Skip to content
S3899Senate2019-2020 SessionSame asA973

Let Minors Get STD Care

Official title

“Provides treatment for sexually transmitted diseases to minors without a parent's or guardian's consent”

Sponsor Liz KruegerSD-28+6 co-sponsorsAffects Health
Status
In Senate Committee
Health
Impact
6/10
Moderate
Passage
0%

Bill progress

Step 2 of 7

In committee · Health

What's happening

The bill allows minors in New York to consent to STI prevention, care, and treatment, including vaccines, without parental involvement.

Why it matters

  1. Expands minors’ autonomy over sexual health. By lowering the age of consent for STI-related care from 21 to 18 and explicitly allowing minors to consent to prevention (like vaccines), the bill recognizes and supports the ability of young people to manage their own sexual health, which can be crucial for those who may not feel safe or comfortable involving parents.

  2. Broader access to qualified providers. The change from limiting STI care to licensed physicians and hospital staff physicians to allowing any licensed health care practitioner to treat or prescribe for minors increases access points—making it easier for young people to get timely care in more settings, including clinics and community health centers.

  3. Privacy protections for sensitive care. The bill maintains and clarifies confidentiality rules, ensuring that records related to STI prevention, care, or vaccination for minors are not disclosed to parents or guardians without consent. This could encourage more minors to seek care without fear of unwanted disclosure.

  4. Potential for increased public health impact. By making it easier for minors to access STI prevention methods (including vaccines like HPV), the bill could contribute to lower transmission rates among adolescents, benefiting overall community health and reducing long-term health costs.

The daily · weekday mornings

Albany, before your first meeting.

Every bill that moved yesterday, summarized in a sentence and ranked by impact. The Albany Scorecard follows on Sundays.

Free. Unsubscribe in one click. Want alerts on specific bills? Create an account.

Who cares

Headline styles

Let Minors Get STD Care

Plain English, a few words. Used as the page title.

Sponsors

Primary sponsor
Liz Krueger

Senator · Senate District 28

Chair, Finance

History

  1. Referred to health
  2. Committed to rules
  3. Advanced to third reading
  4. 2nd report cal.
  5. 1st report cal.621
  6. Print number 3899a
  7. Amend and recommit to health
  8. Referred to health

Companion bill

The same bill in the other chamber. A bill becomes law when one version passes both houses and the governor signs it, so either number can carry it.

A973Assembly

Let Minors Get STD Treatment

In Assembly Committee · Health · Sponsor Amy Paulin

Impact 7 · Significant0% to pass

Full text

3 pagesUnderlined is new[Struck] is removedOfficial text on nysenate.gov ↗

STATE OF NEW YORK

3899--A

2019-2020 Regular Sessions

IN SENATE

February 21, 2019

Introduced by Sens. KRUEGER, BAILEY, HOYLMAN, PARKER, RIVERA, SANDERS, SERRANO -- read twice and ordered printed, and when printed to be committed to the Committee on Health -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee

AN ACT to amend the public health law, in relation to providing medical care to minors for sexually transmitted diseases without a parent's or guardian's consent

The People of the State of New York, represented in Senate and Assembly, do enact as follows:

Section 1. Section 2305 of the public health law, as amended by chapter 878 of the laws of 1980, the section heading and subdivisions 1 and 2 as amended by section 35 of part E of chapter 56 of the laws of 2013, is amended to read as follows:

§ 2305. Sexually transmitted diseases; care and treatment [by licensed physician or staff physician of a hospital; prescriptions]; consent by minors. 1. No person, other than a [licensed physician, or, in a hospital, a staff physician] health care practitioner, shall diagnose, treat or prescribe for a person who is infected with a sexually transmitted disease, or who has been exposed to infection with a sexually transmitted disease, or dispense or sell a drug, medicine or remedy for the treatment of such person except on prescription of a [duly licensed physician] health care practitioner.

2. (a) A [licensed physician, or in a hospital, a staff physician,] health care practitioner may diagnose, treat or prescribe treatment for a sexually transmitted disease for a person under the age of [twentyone] eighteen years without the consent or knowledge of the parents or [guardian] guardians of said person, where such person is infected with a sexually transmitted disease, or has been exposed to infection with a sexually transmitted disease.

EXPLANATION--Matter in italics (underscored) is new; matter in brackets

[ ] is old law to be omitted.

LBD00631-03-9

S. 3899--A 2

(b) A health care practitioner may provide health care related to the prevention of a sexually transmissible disease, including administering vaccines, to a person under the age of eighteen years without the consent or knowledge of the parents or guardians of such person, provided that the person has capacity to consent to the care, without regard to the person's age, and the person consents.

(c) Any release of patient information regarding vaccines provided under this section shall be consistent with sections seventeen and eighteen of this chapter and other applicable laws and regulations.

3. For the purposes of this section, [the term]

(a) "hospital" shall mean a hospital as defined in article twentyeight of this chapter; and

(b) "health care practitioner" shall mean a person licensed, certified or otherwise authorized to practice under title eight of the education law, acting within his or her lawful scope of practice.

§ 2. The first undesignated paragraph of section 17 of the public health law, as amended by chapter 322 of the laws of 2017, is amended to read ad follows:

Upon the written request of any competent patient, parent or guardian of an infant, a guardian appointed pursuant to article eighty-one of the mental hygiene law, or conservator of a conservatee, an examining, consulting or treating physician or hospital must release and deliver, exclusive of personal notes of the said physician or hospital, copies of all x-rays, medical records and test records including all laboratory tests regarding that patient to any other designated physician or hospital provided, however, that such records concerning the care and treatment of an infant patient for venereal disease or the performance of an abortion operation upon such infant patient shall not be released or in any manner be made available to the parent or guardian of such infant, and provided, further, that original mammograms, rather than copies thereof, shall be released and delivered. Either the physician or hospital incurring the expense of providing copies of x-rays, medical records and test records including all laboratory tests pursuant to the provisions of this section may impose a reasonable charge to be paid by the person requesting the release and deliverance of such records as reimbursement for such expenses, provided, however, that the physician or hospital may not impose a charge for copying an original mammogram when the original has been released or delivered to any competent patient, parent or guardian of an infant, a guardian appointed pursuant to article eighty-one of the mental hygiene law, or a conservator of a conservatee and provided, further, that any charge for delivering an original mammogram pursuant to this section shall not exceed the documented costs associated therewith. However, the reasonable charge for paper copies shall not exceed seventy-five cents per page. A release of records under this section shall not be denied solely because of inability to pay. No charge may be imposed under this section for providing, releasing, or delivering medical records or copies of medical records where requested for the purpose of supporting an application, claim or appeal for any government benefit or program, provided that, where a provider maintains medical records in electronic form, it shall provide the copy in either electronic or paper form, as required by the government benefit or program, or at the patient's request.

§ 3. Paragraph (i) of subdivision 3 of section 18 of the public health law, as added by chapter 634 of the laws of 2004, is amended to read as follows:

S. 3899--A 3

(i) The release of patient information shall be subject to: (i) article twenty-seven-F of this chapter in the case of confidential HIV-related information; (ii) section seventeen of this article and sections [twenty-three hundred one,] twenty-three hundred six and twenty-three hundred eight of this chapter in the case of termination of a pregnancy, and care and treatment for a sexually transmitted disease; (iii) article thirty-three of the mental hygiene law; and (iv) any other provisions of law creating special requirements relating to the release of patient information, including the federal health insurance portability and accountability act of 1996 and its implementing regulations.

§ 4. This act shall take effect immediately.

Reflowed for reading: line numbers and page breaks removed. Cite the official text.

Sponsor's memo

Title of bill

An act to amend the public health law, in relation to providing medical care to minors for sexually transmitted diseases with- out a parent's or guardian's consent

Purpose or general idea of bill

To ensure that the diagnosis, treatment, and prevention, including immunization, of a sexually transmissible disease are available when most effective

Summary of specific provisions

Section one amends section 2305 of the Public Health Law, stipulating that health care practitioners acting within their scope of practice may diagnose, treat, prescribe, or provide preventive care of sexually tran- smissible diseases, including administering vaccines, to persons under the age of eighteen without the consent or knowledge of their parents or guardians. Persons under the age of eighteen must have capacity to consent, and must provide consent. "Health care practitioner" is defined.

Read the full memo (765 words)

Section two amends section 17 of the Public Health Law to add the term "care" to the type of medical information that may be released.

Section three amends section 18 of the Public Health Law to add the term "care" to the type of medical information that may be released.

Section four provides the effective date.

Justification

Current New York State law permits licensed doctors and hospital staff physicians to diagnose and treat persons under twenty-one who have been exposed to or who have contracted a sexually transmissible disease with- out the consent or knowledge of their parents or guardians. This current policy does not reflect current standards of medical practice, and may preclude minors from getting preventive care, including immunizations.

There is increased public concern, including among youth, that human papillomavirus (HPV) and hepatitis B can be sexually transmitted and can cause life-threatening illnesses such as cervical and liver cancer. According to the National Cancer Institute, nearly all cases of cervical cancer are caused by HPV. The American Cancer Society estimates that approximately 4,250 women in the United States will die from cervical cancer in 2019. Although hepatitis B virus (HBV) is a common infection, it often goes unnoticed. HBV causes liver disease, cirrhosis, and liver cancer. HBV infected persons may remain chronically infected for most of their lives, and thousands die each year.

Preventive immunizations are available. The HPV vaccine, which has been approved by the U.S. Food and Drug Administration for males and females age 11 - 26, with recommended vaccination of 11 and 12 year olds, is most effective when administered before a person becomes sexually active. Generally, this means administering the vaccine to persons under the age of eighteen. The CDC recommends the HBV vaccine for infants,

children and adolescents under the age of 19, as well as people who are at risk of infection by sexual exposure or for other reasons.

Although these immunizations are available and requested by people of different ages, including youth, persons under the age of eighteen may not receive these vaccinations without parental consent. Requesting parental consent necessarily involves disclosing to parents that the minor is thinking about or has engaged in sexual activity, which can be problematic and prevent the minor from getting vital health care services. This bill will enable persons under the age of eighteen to receive critical immunizations that will help to prevent life-threaten- ing health conditions and the spread of sexually transmissible diseases.

This bill also purports to update state law to align with contemporary standards of medical practice by authorizing heath care practitioners licensed under title eight of the Education Law, and acting within their scope of practice, to provide the health care services relevant to this article. Due to great strides in the field of medicine, advanced prac- tice clinicians (APCs), including physician assistants, nurse practi- tioners, and licensed midwives, perform a range of medical services. State regulations have previously determined that APCs are qualified to diagnose and treat sexually transmissible diseases.

The Legislature has recognized that critical to protecting the health of young people is allowing them to seek preventive care and treatment of sexually transmissible diseases without the consent or knowledge of their parents or guardians.

This legislation ensures that every person, regardless of age, may receive the full range of sexual health care services, including preven- tive care. In cases where the person is under the age of eighteen, she or he must have the capacity to consent and provide consent.

Legislative history

2017-18: S.5611/A.2469 Paulin - Health Comm. 2015-16: S.2712/A.1528 Paulin - Health Comm. 2013-14: S.3134/A.497A Paulin - Health Comm. 2011-12: S.384/A.343 Paulin - Health Comm. 2009-10: S.4779B/A.6702C Paulin - Both died on 3rd reading

Fiscal implication

None to the State.

Effective date

Immediately.

Summaries, headlines and scores are AI-generated from the official bill text. How we score bills. Source: NYS Open Legislation.