senate Bill S270

Amended

Requires facilities to perform pulse oximetry screening on newborns

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Bill Status


  • Introduced
  • In Committee
  • On Floor Calendar
    • Passed Senate
    • Passed Assembly
  • Delivered to Governor
  • Signed/Vetoed by Governor
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actions

  • 09 / Jan / 2013
    • REFERRED TO HEALTH
  • 25 / Apr / 2013
    • AMEND (T) AND RECOMMIT TO HEALTH
  • 25 / Apr / 2013
    • PRINT NUMBER 270A
  • 07 / May / 2013
    • REPORTED AND COMMITTED TO FINANCE
  • 16 / May / 2013
    • AMEND AND RECOMMIT TO FINANCE
  • 16 / May / 2013
    • PRINT NUMBER 270B
  • 11 / Jun / 2013
    • REPORTED AND COMMITTED TO RULES
  • 11 / Jun / 2013
    • ORDERED TO THIRD READING CAL.1216
  • 12 / Jun / 2013
    • SUBSTITUTED BY A2316B

Summary

Requires facilities to perform pulse oximetry screening on newborns.

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Bill Details

Versions:
S270
S270A
S270B
Legislative Cycle:
2013-2014
Law Section:
Public Health Law
Laws Affected:
Add ยง2500-k, Pub Health L
Versions Introduced in 2011-2012 Legislative Cycle:
S6726

Sponsor Memo

BILL NUMBER:S270

TITLE OF BILL:
An act
to amend the public health law, in relation to requiring facilities to
perform pulse oximetry screening on newborns

PURPOSE:
Requires facilities to perform pulse oximetry screening on newborns.

SUMMARY OF PROVISIONS:
Section 1: Legislative Intent

Section 2: Establishes a program to screen newborn infants for
congenital heart defects through pulse oximetry screening.

Section 3: Effective Date

JUSTIFICATION:
This bill requires each birthing facility in the state of New York be
required to perform a pulse oximetry screening for congenital birth
defects (CHDs), a minimum of 24 hours after birth, on every newborn
in its care. For newborns, pulse oximetry screening involves taping
a small sensor to a newborn's foot while the sensor beams red light
through the foot to measure how much oxygen is in the blood, Pulse
oximetry screening is effective at detecting CHDs that may otherwise
go undetected by current screening methods. Pulse oximetry screenings
are noninvasive, painless, and take approximately one minute to
perform. According to the United States Secretary of Health and
Human Services' Advisory Committee on Heritable Disorders in
Newborns and Children, congenital heart disease affects
approximately seven to nine of every 1,000 live births in the United
States and Europe; the federal Centers for Disease Control and
Prevention states that CHD is the leading cause of infant death due
to birth defects.
Current methods used to detect CHDs include prenatal ultrasound
screening and repeated clinical examinations; however, prenatal
ultrasound screenings, alone, identify less than half of all CHD
cases. Many newborn lives could potentially be saved by requiring
birthing facilities to incorporate pulse oximetry screening as a
method for early detection of CHDs in conjunction with current CHD
screening methods.

FISCAL IMPLICATIONS:
None to state.

PRIOR LEGISLATIVE HISTORY:
2012: S.6726 - Passed Senate

EFFECTIVE DATE:
This act shall take effect on the one hundred eightieth day after it
shall have become a law;
provided, however, that effective immediately, the addition, amendment
and/or repeal of any rule or regulation necessary for the
implementation of this act on its effective date are authorized and
directed to be made and completed on or before such effective date.


view bill text
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                   270

                       2013-2014 Regular Sessions

                            I N  S E N A T E

                               (PREFILED)

                             January 9, 2013
                               ___________

Introduced  by  Sen.  LARKIN -- read twice and ordered printed, and when
  printed to be committed to the Committee on Health

AN ACT to amend the public health law, in relation to requiring  facili-
  ties to perform pulse oximetry screening on newborns

  THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:

  Section 1. Legislative intent.   Congenital heart defects  (CHDs)  are
structural  abnormalities  of  the heart that are present at birth; CHDs
range in severity from simple problems such as holes between chambers of
the heart, to severe malformations, such as the complete absence of  one
or  more  chambers  or  valves;  some critical CHDs can cause severe and
life-threatening symptoms which require intervention  within  the  first
days of life.
  According to the United States Secretary of Health and Human Services'
Advisory  Committee  on  Heritable  Disorders  in Newborns and Children,
congenital heart disease affects approximately seven to  nine  of  every
1,000  live  births in the United States and Europe. The federal Centers
for Disease Control and Prevention states that CHD is the leading  cause
of infant death due to birth defects.
  Current  methods  for detecting CHDs generally include prenatal ultra-
sound screening  and  repeated  clinical  examinations;  while  prenatal
ultrasound  screenings  can  detect some major congenital heart defects,
these screenings, alone, identify less than half of all CHD  cases,  and
critical  CHD  cases  are  often  missed  during  routine clinical exams
performed prior to a newborn's discharge from a birthing facility.
  Pulse oximetry is a non-invasive test that estimates the percentage of
hemoglobin in blood that is saturated with oxygen. When performed  on  a
newborn  a  minimum of 24 hours after birth, pulse oximetry screening is
often more effective at detecting critical, life-threatening CHDs  which
otherwise  go  undetected  by  current  screening methods. Newborns with

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD01366-01-3

S. 270                              2

abnormal pulse oximetry results require immediate  confirmatory  testing
and intervention.
  The  legislature  finds  and  declares  that  many newborn lives could
potentially be saved by earlier  detection  and  treatment  of  CHDs  if
birthing  facilities  in  the state of New York were required to perform
this simple, non-invasive newborn screening in conjunction with  current
CHD screening methods.
  S  2.  The public health law is amended by adding a new section 2500-k
to read as follows:
  S 2500-K. PULSE OXIMETRY SCREENING OF NEWBORNS.  1.  THE  COMMISSIONER
SHALL ESTABLISH A PROGRAM TO SCREEN NEWBORN INFANTS FOR CONGENITAL HEART
DEFECTS  THROUGH  PULSE  OXIMETRY SCREENING. IT SHALL BE THE DUTY OF THE
ADMINISTRATIVE OFFICER OR  OTHER  DESIGNATED  PERSON  AT  EACH  FACILITY
LICENSED  PURSUANT  TO  ARTICLE  TWENTY-EIGHT OF THIS CHAPTER CARING FOR
NEWBORN INFANTS TO PERFORM A PULSE OXIMETRY SCREENING A MINIMUM OF TWEN-
TY-FOUR HOURS AFTER BIRTH ON EVERY NEWBORN INFANT IN ITS CARE.
  2. FACILITIES SUBJECT TO THE PROVISIONS OF THIS SECTION THAT  ADMINIS-
TER  A  NEWBORN  INFANT  PULSE  OXIMETRY  SCREENING FOR CONGENITAL HEART
DEFECTS SHALL REPORT TO THE DEPARTMENT IN A MANNER AND  FORMAT  REQUIRED
BY THE COMMISSIONER:
  (A)  THE  RESULTS  OF  EACH  NEWBORN  INFANT  PULSE OXIMETRY SCREENING
PERFORMED; AND
  (B) SUCH OTHER INFORMATION OR DATA AS MAY BE REQUIRED BY  THE  COMMIS-
SIONER PURSUANT TO REGULATION TO FULFILL THE PURPOSES OF THIS SECTION.
  S 3. This act shall take effect on the one hundred eightieth day after
it shall have become a law; provided, however, that effective immediate-
ly,  the  addition,  amendment  and/or  repeal of any rule or regulation
necessary for the implementation of this act on its effective  date  are
authorized  and  directed  to  be  made  and completed on or before such
effective date.

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