Senate Bill S4991

Vetoed By Governor

2011-2012 Legislative Session

Establishes the clinical information resource access program to provide information to medical institutions and facilities

download bill text pdf

Archive: Last Bill Status - Vetoed by Governor

Introduced
- In Committee Assembly
- In Committee Senate
- On Floor Calendar Assembly
- On Floor Calendar Senate
- Passed Assembly
- Passed Senate
Vetoed By Governor
Signed By Governor

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Actions

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Date of Action	Assembly Actions - Lowercase Senate Actions - UPPERCASE
Sep 23, 2011	vetoed memo.78
Sep 12, 2011	delivered to governor
Jun 21, 2011	returned to senate passed assembly ordered to third reading rules cal.560 substituted for a8202
Jun 14, 2011	referred to ways and means delivered to assembly passed senate
Jun 06, 2011	amended on third reading 4991b
Jun 01, 2011	amended on third reading 4991a
May 16, 2011	advanced to third reading
May 11, 2011	2nd report cal.
May 10, 2011	1st report cal.598
May 02, 2011	referred to health

Votes

- Jun 14, 2011 - Floor Vote
  S4991
  
  Aye
  
  62
  
  Nay
  
  0
  
  Absent
  
  0
  
  Excused
  
  0
  
  Abstained
  
  0
  - - Floor Vote: Jun 14, 2011
      
      aye (62)
      
      Adams
      
      Addabbo Jr.
      
      Alesi
      
      Avella
      
      Ball
      
      Bonacic
      
      Breslin
      
      Carlucci
      
      DeFrancisco
      
      Diaz
      
      Dilan
      
      Duane
      
      Espaillat
      
      Farley
      
      Flanagan
      
      Fuschillo
      
      Gallivan
      
      Gianaris
      
      Golden
      
      Griffo
      
      Grisanti
      
      Hannon
      
      Hassell-Thompson
      
      Huntley
      
      Johnson
      
      Kennedy
      
      Klein
      
      Krueger
      
      Kruger
      
      LaValle
      
      Lanza
      
      Larkin
      
      Libous
      
      Little
      
      Marcellino
      
      Martins
      
      Maziarz
      
      McDonald
      
      Montgomery
      
      Nozzolio
      
      O'Mara
      
      Oppenheimer
      
      Parker
      
      Peralta
      
      Perkins
      
      Ranzenhofer
      
      Ritchie
      
      Rivera
      
      Robach
      
      Saland
      
      Sampson
      
      Savino
      
      Serrano
      
      Seward
      
      Skelos
      
      Smith
      
      Squadron
      
      Stavisky
      
      Stewart-Cousins
      
      Valesky
      
      Young
      
      Zeldin
  May 10, 2011 - Health Committee Vote
  S4991
  
  Aye
  
  15
  
  Nay
  
  0
  
  Aye with Reservations
  
  2
  
  Absent
  
  0
  
  Excused
  
  0
  
  Abstained
  
  0
  - - Health Committee Vote: May 10, 2011
      
      aye (15)
      
      Adams
      
      Ball
      
      Duane
      
      Farley
      
      Fuschillo
      
      Gianaris
      
      Golden
      
      Hannon
      
      Larkin
      
      McDonald
      
      Montgomery
      
      Rivera
      
      Seward
      
      Smith
      
      Young
      
      aye wr (2)
      
      Kruger
      
      Stewart-Cousins

Bill Amendments

Original

B (Active)

co-Sponsors

2011-S4991 - Details

Law Section:: Public Health Law
Laws Affected:: Amd §201, add §207-a, Pub Health L

2011-S4991 - Summary

Establishes the clinical information resource access program to provide information on clinical practice to medical institutions and facilities.

2011-S4991 - Sponsor Memo

                                BILL NUMBER:S4991

TITLE OF BILL:

An act
to amend the public health law, in relation to establishing the clinical
information resource access program

PURPOSE:

Establishes the clinical information resource access program to
provide information to medical institutions and facilities

SUMMARY OF PROVISIONS:

Section 1. Amends subdivision 1 of section 201 of the public health
law to add two new paragraphs to the duties of the Health Department
to include the coordinate of clinical applications within New York
State and to encourage education and training the area of clinical
applications.

Section 2. Amends the public health law to add a new section 207-a
which provides for the clinical information resource information
access program. Under the program, electing institutions and
universities will participate in the program with the Health
Department, who will, in conjunction with the board of regents and

board of trustees of the state university, contract on behalf of the
participating universities and institutions for electronic and print
resources on medical information related to clinical practice. The
information will be provided to the participating parties as well as
designated health care practitioners and facilities. An advisory
board will be established to designate eligible medical libraries and
make recommendations on the selection and procurement of resources.

Section 3. Effective Date.

JUSTIFICATION:

Patients and their families desire and deserve health care providers
to be well educated in the best and most effective clinical practices
available. The Clinical Information Resource Access (CIRA) program
provides the mechanism for coordinated acquisition and dissemination
of clinical medical information across New York.

The successful training of our health care professionals may begin at
school - from a two-year college to a research university - but it
continues throughout their career. Unfortunately the cost of
maintaining a high level of proficiency is access to the most current
and authoritative evidence possible.

Across New York there are 194 hospitals, 640 nursing homes, more than
200 colleges and universities training nurses or conducting research,
47 federally qualified health clinics, and scores of public health
departments and agencies. These institutions and providers employ a
total workforce of nearly 800,000. Yet many do not have access to
up-to-date and reliable health care information. Of those


institutions with in-house libraries (about 60 percent of hospitals)
most are under-funded and lack adequate information access.

The problem of access grows exponentially each year. In 2009, over
845,000 research articles were added to the National Library of
Medicine's database of current literature. Limited access to this
unending wave of information makes it impossible for a practitioner
to keep up on their own.

It is also known that access to evidence-based clinical information
directly impacts the quality, cost, and effectiveness of care. When
health care professionals have access to the latest information they
make more informed decisions, more wisely use limited resources, and
provide better solutions to patients.

CIRA begins to remedy the problem of inadequate access to increasingly
expensive information resources.

By allowing the Department of Health to aggregate the purchasing power
of New York's colleges, universities and research centers, wider
access can be obtained at lower prices. From community college
nursing programs to elite medical centers, more professionals will
have access to more information.

LEGISLATIVE HISTORY:

This is a new bill.

FISCAL IMPLICATIONS:

None to the State.

EFFECTIVE DATE:

This shall take effect immediately.

2011-S4991 - Bill Text download pdf

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

                                  4991

                       2011-2012 Regular Sessions

                            I N  S E N A T E

                               May 2, 2011
                               ___________

Introduced  by  Sen.  HANNON -- 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  establishing  the
  clinical information resource access program

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

  Section 1. Subdivision 1 of section 201 of the public  health  law  is
amended by adding two new paragraphs (k-1) and (k-2) to read as follows:
  (K-1)  COORDINATE CLINICAL APPLICATIONS WITHIN NEW YORK STATE TO AVOID
UNNECESSARY DUPLICATION OF EFFORT, RESOURCES AND FACILITIES;
  (K-2) ENCOURAGE EDUCATION AND TRAINING IN THE AREA OF CLINICAL  APPLI-
CATIONS  INCLUDING,  BUT  NOT LIMITED TO, THE ACQUISITION, LICENSING AND
DISSEMINATION OF PRINT AND ELECTRONIC RESOURCES;
  S 2.  The public health law is amended by adding a new  section  207-a
to read as follows:
  S  207-A.    CLINICAL INFORMATION RESOURCE INFORMATION ACCESS PROGRAM.
1. THE DEPARTMENT, IN CONSULTATION AND COOPERATION  WITH  THE  BOARD  OF
REGENTS  AND  THE BOARD OF TRUSTEES OF THE STATE UNIVERSITY, SHALL ENTER
INTO CONTRACTS AND GRANT LICENSES FOR THE PROVISION TO INSTITUTIONS  AND
FACILITIES,  ELECTING TO PARTICIPATE PURSUANT TO SUBDIVISION TWO OF THIS
SECTION OF ELECTRONIC AND PRINT RESOURCES ON MEDICAL INFORMATION RELATED
TO CLINICAL PRACTICE INCLUDING, BUT NOT LIMITED  TO,  ACADEMIC,  PROFES-
SIONAL  AND BUSINESS JOURNALS, REFERENCE HANDBOOKS AND MANUALS, RESEARCH
TRACKING TOOLS, INDICES, AND ABSTRACTS. ALL COSTS OF SUCH CONTRACTS  AND
LICENSES  SHALL BE BORNE BY THE INSTITUTIONS AND FACILITIES, ELECTING TO
PARTICIPATE PURSUANT TO SUBDIVISION TWO OF THIS SECTION, ON  A  PRO-RATA
BASIS  AS  SHALL  BE  DETERMINED BY THE DEPARTMENT.   EACH PARTICIPATING
INSTITUTION AND FACILITY SHALL PAY ITS PRO-RATA SHARE TO THE  DEPARTMENT
AT  SUCH TIMES AS SHALL BE DETERMINED TO BE NECESSARY BY THE STATE COMP-
TROLLER.

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD11032-02-1

S. 4991                             2

  2. THE ELECTRONIC AND PRINT RESOURCES ON MEDICAL  INFORMATION  RELATED
TO  CLINICAL PRACTICE MADE AVAILABLE PURSUANT TO SUBDIVISION ONE OF THIS
SECTION SHALL BE MADE AVAILABLE TO INSTITUTIONS AND  FACILITIES  ENGAGED
IN  CLINICAL  HEALTH  PRACTICE OR THE PROVISION OF ACADEMIC CURRICULA IN
SUPPORT OF ANY SUCH PRACTICE, AND WHICH PROVIDE NOTICE TO THE DEPARTMENT
OF THEIR INTENT TO BE PROVIDED WITH SUCH RESOURCES. PARTICIPATING INSTI-
TUTIONS  AND FACILITIES SHALL INCLUDE RESEARCHERS, SCHOLARS, FACULTY AND
STUDENTS OF MEMBER AND ASSOCIATE INSTITUTIONS  OF  THE  NEW  YORK  STATE
HIGHER  EDUCATION  INITIATIVE;  HEALTH  CARE  PRACTITIONERS  AT CLINICAL
FACILITIES AND INSTITUTIONS AFFILIATED WITH A MEMBER OR ASSOCIATE INSTI-
TUTION OF THE NEW YORK STATE HIGHER EDUCATION INITIATIVE;  OTHER  INSTI-
TUTIONS  REGISTERED WITH THE OFFICE OF COLLEGE AND UNIVERSITY EVALUATION
OF THE EDUCATION DEPARTMENT; AND SUCH  MEDICAL  LIBRARIES  AS  SHALL  BE
DESIGNATED  BY  THE  ADVISORY  BOARD ESTABLISHED BY SUBDIVISION THREE OF
THIS SECTION. EACH PARTICIPATING INSTITUTION AND  FACILITY  SHALL  GRANT
INFORMATION  ACCESS  TO HEALTH CARE PROVIDERS LICENSED PURSUANT TO TITLE
EIGHT OF THE EDUCATION LAW,  FACILITIES  LICENSED  PURSUANT  TO  ARTICLE
TWENTY-EIGHT  OF  THIS  CHAPTER,  AND FEDERALLY QUALIFIED HEALTH CLINICS
OPERATING WITHIN THIS STATE.
  3. A. THE DEPARTMENT SHALL ESTABLISH AN ADVISORY BOARD FOR THE PURPOSE
OF DESIGNATING MEDICAL LIBRARIES ELIGIBLE  TO  BE  PARTICIPATING  INSTI-
TUTIONS  AND  FACILITIES,  AND  MAKING RECOMMENDATIONS TO THE DEPARTMENT
RELATING TO THE SELECTION, PROCUREMENT AND MAINTENANCE OF MEDICAL INFOR-
MATION RESOURCES PURSUANT TO THIS SECTION. THE ADVISORY BOARD  SHALL  BE
COMPOSED  OF  TEN  MEMBERS APPOINTED BY THE COMMISSIONER AS FOLLOWS: ONE
REPRESENTATIVE OF ACADEMIC AND RESEARCH LIBRARIES OF SMALL  INSTITUTIONS
OF  HIGHER  EDUCATION;  ONE  REPRESENTATIVE  OF  ACADEMIC  AND  RESEARCH
LIBRARIES OF MEDIUM INSTITUTIONS OF HIGHER EDUCATION; ONE REPRESENTATIVE
OF ACADEMIC AND RESEARCH  LIBRARIES  OF  LARGE  INSTITUTIONS  OF  HIGHER
EDUCATION; ONE REPRESENTATIVE OF MEDICAL SCHOOL LIBRARIES; ONE REPRESEN-
TATIVE  OF  COMMUNITY  HOSPITALS;  ONE  REPRESENTATIVE  OF PUBLIC HEALTH
ORGANIZATIONS; ONE REPRESENTATIVE OF FEDERALLY QUALIFIED HEALTH CLINICS;
AND THREE AT LARGE MEMBERS. THE MEMBERS OF THE ADVISORY BOARD  SHALL  BE
BROADLY  REPRESENTATIVE  OF THE GEOGRAPHIC AREAS OF THE STATE. THE ADVI-
SORY BOARD SHALL ELECT ITS CHAIR FROM AMONGST ITS MEMBERSHIP.
  B. THE ADVISORY BOARD SHALL MEET AT THE  CALL  OF  ITS  CHAIR  OR  THE
COMMISSIONER.    NO  ACTION  SHALL BE TAKEN BY THE ADVISORY BOARD EXCEPT
UPON THE AFFIRMATIVE VOTE OF SEVEN MEMBERS THEREOF.
  C. THE MEMBERS OF THE ADVISORY BOARD SHALL RECEIVE NO COMPENSATION FOR
THEIR SERVICES, BUT SHALL BE ALLOWED THEIR ACTUAL AND NECESSARY EXPENSES
INCURRED IN THE PERFORMANCE OF THEIR DUTIES PURSUANT  TO  THIS  SUBDIVI-
SION.
  S 3. This act shall take effect immediately.

co-Sponsors

2011-S4991A - Details

Law Section:: Public Health Law
Laws Affected:: Amd §201, add §207-a, Pub Health L

2011-S4991A - Summary

Establishes the clinical information resource access program to provide information on clinical practice to medical institutions and facilities.

2011-S4991A - Sponsor Memo

                                BILL NUMBER:S4991A

TITLE OF BILL:

An act
to amend the public health law, in relation to establishing the clinical
information resource access program

PURPOSE:

Establishes the clinical information resource access program to
provide information to medical institutions and facilities

SUMMARY OF PROVISIONS:

Section 1. Amends subdivision 1 of section 201 of the public health
law to add two new paragraphs to the duties of the Health Department
to include the coordinate of clinical applications within New York
State and to encourage education and training the area of clinical
applications.

Section 2. Amends the public health law to add a new section 207-a
which provides for the clinical information resource information
access program. Under the program, electing institutions and
universities will participate in the program with the Health
Department, who will, in conjunction with the board of regents and

board of trustees of the state university, contract on behalf of the
participating universities and institutions for electronic and print
resources on medical information related to clinical practice. The
information will be provided to the participating parties as well as
designated health care practitioners and facilities. An advisory
board will be established to designate eligible medical libraries and
make recommendations on the selection and procurement of resources.

Section 3. Effective Date.

JUSTIFICATION:

Patients and their families desire and deserve health care providers
to be well educated in the best and most effective clinical practices
available. The Clinical Information Resource Access (CIRA) program
provides the mechanism for coordinated acquisition and dissemination
of clinical medical information across New York.

The successful training of our health care professionals may begin at
school - from a two-year college to a research university - but it
continues throughout their career. Unfortunately the cost of
maintaining a high level of proficiency is access to the most current
and authoritative evidence possible.

Across New York there are 194 hospitals, 640 nursing homes, more than
200 colleges and universities training nurses or conducting research,
47 federally qualified health clinics, and scores of public health
departments and agencies. These institutions and providers employ a
total workforce of nearly 800,000. Yet many do not have access to
up-to-date and reliable health care information. Of those


institutions with in-house libraries (about 60 percent of hospitals)
most are under-funded and lack adequate information access.
The problem of access grows exponentially each year. In 2009, over
845,000 research articles were added to the National Library of
Medicine's database of current literature. Limited access to this
unending wave of information makes it impossible for a practitioner
to keep up on their own.

It is also known that access to evidence-based clinical information
directly impacts the quality, cost, and effectiveness of care. When
health care professionals have access to the latest information they
make more informed decisions, more wisely use limited resources, and
provide better solutions to patients.

CIRA begins to remedy the problem of inadequate access to increasingly
expensive information resources.

By allowing the Department of Health to aggregate the purchasing power
of New York's colleges, universities and research centers, wider
access can be obtained at lower prices. From community college
nursing programs to elite medical centers, more professionals will
have access to more information.

LEGISLATIVE HISTORY:

This is a new bill.

FISCAL IMPLICATIONS:

None to the State.

EFFECTIVE DATE:

This shall take effect immediately.

2011-S4991A - Bill Text download pdf

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

                                 4991--A
    Cal. No. 598

                       2011-2012 Regular Sessions

                            I N  S E N A T E

                               May 2, 2011
                               ___________

Introduced  by  Sens.  HANNON, LARKIN -- read twice and ordered printed,
  and when printed to  be  committed  to  the  Committee  on  Health  --
  reported  favorably  from  said committee, ordered to first and second
  report, ordered to a third reading,  amended  and  ordered  reprinted,
  retaining its place in the order of third reading

AN  ACT  to amend the public health law, in relation to establishing the
  clinical information resource access program

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

  Section  1.  Subdivision  1 of section 201 of the public health law is
amended by adding two new paragraphs (k-1) and (k-2) to read as follows:
  (K-1) PURSUANT TO SECTION TWO HUNDRED SEVEN-A OF THIS  TITLE,  COORDI-
NATE  CLINICAL  INFORMATION  RESOURCES  WITHIN  NEW  YORK STATE TO AVOID
UNNECESSARY DUPLICATION OF EFFORT, RESOURCES AND FACILITIES;
  (K-2) PURSUANT TO SECTION TWO HUNDRED SEVEN-A OF THIS TITLE, ENCOURAGE
EDUCATION AND TRAINING IN THE AREA  OF  CLINICAL  INFORMATION  RESOURCES
INCLUDING,  BUT  NOT  LIMITED TO, THE ACQUISITION, LICENSING AND DISSEM-
INATION OF PRINT AND ELECTRONIC RESOURCES;
  S 2.  The public health law is amended by adding a new  section  207-a
to read as follows:
  S  207-A.    CLINICAL  INFORMATION  RESOURCE  ACCESS PROGRAM.   1. THE
DEPARTMENT, IN CONSULTATION AND COOPERATION WITH THE  BOARD  OF  REGENTS
AND  THE  BOARD  OF  TRUSTEES  OF THE STATE UNIVERSITY, SHALL ENTER INTO
CONTRACTS AND GRANT LICENSES  FOR  THE  PROVISION  TO  INSTITUTIONS  AND
FACILITIES,  ELECTING TO PARTICIPATE PURSUANT TO SUBDIVISION TWO OF THIS
SECTION OF ELECTRONIC AND PRINT RESOURCES ON MEDICAL INFORMATION RELATED
TO CLINICAL PRACTICE INCLUDING, BUT NOT LIMITED  TO,  ACADEMIC,  PROFES-
SIONAL  AND BUSINESS JOURNALS, REFERENCE HANDBOOKS AND MANUALS, RESEARCH
TRACKING TOOLS, INDICES, AND ABSTRACTS. ALL COSTS OF SUCH CONTRACTS  AND
LICENSES  SHALL BE BORNE BY THE INSTITUTIONS AND FACILITIES, ELECTING TO
PARTICIPATE PURSUANT TO SUBDIVISION TWO OF THIS SECTION, ON  A  PRO-RATA

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

                                                           LBD11032-03-1

S. 4991--A                          2

BASIS  AS  SHALL  BE  DETERMINED BY THE DEPARTMENT.   EACH PARTICIPATING
INSTITUTION AND FACILITY SHALL PAY ITS PRO-RATA SHARE TO THE  DEPARTMENT
AT  SUCH TIMES AS SHALL BE DETERMINED TO BE NECESSARY BY THE STATE COMP-
TROLLER.
  2.  THE  ELECTRONIC AND PRINT RESOURCES ON MEDICAL INFORMATION RELATED
TO CLINICAL PRACTICE MADE AVAILABLE PURSUANT TO SUBDIVISION ONE OF  THIS
SECTION  SHALL  BE MADE AVAILABLE TO INSTITUTIONS AND FACILITIES ENGAGED
IN CLINICAL HEALTH PRACTICE OR THE PROVISION OF  ACADEMIC  CURRICULA  IN
SUPPORT OF ANY SUCH PRACTICE, AND WHICH PROVIDE NOTICE TO THE DEPARTMENT
OF THEIR INTENT TO BE PROVIDED WITH SUCH RESOURCES. PARTICIPATING INSTI-
TUTIONS  AND FACILITIES SHALL INCLUDE RESEARCHERS, SCHOLARS, FACULTY AND
STUDENTS OF MEMBER AND ASSOCIATE INSTITUTIONS  OF  THE  NEW  YORK  STATE
HIGHER  EDUCATION  INITIATIVE;  HEALTH  CARE  PRACTITIONERS  AT CLINICAL
FACILITIES AND INSTITUTIONS AFFILIATED WITH A MEMBER OR ASSOCIATE INSTI-
TUTION OF THE NEW YORK STATE HIGHER EDUCATION INITIATIVE;  OTHER  INSTI-
TUTIONS  REGISTERED WITH THE OFFICE OF COLLEGE AND UNIVERSITY EVALUATION
OF THE EDUCATION DEPARTMENT; AND SUCH  MEDICAL  LIBRARIES  AS  SHALL  BE
DESIGNATED  BY  THE  ADVISORY  BOARD ESTABLISHED BY SUBDIVISION THREE OF
THIS SECTION. EACH PARTICIPATING INSTITUTION AND  FACILITY  SHALL  GRANT
INFORMATION  ACCESS  TO HEALTH CARE PROVIDERS LICENSED PURSUANT TO TITLE
EIGHT OF THE EDUCATION LAW,  FACILITIES  LICENSED  PURSUANT  TO  ARTICLE
TWENTY-EIGHT  OF  THIS  CHAPTER,  AND FEDERALLY QUALIFIED HEALTH CLINICS
OPERATING WITHIN THIS STATE.
  3. A. THE DEPARTMENT SHALL ESTABLISH AN ADVISORY BOARD FOR THE PURPOSE
OF DESIGNATING MEDICAL LIBRARIES ELIGIBLE  TO  BE  PARTICIPATING  INSTI-
TUTIONS  AND  FACILITIES,  AND  MAKING RECOMMENDATIONS TO THE DEPARTMENT
RELATING TO THE SELECTION, PROCUREMENT AND MAINTENANCE OF MEDICAL INFOR-
MATION RESOURCES PURSUANT TO THIS SECTION. THE ADVISORY BOARD  SHALL  BE
COMPOSED  OF  TEN  MEMBERS APPOINTED BY THE COMMISSIONER AS FOLLOWS: ONE
REPRESENTATIVE OF ACADEMIC AND RESEARCH LIBRARIES OF SMALL  INSTITUTIONS
OF  HIGHER  EDUCATION;  ONE  REPRESENTATIVE  OF  ACADEMIC  AND  RESEARCH
LIBRARIES OF MEDIUM INSTITUTIONS OF HIGHER EDUCATION; ONE REPRESENTATIVE
OF ACADEMIC AND RESEARCH  LIBRARIES  OF  LARGE  INSTITUTIONS  OF  HIGHER
EDUCATION; ONE REPRESENTATIVE OF MEDICAL SCHOOL LIBRARIES; ONE REPRESEN-
TATIVE  OF  COMMUNITY  HOSPITALS;  ONE  REPRESENTATIVE  OF PUBLIC HEALTH
ORGANIZATIONS; ONE REPRESENTATIVE OF FEDERALLY QUALIFIED HEALTH CLINICS;
AND THREE AT LARGE MEMBERS. THE MEMBERS OF THE ADVISORY BOARD  SHALL  BE
BROADLY  REPRESENTATIVE  OF THE GEOGRAPHIC AREAS OF THE STATE. THE ADVI-
SORY BOARD SHALL ELECT ITS CHAIR FROM AMONGST ITS MEMBERSHIP.
  B. THE ADVISORY BOARD SHALL MEET AT THE  CALL  OF  ITS  CHAIR  OR  THE
COMMISSIONER.    NO  ACTION  SHALL BE TAKEN BY THE ADVISORY BOARD EXCEPT
UPON THE AFFIRMATIVE VOTE OF SEVEN MEMBERS THEREOF.
  C. THE MEMBERS OF THE ADVISORY BOARD SHALL RECEIVE NO COMPENSATION FOR
THEIR SERVICES, BUT SHALL BE ALLOWED THEIR ACTUAL AND NECESSARY EXPENSES
INCURRED IN THE PERFORMANCE OF THEIR DUTIES PURSUANT  TO  THIS  SUBDIVI-
SION.
  S 3. This act shall take effect immediately.

co-Sponsors

2011-S4991B (ACTIVE) - Details

Law Section:: Public Health Law
Laws Affected:: Amd §201, add §207-a, Pub Health L

2011-S4991B (ACTIVE) - Summary

Establishes the clinical information resource access program to provide information on clinical practice to medical institutions and facilities.

2011-S4991B (ACTIVE) - Sponsor Memo

                                BILL NUMBER:S4991B

TITLE OF BILL:
An act
to amend the public health law, in relation to establishing the clinical
information resource access program

PURPOSE:
Establishes the clinical information resource access program to
provide information to medical institutions and facilities

SUMMARY OF PROVISIONS:
Section 1. Amends subdivision 1 of section 201 of the public health
law to add two new paragraphs to the duties of the Health Department
to include the coordination of clinical information resources within
New York State and to encourage education and training the area of
clinical information resources.

Section 2. Amends the public health law to add a new section 207-a
which provides for the clinical information resource information
access program. Under the program, electing institutions and
universities will participate in the program with the Health
Department, who will, in conjunction with the board of regents and
board of trustees of the state university, contract on behalf of the
participating universities and institutions for electronic and print
resources on medical information related to clinical practice. The

information will be provided to the participating parties as well as
designated health care practitioners and facilities. An advisory
board will be established to designate eligible medical libraries and
make recommendations on the selection and procurement of resources.

Section 3. Effective Date.

JUSTIFICATION:
Patients and their families desire and deserve health care providers
to be well educated in the best and most effective clinical practices
available. The Clinical Information Resource Access (CIRA) program
provides the mechanism for coordinated acquisition and dissemination
of clinical medical information across New York.

The successful training of our health care professionals may begin at
school - from a two-year college to a research university - but it
continues throughout their career. Unfortunately the cost of
maintaining
a high level of proficiency is access to the most current and
authoritative evidence possible.

Across New York there are 194 hospitals, 640 nursing homes, more than
200 colleges and universities training nurses or conducting research,
47 federally qualified health clinics, and scores of public health
departments and agencies. These institutions and providers employ a
total workforce of nearly 800,000. Yet many do not have access to
up-to-date and reliable health care information. Of those
institutions with in-house libraries (about 60 percent of hospitals)
most are under-funded and lack adequate information access. The
problem of access grows exponentially each year. In 2009, over


845,000 research articles were added to the National Library of
Medicine's database of current literature.
Limited access to this unending wave of information makes it
impossible for a practitioner to keep up on their own.

It is also known that access to evidence-based clinical information
directly impacts the quality, cost, and effectiveness of care. When
health care professionals have access to the latest information they
make more informed decisions, more wisely use limited resources, and
provide better solutions to patients.

CIRA begins to remedy the problem of inadequate access to increasingly
expensive information resources.

By allowing the Department of Health to aggregate the purchasing power
of New York's colleges, universities and research centers, wider
access can be obtained at lower prices. From community college
nursing programs to elite medical centers, more professionals will
have access to more information.

LEGISLATIVE HISTORY:
This is a new bill.

FISCAL IMPLICATIONS:
None to the State.

EFFECTIVE DATE:
This shall take effect immediately.

2011-S4991B (ACTIVE) - Bill Text download pdf

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

                                 4991--B
    Cal. No. 598

                       2011-2012 Regular Sessions

                            I N  S E N A T E

                               May 2, 2011
                               ___________

Introduced  by  Sens.  HANNON, LARKIN -- read twice and ordered printed,
  and when printed to  be  committed  to  the  Committee  on  Health  --
  reported  favorably  from  said committee, ordered to first and second
  report, ordered to a third reading,  amended  and  ordered  reprinted,
  retaining its place in the order of third reading -- again amended and
  ordered reprinted, retaining its place in the order of third reading

AN  ACT  to amend the public health law, in relation to establishing the
  clinical information resource access program

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

  Section  1.  Subdivision  1 of section 201 of the public health law is
amended by adding two new paragraphs (k-1) and (k-2) to read as follows:
  (K-1) PURSUANT TO SECTION TWO HUNDRED SEVEN-A OF THIS  TITLE,  COORDI-
NATE  CLINICAL  INFORMATION  RESOURCES  WITHIN  NEW  YORK STATE TO AVOID
UNNECESSARY DUPLICATION OF EFFORT, RESOURCES AND FACILITIES;
  (K-2) PURSUANT TO SECTION TWO HUNDRED SEVEN-A OF THIS TITLE, ENCOURAGE
EDUCATION AND TRAINING IN THE AREA  OF  CLINICAL  INFORMATION  RESOURCES
INCLUDING,  BUT  NOT  LIMITED TO, THE ACQUISITION, LICENSING AND DISSEM-
INATION OF PRINT AND ELECTRONIC RESOURCES;
  S 2.  The public health law is amended by adding a new  section  207-a
to read as follows:
  S  207-A.    CLINICAL  INFORMATION  RESOURCE  ACCESS PROGRAM.   1. THE
DEPARTMENT, IN CONSULTATION AND COOPERATION WITH THE  BOARD  OF  REGENTS
AND  THE  BOARD  OF  TRUSTEES  OF THE STATE UNIVERSITY, SHALL ENTER INTO
CONTRACTS AND GRANT LICENSES  FOR  THE  PROVISION  TO  INSTITUTIONS  AND
FACILITIES,  ELECTING TO PARTICIPATE PURSUANT TO SUBDIVISION TWO OF THIS
SECTION OF ELECTRONIC AND PRINT RESOURCES ON MEDICAL INFORMATION RELATED
TO CLINICAL PRACTICE INCLUDING, BUT NOT LIMITED  TO,  ACADEMIC,  PROFES-
SIONAL  AND BUSINESS JOURNALS, REFERENCE HANDBOOKS AND MANUALS, RESEARCH
TRACKING TOOLS, INDICES, AND ABSTRACTS. ALL COSTS OF SUCH CONTRACTS  AND
LICENSES  SHALL BE BORNE BY THE INSTITUTIONS AND FACILITIES, ELECTING TO

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

                                                           LBD11032-04-1

S. 4991--B                          2

PARTICIPATE PURSUANT TO SUBDIVISION TWO OF THIS SECTION, ON  A  PRO-RATA
BASIS  AS  SHALL  BE  DETERMINED BY THE DEPARTMENT.   EACH PARTICIPATING
INSTITUTION AND FACILITY SHALL PAY ITS PRO-RATA SHARE TO THE  DEPARTMENT
AT  SUCH TIMES AS SHALL BE DETERMINED TO BE NECESSARY BY THE STATE COMP-
TROLLER.
  2. THE ELECTRONIC AND PRINT RESOURCES ON MEDICAL  INFORMATION  RELATED
TO  CLINICAL PRACTICE MADE AVAILABLE PURSUANT TO SUBDIVISION ONE OF THIS
SECTION SHALL BE MADE AVAILABLE TO INSTITUTIONS AND  FACILITIES  ENGAGED
IN  CLINICAL  HEALTH  PRACTICE OR THE PROVISION OF ACADEMIC CURRICULA IN
SUPPORT OF ANY SUCH PRACTICE, AND WHICH PROVIDE NOTICE TO THE DEPARTMENT
OF THEIR INTENT TO BE PROVIDED WITH SUCH RESOURCES. PARTICIPATING INSTI-
TUTIONS AND FACILITIES SHALL INCLUDE RESEARCHERS, SCHOLARS, FACULTY  AND
STUDENTS  OF  MEMBER  AND  ASSOCIATE  INSTITUTIONS OF THE NEW YORK STATE
HIGHER EDUCATION  INITIATIVE;  HEALTH  CARE  PRACTITIONERS  AT  CLINICAL
FACILITIES AND INSTITUTIONS AFFILIATED WITH A MEMBER OR ASSOCIATE INSTI-
TUTION  OF  THE NEW YORK STATE HIGHER EDUCATION INITIATIVE; OTHER INSTI-
TUTIONS REGISTERED WITH THE OFFICE OF COLLEGE AND UNIVERSITY  EVALUATION
OF  THE  EDUCATION  DEPARTMENT;  THE  STATE  LIBRARY;  AND  SUCH MEDICAL
LIBRARIES AS SHALL BE DESIGNATED BY THE ADVISORY  BOARD  ESTABLISHED  BY
SUBDIVISION  THREE  OF  THIS SECTION. EACH PARTICIPATING INSTITUTION AND
FACILITY  SHALL  GRANT  INFORMATION  ACCESS  TO  HEALTH  CARE  PROVIDERS
LICENSED  PURSUANT  TO  TITLE  EIGHT  OF  THE  EDUCATION LAW, FACILITIES
LICENSED PURSUANT TO ARTICLE TWENTY-EIGHT OF THIS CHAPTER, AND FEDERALLY
QUALIFIED HEALTH CLINICS OPERATING WITHIN THIS STATE.
  3. A. THE DEPARTMENT SHALL ESTABLISH AN ADVISORY BOARD FOR THE PURPOSE
OF DESIGNATING MEDICAL LIBRARIES ELIGIBLE  TO  BE  PARTICIPATING  INSTI-
TUTIONS  AND  FACILITIES,  AND  MAKING RECOMMENDATIONS TO THE DEPARTMENT
RELATING TO THE SELECTION, PROCUREMENT AND MAINTENANCE OF MEDICAL INFOR-
MATION RESOURCES PURSUANT TO THIS SECTION. THE ADVISORY BOARD  SHALL  BE
COMPOSED  OF  TEN  MEMBERS APPOINTED BY THE COMMISSIONER AS FOLLOWS: ONE
REPRESENTATIVE OF ACADEMIC AND RESEARCH LIBRARIES OF SMALL  INSTITUTIONS
OF  HIGHER  EDUCATION;  ONE  REPRESENTATIVE  OF  ACADEMIC  AND  RESEARCH
LIBRARIES OF MEDIUM INSTITUTIONS OF HIGHER EDUCATION; ONE REPRESENTATIVE
OF ACADEMIC AND RESEARCH  LIBRARIES  OF  LARGE  INSTITUTIONS  OF  HIGHER
EDUCATION; ONE REPRESENTATIVE OF MEDICAL SCHOOL LIBRARIES; ONE REPRESEN-
TATIVE  OF  COMMUNITY  HOSPITALS;  ONE  REPRESENTATIVE  OF PUBLIC HEALTH
ORGANIZATIONS; ONE REPRESENTATIVE OF FEDERALLY QUALIFIED HEALTH CLINICS;
AND THREE AT LARGE MEMBERS. THE MEMBERS OF THE ADVISORY BOARD  SHALL  BE
BROADLY  REPRESENTATIVE  OF THE GEOGRAPHIC AREAS OF THE STATE. THE ADVI-
SORY BOARD SHALL ELECT ITS CHAIR FROM AMONGST ITS MEMBERSHIP.
  B. THE ADVISORY BOARD SHALL MEET AT THE  CALL  OF  ITS  CHAIR  OR  THE
COMMISSIONER.    NO  ACTION  SHALL BE TAKEN BY THE ADVISORY BOARD EXCEPT
UPON THE AFFIRMATIVE VOTE OF SEVEN MEMBERS THEREOF.
  C. THE MEMBERS OF THE ADVISORY BOARD SHALL RECEIVE NO COMPENSATION FOR
THEIR SERVICES, BUT SHALL BE ALLOWED THEIR ACTUAL AND NECESSARY EXPENSES
INCURRED IN THE PERFORMANCE OF THEIR DUTIES PURSUANT  TO  THIS  SUBDIVI-
SION.
  S 3. This act shall take effect immediately.

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Senate Bill S4991

Vetoed By Governor

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Jun 14, 2011 - Floor Vote

Floor Vote: Jun 14, 2011

May 10, 2011 - Health Committee Vote

Health Committee Vote: May 10, 2011

Bill Amendments

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2011-S4991 - Details

2011-S4991 - Summary

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2011-S4991 - Bill Text download pdf

co-Sponsors

2011-S4991A - Details

2011-S4991A - Summary

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co-Sponsors

2011-S4991B (ACTIVE) - Details

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2011-S4991B (ACTIVE) - Bill Text download pdf

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Senate Bill S4991

Vetoed By Governor

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Sponsored By

Kemp Hannon

Archive: Last Bill Status - Vetoed by Governor

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Votes

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co-Sponsors

William Larkin

2011-S4991 - Details

2011-S4991 - Summary

2011-S4991 - Sponsor Memo

2011-S4991 - Bill Text download pdf

co-Sponsors

William Larkin

2011-S4991A - Details

2011-S4991A - Summary

2011-S4991A - Sponsor Memo

2011-S4991A - Bill Text download pdf

co-Sponsors

William Larkin

2011-S4991B (ACTIVE) - Details

2011-S4991B (ACTIVE) - Summary

2011-S4991B (ACTIVE) - Sponsor Memo

2011-S4991B (ACTIVE) - Bill Text download pdf

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