Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
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---|---|
Jul 21, 2016 |
signed chap.198 |
Jul 13, 2016 |
delivered to governor |
Jun 14, 2016 |
returned to senate passed assembly ordered to third reading cal.457 substituted for a2125a |
Jun 14, 2016 |
substituted by s7132a |
Jun 07, 2016 |
amended on third reading 2125a |
Jun 07, 2016 |
vote reconsidered - restored to third reading returned to assembly recalled from senate |
Mar 28, 2016 |
referred to judiciary delivered to senate passed assembly |
Mar 24, 2016 |
advanced to third reading cal.457 |
Mar 22, 2016 |
reported |
Jan 06, 2016 |
referred to judiciary |
Jan 15, 2015 |
referred to judiciary |
Assembly Bill A2125A
Signed By Governor2015-2016 Legislative Session
Relates to guardianship of people who are intellectually disabled and people who are developmentally disabled
download bill text pdfSponsored By
ABINANTI
Archive: Last Bill Status Via S7132 - Signed by Governor
- Introduced
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- In Committee Assembly
- In Committee Senate
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- On Floor Calendar Assembly
- On Floor Calendar Senate
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- Passed Assembly
- Passed Senate
- Delivered to Governor
- Signed By Governor
Actions
Votes
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Floor Vote: Jun 9, 2016
aye (61)- Addabbo Jr.
- Akshar
- Amedore
- Avella
- Bonacic
- Boyle
- Breslin
- Carlucci
- Comrie
- Croci
- DeFrancisco
- Dilan
- Espaillat
- Farley
- Felder
- Flanagan
- Funke
- Gallivan
- Gianaris
- Golden
- Griffo
- Hamilton
- Hannon
- Hassell-Thompson
- Hoylman-Sigal
- Kaminsky
- Kennedy
- Klein
- Krueger
- LaValle
- Lanza
- Larkin
- Latimer
- Little
- Marcellino
- Marchione
- Martins
- Montgomery
- Murphy
- Nozzolio
- O'Mara
- Ortt
- Parker
- Peralta
- Perkins
- Persaud
- Ranzenhofer
- Ritchie
- Rivera
- Robach
- Sanders Jr.
- Savino
- Serino
- Serrano
- Seward
- Squadron
- Stavisky
- Stewart-Cousins
- Valesky
- Venditto
- Young
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May 10, 2016 - Judiciary Committee Vote
S713221Aye0Nay0Aye with Reservations0Absent2Excused0Abstained -
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Bill Amendments
co-Sponsors
Patricia Fahy
Richard Gottfried
Ellen C. Jaffee
Margaret Markey
Shelley Mayer
Amy Paulin
Robin Schimminger
Edward Ra
multi-Sponsors
David Buchwald
Michele Titus
2015-A2125 - Details
- See Senate Version of this Bill:
- S7132
- Law Section:
- Surrogate's Court Procedure Act
- Laws Affected:
- Amd SCPA, generally
2015-A2125 - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 2125 2015-2016 Regular Sessions I N A S S E M B L Y January 15, 2015 ___________ Introduced by M. of A. ABINANTI, FAHY, GOTTFRIED, JAFFEE, MARKEY, MAYER, PAULIN, SCHIMMINGER, RA -- Multi-Sponsored by -- M. of A. BUCHWALD, TITUS -- read once and referred to the Committee on Judiciary AN ACT to amend the surrogate's court procedure act, in relation to people with intellectual disabilities THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. The article heading of article 17-A of the surrogate's court procedure act, as added by chapter 675 of the laws of 1989, is amended to read as follows: GUARDIANS OF [MENTALLY RETARDED] INTELLECTUALLY DISABLED AND DEVELOPMENTALLY DISABLED PERSONS S 2. Section 1750 of the surrogate's court procedure act, as amended by chapter 500 of the laws of 2002, is amended to read as follows: S 1750. Guardianship of [mentally retarded] INTELLECTUALLY DISABLED persons When it shall appear to the satisfaction of the court that a person is [a mentally retarded] AN INTELLECTUALLY DISABLED person, the court is authorized to appoint a guardian of the person or of the property or of both if such appointment of a guardian or guardians is in the best interest of the [mentally retarded] INTELLECTUALLY DISABLED person. Such appointment shall be made pursuant to the provisions of this article, provided however that the provisions of section seventeen hundred fifty-a of this article shall not apply to the appointment of a guardian or guardians of [a mentally retarded] AN INTELLECTUALLY DISABLED person. 1. For the purposes of this article, [a mentally retarded] AN INTEL- LECTUALLY DISABLED person is a person who has been certified by one licensed physician and one licensed psychologist, or by two licensed physicians at least one of whom is familiar with or has professional knowledge in the care and treatment of persons with [mental retardation] EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD04196-01-5
A. 2125 2 INTELLECTUAL DISABILITIES, having qualifications to make such certif- ication, as being incapable to manage him or herself and/or his or her affairs by reason of [mental retardation] AN INTELLECTUAL DISABILITY and that such condition is permanent in nature or likely to continue indefi- nitely. 2. Every such certification pursuant to subdivision one of this section, made on or after the effective date of this subdivision, shall include a specific determination by such physician and psychologist, or by such physicians, as to whether the [mentally retarded] INTELLECTUALLY DISABLED person has the capacity to make health care decisions, as defined by subdivision three of section twenty-nine hundred eighty of the public health law, for himself or herself. A determination that the [mentally retarded] INTELLECTUALLY DISABLED person has the capacity to make health care decisions shall not preclude the appointment of a guar- dian pursuant to this section to make other decisions on behalf of the [mentally retarded] INTELLECTUALLY DISABLED person. The absence of this determination in the case of guardians appointed prior to the effective date of this subdivision shall not preclude such guardians from making health care decisions. S 3. Section 1750-a of the surrogate's court procedure act, as amended by chapter 744 of the laws of 2005, is amended to read as follows: S 1750-a. Guardianship of developmentally disabled persons 1. When it shall appear to the satisfaction of the court that a person is a developmentally disabled person, the court is authorized to appoint a guardian of the person or of the property or of both if such appoint- ment of a guardian or guardians is in the best interest of the develop- mentally disabled person. Such appointments shall be made pursuant to the provisions of this article, provided however that the provisions of section seventeen hundred fifty of this article shall not apply to the appointment of a guardian or guardians of a developmentally disabled person. For the purposes of this article, a developmentally disabled person is a person who has been certified by one licensed physician and one licensed psychologist, or by two licensed physicians at least one of whom is familiar with or has professional knowledge in the care and treatment of persons with developmental disabilities, having qualifica- tions to make such certification, as having an impaired ability to understand and appreciate the nature and consequences of decisions which result in such person being incapable of managing himself or herself and/or his or her affairs by reason of developmental disability and that such condition is permanent in nature or likely to continue indefinite- ly, and whose disability: (a) is attributable to cerebral palsy, epilepsy, neurological impair- ment, autism or traumatic head injury; (b) is attributable to any other condition of a person found to be closely related to [mental retardation] AN INTELLECTUAL DISABILITY because such condition results in similar impairment of general intel- lectual functioning or adaptive behavior to that of [mentally retarded] INTELLECTUALLY DISABLED persons; or (c) is attributable to dyslexia resulting from a disability described in subdivision one or two of this section or from [mental retardation] AN INTELLECTUAL DISABILITY; and (d) originates before such person attains age twenty-two, provided, however, that no such age of origination shall apply for the purposes of this article to a person with traumatic head injury. 2. Notwithstanding any provision of law to the contrary, for the purposes of subdivision two of section seventeen hundred fifty and A. 2125 3 section seventeen hundred fifty-b of this article, "a person with [mental retardation] AN INTELLECTUAL DISABILITY and his or her guardian" shall also mean a person and his or her guardian appointed pursuant to this section; provided that such person has been certified by the physi- cians and/or psychologists, specified in subdivision one of this section, as (i) having [mental retardation] AN INTELLECTUAL DISABILITY, or (ii) having a developmental disability, as defined in section 1.03 of the mental hygiene law, which (A) includes [mental retardation] INTEL- LECTUAL DISABILITIES, or (B) results in a similar impairment of general intellectual functioning or adaptive behavior so that such person is incapable of managing himself or herself, and/or his or her affairs by reason of such developmental disability. S 4. Section 1750-b of the surrogate's court procedure act, as added by chapter 500 of the laws of 2002, subdivision 1 as amended by chapter 105 of the laws of 2007, the opening paragraph, paragraphs (a) and (b) of subdivision 1, and the opening paragraph of subdivision 4 as amended by chapter 8 of the laws of 2010, subparagraph (i) of paragraph (a) and clause A of subparagraph (i) of paragraph (e) of subdivision 4 as amended by section 18 of part J of chapter 56 of the laws of 2012, and paragraph (d) of subdivision 5 as added by chapter 262 of the laws of 2008, is amended to read as follows: S 1750-b. Health care decisions for [mentally retarded] persons WITH INTELLECTUAL DISABILITIES 1. Scope of authority. Unless specifically prohibited by the court after consideration of the determination, if any, regarding [a mentally retarded] AN INTELLECTUALLY DISABLED person's capacity to make health care decisions, which is required by section seventeen hundred fifty of this article, the guardian of such person appointed pursuant to section seventeen hundred fifty of this article shall have the authority to make any and all health care decisions, as defined by subdivision six of section twenty-nine hundred eighty of the public health law, on behalf of the [mentally retarded] INTELLECTUALLY DISABLED person that such person could make if such person had capacity. Such decisions may include decisions to withhold or withdraw life-sustaining treatment. For purposes of this section, "life-sustaining treatment" means medical treatment, including cardiopulmonary resuscitation and nutrition and hydration provided by means of medical treatment, which is sustaining life functions and without which, according to reasonable medical judg- ment, the patient will die within a relatively short time period. Cardiopulmonary resuscitation is presumed to be life-sustaining treat- ment without the necessity of a medical judgment by an attending physi- cian. The provisions of this article are not intended to permit or promote suicide, assisted suicide or euthanasia; accordingly, nothing in this section shall be construed to permit a guardian to consent to any act or omission to which the [mentally retarded] INTELLECTUALLY DISABLED person could not consent if such person had capacity. (a) For the purposes of making a decision to withhold or withdraw life-sustaining treatment pursuant to this section, in the case of a person for whom no guardian has been appointed pursuant to section seventeen hundred fifty or seventeen hundred fifty-a of this article, a "guardian" shall also mean a family member of a person who (i) has [mental retardation] AN INTELLECTUAL DISABILITY, or (ii) has a develop- mental disability, as defined in section 1.03 of the mental hygiene law, which (A) includes [mental retardation] AN INTELLECTUAL DISABILITY, or (B) results in a similar impairment of general intellectual functioning or adaptive behavior so that such person is incapable of managing A. 2125 4 himself or herself, and/or his or her affairs by reason of such develop- mental disability. Qualified family members shall be included in a prioritized list of said family members pursuant to regulations estab- lished by the commissioner [of mental retardation and] FOR PEOPLE WITH developmental disabilities. Such family members must have a significant and ongoing involvement in a person's life so as to have sufficient knowledge of their needs and, when reasonably known or ascertainable, the person's wishes, including moral and religious beliefs. In the case of a person who was a resident of the former Willowbrook state school on March seventeenth, nineteen hundred seventy-two and those individuals who were in community care status on that date and subsequently returned to Willowbrook or a related facility, who are fully represented by the consumer advisory board and who have no guardians appointed pursuant to this article or have no qualified family members to make such a deci- sion, then a "guardian" shall also mean the Willowbrook consumer advi- sory board. A decision of such family member or the Willowbrook consumer advisory board to withhold or withdraw life-sustaining treatment shall be subject to all of the protections, procedures and safeguards which apply to the decision of a guardian to withhold or withdraw life-sus- taining treatment pursuant to this section. In the case of a person for whom no guardian has been appointed pursu- ant to this article or for whom there is no qualified family member or the Willowbrook consumer advisory board available to make such a deci- sion, a "guardian" shall also mean, notwithstanding the definitions in section 80.03 of the mental hygiene law, a surrogate decision-making committee, as defined in article eighty of the mental hygiene law. All declarations and procedures, including expedited procedures, to comply with this section shall be established by regulations promulgated by the commission on quality of care and advocacy for persons with disabili- ties. (b) Regulations establishing the prioritized list of qualified family members required by paragraph (a) of this subdivision shall be developed by the commissioner [of mental retardation and] FOR PEOPLE WITH develop- mental disabilities in conjunction with parents, advocates and family members of persons who are [mentally retarded] INTELLECTUALLY DISABLED. Regulations to implement the authority of the Willowbrook consumer advi- sory board pursuant to paragraph (a) of this subdivision may be promul- gated by the commissioner [of the office of mental retardation and] FOR PEOPLE WITH developmental disabilities with advice from the Willowbrook consumer advisory board. (c) Notwithstanding any provision of law to the contrary, the formal determinations required pursuant to section seventeen hundred fifty of this article shall only apply to guardians appointed pursuant to section seventeen hundred fifty or seventeen hundred fifty-a of this article. 2. Decision-making standard. (a) The guardian shall base all advocacy and health care decision-making solely and exclusively on the best interests of the [mentally retarded] INTELLECTUALLY DISABLED person and, when reasonably known or ascertainable with reasonable diligence, on the [mentally retarded] INTELLECTUALLY DISABLED person's wishes, including moral and religious beliefs. (b) An assessment of the [mentally retarded] INTELLECTUALLY DISABLED person's best interests shall include consideration of: (i) the dignity and uniqueness of every person; (ii) the preservation, improvement or restoration of the [mentally retarded] INTELLECTUALLY DISABLED person's health; A. 2125 5 (iii) the relief of the [mentally retarded] INTELLECTUALLY DISABLED person's suffering by means of palliative care and pain management; (iv) the unique nature of artificially provided nutrition or hydration, and the effect it may have on the [mentally retarded] INTEL- LECTUALLY DISABLED person; and (v) the entire medical condition of the person. (c) No health care decision shall be influenced in any way by: (i) a presumption that persons with [mental retardation] AN INTELLEC- TUAL DISABILITY are not entitled to the full and equal rights, equal protection, respect, medical care and dignity afforded to persons with- out [mental retardation] INTELLECTUAL DISABILITIES or developmental disabilities; or (ii) financial considerations of the guardian, as such considerations affect the guardian, a health care provider or any other party. 3. Right to receive information. Subject to the provisions of sections 33.13 and 33.16 of the mental hygiene law, the guardian shall have the right to receive all medical information and medical and clinical records necessary to make informed decisions regarding the [mentally retarded] INTELLECTUALLY DISABLED person's health care. 4. Life-sustaining treatment. The guardian shall have the affirmative obligation to advocate for the full and efficacious provision of health care, including life-sustaining treatment. In the event that a guardian makes a decision to withdraw or withhold life-sustaining treatment from a [mentally retarded] INTELLECTUALLY DISABLED person: (a) The attending physician, as defined in subdivision two of section twenty-nine hundred eighty of the public health law, must confirm to a reasonable degree of medical certainty that the [mentally retarded] INTELLECTUALLY DISABLED person lacks capacity to make health care deci- sions. The determination thereof shall be included in the [mentally retarded] INTELLECTUALLY DISABLED person's medical record, and shall contain such attending physician's opinion regarding the cause and nature of the [mentally retarded] INTELLECTUALLY DISABLED person's inca- pacity as well as its extent and probable duration. The attending physi- cian who makes the confirmation shall consult with another physician, or a licensed psychologist, to further confirm the [mentally retarded] INTELLECTUALLY DISABLED person's lack of capacity. The attending physi- cian who makes the confirmation, or the physician or licensed psychol- ogist with whom the attending physician consults, must (i) be employed by a developmental disabilities services office named in section 13.17 of the mental hygiene law or employed by the office for people with developmental disabilities to provide treatment and care to people with developmental disabilities, or (ii) have been employed for a minimum of two years to render care and service in a facility or program operated, licensed or authorized by the office [of mental retardation and] FOR PEOPLE WITH developmental disabilities, or (iii) have been approved by the commissioner [of mental retardation and] FOR PEOPLE WITH develop- mental disabilities in accordance with regulations promulgated by such commissioner. Such regulations shall require that a physician or licensed psychologist possess specialized training or three years expe- rience in treating [mental retardation] INTELLECTUAL DISABILITIES. A record of such consultation shall be included in the [mentally retarded] INTELLECTUALLY DISABLED person's medical record. (b) The attending physician, as defined in subdivision two of section twenty-nine hundred eighty of the public health law, with the concur- rence of another physician with whom such attending physician shall consult, must determine to a reasonable degree of medical certainty and A. 2125 6 note on the [mentally retarded] INTELLECTUALLY DISABLED person's chart that: (i) the [mentally retarded] INTELLECTUALLY DISABLED person has a medical condition as follows: A. a terminal condition, as defined in subdivision twenty-three of section twenty-nine hundred sixty-one of the public health law; or B. permanent unconsciousness; or C. a medical condition other than such person's [mental retardation] INTELLECTUAL DISABILITY which requires life-sustaining treatment, is irreversible and which will continue indefinitely; and (ii) the life-sustaining treatment would impose an extraordinary burden on such person, in light of: A. such person's medical condition, other than such person's [mental retardation] INTELLECTUAL DISABILITY; and B. the expected outcome of the life-sustaining treatment, notwith- standing such person's [mental retardation] INTELLECTUAL DISABILITY; and (iii) in the case of a decision to withdraw or withhold artificially provided nutrition or hydration: A. there is no reasonable hope of maintaining life; or B. the artificially provided nutrition or hydration poses an extraor- dinary burden. (c) The guardian shall express a decision to withhold or withdraw life-sustaining treatment either: (i) in writing, dated and signed in the presence of one witness eigh- teen years of age or older who shall sign the decision, and presented to the attending physician, as defined in subdivision two of section twen- ty-nine hundred eighty of the public health law; or (ii) orally, to two persons eighteen years of age or older, at least one of whom is the [mentally retarded] INTELLECTUALLY DISABLED person's attending physician, as defined in subdivision two of section twenty- nine hundred eighty of the public health law. (d) The attending physician, as defined in subdivision two of section twenty-nine hundred eighty of the public health law, who is provided with the decision of a guardian shall include the decision in the [mentally retarded] INTELLECTUALLY DISABLED person's medical chart, and shall either: (i) promptly issue an order to withhold or withdraw life-sustaining treatment from the [mentally retarded] INTELLECTUALLY DISABLED person, and inform the staff responsible for such person's care, if any, of the order; or (ii) promptly object to such decision, in accordance with subdivision five of this section. (e) At least forty-eight hours prior to the implementation of a deci- sion to withdraw life-sustaining treatment, or at the earliest possible time prior to the implementation of a decision to withhold life-sustain- ing treatment, the attending physician shall notify: (i) the [mentally retarded] INTELLECTUALLY DISABLED person, except if the attending physician determines, in writing and in consultation with another physician or a licensed psychologist, that, to a reasonable degree of medical certainty, the person would suffer immediate and severe injury from such notification. The attending physician who makes the confirmation, or the physician or licensed psychologist with whom the attending physician consults, shall: A. be employed by a developmental disabilities services office named in section 13.17 of the mental hygiene law or employed by the office for A. 2125 7 people with developmental disabilities to provide treatment and care to people with developmental disabilities, or B. have been employed for a minimum of two years to render care and service in a facility operated, licensed or authorized by the office [of mental retardation and] FOR PEOPLE WITH developmental disabilities, or C. have been approved by the commissioner [of mental retardation and] FOR PEOPLE WITH developmental disabilities in accordance with regu- lations promulgated by such commissioner. Such regulations shall require that a physician or licensed psychologist possess specialized training or three years experience in treating [mental retardation] INTELLECTUAL DISABILITIES. A record of such consultation shall be included in the [mentally retarded] INTELLECTUALLY DISABLED person's medical record; (ii) if the person is in or was transferred from a residential facili- ty operated, licensed or authorized by the office [of mental retardation and] FOR PEOPLE WITH developmental disabilities, the chief executive officer of the agency or organization operating such facility and the mental hygiene legal service; and (iii) if the person is not in and was not transferred from such a facility or program, the commissioner [of mental retardation and] FOR PEOPLE WITH developmental disabilities, or his or her designee. 5. Objection to health care decision. (a) Suspension. A health care decision made pursuant to subdivision four of this section shall be suspended, pending judicial review, except if the suspension would in reasonable medical judgment be likely to result in the death of the [mentally retarded] INTELLECTUALLY DISABLED person, in the event of an objection to that decision at any time by: (i) the [mentally retarded] INTELLECTUALLY DISABLED person on whose behalf such decision was made; or (ii) a parent or adult sibling who either resides with or has main- tained substantial and continuous contact with the [mentally retarded] INTELLECTUALLY DISABLED person; or (iii) the attending physician, as defined in subdivision two of section twenty-nine hundred eighty of the public health law; or (iv) any other health care practitioner providing services to the [mentally retarded] INTELLECTUALLY DISABLED person, who is licensed pursuant to article one hundred thirty-one, one hundred thirty-one-B, one hundred thirty-two, one hundred thirty-three, one hundred thirty- six, one hundred thirty-nine, one hundred forty-one, one hundred forty- three, one hundred forty-four, one hundred fifty-three, one hundred fifty-four, one hundred fifty-six, one hundred fifty-nine or one hundred sixty-four of the education law; or (v) the chief executive officer identified in subparagraph (ii) of paragraph (e) of subdivision four of this section; or (vi) if the person is in or was transferred from a residential facili- ty or program operated, approved or licensed by the office [of mental retardation and] FOR PEOPLE WITH developmental disabilities, the mental hygiene legal service; or (vii) if the person is not in and was not transferred from such a facility or program, the commissioner [of mental retardation and] FOR PEOPLE WITH developmental disabilities, or his or her designee. (b) Form of objection. Such objection shall occur orally or in writ- ing. (c) Notification. In the event of the suspension of a health care decision pursuant to this subdivision, the objecting party shall prompt- ly notify the guardian and the other parties identified in paragraph (a) of this subdivision, and the attending physician shall record such A. 2125 8 suspension in the [mentally retarded] INTELLECTUALLY DISABLED person's medical chart. (d) Dispute mediation. In the event of an objection pursuant to this subdivision, at the request of the objecting party or person or entity authorized to act as a guardian under this section, except a surrogate decision making committee established pursuant to article eighty of the mental hygiene law, such objection shall be referred to a dispute medi- ation system, established pursuant to section two thousand nine hundred seventy-two of the public health law or similar entity for mediating disputes in a hospice, such as a patient's advocate's office, hospital chaplain's office or ethics committee, as described in writing and adopted by the governing authority of such hospice, for non-binding mediation. In the event that such dispute cannot be resolved within seventy-two hours or no such mediation entity exists or is reasonably available for mediation of a dispute, the objection shall proceed to judicial review pursuant to this subdivision. The party requesting medi- ation shall provide notification to those parties entitled to notice pursuant to paragraph (a) of this subdivision. 6. Special proceeding authorized. The guardian, the attending physi- cian, as defined in subdivision two of section twenty-nine hundred eighty of the public health law, the chief executive officer identified in subparagraph (ii) of paragraph (e) of subdivision four of this section, the mental hygiene legal service (if the person is in or was transferred from a residential facility or program operated, approved or licensed by the office [of mental retardation and] FOR PEOPLE WITH developmental disabilities) or the commissioner [of mental retardation and] FOR PEOPLE WITH developmental disabilities or his or her designee (if the person is not in and was not transferred from such a facility or program) may commence a special proceeding in a court of competent jurisdiction with respect to any dispute arising under this section, including objecting to the withdrawal or withholding of life-sustaining treatment because such withdrawal or withholding is not in accord with the criteria set forth in this section. 7. Provider's obligations. (a) A health care provider shall comply with the health care decisions made by a guardian in good faith pursuant to this section, to the same extent as if such decisions had been made by the [mentally retarded] INTELLECTUALLY DISABLED person, if such person had capacity. (b) Notwithstanding paragraph (a) of this subdivision, nothing in this section shall be construed to require a private hospital to honor a guardian's health care decision that the hospital would not honor if the decision had been made by the [mentally retarded] INTELLECTUALLY DISA- BLED person, if such person had capacity, because the decision is contrary to a formally adopted written policy of the hospital expressly based on religious beliefs or sincerely held moral convictions central to the hospital's operating principles, and the hospital would be permitted by law to refuse to honor the decision if made by such person, provided: (i) the hospital has informed the guardian of such policy prior to or upon admission, if reasonably possible; and (ii) the [mentally retarded] INTELLECTUALLY DISABLED person is trans- ferred promptly to another hospital that is reasonably accessible under the circumstances and is willing to honor the guardian's decision. If the guardian is unable or unwilling to arrange such a transfer, the hospital's refusal to honor the decision of the guardian shall consti- tute an objection pursuant to subdivision five of this section. A. 2125 9 (c) Notwithstanding paragraph (a) of this subdivision, nothing in this section shall be construed to require an individual health care provider to honor a guardian's health care decision that the individual would not honor if the decision had been made by the [mentally retarded] INTELLEC- TUALLY DISABLED person, if such person had capacity, because the deci- sion is contrary to the individual's religious beliefs or sincerely held moral convictions, provided the individual health care provider promptly informs the guardian and the facility, if any, of his or her refusal to honor the guardian's decision. In such event, the facility shall prompt- ly transfer responsibility for the [mentally retarded] INTELLECTUALLY DISABLED person to another individual health care provider willing to honor the guardian's decision. The individual health care provider shall cooperate in facilitating such transfer of the patient. (d) Notwithstanding the provisions of any other paragraph of this subdivision, if a guardian directs the provision of life-sustaining treatment, the denial of which in reasonable medical judgment would be likely to result in the death of the [mentally retarded] INTELLECTUALLY DISABLED person, a hospital or individual health care provider that does not wish to provide such treatment shall nonetheless comply with the guardian's decision pending either transfer of the [mentally retarded] INTELLECTUALLY DISABLED person to a willing hospital or individual health care provider, or judicial review. (e) Nothing in this section shall affect or diminish the authority of a surrogate decision-making panel to render decisions regarding major medical treatment pursuant to article eighty of the mental hygiene law. 8. Immunity. (a) Provider immunity. No health care provider or employ- ee thereof shall be subjected to criminal or civil liability, or be deemed to have engaged in unprofessional conduct, for honoring reason- ably and in good faith a health care decision by a guardian, or for other actions taken reasonably and in good faith pursuant to this section. (b) Guardian immunity. No guardian shall be subjected to criminal or civil liability for making a health care decision reasonably and in good faith pursuant to this section. S 5. Section 1751 of the surrogate's court procedure act, as added by chapter 675 of the laws of 1989, is amended to read as follows: S 1751. Petition for appointment; by whom made A petition for the appointment of a guardian of the person or proper- ty, or both, [of a mentally retarded] AN INTELLECTUALLY DISABLED or developmentally disabled person may be made by a parent, any interested person eighteen years of age or older on behalf of the [mentally retarded] INTELLECTUALLY DISABLED or developmentally disabled person including a corporation authorized to serve as a guardian as provided for by this article, or by the [mentally retarded] INTELLECTUALLY DISA- BLED or developmentally disabled person when such person is eighteen years of age or older. S 6. Section 1752 of the surrogate's court procedure act, as added by chapter 675 of the laws of 1989, is amended to read as follows: S 1752. Petition for appointment; contents The petition for the appointment of a guardian shall be filed with the court on forms to be prescribed by the state chief administrator of the courts. Such petition for a guardian of [a mentally retarded] AN INTEL- LECTUALLY DISABLED or developmentally disabled person shall include, but not be limited to, the following information: 1. the full name, date of birth and residence of the [mentally retarded] INTELLECTUALLY DISABLED or developmentally disabled person; A. 2125 10 2. the name, age, address and relationship or interest of the peti- tioner to the [mentally retarded] INTELLECTUALLY DISABLED or develop- mentally disabled person; 3. the names of the father, the mother, children, adult siblings if eighteen years of age or older, the spouse and primary care physician if other than a physician having submitted a certification with the peti- tion, if any, of the [mentally retarded] INTELLECTUALLY DISABLED or developmentally disabled person and whether or not they are living, and if living, their addresses and the names and addresses of the nearest distributees of full age who are domiciliaries, if both parents are dead; 4. the name and address of the person with whom the [mentally retarded] INTELLECTUALLY DISABLED or developmentally disabled person resides if other than the parents or spouse; 5. the name, age, address, education and other qualifications, and consent of the proposed guardian, standby and alternate guardian, if other than the parent, spouse, adult child if eighteen years of age or older or adult sibling if eighteen years of age or older, and if such parent, spouse or adult child be living, why any of them should not be appointed guardian; 6. the estimated value of real and personal property and the annual income therefrom and any other income including governmental entitle- ments to which the [mentally retarded] INTELLECTUALLY DISABLED or devel- opmentally disabled person is entitled; and 7. any circumstances which the court should consider in determining whether it is in the best interests of the [mentally retarded] INTELLEC- TUALLY DISABLED or developmentally disabled person not be [be] present at the hearing if conducted. S 7. Section 1753 of the surrogate's court procedure act, as added by chapter 675 of the laws of 1989, is amended to read as follows: S 1753. Persons to be served 1. Upon presentation of the petition, process shall issue to: (a) the parent or parents, adult children, if the petitioner is other than a parent, adult siblings, if the petitioner is other than a parent, and if the [mentally retarded] INTELLECTUALLY DISABLED or develop- mentally disabled person is married, to the spouse, if their residences are known; (b) the person having care and custody of the [mentally retarded] INTELLECTUALLY DISABLED or developmentally disabled person, or with whom such person resides if other than the parents or spouse; and (c) the [mentally retarded] INTELLECTUALLY DISABLED or developmentally disabled person if fourteen years of age or older for whom an applica- tion has been made in such person's behalf. 2. Upon presentation of the petition, notice of such petition shall be served by certified mail to: (a) the adult siblings if the petitioner is a parent, and adult chil- dren if the petitioner is a parent; (b) the mental hygiene legal service in the judicial department where the facility, as defined in subdivision (a) of section 47.01 of the mental hygiene law, is located if the [mentally retarded] INTELLECTUALLY DISABLED or developmentally disabled person resides in such a facility; (c) in all cases, to the director in charge of a facility licensed or operated by an agency of the state of New York, if the [mentally retarded] INTELLECTUALLY DISABLED or developmentally disabled person resides in such facility; A. 2125 11 (d) one other person if designated in writing by the [mentally retarded] INTELLECTUALLY DISABLED or developmentally disabled person; and (e) such other persons as the court may deem proper. 3. No process or notice shall be necessary to a parent, adult child, adult sibling, or spouse of the [mentally retarded] INTELLECTUALLY DISA- BLED or developmentally disabled person who has been declared by a court as being incompetent. In addition, no process or notice shall be neces- sary to a spouse who is divorced from the [mentally retarded] INTELLEC- TUALLY DISABLED or developmentally disabled person, and to a parent, adult child, adult sibling when it shall appear to the satisfaction of the court that such person or persons have abandoned the [mentally retarded] INTELLECTUALLY DISABLED or developmentally disabled person. S 8. Section 1754 of the surrogate's court procedure act, as added by chapter 675 of the laws of 1989, is amended to read as follows: S 1754. Hearing and trial 1. Upon a petition for the appointment of a guardian of [a mentally retarded] AN INTELLECTUALLY DISABLED or developmentally disabled person eighteen years of age or older, the court shall conduct a hearing at which such person shall have the right to jury trial. The right to a jury trial shall be deemed waived by failure to make a demand therefor. The court may in its discretion dispense with a hearing for the appoint- ment of a guardian, and may in its discretion appoint a guardian ad litem, or the mental hygiene legal service if such person is a resident of a mental hygiene facility as defined in subdivision (a) of section 47.01 of the mental hygiene law, to recommend whether the appointment of a guardian as proposed in the application is in the best interest of the [mentally retarded] INTELLECTUALLY DISABLED or developmentally disabled person, provided however, that such application has been made by: (a) both parents or the survivor; or (b) one parent and the consent of the other parent; or (c) any interested party and the consent of each parent. 2. When it shall appear to the satisfaction of the court that a parent or parents not joining in or consenting to the application have aban- doned the [mentally retarded] INTELLECTUALLY DISABLED or developmentally disabled person or are not otherwise required to receive notice, the court may dispense with such parent's consent in determining the need to conduct a hearing for a person under the age of eighteen. However, if the consent of both parents or the surviving parent is dispensed with by the court, a hearing shall be held on the application. 3. If a hearing is conducted, the [mentally retarded] INTELLECTUALLY DISABLED or developmentally disabled person shall be present unless it shall appear to the satisfaction of the court on the certification of the certifying physician that the [mentally retarded] INTELLECTUALLY DISABLED or developmentally disabled person is medically incapable of being present to the extent that attendance is likely to result in phys- ical harm to such [mentally retarded] INTELLECTUALLY DISABLED or devel- opmentally disabled person, or under such other circumstances which the court finds would not be in the best interest of the [mentally retarded] INTELLECTUALLY DISABLED or developmentally disabled person. 4. If either a hearing is dispensed with pursuant to subdivisions one and two of this section or the [mentally retarded] INTELLECTUALLY DISA- BLED or developmentally disabled person is not present at the hearing pursuant to subdivision three of this section, the court may appoint a guardian ad litem if no mental hygiene legal service attorney is author- ized to act on behalf of the [mentally retarded] INTELLECTUALLY DISABLED A. 2125 12 or developmentally disabled person. The guardian ad litem or mental hygiene legal service attorney, if appointed, shall personally interview the [mentally retarded] INTELLECTUALLY DISABLED or developmentally disa- bled person and shall submit a written report to the court. 5. If, upon conclusion of such hearing or jury trial or if none be held upon the application, the court is satisfied that the best inter- ests of the [mentally retarded] INTELLECTUALLY DISABLED or develop- mentally disabled person will be promoted by the appointment of a guard- ian of the person or property, or both, it shall make a decree naming such person or persons to serve as such guardians. S 9. Section 1755 of the surrogate's court procedure act, as added by chapter 675 of the laws of 1989, is amended to read as follows: S 1755. Modification order Any [mentally retarded] INTELLECTUALLY DISABLED or developmentally disabled person eighteen years of age or older, or any person on behalf of any [mentally retarded] INTELLECTUALLY DISABLED or developmentally disabled person for whom a guardian has been appointed, may apply to the court having jurisdiction over the guardianship order requesting modifi- cation of such order in order to protect the [mentally retarded] INTEL- LECTUALLY DISABLED or developmentally disabled person's financial situ- ation and/or his or her personal interests. The court may, upon receipt of any such request to modify the guardianship order, appoint a guardian ad litem. The court shall so modify the guardianship order if in its judgment the interests of the guardian are adverse to those of the [mentally retarded] INTELLECTUALLY DISABLED or developmentally disabled person or if the interests of justice will be best served including, but not limited to, facts showing the necessity for protecting the personal and/or financial interests of the [mentally retarded] INTELLECTUALLY DISABLED or developmentally disabled person. S 10. Section 1756 of the surrogate's court procedure act, as added by chapter 675 of the laws of 1989, is amended to read as follows: S 1756. Limited guardian of the property When it shall appear to the satisfaction of the court that such [mentally retarded] INTELLECTUALLY DISABLED or developmentally disabled person for whom an application for guardianship is made is eighteen years of age or older and is wholly or substantially self-supporting by means of his or her wages or earnings from employment, the court is authorized and empowered to appoint a limited guardian of the property of such [mentally retarded] INTELLECTUALLY DISABLED or developmentally disabled person who shall receive, manage, disburse and account for only such property of said [mentally retarded] INTELLECTUALLY DISABLED or developmentally disabled person as shall be received from other than the wages or earnings of said person. The [mentally retarded] INTELLECTUALLY DISABLED or developmentally disabled person for whom a limited guardian of the property has been appointed shall have the right to receive and expend any and all wages or other earnings of his or her employment and shall have the power to contract or legally bind himself or herself for such sum of money not exceeding one month's wages or earnings from such employment or three hundred dollars, whichever is greater, or as otherwise authorized by the court. S 11. Section 1757 of the surrogate's court procedure act, as added by chapter 675 of the laws of 1989, the section heading as amended by chap- ter 290 of the laws of 1992, subdivision 2 as amended by chapter 260 of the laws of 2009, and subdivision 3 as added by chapter 294 of the laws of 2012, is amended to read as follows: A. 2125 13 S 1757. Standby guardian of [a mentally retarded] AN INTELLECTUALLY DISABLED or developmentally disabled person 1. Upon application, a standby guardian of the person or property or both of [a mentally retarded] AN INTELLECTUALLY DISABLED or develop- mentally disabled person may be appointed by the court. The court may also, upon application, appoint an alternate and/or successive alter- nates to such standby guardian, to act if such standby guardian shall die, or become incapacitated, or shall renounce. Such appointments by the court shall be made in accordance with the provisions of this arti- cle. 2. Such standby guardian, or alternate in the event of such standby guardian's death, incapacity or renunciation, shall without further proceedings be empowered to assume the duties of his or her office imme- diately upon death, renunciation or adjudication of incompetency of the guardian or standby guardian appointed pursuant to this article, subject only to confirmation of his or her appointment by the court within one hundred eighty days following assumption of his or her duties of such office. Before confirming the appointment of the standby guardian or alternate guardian, the court may conduct a hearing pursuant to section seventeen hundred fifty-four of this article upon petition by anyone on behalf of the [mentally retarded] INTELLECTUALLY DISABLED or develop- mentally disabled person or the [mentally retarded] INTELLECTUALLY DISA- BLED or developmentally disabled person if such person is eighteen years of age or older, or upon its discretion. 3. Failure of a standby or alternate standby guardian to assume the duties of guardian, seek court confirmation or to renounce the guardian- ship within sixty days of written notice by certified mail or personal delivery given by or on behalf of the [mentally retarded] INTELLECTUALLY DISABLED or developmentally disabled person of a prior guardian's inability to serve and the standby or alternate standby guardian's duty to serve, seek court confirmation or renounce such role shall allow the court to: (a) deem the failure an implied renunciation of guardianship, and (b) authorize, notwithstanding the time period provided for in subdi- vision two of this section to seek court confirmation, any remaining standby or alternate standby guardian to serve in such capacity provided (i) an application for confirmation and appropriate notices pursuant to subdivision one of section seventeen hundred fifty-three of this article are filed, or (ii) an application for modification of the guardianship order pursuant to section seventeen hundred fifty-five of this article is filed. S 12. Section 1758 of the surrogate's court procedure act, as amended by chapter 427 of the laws of 2013, is amended to read as follows: S 1758. Court jurisdiction 1. The jurisdiction of the court to hear proceedings pursuant to this article shall be subject to article eighty-three of the mental hygiene law. 2. After the appointment of a guardian, standby guardian or alternate guardians, the court shall have and retain general jurisdiction over the [mentally retarded] INTELLECTUALLY DISABLED or developmentally disabled person for whom such guardian shall have been appointed, to take of its own motion or to entertain and adjudicate such steps and proceedings relating to such guardian, standby, or alternate guardianship as may be deemed necessary or proper for the welfare of such [mentally retarded] INTELLECTUALLY DISABLED or developmentally disabled person. A. 2125 14 S 13. Section 1759 of the surrogate's court procedure act, as added by chapter 675 of the laws of 1989, is amended to read as follows: S 1759. Duration of guardianship 1. Such guardianship shall not terminate at the age of majority or marriage of such [mentally retarded] INTELLECTUALLY DISABLED or develop- mentally disabled person but shall continue during the life of such person, or until terminated by the court. 2. A person eighteen years or older for whom such a guardian has been previously appointed or anyone, including the guardian, on behalf of [a mentally retarded] AN INTELLECTUALLY DISABLED or developmentally disa- bled person for whom a guardian has been appointed may petition the court which made such appointment or the court in his or her county of residence to have the guardian discharged and a successor appointed, or to have the guardian of the property designated as a limited guardian of the property, or to have the guardianship order modified, dissolved or otherwise amended. Upon such a petition for review, the court shall conduct a hearing pursuant to section seventeen hundred fifty-four of this article. 3. Upon marriage of such [mentally retarded] INTELLECTUALLY DISABLED or developmentally disabled person for whom such a guardian has been appointed, the court shall, upon request of the [mentally retarded] INTELLECTUALLY DISABLED or developmentally disabled person, spouse, or any other person acting on behalf of the [mentally retarded] INTELLECTU- ALLY DISABLED or developmentally disabled person, review the need, if any, to modify, dissolve or otherwise amend the guardianship order including, but not limited to, the appointment of the spouse as standby guardian. The court, in its discretion, may conduct such review pursu- ant to section seventeen hundred fifty-four of this article. S 14. Section 1760 of the surrogate's court procedure act, as added by chapter 675 of the laws of 1989, is amended to read as follows: S 1760. Corporate guardianship No corporation may be appointed guardian of the person under the provisions of this article, except that a non-profit corporation organ- ized and existing under the laws of the state of New York and having the corporate power to act as guardian of [mentally retarded] INTELLECTUALLY DISABLED or developmentally disabled persons may be appointed as the guardian of the person only of such [mentally retarded] INTELLECTUALLY DISABLED or developmentally disabled person. S 15. Section 1761 of the surrogate's court procedure act, as added by chapter 675 of the laws of 1989, is amended to read as follows: S 1761. Application of other provisions To the extent that the context thereof shall admit, the provisions of article seventeen of this act shall apply to all proceedings under this article with the same force and [affect] EFFECT as if an "infant", as therein referred to, were [a "mentally retarded"] AN "INTELLECTUALLY DISABLED" or "developmentally disabled person" as herein defined, and a "guardian" as therein referred to were a "guardian of the [mentally retarded] INTELLECTUALLY DISABLED person" or a "guardian of a develop- mentally disabled person" as herein provided for. S 16. This act shall take effect immediately.
co-Sponsors
Patricia Fahy
Richard Gottfried
Ellen C. Jaffee
Margaret Markey
Shelley Mayer
Amy Paulin
Robin Schimminger
Edward Ra
multi-Sponsors
David Buchwald
Michele Titus
2015-A2125A (ACTIVE) - Details
- See Senate Version of this Bill:
- S7132
- Law Section:
- Surrogate's Court Procedure Act
- Laws Affected:
- Amd SCPA, generally
2015-A2125A (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 2125--A Cal. No. 457 2015-2016 Regular Sessions I N A S S E M B L Y January 15, 2015 ___________ Introduced by M. of A. ABINANTI, FAHY, GOTTFRIED, JAFFEE, MARKEY, MAYER, PAULIN, SCHIMMINGER, RA -- Multi-Sponsored by -- M. of A. BUCHWALD, TITUS -- read once and referred to the Committee on Judiciary -- recommitted to the Committee on Judiciary in accordance with Assembly Rule 3, sec. 2 -- passed by Assembly and delivered to the Senate, recalled from the Senate, vote reconsidered, bill amended, ordered reprinted, retaining its place on the order of third reading AN ACT to amend the surrogate's court procedure act, in relation to people with intellectual disabilities THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. The article heading of article 17-A of the surrogate's court procedure act, as added by chapter 675 of the laws of 1989, is amended to read as follows: GUARDIANS OF [MENTALLY RETARDED] PERSONS WHO ARE INTELLECTUALLY DISABLED AND DEVELOPMENTALLY DISABLED [PERSONS] S 2. Section 1750 of the surrogate's court procedure act, as amended by chapter 500 of the laws of 2002, is amended to read as follows: S 1750. Guardianship of [mentally retarded] persons WHO ARE INTELLECTU- ALLY DISABLED When it shall appear to the satisfaction of the court that a person is a [mentally retarded] person WHO IS INTELLECTUALLY DISABLED, the court is authorized to appoint a guardian of the person or of the property or of both if such appointment of a guardian or guardians is in the best interest of the [mentally retarded] person WHO IS INTELLECTUALLY DISA- BLED. Such appointment shall be made pursuant to the provisions of this article, provided however that the provisions of section seventeen hundred fifty-a of this article shall not apply to the appointment of a guardian or guardians of a [mentally retarded] person WHO IS INTELLECTU- ALLY DISABLED. EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted.
LBD04196-03-6 A. 2125--A 2 1. For the purposes of this article, a [mentally retarded] person WHO IS INTELLECTUALLY DISABLED is a person who has been certified by one licensed physician and one licensed psychologist, or by two licensed physicians at least one of whom is familiar with or has professional knowledge in the care and treatment of persons with [mental retardation] AN INTELLECTUAL DISABILITY, having qualifications to make such certif- ication, as being incapable to manage him or herself and/or his or her affairs by reason of [mental retardation] INTELLECTUAL DISABILITY and that such condition is permanent in nature or likely to continue indefi- nitely. 2. Every such certification pursuant to subdivision one of this section, made on or after the effective date of this subdivision, shall include a specific determination by such physician and psychologist, or by such physicians, as to whether the [mentally retarded] person WHO IS INTELLECTUALLY DISABLED has the capacity to make health care decisions, as defined by subdivision three of section twenty-nine hundred eighty of the public health law, for himself or herself. A determination that the [mentally retarded] person WHO IS INTELLECTUALLY DISABLED has the capac- ity to make health care decisions shall not preclude the appointment of a guardian pursuant to this section to make other decisions on behalf of the [mentally retarded] person WHO IS INTELLECTUALLY DISABLED. The absence of this determination in the case of guardians appointed prior to the effective date of this subdivision shall not preclude such guard- ians from making health care decisions. S 3. Section 1750-a of the surrogate's court procedure act, as amended by chapter 744 of the laws of 2005, is amended to read as follows: S 1750-a. Guardianship of PERSONS WHO ARE developmentally disabled [persons] 1. When it shall appear to the satisfaction of the court that a person is a PERSON WHO IS developmentally disabled [person], the court is authorized to appoint a guardian of the person or of the property or of both if such appointment of a guardian or guardians is in the best interest of the PERSON WHO IS developmentally disabled [person]. Such appointments shall be made pursuant to the provisions of this article, provided however that the provisions of section seventeen hundred fifty of this article shall not apply to the appointment of a guardian or guardians of a PERSON WHO IS developmentally disabled [person]. For the purposes of this article, a PERSON WHO IS developmentally disabled [person] is a person who has been certified by one licensed physician and one licensed psychologist, or by two licensed physicians at least one of whom is familiar with or has professional knowledge in the care and treatment of persons with developmental disabilities, having quali- fications to make such certification, as having an impaired ability to understand and appreciate the nature and consequences of decisions which result in such person being incapable of managing himself or herself and/or his or her affairs by reason of developmental disability and that such condition is permanent in nature or likely to continue indefinite- ly, and whose disability: (a) is attributable to cerebral palsy, epilepsy, neurological impair- ment, autism or traumatic head injury; (b) is attributable to any other condition of a person found to be closely related to [mental retardation] INTELLECTUAL DISABILITY because such condition results in similar impairment of general intellectual functioning or adaptive behavior to that of [mentally retarded] persons WITH INTELLECTUAL DISABILITIES; or A. 2125--A 3 (c) is attributable to dyslexia resulting from a disability described in subdivision one or two of this section or from [mental retardation] INTELLECTUAL DISABILITY; and (d) originates before such person attains age twenty-two, provided, however, that no such age of origination shall apply for the purposes of this article to a person with traumatic head injury. 2. Notwithstanding any provision of law to the contrary, for the purposes of subdivision two of section seventeen hundred fifty and section seventeen hundred fifty-b of this article, "a person [with mental retardation] WHO IS INTELLECTUALLY DISABLED and his or her guard- ian" shall also mean a person and his or her guardian appointed pursuant to this section; provided that such person has been certified by the physicians and/or psychologists, specified in subdivision one of this section, as (i) having [mental retardation] AN INTELLECTUAL DISABILITY, or (ii) having a developmental disability, as defined in section 1.03 of the mental hygiene law, which (A) includes [mental retardation] INTEL- LECTUAL DISABILITY, or (B) results in a similar impairment of general intellectual functioning or adaptive behavior so that such person is incapable of managing himself or herself, and/or his or her affairs by reason of such developmental disability. S 4. Section 1750-b of the surrogate's court procedure act, as added by chapter 500 of the laws of 2002, subdivision 1 as amended by chapter 105 of the laws of 2007, the opening paragraph, paragraphs (a) and (b) of subdivision 1, and the opening paragraph of subdivision 4 as amended by chapter 8 of the laws of 2010, subparagraph (i) of paragraph (a) and clause A of subparagraph (i) of paragraph (e) of subdivision 4 as amended by section 18 of part J of chapter 56 of the laws of 2012, and paragraph (d) of subdivision 5 as added by chapter 262 of the laws of 2008, is amended to read as follows: S 1750-b. Health care decisions for [mentally retarded] persons WHO ARE INTELLECTUALLY DISABLED 1. Scope of authority. Unless specifically prohibited by the court after consideration of the determination, if any, regarding a [mentally retarded person's] PERSON WHO IS INTELLECTUALLY DISABLED'S capacity to make health care decisions, which is required by section seventeen hundred fifty of this article, the guardian of such person appointed pursuant to section seventeen hundred fifty of this article shall have the authority to make any and all health care decisions, as defined by subdivision six of section twenty-nine hundred eighty of the public health law, on behalf of the [mentally retarded] person WHO IS INTELLEC- TUALLY DISABLED that such person could make if such person had capacity. Such decisions may include decisions to withhold or withdraw life-sus- taining treatment. For purposes of this section, "life-sustaining treat- ment" means medical treatment, including cardiopulmonary resuscitation and nutrition and hydration provided by means of medical treatment, which is sustaining life functions and without which, according to reasonable medical judgment, the patient will die within a relatively short time period. Cardiopulmonary resuscitation is presumed to be life- sustaining treatment without the necessity of a medical judgment by an attending physician. The provisions of this article are not intended to permit or promote suicide, assisted suicide or euthanasia; accordingly, nothing in this section shall be construed to permit a guardian to consent to any act or omission to which the [mentally retarded] person WHO IS INTELLECTUALLY DISABLED could not consent if such person had capacity. A. 2125--A 4 (a) For the purposes of making a decision to withhold or withdraw life-sustaining treatment pursuant to this section, in the case of a person for whom no guardian has been appointed pursuant to section seventeen hundred fifty or seventeen hundred fifty-a of this article, a "guardian" shall also mean a family member of a person who (i) has [mental retardation] INTELLECTUAL DISABILITY, or (ii) has a develop- mental disability, as defined in section 1.03 of the mental hygiene law, which (A) includes [mental retardation] INTELLECTUAL DISABILITY, or (B) results in a similar impairment of general intellectual functioning or adaptive behavior so that such person is incapable of managing himself or herself, and/or his or her affairs by reason of such developmental disability. Qualified family members shall be included in a prioritized list of said family members pursuant to regulations established by the commissioner of [mental retardation and] THE OFFICE FOR PEOPLE WITH developmental disabilities. Such family members must have a significant and ongoing involvement in a person's life so as to have sufficient knowledge of their needs and, when reasonably known or ascertainable, the person's wishes, including moral and religious beliefs. In the case of a person who was a resident of the former Willowbrook state school on March seventeenth, nineteen hundred seventy-two and those individuals who were in community care status on that date and subsequently returned to Willowbrook or a related facility, who are fully represented by the consumer advisory board and who have no guardians appointed pursuant to this article or have no qualified family members to make such a deci- sion, then a "guardian" shall also mean the Willowbrook consumer advi- sory board. A decision of such family member or the Willowbrook consumer advisory board to withhold or withdraw life-sustaining treatment shall be subject to all of the protections, procedures and safeguards which apply to the decision of a guardian to withhold or withdraw life-sus- taining treatment pursuant to this section. In the case of a person for whom no guardian has been appointed pursu- ant to this article or for whom there is no qualified family member or the Willowbrook consumer advisory board available to make such a deci- sion, a "guardian" shall also mean, notwithstanding the definitions in section 80.03 of the mental hygiene law, a surrogate decision-making committee, as defined in article eighty of the mental hygiene law. All declarations and procedures, including expedited procedures, to comply with this section shall be established by regulations promulgated by the commission on quality of care and advocacy for persons with disabili- ties. (b) Regulations establishing the prioritized list of qualified family members required by paragraph (a) of this subdivision shall be developed by the commissioner of [mental retardation and] THE OFFICE FOR PEOPLE WITH developmental disabilities in conjunction with parents, advocates and family members of persons who are [mentally retarded] INTELLECTUALLY DISABLED. Regulations to implement the authority of the Willowbrook consumer advisory board pursuant to paragraph (a) of this subdivision may be promulgated by the commissioner of the office [of mental retarda- tion and] FOR PEOPLE WITH developmental disabilities with advice from the Willowbrook consumer advisory board. (c) Notwithstanding any provision of law to the contrary, the formal determinations required pursuant to section seventeen hundred fifty of this article shall only apply to guardians appointed pursuant to section seventeen hundred fifty or seventeen hundred fifty-a of this article. 2. Decision-making standard. (a) The guardian shall base all advocacy and health care decision-making solely and exclusively on the best A. 2125--A 5 interests of the [mentally retarded] person WHO IS INTELLECTUALLY DISA- BLED and, when reasonably known or ascertainable with reasonable dili- gence, on the [mentally retarded person's] PERSON WHO IS INTELLECTUALLY DISABLED'S wishes, including moral and religious beliefs. (b) An assessment of the [mentally retarded person's] PERSON WHO IS INTELLECTUALLY DISABLED'S best interests shall include consideration of: (i) the dignity and uniqueness of every person; (ii) the preservation, improvement or restoration of the [mentally retarded person's] PERSON WHO IS INTELLECTUALLY DISABLED'S health; (iii) the relief of the [mentally retarded person's] PERSON WHO IS INTELLECTUALLY DISABLED'S suffering by means of palliative care and pain management; (iv) the unique nature of artificially provided nutrition or hydration, and the effect it may have on the [mentally retarded] person WHO IS INTELLECTUALLY DISABLED; and (v) the entire medical condition of the person. (c) No health care decision shall be influenced in any way by: (i) a presumption that persons [with mental retardation] WHO ARE INTELLECTUALLY DISABLED are not entitled to the full and equal rights, equal protection, respect, medical care and dignity afforded to persons without [mental retardation] AN INTELLECTUAL DISABILITY or A develop- mental [disabilities] DISABILITY; or (ii) financial considerations of the guardian, as such considerations affect the guardian, a health care provider or any other party. 3. Right to receive information. Subject to the provisions of sections 33.13 and 33.16 of the mental hygiene law, the guardian shall have the right to receive all medical information and medical and clinical records necessary to make informed decisions regarding the [mentally retarded person's] PERSON WHO IS INTELLECTUALLY DISABLED'S health care. 4. Life-sustaining treatment. The guardian shall have the affirmative obligation to advocate for the full and efficacious provision of health care, including life-sustaining treatment. In the event that a guardian makes a decision to withdraw or withhold life-sustaining treatment from a [mentally retarded] person WHO IS INTELLECTUALLY DISABLED: (a) The attending physician, as defined in subdivision two of section twenty-nine hundred eighty of the public health law, must confirm to a reasonable degree of medical certainty that the [mentally retarded] person WHO IS INTELLECTUALLY DISABLED lacks capacity to make health care decisions. The determination thereof shall be included in the [mentally retarded person's] PERSON WHO IS INTELLECTUALLY DISABLED'S medical record, and shall contain such attending physician's opinion regarding the cause and nature of the [mentally retarded person's] PERSON WHO IS INTELLECTUALLY DISABLED'S incapacity as well as its extent and probable duration. The attending physician who makes the confirmation shall consult with another physician, or a licensed psychologist, to further confirm the [mentally retarded person's] PERSON WHO IS INTELLECTUALLY DISABLED'S lack of capacity. The attending physician who makes the confirmation, or the physician or licensed psychologist with whom the attending physician consults, must (i) be employed by a developmental disabilities services office named in section 13.17 of the mental hygiene law or employed by the office for people with developmental disabilities to provide treatment and care to people with developmental disabilities, or (ii) have been employed for a minimum of two years to render care and service in a facility or program operated, licensed or authorized by the office [of mental retardation and] FOR PEOPLE WITH developmental disabilities, or (iii) have been approved by the commis- A. 2125--A 6 sioner of [mental retardation and] THE OFFICE FOR PEOPLE WITH develop- mental disabilities in accordance with regulations promulgated by such commissioner. Such regulations shall require that a physician or licensed psychologist possess specialized training or three years expe- rience in treating [mental retardation] INTELLECTUAL DISABILITY. A record of such consultation shall be included in the [mentally retarded person's] PERSON WHO IS INTELLECTUALLY DISABLED'S medical record. (b) The attending physician, as defined in subdivision two of section twenty-nine hundred eighty of the public health law, with the concur- rence of another physician with whom such attending physician shall consult, must determine to a reasonable degree of medical certainty and note on the [mentally retarded person's] PERSON WHO IS INTELLECTUALLY DISABLED'S chart that: (i) the [mentally retarded] person WHO IS INTELLECTUALLY DISABLED has a medical condition as follows: A. a terminal condition, as defined in subdivision twenty-three of section twenty-nine hundred sixty-one of the public health law; or B. permanent unconsciousness; or C. a medical condition other than such person's [mental retardation] INTELLECTUAL DISABILITY which requires life-sustaining treatment, is irreversible and which will continue indefinitely; and (ii) the life-sustaining treatment would impose an extraordinary burden on such person, in light of: A. such person's medical condition, other than such person's [mental retardation] INTELLECTUAL DISABILITY; and B. the expected outcome of the life-sustaining treatment, notwith- standing such person's [mental retardation] INTELLECTUAL DISABILITY; and (iii) in the case of a decision to withdraw or withhold artificially provided nutrition or hydration: A. there is no reasonable hope of maintaining life; or B. the artificially provided nutrition or hydration poses an extraor- dinary burden. (c) The guardian shall express a decision to withhold or withdraw life-sustaining treatment either: (i) in writing, dated and signed in the presence of one witness eigh- teen years of age or older who shall sign the decision, and presented to the attending physician, as defined in subdivision two of section twen- ty-nine hundred eighty of the public health law; or (ii) orally, to two persons eighteen years of age or older, at least one of whom is the [mentally retarded person's] PERSON WHO IS INTELLEC- TUALLY DISABLED'S attending physician, as defined in subdivision two of section twenty-nine hundred eighty of the public health law. (d) The attending physician, as defined in subdivision two of section twenty-nine hundred eighty of the public health law, who is provided with the decision of a guardian shall include the decision in the [mentally retarded person's] PERSON WHO IS INTELLECTUALLY DISABLED'S medical chart, and shall either: (i) promptly issue an order to withhold or withdraw life-sustaining treatment from the [mentally retarded] person WHO IS INTELLECTUALLY DISABLED, and inform the staff responsible for such person's care, if any, of the order; or (ii) promptly object to such decision, in accordance with subdivision five of this section. (e) At least forty-eight hours prior to the implementation of a deci- sion to withdraw life-sustaining treatment, or at the earliest possible A. 2125--A 7 time prior to the implementation of a decision to withhold life-sustain- ing treatment, the attending physician shall notify: (i) the [mentally retarded] person WHO IS INTELLECTUALLY DISABLED, except if the attending physician determines, in writing and in consul- tation with another physician or a licensed psychologist, that, to a reasonable degree of medical certainty, the person would suffer immedi- ate and severe injury from such notification. The attending physician who makes the confirmation, or the physician or licensed psychologist with whom the attending physician consults, shall: A. be employed by a developmental disabilities services office named in section 13.17 of the mental hygiene law or employed by the office for people with developmental disabilities to provide treatment and care to people with developmental disabilities, or B. have been employed for a minimum of two years to render care and service in a facility operated, licensed or authorized by the office [of mental retardation and] FOR PEOPLE WITH developmental disabilities, or C. have been approved by the commissioner of [mental retardation and] THE OFFICE FOR PEOPLE WITH developmental disabilities in accordance with regulations promulgated by such commissioner. Such regulations shall require that a physician or licensed psychologist possess specialized training or three years experience in treating [mental retardation] INTELLECTUAL DISABILITY. A record of such consultation shall be included in the [mentally retarded person's] PERSON WHO IS INTELLECTUAL- LY DISABLED'S medical record; (ii) if the person is in or was transferred from a residential facili- ty operated, licensed or authorized by the office [of mental retardation and] FOR PEOPLE WITH developmental disabilities, the chief executive officer of the agency or organization operating such facility and the mental hygiene legal service; and (iii) if the person is not in and was not transferred from such a facility or program, the commissioner of [mental retardation and] THE OFFICE FOR PEOPLE WITH developmental disabilities, or his or her desig- nee. 5. Objection to health care decision. (a) Suspension. A health care decision made pursuant to subdivision four of this section shall be suspended, pending judicial review, except if the suspension would in reasonable medical judgment be likely to result in the death of the [mentally retarded] person WHO IS INTELLECTUALLY DISABLED, in the event of an objection to that decision at any time by: (i) the [mentally retarded] person WHO IS INTELLECTUALLY DISABLED on whose behalf such decision was made; or (ii) a parent or adult sibling who either resides with or has main- tained substantial and continuous contact with the [mentally retarded] person WHO IS INTELLECTUALLY DISABLED; or (iii) the attending physician, as defined in subdivision two of section twenty-nine hundred eighty of the public health law; or (iv) any other health care practitioner providing services to the [mentally retarded] person WHO IS INTELLECTUALLY DISABLED, who is licensed pursuant to article one hundred thirty-one, one hundred thir- ty-one-B, one hundred thirty-two, one hundred thirty-three, one hundred thirty-six, one hundred thirty-nine, one hundred forty-one, one hundred forty-three, one hundred forty-four, one hundred fifty-three, one hundred fifty-four, one hundred fifty-six, one hundred fifty-nine or one hundred sixty-four of the education law; or (v) the chief executive officer identified in subparagraph (ii) of paragraph (e) of subdivision four of this section; or A. 2125--A 8 (vi) if the person is in or was transferred from a residential facili- ty or program operated, approved or licensed by the office [of mental retardation and] FOR PEOPLE WITH developmental disabilities, the mental hygiene legal service; or (vii) if the person is not in and was not transferred from such a facility or program, the commissioner of [mental retardation and] THE OFFICE FOR PEOPLE WITH developmental disabilities, or his or her desig- nee. (b) Form of objection. Such objection shall occur orally or in writ- ing. (c) Notification. In the event of the suspension of a health care decision pursuant to this subdivision, the objecting party shall prompt- ly notify the guardian and the other parties identified in paragraph (a) of this subdivision, and the attending physician shall record such suspension in the [mentally retarded person's] PERSON WHO IS INTELLECTU- ALLY DISABLED'S medical chart. (d) Dispute mediation. In the event of an objection pursuant to this subdivision, at the request of the objecting party or person or entity authorized to act as a guardian under this section, except a surrogate decision making committee established pursuant to article eighty of the mental hygiene law, such objection shall be referred to a dispute medi- ation system, established pursuant to section two thousand nine hundred seventy-two of the public health law or similar entity for mediating disputes in a hospice, such as a patient's advocate's office, hospital chaplain's office or ethics committee, as described in writing and adopted by the governing authority of such hospice, for non-binding mediation. In the event that such dispute cannot be resolved within seventy-two hours or no such mediation entity exists or is reasonably available for mediation of a dispute, the objection shall proceed to judicial review pursuant to this subdivision. The party requesting medi- ation shall provide notification to those parties entitled to notice pursuant to paragraph (a) of this subdivision. 6. Special proceeding authorized. The guardian, the attending physi- cian, as defined in subdivision two of section twenty-nine hundred eighty of the public health law, the chief executive officer identified in subparagraph (ii) of paragraph (e) of subdivision four of this section, the mental hygiene legal service (if the person is in or was transferred from a residential facility or program operated, approved or licensed by the office [of mental retardation and] FOR PEOPLE WITH developmental disabilities) or the commissioner of [mental retardation and] THE OFFICE FOR PEOPLE WITH developmental disabilities or his or her designee (if the person is not in and was not transferred from such a facility or program) may commence a special proceeding in a court of competent jurisdiction with respect to any dispute arising under this section, including objecting to the withdrawal or withholding of life- sustaining treatment because such withdrawal or withholding is not in accord with the criteria set forth in this section. 7. Provider's obligations. (a) A health care provider shall comply with the health care decisions made by a guardian in good faith pursuant to this section, to the same extent as if such decisions had been made by the [mentally retarded] person WHO IS INTELLECTUALLY DISABLED, if such person had capacity. (b) Notwithstanding paragraph (a) of this subdivision, nothing in this section shall be construed to require a private hospital to honor a guardian's health care decision that the hospital would not honor if the decision had been made by the [mentally retarded] person WHO IS INTEL- A. 2125--A 9 LECTUALLY DISABLED, if such person had capacity, because the decision is contrary to a formally adopted written policy of the hospital expressly based on religious beliefs or sincerely held moral convictions central to the hospital's operating principles, and the hospital would be permitted by law to refuse to honor the decision if made by such person, provided: (i) the hospital has informed the guardian of such policy prior to or upon admission, if reasonably possible; and (ii) the [mentally retarded] person WHO IS INTELLECTUALLY DISABLED is transferred promptly to another hospital that is reasonably accessible under the circumstances and is willing to honor the guardian's decision. If the guardian is unable or unwilling to arrange such a transfer, the hospital's refusal to honor the decision of the guardian shall consti- tute an objection pursuant to subdivision five of this section. (c) Notwithstanding paragraph (a) of this subdivision, nothing in this section shall be construed to require an individual health care provider to honor a guardian's health care decision that the individual would not honor if the decision had been made by the [mentally retarded] person WHO IS INTELLECTUALLY DISABLED, if such person had capacity, because the decision is contrary to the individual's religious beliefs or sincerely held moral convictions, provided the individual health care provider promptly informs the guardian and the facility, if any, of his or her refusal to honor the guardian's decision. In such event, the facility shall promptly transfer responsibility for the [mentally retarded] person WHO IS INTELLECTUALLY DISABLED to another individual health care provider willing to honor the guardian's decision. The individual health care provider shall cooperate in facilitating such transfer of the patient. (d) Notwithstanding the provisions of any other paragraph of this subdivision, if a guardian directs the provision of life-sustaining treatment, the denial of which in reasonable medical judgment would be likely to result in the death of the [mentally retarded] person WHO IS INTELLECTUALLY DISABLED, a hospital or individual health care provider that does not wish to provide such treatment shall nonetheless comply with the guardian's decision pending either transfer of the [mentally retarded] person WHO IS INTELLECTUALLY DISABLED to a willing hospital or individual health care provider, or judicial review. (e) Nothing in this section shall affect or diminish the authority of a surrogate decision-making panel to render decisions regarding major medical treatment pursuant to article eighty of the mental hygiene law. 8. Immunity. (a) Provider immunity. No health care provider or employ- ee thereof shall be subjected to criminal or civil liability, or be deemed to have engaged in unprofessional conduct, for honoring reason- ably and in good faith a health care decision by a guardian, or for other actions taken reasonably and in good faith pursuant to this section. (b) Guardian immunity. No guardian shall be subjected to criminal or civil liability for making a health care decision reasonably and in good faith pursuant to this section. S 5. Section 1751 of the surrogate's court procedure act, as added by chapter 675 of the laws of 1989, is amended to read as follows: S 1751. Petition for appointment; by whom made A petition for the appointment of a guardian of the person or proper- ty, or both, of a [mentally retarded or developmentally disabled] person WHO IS INTELLECTUALLY DISABLED OR A PERSON WHO IS DEVELOPMENTALLY DISA- BLED may be made by a parent, any interested person eighteen years of A. 2125--A 10 age or older on behalf of the [mentally retarded or developmentally disabled] person WHO IS INTELLECTUALLY DISABLED OR A PERSON WHO IS DEVELOPMENTALLY DISABLED including a corporation authorized to serve as a guardian as provided for by this article, or by the [mentally retarded or developmentally disabled] person WHO IS INTELLECTUALLY DISABLED OR A PERSON WHO IS DEVELOPMENTALLY DISABLED when such person is eighteen years of age or older. S 6. Section 1752 of the surrogate's court procedure act, as added by chapter 675 of the laws of 1989, is amended to read as follows: S 1752. Petition for appointment; contents The petition for the appointment of a guardian shall be filed with the court on forms to be prescribed by the state chief administrator of the courts. Such petition for a guardian of a [mentally retarded or develop- mentally disabled] person WHO IS INTELLECTUALLY DISABLED OR A PERSON WHO IS DEVELOPMENTALLY DISABLED shall include, but not be limited to, the following information: 1. the full name, date of birth and residence of the [mentally retarded or developmentally disabled] person WHO IS INTELLECTUALLY DISA- BLED OR A PERSON WHO IS DEVELOPMENTALLY DISABLED; 2. the name, age, address and relationship or interest of the peti- tioner to the [mentally retarded or developmentally disabled] person WHO IS INTELLECTUALLY DISABLED OR A PERSON WHO IS DEVELOPMENTALLY DISABLED; 3. the names of the father, the mother, children, adult siblings if eighteen years of age or older, the spouse and primary care physician if other than a physician having submitted a certification with the peti- tion, if any, of the [mentally retarded or developmentally disabled] person WHO IS INTELLECTUALLY DISABLED OR A PERSON WHO IS DEVELOPMENTALLY DISABLED and whether or not they are living, and if living, their addresses and the names and addresses of the nearest distributees of full age who are domiciliaries, if both parents are dead; 4. the name and address of the person with whom the [mentally retarded or developmentally disabled] person WHO IS INTELLECTUALLY DISABLED OR A PERSON WHO IS DEVELOPMENTALLY DISABLED resides if other than the parents or spouse; 5. the name, age, address, education and other qualifications, and consent of the proposed guardian, standby and alternate guardian, if other than the parent, spouse, adult child if eighteen years of age or older or adult sibling if eighteen years of age or older, and if such parent, spouse or adult child be living, why any of them should not be appointed guardian; 6. the estimated value of real and personal property and the annual income therefrom and any other income including governmental entitle- ments to which the [mentally retarded or developmentally disabled] person WHO IS INTELLECTUALLY DISABLED OR PERSON WHO IS DEVELOPMENTALLY DISABLED is entitled; and 7. any circumstances which the court should consider in determining whether it is in the best interests of the [mentally retarded or devel- opmentally disabled] person WHO IS INTELLECTUALLY DISABLED OR PERSON WHO IS DEVELOPMENTALLY DISABLED TO not be [be] present at the hearing if conducted. S 7. Section 1753 of the surrogate's court procedure act, as added by chapter 675 of the laws of 1989, is amended to read as follows: S 1753. Persons to be served 1. Upon presentation of the petition, process shall issue to: (a) the parent or parents, adult children, if the petitioner is other than a parent, adult siblings, if the petitioner is other than a parent, A. 2125--A 11 and if the [mentally retarded or developmentally disabled] person WHO IS INTELLECTUALLY DISABLED OR PERSON WHO IS DEVELOPMENTALLY DISABLED is married, to the spouse, if their residences are known; (b) the person having care and custody of the [mentally retarded or developmentally disabled] person WHO IS INTELLECTUALLY DISABLED OR PERSON WHO IS DEVELOPMENTALLY DISABLED, or with whom such person resides if other than the parents or spouse; and (c) the [mentally retarded or developmentally disabled] person WHO IS INTELLECTUALLY DISABLED OR PERSON WHO IS DEVELOPMENTALLY DISABLED if fourteen years of age or older for whom an application has been made in such person's behalf. 2. Upon presentation of the petition, notice of such petition shall be served by certified mail to: (a) the adult siblings if the petitioner is a parent, and adult chil- dren if the petitioner is a parent; (b) the mental hygiene legal service in the judicial department where the facility, as defined in subdivision (a) of section 47.01 of the mental hygiene law, is located if the [mentally retarded or develop- mentally disabled] person WHO IS INTELLECTUALLY DISABLED OR PERSON WHO IS DEVELOPMENTALLY DISABLED resides in such a facility; (c) in all cases, to the director in charge of a facility licensed or operated by an agency of the state of New York, if the [mentally retarded or developmentally disabled] person WHO IS INTELLECTUALLY DISA- BLED OR PERSON WHO IS DEVELOPMENTALLY DISABLED resides in such facility; (d) one other person if designated in writing by the [mentally retarded or developmentally disabled] person WHO IS INTELLECTUALLY DISA- BLED OR PERSON WHO IS DEVELOPMENTALLY DISABLED; and (e) such other persons as the court may deem proper. 3. No process or notice shall be necessary to a parent, adult child, adult sibling, or spouse of the [mentally retarded or developmentally disabled] person WHO IS INTELLECTUALLY DISABLED OR PERSON WHO IS DEVEL- OPMENTALLY DISABLED who has been declared by a court as being incompe- tent. In addition, no process or notice shall be necessary to a spouse who is divorced from the [mentally retarded or developmentally disabled] person WHO IS INTELLECTUALLY DISABLED OR PERSON WHO IS DEVELOPMENTALLY DISABLED, and to a parent, adult child, adult sibling when it shall appear to the satisfaction of the court that such person or persons have abandoned the [mentally retarded or developmentally disabled] person WHO IS INTELLECTUALLY DISABLED OR PERSON WHO IS DEVELOPMENTALLY DISABLED. S 8. Section 1754 of the surrogate's court procedure act, as added by chapter 675 of the laws of 1989, is amended to read as follows: S 1754. Hearing and trial 1. Upon a petition for the appointment of a guardian of a [mentally retarded or developmentally disabled] person WHO IS INTELLECTUALLY DISA- BLED OR PERSON WHO IS DEVELOPMENTALLY DISABLED eighteen years of age or older, the court shall conduct a hearing at which such person shall have the right to jury trial. The right to a jury trial shall be deemed waived by failure to make a demand therefor. The court may in its discretion dispense with a hearing for the appointment of a guardian, and may in its discretion appoint a guardian ad litem, or the mental hygiene legal service if such person is a resident of a mental hygiene facility as defined in subdivision (a) of section 47.01 of the mental hygiene law, to recommend whether the appointment of a guardian as proposed in the application is in the best interest of the [mentally retarded or developmentally disabled] person WHO IS INTELLECTUALLY DISA- A. 2125--A 12 BLED OR PERSON WHO IS DEVELOPMENTALLY DISABLED, provided however, that such application has been made by: (a) both parents or the survivor; or (b) one parent and the consent of the other parent; or (c) any interested party and the consent of each parent. 2. When it shall appear to the satisfaction of the court that a parent or parents not joining in or consenting to the application have aban- doned the [mentally retarded or developmentally disabled] person WHO IS INTELLECTUALLY DISABLED OR PERSON WHO IS DEVELOPMENTALLY DISABLED or are not otherwise required to receive notice, the court may dispense with such parent's consent in determining the need to conduct a hearing for a person under the age of eighteen. However, if the consent of both parents or the surviving parent is dispensed with by the court, a hear- ing shall be held on the application. 3. If a hearing is conducted, the [mentally retarded or develop- mentally disabled] person WHO IS INTELLECTUALLY DISABLED OR PERSON WHO IS DEVELOPMENTALLY DISABLED shall be present unless it shall appear to the satisfaction of the court on the certification of the certifying physician that the [mentally retarded or developmentally disabled] person WHO IS INTELLECTUALLY DISABLED OR PERSON WHO IS DEVELOPMENTALLY DISABLED is medically incapable of being present to the extent that attendance is likely to result in physical harm to such [mentally retarded or developmentally disabled] person WHO IS INTELLECTUALLY DISA- BLED OR PERSON WHO IS DEVELOPMENTALLY DISABLED, or under such other circumstances which the court finds would not be in the best interest of the [mentally retarded or developmentally disabled] person WHO IS INTEL- LECTUALLY DISABLED OR PERSON WHO IS DEVELOPMENTALLY DISABLED. 4. If either a hearing is dispensed with pursuant to subdivisions one and two of this section or the [mentally retarded or developmentally disabled] person WHO IS INTELLECTUALLY DISABLED OR PERSON WHO IS DEVEL- OPMENTALLY DISABLED is not present at the hearing pursuant to subdivi- sion three of this section, the court may appoint a guardian ad litem if no mental hygiene legal service attorney is authorized to act on behalf of the [mentally retarded or developmentally disabled] person WHO IS INTELLECTUALLY DISABLED OR PERSON WHO IS DEVELOPMENTALLY DISABLED. The guardian ad litem or mental hygiene legal service attorney, if appointed, shall personally interview the [mentally retarded or develop- mentally disabled] person WHO IS INTELLECTUALLY DISABLED OR PERSON WHO IS DEVELOPMENTALLY DISABLED and shall submit a written report to the court. 5. If, upon conclusion of such hearing or jury trial or if none be held upon the application, the court is satisfied that the best inter- ests of the [mentally retarded or developmentally disabled] person WHO IS INTELLECTUALLY DISABLED OR PERSON WHO IS DEVELOPMENTALLY DISABLED will be promoted by the appointment of a guardian of the person or prop- erty, or both, it shall make a decree naming such person or persons to serve as such guardians. S 9. Section 1755 of the surrogate's court procedure act, as added by chapter 675 of the laws of 1989, is amended to read as follows: S 1755. Modification order Any [mentally retarded or developmentally disabled] person WHO IS INTELLECTUALLY DISABLED OR PERSON WHO IS DEVELOPMENTALLY DISABLED eigh- teen years of age or older, or any person on behalf of any [mentally retarded or developmentally disabled] person WHO IS INTELLECTUALLY DISA- BLED OR PERSON WHO IS DEVELOPMENTAL DISABLED for whom a guardian has been appointed, may apply to the court having jurisdiction over the A. 2125--A 13 guardianship order requesting modification of such order in order to protect the [mentally retarded or developmentally disabled person's] PERSON WHO IS INTELLECTUALLY DISABLED'S, OR PERSON WHO IS DEVELOP- MENTALLY DISABLED'S financial situation and/or his or her personal interests. The court may, upon receipt of any such request to modify the guardianship order, appoint a guardian ad litem. The court shall so modify the guardianship order if in its judgment the interests of the guardian are adverse to those of the [mentally retarded or develop- mentally disabled] person WHO IS INTELLECTUALLY DISABLED OR PERSON WHO IS DEVELOPMENTALLY DISABLED or if the interests of justice will be best served including, but not limited to, facts showing the necessity for protecting the personal and/or financial interests of the [mentally retarded or developmentally disabled] person WHO IS INTELLECTUALLY DISA- BLED OR PERSON WHO IS DEVELOPMENTALLY DISABLED. S 10. Section 1756 of the surrogate's court procedure act, as added by chapter 675 of the laws of 1989, is amended to read as follows: S 1756. Limited guardian of the property When it shall appear to the satisfaction of the court that such [mentally retarded or developmentally disabled] person WHO IS INTELLEC- TUALLY DISABLED OR PERSON WHO IS DEVELOPMENTALLY DISABLED for whom an application for guardianship is made is eighteen years of age or older and is wholly or substantially self-supporting by means of his or her wages or earnings from employment, the court is authorized and empowered to appoint a limited guardian of the property of such [mentally retarded or developmentally disabled] person WHO IS INTELLECTUALLY DISABLED OR PERSON WHO IS DEVELOPMENTALLY DISABLED who shall receive, manage, disburse and account for only such property of said [mentally retarded or developmentally disabled] person WHO IS INTELLECTUALLY DISABLED OR PERSON WHO IS DEVELOPMENTALLY DISABLED as shall be received from other than the wages or earnings of said person. The [mentally retarded or developmentally disabled] person WHO IS INTELLECTUALLY DISABLED OR PERSON WHO IS DEVELOPMENTALLY DISABLED for whom a limited guardian of the property has been appointed shall have the right to receive and expend any and all wages or other earnings of his or her employment and shall have the power to contract or legally bind himself or herself for such sum of money not exceeding one month's wages or earnings from such employment or three hundred dollars, which- ever is greater, or as otherwise authorized by the court. S 11. Section 1757 of the surrogate's court procedure act, as added by chapter 675 of the laws of 1989, the section heading as amended by chap- ter 290 of the laws of 1992, subdivision 2 as amended by chapter 260 of the laws of 2009, and subdivision 3 as added by chapter 294 of the laws of 2012, is amended to read as follows: S 1757. Standby guardian of a [mentally retarded or developmentally disabled] person WHO IS INTELLECTUALLY DISABLED OR PERSON WHO IS DEVELOPMENTALLY DISABLED 1. Upon application, a standby guardian of the person or property or both of a [mentally retarded or developmentally disabled] person WHO IS INTELLECTUALLY DISABLED OR PERSON WHO IS DEVELOPMENTALLY DISABLED may be appointed by the court. The court may also, upon application, appoint an alternate and/or successive alternates to such standby guardian, to act if such standby guardian shall die, or become incapacitated, or shall renounce. Such appointments by the court shall be made in accordance with the provisions of this article. 2. Such standby guardian, or alternate in the event of such standby guardian's death, incapacity or renunciation, shall without further A. 2125--A 14 proceedings be empowered to assume the duties of his or her office imme- diately upon death, renunciation or adjudication of incompetency of the guardian or standby guardian appointed pursuant to this article, subject only to confirmation of his or her appointment by the court within one hundred eighty days following assumption of his or her duties of such office. Before confirming the appointment of the standby guardian or alternate guardian, the court may conduct a hearing pursuant to section seventeen hundred fifty-four of this article upon petition by anyone on behalf of the [mentally retarded or developmentally disabled] person WHO IS INTELLECTUALLY DISABLED OR PERSON WHO IS DEVELOPMENTALLY DISABLED or the [mentally retarded or developmentally disabled] person WHO IS INTEL- LECTUALLY DISABLED OR PERSON WHO IS DEVELOPMENTALLY DISABLED if such person is eighteen years of age or older, or upon its discretion. 3. Failure of a standby or alternate standby guardian to assume the duties of guardian, seek court confirmation or to renounce the guardian- ship within sixty days of written notice by certified mail or personal delivery given by or on behalf of the [mentally retarded or develop- mentally disabled] person WHO IS INTELLECTUALLY DISABLED OR PERSON WHO IS DEVELOPMENTALLY DISABLED of a prior guardian's inability to serve and the standby or alternate standby guardian's duty to serve, seek court confirmation or renounce such role shall allow the court to: (a) deem the failure an implied renunciation of guardianship, and (b) authorize, notwithstanding the time period provided for in subdi- vision two of this section to seek court confirmation, any remaining standby or alternate standby guardian to serve in such capacity provided (i) an application for confirmation and appropriate notices pursuant to subdivision one of section seventeen hundred fifty-three of this article are filed, or (ii) an application for modification of the guardianship order pursuant to section seventeen hundred fifty-five of this article is filed. S 12. Section 1758 of the surrogate's court procedure act, as amended by chapter 427 of the laws of 2013, is amended to read as follows: S 1758. Court jurisdiction 1. The jurisdiction of the court to hear proceedings pursuant to this article shall be subject to article eighty-three of the mental hygiene law. 2. After the appointment of a guardian, standby guardian or alternate guardians, the court shall have and retain general jurisdiction over the [mentally retarded or developmentally disabled] person WHO IS INTELLEC- TUALLY DISABLED OR PERSON WHO IS DEVELOPMENTALLY DISABLED for whom such guardian shall have been appointed, to take of its own motion or to entertain and adjudicate such steps and proceedings relating to such guardian, standby, or alternate guardianship as may be deemed necessary or proper for the welfare of such [mentally retarded or developmentally disabled] person WHO IS INTELLECTUALLY DISABLED OR PERSON WHO IS DEVEL- OPMENTALLY DISABLED. S 13. Section 1759 of the surrogate's court procedure act, as added by chapter 675 of the laws of 1989, is amended to read as follows: S 1759. Duration of guardianship 1. Such guardianship shall not terminate at the age of majority or marriage of such [mentally retarded or developmentally disabled] person WHO IS INTELLECTUALLY DISABLED OR PERSON WHO IS DEVELOPMENTALLY DISABLED but shall continue during the life of such person, or until terminated by the court. 2. A person eighteen years or older for whom such a guardian has been previously appointed or anyone, including the guardian, on behalf of a A. 2125--A 15 [mentally retarded or developmentally disabled] person WHO IS INTELLEC- TUALLY DISABLED OR PERSON WHO IS DEVELOPMENTALLY DISABLED for whom a guardian has been appointed may petition the court which made such appointment or the court in his or her county of residence to have the guardian discharged and a successor appointed, or to have the guardian of the property designated as a limited guardian of the property, or to have the guardianship order modified, dissolved or otherwise amended. Upon such a petition for review, the court shall conduct a hearing pursuant to section seventeen hundred fifty-four of this article. 3. Upon marriage of such [mentally retarded or developmentally disa- bled] person WHO IS INTELLECTUALLY DISABLED OR PERSON WHO IS DEVELOP- MENTALLY DISABLED for whom such a guardian has been appointed, the court shall, upon request of the [mentally retarded or developmentally disa- bled] person WHO IS INTELLECTUALLY DISABLED OR PERSON WHO IS DEVELOP- MENTALLY DISABLED, spouse, or any other person acting on behalf of the [mentally retarded or developmentally disabled] person WHO IS INTELLEC- TUALLY DISABLED OR PERSON WHO IS DEVELOPMENTALLY DISABLED, review the need, if any, to modify, dissolve or otherwise amend the guardianship order including, but not limited to, the appointment of the spouse as standby guardian. The court, in its discretion, may conduct such review pursuant to section seventeen hundred fifty-four of this article. S 14. Section 1760 of the surrogate's court procedure act, as added by chapter 675 of the laws of 1989, is amended to read as follows: S 1760. Corporate guardianship No corporation may be appointed guardian of the person under the provisions of this article, except that a non-profit corporation organ- ized and existing under the laws of the state of New York and having the corporate power to act as guardian of [mentally retarded or develop- mentally disabled persons] A PERSON WHO IS INTELLECTUALLY DISABLED OR PERSON WHO IS DEVELOPMENTALLY DISABLED may be appointed as the guardian of the person only of such [mentally retarded or developmentally disa- bled] person WHO IS INTELLECTUALLY DISABLED OR PERSON WHO IS DEVELOP- MENTALLY DISABLED. S 15. Section 1761 of the surrogate's court procedure act, as added by chapter 675 of the laws of 1989, is amended to read as follows: S 1761. Application of other provisions To the extent that the context thereof shall admit, the provisions of article seventeen of this act shall apply to all proceedings under this article with the same force and [affect] EFFECT as if an "infant", as therein referred to, were a ["mentally retarded" or "developmentally disabled person"] "PERSON WHO IS INTELLECTUALLY DISABLED" OR "PERSON WHO IS DEVELOPMENTALLY DISABLED" as herein defined, and a "guardian" as therein referred to were a "guardian of the [mentally retarded] person WHO IS INTELLECTUALLY DISABLED" or a "guardian of a [developmentally disabled] person WHO IS DEVELOPMENTALLY DISABLED" as herein provided for. S 16. This act shall take effect immediately.
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