2500-j of the public health law is REPEALED. S 2. The public health law is amended by adding a new section 2500-k to read as follows: S 2500-K. PEDIATRIC WELLNESS VISITS; SCREENING FOR AUTISM SPECTRUM DISORDERS. 1. THE COMMISSIONER SHALL, JOINTLY WITH THE COMMISSIONER OF THE OFFICE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES, AND ON OR BEFORE MAY FIRST, TWO THOUSAND FIFTEEN, PROMULGATE RULES AND REGULATIONS REQUIRING EVERY PEDIATRIC PRIMARY CARE PROVIDER, CONDUCTING A WELLNESS AND PREVENTATIVE CARE EXAMINATION, ON OR AFTER SEPTEMBER FIRST, TWO THOUSAND FIFTEEN, OF A CHILD EIGHTEEN MONTHS OF AGE OR OLDER, TO SCREEN SUCH CHILD FOR AUTISM SPECTRUM DISORDERS. 2. IN ADDITION, SUCH RULES AND REGULATIONS SHALL ESTABLISH GUIDELINES AND PROTOCOLS FOR: (A) THE BEST PRACTICES FOR THE SCREENING FOR AND DIAGNOSIS OF AUTISM SPECTRUM DISORDERS; (B) THE EMPLOYMENT OF OBJECTIVE AUTISM SPECTRUM DISORDER TOOLS; AND
(C) THE APPROPRIATE REFERRAL MECHANISM FOR CHILDREN, WHO BASED UPON THE RESULTS OF SCREENING FOR AUTISM SPECTRUM DISORDERS, REQUIRE FURTHER EVALUATION. 3. IF THE COMMISSIONER AND THE COMMISSIONER OF THE OFFICE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES SHALL FAIL TO PROMULGATE, ON OR BEFORE MAY FIRST, TWO THOUSAND FIFTEEN, THE RULES AND REGULATIONS REQUIRED BY SUBDIVISIONS ONE AND TWO OF THIS SECTION, THE DEPARTMENT SHALL ADOPT AND IMPLEMENT THE RELEVANT FEDERAL RULES AND REGULATIONS RELATING THERETO. S 3. The mental hygiene law is amended by adding a new section 16.39 to read as follows: S 16.39 PEDIATRIC WELLNESS VISITS; SCREENING FOR AUTISM SPECTRUM DISOR- DERS. THE COMMISSIONER SHALL, JOINTLY WITH THE COMMISSIONER OF HEALTH, AND ON OR BEFORE MAY FIRST, TWO THOUSAND FIFTEEN, PROMULGATE ANY AND ALL RULES AND REGULATIONS REQUIRED BY SUBDIVISIONS ONE AND TWO OF SECTION TWENTY-FIVE HUNDRED-K OF THE PUBLIC HEALTH LAW RELATING TO THE SCREENING OF CHILDREN FOR AUTISM SPECTRUM DISORDERS. S 4. This act shall take effect immediately, except that section one of this act shall take effect September 1, 2015.

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