senate Bill S270A

Amended

Requires facilities to perform pulse oximetry screening on newborns

download pdf

Sponsor

Co-Sponsors

view all co-sponsors

Bill Status


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

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.

do you support this bill?

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

Votes

14
0
14
Aye
0
Nay
1
aye with reservations
0
absent
1
excused
0
abstained
show Health committee vote details

Sponsor Memo

BILL NUMBER:S270A

TITLE OF BILL: An act to amend the public health law, in relation to
requiring facilities to screen newborns for critical congenital heart
defects through pulse oximetry screening

PURPOSE: Requires facilities to perform pulse oximetry screening on
newborns for critical congenital heart defects.

SUMMARY OF PROVISIONS: Section 1: Legislative Intent

Section 2: Establishes a program to screen newborn infants for
critical 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
critical 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, and that about 4,800 babies born every year have CCHDs.
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.

LEGISLATIVE HISTORY: 2012-S.6726-Passed Senate

FISCAL IMPLICATIONS: None to the state.

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--A

                       2013-2014 Regular Sessions

                            I N  S E N A T E

                               (PREFILED)

                             January 9, 2013
                               ___________

Introduced  by Sens. LARKIN, ADDABBO, BOYLE, BRESLIN, GRISANTI, KRUEGER,
  LATIMER, LAVALLE, MAZIARZ,  MONTGOMERY,  PERALTA  --  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 requiring facili-
  ties to screen newborns for critical congenital heart defects  through
  pulse oximetry screening

  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; critical CHDs (CCHDs) are a subset of CHDs
that cause severe and life-threatening  symptoms  which  require  inter-
vention within the first days, weeks or months 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 and that about forty-eight hundred
babies born each year have one of seven CCHDs.
  Current methods for detecting CHDs generally include  prenatal  ultra-
sound  screening  and  repeated  clinical  examinations;  while prenatal
ultrasound screenings can detect  some  major  CHDs,  these  screenings,
alone,  identify  less than half of all CHD cases.  CCHD cases are often
missed during routine clinical exams  performed  prior  to  a  newborn's
discharge from a birthing facility.

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD01366-05-3

S. 270--A                           2

  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
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. NEWBORN INFANT CRITICAL CONGENITAL HEART  DEFECT  SCREENING.
1.  THE COMMISSIONER SHALL ESTABLISH A PROGRAM TO SCREEN NEWBORN INFANTS
FOR CRITICAL 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 FOR CRITICAL CONGENITAL HEART DEFECTS A MINIMUM OF TWENTY-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 CRITICAL 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 FOR
CRITICAL CONGENITAL HEART DEFECTS 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.

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.