LBD00068-01-9
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SERVICES, IN WHICH THE SUBJECT OF THE REPORT MAY PARTICIPATE. THE LOCAL
SOCIAL SERVICES DISTRICT OR THE HOSPITAL SHALL, IF APPROPRIATE, MAKE
ARRANGEMENTS FOR THE ADMISSION OF THE CARETAKER PARENT AND CHILD OR
CHILDREN INTO A RESIDENTIAL TREATMENT PROGRAM OR INTO AN OUT-PATIENT
TREATMENT PROGRAM PURSUANT TO SECTION FOUR HUNDRED NINE-A OF THIS ARTI-
CLE. THE SUBJECT OF A REPORT PURSUANT TO THIS SECTION SHALL BE INFORMED
IN WRITING BY THE LOCAL COMMISSIONER OF SOCIAL SERVICES OF THE POSSIBLE
CIVIL CONSEQUENCES OF FAILING TO PARTICIPATE AND COMPLY WITH THE
REQUIREMENTS OF A SUBSTANCE-ABUSE TREATMENT PROGRAM.
S 2. Paragraph (a) of subdivision 5 of section 409-a of the social
services law, as added by chapter 610 of the laws of 1979 and as desig-
nated by chapter 731 of the laws of 1989, such subdivision as renumbered
by chapter 465 of the laws of 1987, is amended to read as follows:
(a) Regulations of the department, promulgated pursuant to and not
inconsistent with this section, shall contain program standards includ-
ing, but not limited to: specification of services to be classified as
preventive services, WHICH SHALL INCLUDE SUBSTANCE ABUSE TREATMENT
SERVICES PROVIDED TO A PREGNANT WOMAN OR A CARETAKER PERSON; appropriate
circumstances and conditions for the provision of particular services;
appropriate providers and recipients of such services; and time limits,
as may be appropriate, for the provision of particular services. The
department shall, subject to the approval of the director of the budget,
establish reimbursement or charge limitations for particular services or
groups of services to be provided. The department shall also promulgate
regulations to prevent social services districts from overutilizing
particular forms or types of preventive services and to encourage
districts to provide balanced preventive services programs based on the
identified needs of children and families residing in such districts.
S 3. Section 423 of the social services law is amended by adding a new
subdivision 7 to read as follows:
7. (A) SUBJECT TO THE AMOUNTS ANNUALLY APPROPRIATED SPECIFICALLY
THEREFOR, THE COMMISSIONER OF THE OFFICE OF CHILDREN AND FAMILY SERVICES
IS AUTHORIZED TO ISSUE GRANTS TO NOT-FOR-PROFIT ORGANIZATIONS WHICH
SHALL, TO THE EXTENT PRACTICABLE, BE COMMUNITY-BASED AND/OR CONSORTIA OF
ORGANIZATIONS WITH COMMUNITY ADVISORY BOARDS, TO CREATE AND ENHANCE
CAREGIVER REHABILITATION SERVICES WHICH WILL PROVIDE A SUBSTANCE ABUSING
PREGNANT WOMAN OR A CARETAKER PERSON WITH RESIDENTIAL AND/OR OUT-PATIENT
TREATMENT SERVICES, INCLUDING COUNSELING, PARENTING SKILLS AND INTENSIVE
CASE MONITORING. CAREGIVER REHABILITATION SERVICES SHALL PROVIDE SUCH
ELIGIBLE PERSONS WITH AN OPPORTUNITY TO RECEIVE INTENSIVE REHABILITATION
TREATMENT AND INTENSIVE CASE MANAGEMENT SPECIALLY TAILORED TO ACCOMMO-
DATE THE NEEDS OF EXPECTANT MOTHERS AND CAREGIVERS WITH CHILDREN.
(B) LOCAL SOCIAL SERVICES DISTRICTS SHALL MAKE THE PROVISION OF
SUBSTANCE ABUSE TREATMENT SERVICES TO A PREGNANT WOMAN OR A CARETAKER
PERSON A PRIORITY WHENEVER SUCH PERSON IS THE SUBJECT OF A REPORT TO THE
CENTRAL REGISTER PURSUANT TO SECTION FOUR HUNDRED TWENTY-TWO OF THIS
TITLE OR WHENEVER SUCH PERSON REQUESTS SUCH ASSISTANCE FROM THE LOCAL
SOCIAL SERVICES DISTRICT IN WHICH SUCH PERSON RESIDES. SUCH SUBSTANCE
ABUSE TREATMENT PROGRAMS SHALL BE CALLED INTENSIVE CAREGIVER REHABILI-
TATION SERVICES. THE INTENSIVE CAREGIVER REHABILITATION SERVICES PROGRAM
SHALL BE PROVIDED TO ELIGIBLE PERSONS PURSUANT TO THIS SECTION IN ORDER
TO PERMIT A CHILD TO BE PLACED WITH THE CHILD'S PARENT IN A RESIDENTIAL
PROGRAM THAT PROVIDES TREATMENT AND OTHER NECESSARY SERVICES FOR PARENTS
AND CHILDREN, INCLUDING COUNSELING, PARENTING SERVICES AND INTENSIVE
CASE MONITORING WHEN:
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(I) THE PARENT OR CAREGIVER IS ATTEMPTING TO OVERCOME A SUBSTANCE
ABUSE PROBLEM AND IS COMPLYING WITH AN APPROVED TREATMENT PLAN;
(II) THE SAFETY OF THE CHILD CAN BE ASSURED;
(III) THE RANGE OF SERVICES PROVIDED BY THE PROGRAM IS DESIGNED TO
APPROPRIATELY ADDRESS THE NEEDS OF THE PARENT AND CHILD; AND
(IV) THE GOAL OF THE CASE PLAN FOR THE CHILD IS EITHER TO PREVENT AN
OUT OF HOME PLACEMENT OR TO TRY TO REUNIFY THE CHILD WITH THE FAMILY.
OUT-PATIENT SERVICES SHALL ALSO BE MADE AVAILABLE BY THE LOCAL SOCIAL
SERVICES DISTRICT TO THOSE PREGNANT WOMEN AND CAREGIVERS WHOSE CIRCUM-
STANCES PREVENT THEM FROM ENROLLING IN A RESIDENTIAL TREATMENT PROGRAM
BUT WHO ARE SEEKING INTENSIVE CAREGIVER REHABILITATION SERVICES IN AN
EFFORT TO ELIMINATE THEIR ADDICTION WHILE PRESERVING THEIR FAMILIES.
(C) THE INTENSIVE CAREGIVER REHABILITATION SERVICES PROGRAM SHALL HAVE
A CASEWORKER TO CLIENT RATIO WHICH SHALL NOT EXCEED ONE TO EIGHT.
INTENSIVE TREATMENT SERVICES SHALL BE PROVIDED TO ELIGIBLE FAMILIES FOR
NOT LESS THAN NINETY DAYS ON EITHER A RESIDENTIAL OR AN OUT-PATIENT
BASIS; AND, WEEKLY FOLLOW-UP SERVICES SHALL BE PROVIDED FOR A PERIOD OF
NOT LESS THAN THREE MONTHS AS DETERMINED ON A CASE-BY-CASE BASIS.
(D) THE COMMISSIONER OF THE OFFICE OF CHILDREN AND FAMILY SERVICES
SHALL ISSUE A REQUEST FOR PROPOSALS TO SOLICIT APPLICATIONS FROM APPLI-
CANTS FROM COMMUNITIES IDENTIFIED AS HIGH NEED FROM AMONG SUCH FACTORS
AS RATES OF CHILD ABUSE AND NEGLECT, FEMALE INCARCERATION FOR DRUG
RELATED NON-VIOLENT CRIMES, FOSTER CARE PLACEMENT RATES, POVERTY RATES
AND PERCENTAGES OF HOUSEHOLDS ON PUBLIC ASSISTANCE.
(E) FUNDING PRIORITY SHALL BE GIVEN TO PROJECTS WHICH DEVELOP AND
IMPLEMENT A PERFORMANCE PLAN WITH SPECIFIC VERIFIABLE GOALS WHICH SHALL
INCLUDE, BUT NOT BE LIMITED TO: REDUCTION OR ELIMINATION OF DRUG DEPEND-
ENCY AT PROGRAM'S COMPLETION, FOSTER CARE PREVENTION, PREVENTION OF
SUBSEQUENT INVOLVEMENT OF CAREGIVER WITH THE LOCAL CHILD PROTECTIVE
SERVICES AGENCY, APPROPRIATE PARENT/CAREGIVER CHILD INTERACTION, MAINTE-
NANCE OF A HEALTHY HOME ENVIRONMENT AND PARTICIPATION OF CHILD AND FAMI-
LY IN COUNSELING AND/OR SUPPORT SERVICES.
S 4. The public health law is amended by adding a new section 2500-k
to read as follows:
S 2500-K. ALCOHOL AND SUBSTANCE ABUSE; SCREENING AND/OR TESTING OF
NEWBORNS. 1. THE COMMISSIONER SHALL ESTABLISH A COMPREHENSIVE PROGRAM
FOR THE SCREENING AND/OR TESTING OF NEWBORNS FOR EXPOSURE TO ALCOHOL
AND/OR A CONTROLLED SUBSTANCE, INCLUDING EXPOSURE WHICH RESULTS FROM THE
ABUSE OF PRESCRIPTION DRUGS.
2. THE COMMISSIONER SHALL, NO LATER THAN NOVEMBER THIRTIETH, TWO THOU-
SAND TEN DEVELOP DEPARTMENTAL RULES AND REGULATIONS FOR USE BY ADMINIS-
TRATORS OF PRIVATE AND PUBLIC HOSPITALS IN NEW YORK STATE WHICH ESTAB-
LISH A UNIFORM HOSPITAL PROTOCOL IMPLEMENTING THE PROGRAM REQUIRED
PURSUANT TO SUBDIVISION ONE OF THIS SECTION. SUCH PROTOCOL SHALL INCLUDE
THE ADMINISTRATION OF SCREENING, TESTING, REVIEW PROCESSES, COUNSELING
AND REFERRALS FOR SUBSTANCE ABUSE TREATMENT, WHERE APPROPRIATE. SUCH
PROTOCOLS SHALL DETAIL THE PRESENTING MEDICAL SYMPTOMS WHICH SHALL
REQUIRE THE RESPONSIBLE PHYSICIAN OR BIRTH ATTENDANT TO SCREEN, TEST AND
INITIATE A REVIEW PROCESS FOR EXPOSURE TO ALCOHOL AND/OR A CONTROLLED
SUBSTANCE AS DEFINED IN SECTION THIRTY-THREE HUNDRED SIX OF THIS CHAP-
TER. SUCH PROTOCOLS SHALL EXPLICITLY STATE THAT THE EXPECTANT MOTHER'S
AGE, RACE, MARITAL STATUS, SOURCE OF INCOME, RESIDENCE, INSURANCE
PROVIDER, EDUCATIONAL LEVEL, OCCUPATION, PLACE OF EMPLOYMENT OR PROFES-
SION SHALL NOT BE A CONSIDERATION IN DETERMINING WHETHER OR NOT TO TEST
A NEWBORN FOR EXPOSURE TO ALCOHOL AND/OR A CONTROLLED SUBSTANCE. SUCH
PROTOCOL SHALL REQUIRE THAT: (A) EACH SCREENING FOR ALCOHOL AND/OR DRUGS
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BE SUBJECTED TO A SECOND CONFIRMATORY TEST WHICH SHALL BE THE GAS CHRO-
MATOGRAPHY WITH MASS SPECTROMETRY TEST; (B) THAT A MEDICAL REVIEW OFFI-
CER INTERVIEW THE EXPECTANT OR POST-PARTUM WOMAN RELATIVE TO A POSITIVE
TOXICOLOGY REPORT ON HER NEWBORN; AND (C) EACH HOSPITAL COLLECT BLIND
DATA ON THE SCREENING, TESTING AND TREATMENT REFERRALS, WHEN APPROPRI-
ATE, TO FAMILIES OF NEWBORNS.
3. COMMENCING ON THE FIRST OF JANUARY NEXT SUCCEEDING THE DATE ON
WHICH THIS SECTION SHALL HAVE BECOME A LAW, THE COMMISSIONER SHALL ANNU-
ALLY MAKE AND PUBLISH A REPORT NO LATER THAN THE FIFTEENTH OF DECEMBER
OF EACH YEAR. SUCH REPORT SHALL EVALUATE THE EFFECTIVENESS OF THE ALCO-
HOL AND DRUG SCREENING AND TESTING POLICY AND PROTOCOL ESTABLISHED BY
THIS SUBDIVISION. SUCH REPORT SHALL INCLUDE, BUT NOT BE LIMITED TO THE
FOLLOWING: THE NUMBER OF NEWBORNS SCREENED FOR EXPOSURE TO ALCOHOL OR A
CONTROLLED SUBSTANCE BY AGE, RACE, COLOR, ETHNICITY, SOCIO-ECONOMIC
STATUS, TYPE OF MEDICAL INSURANCE, AND ZIP CODE; THE NUMBER OF SCREENS
WHICH RESULTED IN A POSITIVE TOXICOLOGY; THE NUMBER OF SCREENS WHICH
WERE THEN SUBJECTED TO A SECOND CONFIRMATORY TEST; THE NUMBER OF FALSE
POSITIVE TOXICOLOGY REPORTS; THE NUMBER OF REVIEWS CONDUCTED BY A
MEDICAL REVIEW OFFICER WHICH DETERMINED THERE WAS A LOW PROBABILITY OF
ALCOHOL OR SUBSTANCE ABUSE BY RACE, COLOR, ETHNICITY, SOCIO-ECONOMIC
STATUS, TYPE OF INSURANCE COVERAGE, AND ZIP CODE; THE NUMBER OF PHYSI-
CIAN REPORTS TO THE STATE CENTRAL REGISTER FOR CHILD ABUSE AND MALTREAT-
MENT OF A POSITIVE TOXICOLOGY WHICH HAS BEEN CONFIRMED AND REVIEWED; THE
NUMBER OF WOMEN ADMITTED TO AN INTENSIVE CAREGIVER REHABILITATIVE
SERVICES PROGRAM AS A RESULT OF HOSPITAL INTERVENTION; THE NUMBER OF
ALCOHOL AND DRUG SCREENS PERFORMED BY PRIVATE HOSPITALS; AND, THE NUMBER
OF ALCOHOL AND DRUG SCREENS PERFORMED BY PUBLIC HOSPITALS.
4. ANY ALLEGED DISCRIMINATORY PRACTICE BY A PHYSICIAN AND/OR HOSPITAL
IN ITS APPLICATION OF SCREENING, TESTING AND REVIEW PROTOCOLS ESTAB-
LISHED BY THIS SECTION SHALL BE ACTIONABLE BY A PRIVATE CAUSE OF ACTION
UNDER THE CIVIL RIGHTS LAW.
S 5. Section 206 of the public health law is amended by adding a new
subdivision 26 to read as follows:
26. (A) THE COMMISSIONER SHALL PROMULGATE RULES AND REGULATIONS WHICH
MAY REQUIRE ANY PARTY PERFORMING ANALYSIS ON SAMPLES, PURSUANT TO THE
PURPOSES OF THIS CHAPTER, TO BE SUBJECT TO AN INSPECTION AND VERIFICA-
TION CRITERIA PRESCRIBED BY THE DEPARTMENT. SUCH CRITERIA SHALL BE A
NECESSARY COMPONENT OF ALL AGREEMENTS FOR SERVICES, AND REQUEST FOR
PROPOSALS ENTERED INTO FOR THE PURPOSE OF SATISFYING THE PROVISIONS OF
THIS CHAPTER. SUCH RULES AND REGULATIONS SHALL APPLY TO ALL ENTITIES
PERFORMING DUTIES TO SATISFY THE REQUIREMENTS OF THIS CHAPTER.
(B) SUCH CRITERIA SHALL CONSIST OF AT LEAST THE FOLLOWING:
(1) A DETERMINATION OF CUTOFF LIMITS FOR EACH TESTED COMPONENT;
(2) A PRESCRIBED CHAIN OF CUSTODY GUIDELINES;
(3) A REPORTING, REVIEW, AND RETEST PROTOCOL;
(4) A DETERMINATION OF ACCEPTABLE LEVELS OF THE ACCURACY FOR THE LABO-
RATORY, INCLUDING, BUT NOT LIMITED TO THE FOLLOWING:
(I) THE RATE OF FALSE NEGATIVES;
(II) THE RATE OF FALSE POSITIVES;
(III) THE NUMBER OF POSITIVE SAMPLES TESTED;
(IV) THE NUMBER OF NEGATIVE SAMPLES TESTED;
(V) THE SENSITIVITY OF THE TESTING PROCEDURE;
(VI) THE SPECIFICITY OF THE TESTING PROCEDURE;
(VII) THE TYPE OF TESTING EQUIPMENT; AND
(VIII) THE LEVEL OF TRAINING OF STAFF PARTICIPATING IN THE TESTING
PROCEDURE;
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(5) A SCHEDULE FOR REVIEW AND INSPECTION OF THESE FACILITIES WITH THE
PERIOD BETWEEN SUCH REVIEWS NOT TO EXCEED ONE HUNDRED EIGHTY DAYS;
(6) A PROCEDURE FOR RE-EVALUATION OF SAMPLES DIAGNOSED BY A FACILITY
OUT OF COMPLIANCE WITH THE CRITERIA ESTABLISHED BY THIS SUBDIVISION, ALL
SAMPLES DEEMED TO HAVE BEEN DIAGNOSED BY AN OUT OF COMPLIANCE FACILITY
SHALL BE ELIGIBLE FOR RE-EVALUATION, THOSE SAMPLES SUBJECTED TO A
VIOLATION OF CHAIN OF CUSTODY STANDARDS SHALL BE DEEMED UNUSEABLE AND
ADDITIONAL SAMPLES MUST BE OBTAINED FOR A VALID TEST TO BE PERFORMED;
(7) THE COMMISSIONER SHALL COMPILE THE INFORMATION GATHERED IN COMPLI-
ANCE WITH THIS SUBDIVISION, INTO A REPORT TO BE PUBLISHED ANNUALLY, AND
SUCH REPORT SHALL BE DELIVERED TO THE GOVERNOR, TEMPORARY PRESIDENT OF
THE SENATE, AND THE SPEAKER OF THE ASSEMBLY. INDIVIDUAL RESULTS OF
PARTICULAR SAMPLES SHALL NOT BE DISCLOSED IN SUCH REPORT.
S 6. Paragraphs (vii) and (viii) of subdivision (a) of section 1046 of
the family court act, paragraph (vii) as amended by chapter 432 of the
laws of 1993 and paragraph (viii) as added by chapter 1015 of the laws
of 1972, are amended and a new paragraph (ix) is added to read as
follows:
(vii) neither the privilege attaching to confidential communications
between husband and wife, as set forth in section forty-five hundred two
of the civil practice law and rules, nor the physician-patient and
related privileges, as set forth in section forty-five hundred four of
the civil practice law and rules, nor the psychologist-client privilege,
as set forth in section forty-five hundred seven of the civil practice
law and rules, nor the social worker-client privilege, as set forth in
section forty-five hundred eight of the civil practice law and rules,
nor the rape crisis counselor-client privilege, as set forth in section
forty-five hundred ten of the civil practice law and rules, shall be a
ground for excluding evidence which otherwise would be admissible[.];
AND
(viii) proof of the "impairment of emotional health" or "impairment of
mental or emotional condition" as a result of the unwillingness or
inability of the respondent to exercise a minimum degree of care toward
a child may include competent opinion or expert testimony and may
include proof that such impairment lessened during a period when the
child was in the care, custody or supervision of a person or agency
other than the respondent[.]; AND
(IX) THE RESULTS OF ANY LABORATORY TEST SHOWING THE USAGE OF A
CONTROLLED SUBSTANCE BY, OR THE PRESENCE OF A CONTROLLED SUBSTANCE IN, A
PARENT, CHILD OR OTHER PERSON SHALL BE ADMISSIBLE ONLY IF:
(A) SUCH TEST WAS CONDUCTED BY A LABORATORY THAT HAS MET THE REQUIRE-
MENTS ESTABLISHED BY SECTION FIVE HUNDRED SEVENTY-FIVE OF THE PUBLIC
HEALTH LAW AND HAS BEEN LICENSED BY THE STATE PURSUANT TO SUCH SECTION;
AND
(B) THE LABORATORY AND THE PERSON OR INSTITUTION COLLECTING THE SAMPLE
HAS ESTABLISHED A CHAIN OF CUSTODY PROCEDURE FOR SAMPLE COLLECTING AND
TESTING THAT WILL VERIFY THE IDENTITY OF EACH SAMPLE AND TEST RESULT;
AND
(C) THE COLLECTING ENTITY DIVIDES THE SAMPLE COLLECTED, IF SUFFICIENT
INTO TWO SEPARATE CONTAINERS AND PRESERVES ONE SAMPLE IN A SECURE FREEZ-
ER IN SUCH A WAY THAT IT CAN BE LATER TESTED FOR THE PRESENCE OF ALCOHOL
OR CONTROLLED SUBSTANCES; AND
(D) THE SAMPLE IS RETESTED, BY GAS CHROMATOGRAPHY WITH MASS SPECTROME-
TRY WHICH PROVIDES QUANTITATIVE DATA ABOUT THE DETECTED DRUG OR DRUG
METABOLITES; AND
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(E) THE RESULTS INCLUDE THE TYPE OF TESTS CONDUCTED, THE RESULTS OF
EACH TEST, AND THE DETECTION LEVEL, MEANING THE CUTOFF OR MEASURE USED
TO DISTINGUISH POSITIVE FROM NEGATIVE SAMPLES.
S 7. Section 1051 of the family court act is amended by adding a new
subdivision (g) to read as follows:
(G) WHERE THE COURT MAKES A FINDING OF NEGLECT OR ABUSE AND FINDS THAT
THE PARENT OR OTHER PERSON LEGALLY RESPONSIBLE FOR THE CHILD MISUSES A
DRUG OR DRUGS OR ALCOHOLIC BEVERAGES, THE COURT MAY REFER THE CASE TO A
PART OF THE COURT KNOWN AS THE "DRUG TREATMENT COURT". THE DRUG TREAT-
MENT COURT MAY REQUIRE THAT THE RESPONDENT MEET WITH A CASE MANAGER,
COMPLY WITH A TREATMENT PLAN, AND SUBMIT TO OVERSIGHT BY THE COURT,
INCLUDING REGULAR DRUG TESTING. THE DRUG TREATMENT COURT SHALL PROVIDE
FOR SPEEDY ENROLLMENT OF RESPONDENTS INTO APPROPRIATE TREATMENT
PROGRAMS, FREQUENT AND CONSISTENT MONITORING OF RESPONDENTS INCLUDING
REWARDING OF GOOD BEHAVIOR AND PENALIZING OF POOR BEHAVIOR, AND EXPE-
DITED DECISION MAKING.
S 8. This act shall take effect immediately.