S T A T E   O F   N E W   Y O R K
________________________________________________________________________
                                 7518--A
                       2013-2014 Regular Sessions
                          I N  A S S E M B L Y
                              May 23, 2013
                               ___________
Introduced by M. of A. GOTTFRIED, ORTIZ -- read once and referred to the
  Committee on Health -- reported and referred to the Committee on Codes
  --  committee  discharged,  bill amended, ordered reprinted as amended
  and recommitted to said committee
AN ACT to amend the public health law and  the  state  finance  law,  in
  relation to organ, eye and tissue donation
  THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
  Section 1.  Legislative findings and intent. It is the intent  of  the
legislature to enable the New York State donate life registry for organ,
eye  and  tissue  donations to enroll a greater number of New Yorkers as
donors through the authorization of a  public-private  partnership  that
will  foster  innovative and cost-effective approaches toward enrollment
of donors and that will remove unnecessary barriers to enrollment.
  S 2. Section 4310 of the public health law, as amended by chapter  639
of  the laws of 2006, the section heading as separately amended by chap-
ter 640 of the laws of 2006, subdivisions 1 and 3 as amended by  chapter
158 of the laws of 2012 and subdivision 2 as separately amended by chap-
ters 158 and 465 of the laws of 2012, is amended to read as follows:
  S  4310. New York state donate life registry for organ, EYE and tissue
donations. 1.  The department shall establish an organ, EYE, and  tissue
donor  registry, which shall be called and be referred to as the "donate
life registry", WHICH SHALL PROVIDE A MEANS TO MAKE AND REGISTER A  GIFT
OF  ORGANS,  EYES  AND  TISSUES  TO  TAKE  PLACE AFTER DEATH PURSUANT TO
SECTION FORTY-THREE HUNDRED ONE AND OTHER APPLICABLE PROVISIONS OF  THIS
ARTICLE.  [Such  registry shall contain a listing of all donors who have
declared their consent to make an anatomical gift.]
  2.  THE COMMISSIONER MAY ENTER INTO A CONTRACT FOR THE  OPERATION  AND
PROMOTION  OF  SUCH REGISTRY SUBJECT TO SUCH TERMS AND CONDITIONS AS MAY
BE CONTAINED WITHIN SUCH CONTRACT WITH A NOT-FOR-PROFIT STATEWIDE ORGAN-
IZATION THAT HAS EXPERIENCE WORKING WITH ORGAN, EYE AND TISSUE  PROCURE-
 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD10414-06-3
              
             
                          
                
A. 7518--A                          2
MENT  ORGANIZATIONS,  HAS  EXPERTISE IN CONDUCTING ORGAN, EYE AND TISSUE
DONOR PROMOTIONAL CAMPAIGNS, AND IS AFFILIATED WITH THE ORGAN,  EYE  AND
TISSUE  DONATION  COMMUNITY  THROUGHOUT  THE  STATE.  THE CONTRACTOR MAY
SUBCONTRACT AS NEEDED FOR THE EFFECTIVE PERFORMANCE OF THE CONTRACT. ALL
SUCH  SUBCONTRACTORS  SHALL  BE SUBJECT TO APPROVAL BY THE COMMISSIONER.
THE DEPARTMENT, THE DEPARTMENT OF MOTOR VEHICLES,  THE  STATE  BOARD  OF
ELECTIONS  AND  ANY OTHER APPLICABLE STATE AGENCY SHALL COOPERATE IN THE
COLLECTION AND TRANSFER OF REGISTRANT DATA TO THE CONTRACTOR.
  3. THE DUTIES OF THE CONTRACTOR MAY INCLUDE THE FOLLOWING:
  (A) THE DEVELOPMENT, IMPLEMENTATION AND MAINTENANCE OF AN  ORGAN,  EYE
AND  TISSUE  DONOR  REGISTRY THAT MAY ALLOW FOR ONLINE, MAILED AND OTHER
FORMS OF ORGAN, EYE AND TISSUE DONOR REGISTRATION, VERIFICATION,  AMEND-
MENT AND REVOCATION.
  (I) THE REGISTRY SHALL BE MAINTAINED IN A MANNER THAT ALLOWS IMMEDIATE
ACCESS  TO  ORGAN,  EYE  AND TISSUE DONATION RECORDS TWENTY-FOUR HOURS A
DAY, SEVEN DAYS A WEEK TO THE  CONTRACTOR,  FEDERALLY  DESIGNATED  ORGAN
PROCUREMENT ORGANIZATIONS, LICENSED EYE AND TISSUE BANKS, AND SUCH OTHER
ENTITIES  WHICH  MAY  BE  APPROVED BY THE DEPARTMENT FOR ACCESS.  ACCESS
SHALL ALSO BE AVAILABLE, TO THE EXTENT PRACTICABLE,  TO  REGISTRANTS  TO
CONFIRM  THE ACCURACY AND VALIDITY OF THEIR REGISTRATION AND TO AMEND OR
REVOKE THEIR REGISTRATION, SUBJECT TO REASONABLE  PROCEDURES  TO  VERIFY
THEIR IDENTITY.
  (II)  ACCESS TO THE REGISTRY SHALL HAVE SECURITY MEASURES AS SET FORTH
IN THE CONTRACT TO PROTECT THE INTEGRITY OF THE IDENTIFIABLE DATA IN THE
REGISTRY, WHICH MAY ONLY BE ACCESSED BY THE PARTIES DESCRIBED IN SUBPAR-
AGRAPH (I) OF THIS PARAGRAPH AND ONLY FOR THE  PURPOSES  OF  DETERMINING
DONOR  STATUS  AT  OR  NEAR  THE  TIME OF DEATH OF AN INDIVIDUAL, BY THE
CONTRACTOR ONLY FOR PURPOSES  OF  QUALITY  ASSESSMENT  AND  IMPROVEMENT,
TECHNICAL  SUPPORT  AND  DONOR SERVICE, OR BY INDIVIDUAL REGISTRANTS FOR
THE PURPOSES OF CONFIRMING THE ACCURACY AND VALIDITY OF THEIR  REGISTRA-
TION OR MAKING, AMENDING OR REVOKING THEIR REGISTRATION.
  (III) DE-IDENTIFIED INFORMATION MAY BE ACCESSED BY THE ENTITIES LISTED
IN SUBPARAGRAPH (I) OF THIS PARAGRAPH OR THEIR DESIGNEES FOR PURPOSES OF
ANALYSIS,   PROMOTION,  EDUCATION,  QUALITY  IMPROVEMENT  AND  TECHNICAL
SUPPORT;
  (B) PREPARATION AND SUBMISSION OF A PLAN TO ENCOURAGE  ORGAN  DONATION
THROUGH  EDUCATION  AND MARKETING EFFORTS AND OTHER RECOMMENDATIONS THAT
WOULD STREAMLINE AND ENHANCE THE COST-EFFECTIVE OPERATION OF THE  REGIS-
TRY; AND
  (C)  PREPARATION  AND  SUBMISSION  OF  AN ANNUAL WRITTEN REPORT TO THE
DEPARTMENT. SUCH REPORT SHALL INCLUDE:
  (I) A PERFORMANCE MATRIX INCLUDING THE NUMBER OF  REGISTRANTS  ON  THE
REGISTRY  AND  AN  ANALYSIS OF THE REGISTRATION RATES, INCLUDING BUT NOT
LIMITED TO, LOCATION, METHOD OF  REGISTRATION,  DEMOGRAPHIC,  AND  STATE
COMPARISONS;
  (II)  THE  CHARACTERISTICS  OF REGISTRANTS AS DETERMINED FROM REGISTRY
INFORMATION;
  (III) THE ANNUAL DOLLAR AMOUNT OF VOLUNTARY CONTRIBUTIONS RECEIVED  BY
THE  CONTRACTOR  FOR  THE  PURPOSES  OF  MAINTAINING THE REGISTRY AND/OR
EDUCATIONAL AND PROMOTIONAL CAMPAIGNS AND INITIATIVES;
  (IV) A DESCRIPTION OF THE PROMOTIONAL CAMPAIGNS AND INITIATIVES IMPLE-
MENTED DURING THE YEAR; AND
  (V) ACCOUNTING STATEMENTS OF EXPENDITURES FOR THE  PURPOSES  OF  MAIN-
TAINING THE REGISTRY AND PROMOTIONAL CAMPAIGNS AND INITIATIVES.
  4.  PAYMENTS TO THE CONTRACTOR FOR THE OPERATION OF THE ORGAN, EYE AND
TISSUE DONOR REGISTRY SHALL BE PAID BY THE DEPARTMENT FROM FUNDS  AVAIL-
A. 7518--A                          3
ABLE  FOR  THESE  PURPOSES,  INCLUDING THE FUNDS DEPOSITED INTO THE LIFE
PASS IT ON TRUST FUND PURSUANT TO SECTION  NINETY-FIVE-D  OF  THE  STATE
FINANCE LAW, AS ADDED BY CHAPTER FOUR HUNDRED FIFTEEN OF THE LAWS OF TWO
THOUSAND  THREE,  WHICH ARE DESIGNATED FOR MAINTAINING AND OPERATING THE
ORGAN, EYE AND TISSUE DONOR REGISTRY AND PROMOTION OF THE  REGISTRY,  AS
DEEMED  APPROPRIATE BY THE COMMISSIONER. IN ADDITION, THE CONTRACTOR MAY
RECEIVE AND USE VOLUNTARY CONTRIBUTIONS.
  5. (A) Such ORGAN, EYE AND TISSUE registration [of consent to make  an
anatomical  gift]  can be made through [(a)]: (I) indication made on the
application or renewal form of a DRIVER'S license, [(b)] (II) indication
made on a non-driver identification card application  or  renewal  form,
[(c)  enrolling  in  the  registry website maintained by the department,
which may include using an electronic signature subject to article three
of the state technology law, (d)]  (III)  indication  made  on  a  voter
registration  form  pursuant to subdivision five of section 5-210 of the
election law, (IV) ENROLLMENT THROUGH THE ORGAN, EYE  AND  TISSUE  DONOR
REGISTRY  WEBSITE,  (V)  PAPER  ENROLLMENT SUBMITTED TO THE REGISTRY, or
[(e)] (VI) through any other  method  identified  by  the  commissioner.
Where required by law for consent forms described in [paragraphs (a) and
(b)]  SUBPARAGRAPHS  (I)  AND  (II) of this [subdivision] PARAGRAPH, the
commissioner shall ensure that space is provided on any consent form  so
that  the applicant shall register or decline registration in the donate
life registry for organ, EYE and tissue donations under this section and
that the following is stated on the form in clear and conspicuous type:
  "You must fill out the following section: Would you like to  be  added
to  the  Donate  Life  Registry? Check box for 'yes' or 'skip this ques-
tion'."
  The commissioner shall not maintain records of any person  who  checks
"skip this question". Failure to check a box shall not impair the valid-
ity of an application, and failure to check "yes" or checking "skip this
question"  shall  not be construed to imply a wish not to donate. In the
case of an applicant under eighteen years of age, checking  "yes"  shall
not constitute consent to make an anatomical gift or registration in the
donate  life  registry.  Where  an applicant has previously consented to
make an anatomical gift or  registered  in  the  donate  life  registry,
checking "skip this question" or failing to check a box shall not impair
that  consent  or  registration.  ENROLLMENT  THROUGH THE ORGAN, EYE AND
TISSUE DONOR REGISTRY WEBSITE THROUGH ANY OF THE MEANS LISTED ABOVE  MAY
BE  SIGNED BY ELECTRONIC SIGNATURE, IN ACCORDANCE WITH THE PROVISIONS OF
ARTICLE THREE OF THE STATE TECHNOLOGY  LAW,  SUPPORTED  BY  THE  USE  OF
UNIQUE IDENTIFIERS THAT PROVIDE CONFIDENCE IN THE IDENTITY OF THE PERSON
PROVIDING  THE  ELECTRONIC SIGNATURE. The registration shall take effect
upon the provision of A written RECEIPT  or  electronic  notice  of  the
registration to the [person] INDIVIDUAL enrolling in the registry.
  [3.  (a)  Information contained in the registry shall be accessible to
(i) federally designated organ procurement organizations, (ii)  eye  and
tissue   banks   licensed   by   the   department  pursuant  to  article
forty-three-B of this chapter,  and  (iii)  any  other  entity  formally
approved by the commissioner.
  (b) The information contained in the registry shall not be released to
any person except as expressly authorized by this section solely for the
purpose  of identifying potential organ and tissue donors at or near the
time of death.
  4. If the department had an established registry prior to  the  effec-
tive  date  of this section, it shall be deemed to meet the requirements
of this section.
A. 7518--A                          4
  5. The registry shall provide  persons  enrolled  the  opportunity  to
specify which organs and tissues they want to donate and if the donation
can  be used for transplantation, research, or both.] (B) AMENDMENTS MAY
BE MADE BY THE FOLLOWING:
  (I) REGISTRANTS SUBMITTING AN AMENDMENT IN WRITING TO THE REGISTRY; OR
  (II)  REGISTRANTS  SUBMITTING  AN AMENDMENT ELECTRONICALLY THROUGH THE
ORGAN, EYE AND TISSUE DONOR REGISTRY WEBSITE.
  (C) REMOVAL FROM THE ORGAN, EYE AND TISSUE  DONOR  REGISTRY  SHALL  BE
ACCOMPLISHED BY PROVIDING NOTIFICATION TO THE REGISTRY. REMOVAL FROM THE
REGISTRY SHALL NOT BE DEEMED A REFUSAL OF ANY OTHER OR FUTURE ANATOMICAL
GIFT.
  (D) THE REGISTRY SHALL PROVIDE INDIVIDUALS ENROLLED THE OPPORTUNITY TO
SPECIFY WHICH ORGANS AND TISSUES THEY WANT TO DONATE AND IF THE DONATION
MAY BE USED FOR TRANSPLANTATION, RESEARCH, OR BOTH.
  6.  [A  person]  AN  INDIVIDUAL  registered  in the [organ and tissue]
DONATE LIFE registry before the effective date of this subdivision shall
be deemed to have expressed intent to donate, until and unless he or she
files an amendment to his or her  registration  or  a  new  registration
expressing consent to donate.
  7.  The  commissioner  shall contact each person registered before the
effective date of this subdivision in the organ and tissue  registry  in
writing  to inform him or her that at the time he or she registered, the
registry was that of intent and that the registry is now one of consent,
to explain in clear and  understandable  terms  the  difference  between
intent  and consent, and to provide opportunity for the person to change
his or her registration to  provide  consent  by  amending  his  or  her
current registration or executing a new registration.
  8.  The commissioner is authorized to promulgate rules and regulations
necessary to implement the provisions of this section.
  S 3. Subdivision 2 of section  4310  of  the  public  health  law,  as
amended  by  chapter  158  of  the  laws  of 2012, is amended to read as
follows:
  [2.] 5. (A) Such ORGAN, EYE AND TISSUE  registration  [of  consent  to
make  an anatomical gift] can be made through [(a)]: (I) indication made
on the application or renewal form of a  DRIVER'S  license,  [(b)]  (II)
indication  made  on  a  non-driver  identification  card application or
renewal form, [(c) enrolling in the registry website maintained  by  the
department,  which  may include using an electronic signature subject to
article three of the state technology law, (d)] (III) indication made on
a voter registration form pursuant to subdivision five of section  5-210
of  the  election law, (IV) ENROLLMENT THROUGH THE ORGAN, EYE AND TISSUE
DONOR REGISTRY WEBSITE, (V) PAPER ENROLLMENT SUBMITTED TO THE  REGISTRY,
or  [(e)]  (VI) through any other method identified by the commissioner.
ENROLLMENT THROUGH THE ORGAN, EYE  AND  TISSUE  DONOR  REGISTRY  WEBSITE
THROUGH ANY OF THE MEANS LISTED ABOVE MAY BE SIGNED BY ELECTRONIC SIGNA-
TURE,  IN  ACCORDANCE  WITH THE PROVISIONS OF ARTICLE THREE OF THE STATE
TECHNOLOGY LAW, SUPPORTED BY THE USE OF UNIQUE IDENTIFIERS THAT  PROVIDE
CONFIDENCE IN THE IDENTITY OF THE PERSON PROVIDING THE ELECTRONIC SIGNA-
TURE. The registration shall take effect upon the provision of A written
RECEIPT  or  electronic notice of the registration to the [person] INDI-
VIDUAL enrolling in the registry.
  (B) AMENDMENTS CAN BE MADE BY THE FOLLOWING:
  (I) REGISTRANTS SUBMITTING AN AMENDMENT IN WRITING TO THE REGISTRY; OR
  (II) REGISTRANTS SUBMITTING AN AMENDMENT  ELECTRONICALLY  THROUGH  THE
ORGAN, EYE AND TISSUE DONOR REGISTRY WEBSITE.
A. 7518--A                          5
  (C)  REMOVAL  FROM  THE  ORGAN, EYE AND TISSUE DONOR REGISTRY SHALL BE
ACCOMPLISHED BY PROVIDING NOTIFICATION TO THE REGISTRY. REMOVAL FROM THE
REGISTRY SHALL NOT BE DEEMED A REFUSAL OF ANY OTHER OR FUTURE ANATOMICAL
GIFT.
  (D) THE REGISTRY SHALL PROVIDE INDIVIDUALS ENROLLED THE OPPORTUNITY TO
SPECIFY WHICH ORGANS AND TISSUES THEY WANT TO DONATE AND IF THE DONATION
MAY BE USED FOR TRANSPLANTATION, RESEARCH, OR BOTH.
  S  4. Subdivision 3 of section 95-d of the state finance law, as added
by chapter 415 of the laws of 2003, is amended to read as follows:
  3. Monies of the fund shall be expended  [only  for  organ  transplant
research  and education projects approved by the commissioner of health,
or to provide grants to not-for-profit corporations in this state  which
are  incorporated  for the purpose of increasing and promoting organ and
tissue donation awareness] TO SUPPORT THE MAINTENANCE AND  OPERATION  OF
THE  DONATE  LIFE REGISTRY, IN ACCORDANCE WITH THE PROVISIONS OF SECTION
FORTY-THREE HUNDRED TEN OF THE PUBLIC  HEALTH  LAW,  PROVIDED,  HOWEVER,
THAT  ANY  REMAINING  FUNDS,  NOT  NECESSARY  FOR THESE PURPOSES, MAY BE
EXPENDED FOR ORGAN TRANSPLANT RESEARCH AND EDUCATION PROJECTS.
  S 5. This act shall take effect on the sixtieth  day  after  it  shall
have  become  a  law;  provided  that the amendments to subdivision 2 of
section 4310 of the public health law, made by section two of  this  act
shall take effect on the same date and in the same manner as chapter 465
of  the  laws of 2012 take effect, and the amendments made thereto shall
not affect the expiration and reversion of such  subdivision  and  shall
expire  and  be  deemed  repealed therewith, when upon such date section
three of this act shall take effect.