S793A-2011 Actions

• Mar 13, 2012: referred to agriculture
• Mar 13, 2012: DELIVERED TO ASSEMBLY
• Mar 13, 2012: PASSED SENATE
• Mar 12, 2012: ADVANCED TO THIRD READING
• Mar 7, 2012: 2ND REPORT CAL.
• Mar 6, 2012: 1ST REPORT CAL.288
• Feb 29, 2012: PRINT NUMBER 793A
• Feb 29, 2012: AMEND AND RECOMMIT TO AGRICULTURE
• Jan 4, 2012: REFERRED TO AGRICULTURE
• Jan 4, 2012: returned to senate
• Jan 4, 2012: died in assembly
• Mar 23, 2011: referred to agriculture
• Mar 23, 2011: DELIVERED TO ASSEMBLY
• Mar 23, 2011: PASSED SENATE
• Mar 14, 2011: ADVANCED TO THIRD READING
• Mar 10, 2011: 2ND REPORT CAL.
• Mar 9, 2011: 1ST REPORT CAL.197
• Jan 5, 2011: REFERRED TO AGRICULTURE

S793A-2011 Meetings

S793A-2011 Calendars

S793A-2011 Votes

S793A-2011 Memo

BILL NUMBER:S793

TITLE OF BILL:
An act
to amend the education law and the public health law, in relation to
requiring cultural awareness and competence training for all medical
professionals; to amend the public health law, in relation to a public
health education program; and making an appropriation therefor

PURPOSE:
To require cultural awareness and competence training for all medical
professionals as part of their licensing requirements; creates a
public education program; provides for an appropriation.

SUMMARY OF PROVISIONS:
Section 1. Amends the education law by adding a new section 6505-d.
Requires every physician, physician assistant, dentist, registered
nurse, licensed practical nurse, podiatrist, optometrist and dental
hygienist practicing in the state to complete on or before July
first, 2015 and every two years thereafter, course work or training
appropriate to the professional's practice approved by the department
regarding cultural awareness and competence in the nondiscriminatory
provision of medical services

Section 2. Amends the Public Health Law, section 2805-k (1) (f).
Requires physicians, dentists or podiatrists to document the
completion of cultural awareness and competency training.
Prohibits hospitals or facilities from granting or renewing
professional privileges if such medical professional has not
completed the required training.

Section 3. Amends the Public Health Law section 206 of by adding a new
subdivision 29.
Authorizes the Commissioner of Health to develop and implement a
statewide, community-based public health education program to reduce
disparities in minority health care.

Section 4. Appropriation

Section 5. Effective Date

EXISTING LAW:
None.

JUSTIFICATION:
The Office of Minority Health and Health Disparities in the U.S.
Centers of Disease Control (CDC) reports that:

o Even though the Nation's infant mortality rate is down, the infant
death rate among African Americans is still more than double that of
whites;

o Hispanics living in the United States are almost twice as likely to
die from diabetes than non-Hispanic whites; and,

o American Indians and Alaska Natives suffer from diabetes at more
than twice the rate of whites.

According to the New York State Department of Health "Health
disparities are deep and pervasive in New York State, as they are in
almost every state in the nation. Same racial and ethnic minority
groups, people with law incomes and/or language barriers, people who
live in underserved communities, and many others have poorer health
from birth (e.g., infant mortality) to death (e.g., premature
deaths). Across the lifespan, they suffer higher rates of disease
and disability. And these problems begin early, adding to the
erosion of opportunity for children who often face a constellation
of other social and economic challenges. As a result, disparities
have a devastating human and economic impact an the state.

Health Disparities in New York City: Minding the Gap (2010 New York
City Department of Health and Mental Hygiene) reported that:

o Death rates are almost 30% higher in the poorest New York City
neighborhoods than in wealthier neighborhoods

o Blacks and whites in the poorest neighborhoods die at higher rates
than their counterparts living in richer neighborhoods

o Black, Hispanic and Asian New Yorkers are mare likely to die
prematurely than whites, regardless of neighborhood income

o Gaps in death rates between blacks and whites vary by cause of
death and neighborhood income

Evidence suggests that a mare culturally competent health workforce is
one way to address problems associated with health care disparities
by improving access to care. The Agency far Healthcare Research and
Quality likewise reported "that a lack of attention to cultural
issues reacts to less than optimal care and addressing these
concerns or using certain cultural competence interventions leads to
improved outcomes." Washington, New Jersey, California are among the
states that currently require cultural awareness and competency
training far its healthcare workforce.

This bill addresses the problems associated with health care
disparities by requiring medical professionals to complete required
course work in cultural awareness and competency training as part of
their licensing requirements.

LEGISLATIVE HISTORY:
2012: S.118-A-Amended and recommit to Health/ A.1434 - A- Amended and
recommit to Higher Education
2011: S.118 - Notice of Committee

Consideration Requested, Committee Discharged and Committed to
Health/A.1434 - Referred to Higher Education
2009-10: S.3129 -
Referred to Higher Education/A.8843 - Referred to Higher Education
2007-08: S.765 - Referred to Finance

FISCAL IMPLICATIONS:
$100,000 or so much thereof as may be necessary, to be appropriated
from the state treasury.

LOCAL FISCAL IMPLICATIONS:
None.

EFFECTIVE DATE:
Immediately.

S793A-2011 Text

 S T A T E   O F   N E W   Y O R K
 
 793--A
 2011-2012 Regular Sessions
 I N  SENATE
 (PREFILED)
 January 5, 2011
 
 Introduced  by Sens. YOUNG, BRESLIN, O'MARA, RANZENHOFER, RITCHIE, VALE
 SKY -- (at request of the Legislative Commission on  Rural  Resources)
 -- read twice and ordered printed, and when printed to be committed to
 the  Committee on Agriculture -- recommitted to the Committee on Agri
 culture 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 agriculture and markets law, in relation to retail
 farm operations
 THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM
 BLY, DO ENACT AS FOLLOWS:

 

Section  1.  Subdivision  11  of  section  301  of the agriculture and
 markets law, as amended by chapter 384 of the laws of 2011,  is  amended
 and a new subdivision 18 is added to read as follows:

 11.  "Farm operation" means the land and on-farm buildings, equipment,
 manure processing and handling facilities, and practices which  contrib
 ute to the production, preparation and marketing of crops, livestock and
 livestock  products  as a commercial enterprise, including a "commercial
 horse boarding operation" as defined in  subdivision  thirteen  of  this
 section, a "timber operation" as defined in subdivision fourteen of this
 section,  "compost, mulch or other biomass crops" as defined in subdivi
 sion sixteen of this section [and],  "commercial  equine  operation"  as
 defined  in  subdivision  seventeen  of  this section AND A "RETAIL FARM
 OPERATION" AS DEFINED IN SUBDIVISION EIGHTEEN OF THIS SECTION. Such farm
 operation may consist of one or more parcels of owned  or  rented  land,
 which parcels may be contiguous or noncontiguous to each other.
 18. "RETAIL FARM OPERATION" MEANS A SEASONAL OR ANNUAL ENTERPRISE WITH
 EITHER  PERMANENT  OR  NONPERMANENT STRUCTURES THAT ARE OPERATED FOR THE
 PURPOSES OF SELLING PREDOMINANTLY FARM AND FOOD PRODUCTS IN  CONJUNCTION
 WITH OR IN SUPPORT OF LAND USED IN AGRICULTURAL PRODUCTION AS DEFINED IN
 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD03427-02-1
 
       S. 793--A                           2
 SUBDIVISION  FOUR  OF  THIS  SECTION.  SUCH PORTION OF THE FARM AND FOOD
 PRODUCTS SHALL EXCEED FIFTY PERCENT OF THE GROSS ANNUAL INCOME  OF  SUCH
 RETAIL  FARM OPERATION.  FOR PURPOSES OF THIS SUBDIVISION, FARM AND FOOD
 PRODUCTS  SHALL  MEAN  ANY  AGRICULTURAL, HORTICULTURAL, FOREST OR OTHER
 PRODUCT OF THE SOIL OR WATER, INCLUDING BUT  NOT  LIMITED  TO  FRESH  OR
 PROCESSED  FRUITS,  VEGETABLES,  EGGS,  DAIRY  PRODUCTS,  MEAT  AND MEAT
 PRODUCTS, POULTRY AND POULTRY PRODUCTS, FISH AND  FISH  PRODUCTS,  APPLE
 CIDER,  FRUIT  JUICE, WINE, ORNAMENTAL PLANTS, NURSERY PRODUCTS, FLOWERS
 AND CHRISTMAS TREES.
 

S 2. Paragraph b of subdivision 1 of section 308  of  the  agriculture
 and  markets  law,  as  amended  by  chapter 497 of the laws of 2011, is
 amended to read as follows:

 b. Sound agricultural practices refer to those practices necessary for
 the  on-farm  production,  preparation  and  marketing  of  agricultural
 commodities.  Examples  of activities which entail practices the commis
 sioner may consider include, but are not limited to, operation  of  farm
 equipment;   proper   use  of  agricultural  chemicals  and  other  crop
 protection methods; [direct sale to consumers  of  agricultural  commod-
 ities  or  foods  containing  agricultural commodities produced on-farm]
 OPERATION AND MAINTENANCE OF A "RETAIL FARM OPERATION",  AS  DEFINED  IN
 SUBDIVISION EIGHTEEN OF SECTION THREE HUNDRED ONE OF THIS ARTICLE; agri
 cultural tourism; "timber operation," as defined in subdivision fourteen
 of section three hundred one of this article and construction and use of
 farm  structures. The commissioner shall consult appropriate state agen
 cies and any guidelines recommended by the advisory council on  agricul
 ture.  The  commissioner  may consult as appropriate, the New York state
 college of agriculture  and  life  sciences  and  the  U.S.D.A.  natural
 resources  conservation service, and provide such information, after the
 issuance of a formal opinion, to the municipality in which the  agricul
 tural  practice  being evaluated is located. The commissioner shall also
 consider whether the agricultural practices  are  conducted  by  a  farm
 owner or operator as part of his or her participation in the AEM program
 as  set  forth in article eleven-A of this chapter. Such practices shall
 be evaluated on a case-by-case basis.
 

S 3. This act shall take effect immediately.

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