S T A T E O F N E W Y O R K
________________________________________________________________________
9039
I N S E N A T E
April 11, 2024
___________
Introduced by Sen. BROUK -- read twice and ordered printed, and when
printed to be committed to the Committee on Health
AN ACT to amend the public health law, the county law, the executive
law, the civil practice law and rules, the criminal procedure law and
the labor law, in relation to prohibiting the use of the term excited
delirium as a diagnosis, label, or cause of death
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Subdivision 4 of section 4141 of the public health law is
amended by adding a new paragraph (e) to read as follows:
(E) NO DEATH CERTIFICATE SHALL CITE EXCITED DELIRIUM AS A DIAGNOSIS,
LABEL, CAUSE OF DEATH, OR CONTRIBUTING FACTOR TO ANY DEATH. FOR THE
PURPOSES OF THIS PARAGRAPH, THE TERM "EXCITED DELIRIUM" SHALL MEAN A
TERM USED TO DESCRIBE A PERSON'S STATE OF AGITATION, EXCITABILITY, PARA-
NOIA, EXTREME AGGRESSION, PHYSICAL VIOLENCE, AND APPARENT IMMUNITY TO
PAIN THAT IS NOT LISTED IN THE MOST CURRENT VERSION OF THE DIAGNOSTIC
AND STATISTICAL MANUAL OF MENTAL DISORDERS, OR FOR WHICH THE COURT FINDS
THERE IS INSUFFICIENT SCIENTIFIC EVIDENCE OR DIAGNOSTIC CRITERIA TO BE
RECOGNIZED AS A MEDICAL CONDITION. EXCITED DELIRIUM ALSO INCLUDES
EXCITED DELIRIUM SYNDROME, EXCITED DELIRIUM, HYPERACTIVE DELIRIUM,
AGITATED DELIRIUM, AND EXHAUSTIVE MANIA.
§ 2. Section 677 of the county law is amended by adding a new subdivi-
sion 2-a to read as follows:
2-A. NO REPORT OF ANY AUTOPSY OR OTHER EXAMINATION SHALL CITE EXCITED
DELIRIUM AS A CAUSE OR MEANS OR MANNER OF DEATH. FOR THE PURPOSES OF
THIS SUBDIVISION, THE TERM "EXCITED DELIRIUM" SHALL MEAN A TERM USED TO
DESCRIBE A PERSON'S STATE OF AGITATION, EXCITABILITY, PARANOIA, EXTREME
AGGRESSION, PHYSICAL VIOLENCE, AND APPARENT IMMUNITY TO PAIN THAT IS NOT
LISTED IN THE MOST CURRENT VERSION OF THE DIAGNOSTIC AND STATISTICAL
MANUAL OF MENTAL DISORDERS, OR FOR WHICH THE COURT FINDS THERE IS INSUF-
FICIENT SCIENTIFIC EVIDENCE OR DIAGNOSTIC CRITERIA TO BE RECOGNIZED AS A
MEDICAL CONDITION. EXCITED DELIRIUM ALSO INCLUDES EXCITED DELIRIUM
SYNDROME, EXCITED DELIRIUM, HYPERACTIVE DELIRIUM, AGITATED DELIRIUM, AND
EXHAUSTIVE MANIA.
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD13987-03-4
S. 9039 2
§ 3. The executive law is amended by adding a new section 837-y to
read as follows:
§ 837-Y. PROHIBITION OF USE OF EXCITED DELIRIUM. 1. NO REPORT BY A LAW
ENFORCEMENT OFFICER OR PEACE OFFICER SHALL REFERENCE EXCITED DELIRIUM IN
SUCH REPORT.
2. NO LAW ENFORCEMENT OFFICER OR PEACE OFFICER SHALL TAKE ANY ACTION
WITH RESPECT TO AN INDIVIDUAL IN RESPONSE TO SUCH INDIVIDUAL BEING DIAG-
NOSED OR LABELED AS HAVING OR BEING IN A STATE OF EXCITED DELIRIUM. NO
TRAINING SHALL BE PROVIDED THAT REQUIRES, ENCOURAGES, OR PERMITS ANY
ACTION IN RESPONSE TO AN INDIVIDUAL BEING DIAGNOSED OR LABELED AS HAVING
OR BEING IN A STATE OF EXCITED DELIRIUM.
3. FOR THE PURPOSES OF THIS SECTION, "EXCITED DELIRIUM" SHALL MEAN A
TERM USED TO DESCRIBE A PERSON'S STATE OF AGITATION, EXCITABILITY, PARA-
NOIA, EXTREME AGGRESSION, PHYSICAL VIOLENCE, AND APPARENT IMMUNITY TO
PAIN THAT IS NOT LISTED IN THE MOST CURRENT VERSION OF THE DIAGNOSTIC
AND STATISTICAL MANUAL OF MENTAL DISORDERS, OR FOR WHICH THE COURT FINDS
THERE IS INSUFFICIENT SCIENTIFIC EVIDENCE OR DIAGNOSTIC CRITERIA TO BE
RECOGNIZED AS A MEDICAL CONDITION. EXCITED DELIRIUM ALSO INCLUDES
EXCITED DELIRIUM SYNDROME, EXCITED DELIRIUM, HYPERACTIVE DELIRIUM,
AGITATED DELIRIUM, AND EXHAUSTIVE MANIA.
§ 4. Subdivision (b) of section 3018 of the civil practice law and
rules, as amended by chapter 504 of the laws of 1980, is amended to read
as follows:
(b) Affirmative defenses. A party shall plead all matters which if not
pleaded would be likely to take the adverse party by surprise or would
raise issues of fact not appearing on the face of a prior pleading such
as arbitration and award, collateral estoppel, culpable conduct claimed
in diminution of damages as set forth in article fourteen-A OF THIS
CHAPTER, discharge in bankruptcy, facts showing illegality either by
statute or common law, fraud, infancy or other disability of the party
defending, payment, release, res judicata, statute of frauds, or statute
of limitation; PROVIDED, HOWEVER, THAT A PARTY SHALL NOT USE EXCITED
DELIRIUM AS A BASIS FOR AN AFFIRMATIVE DEFENSE. FOR THE PURPOSES OF
THIS SUBDIVISION, "EXCITED DELIRIUM" SHALL MEAN A TERM USED TO DESCRIBE
A PERSON'S STATE OF AGITATION, EXCITABILITY, PARANOIA, EXTREME
AGGRESSION, PHYSICAL VIOLENCE, AND APPARENT IMMUNITY TO PAIN THAT IS NOT
LISTED IN THE MOST CURRENT VERSION OF THE DIAGNOSTIC AND STATISTICAL
MANUAL OF MENTAL DISORDERS, OR FOR WHICH THE COURT FINDS THERE IS INSUF-
FICIENT SCIENTIFIC EVIDENCE OR DIAGNOSTIC CRITERIA TO BE RECOGNIZED AS A
MEDICAL CONDITION. EXCITED DELIRIUM ALSO INCLUDES EXCITED DELIRIUM
SYNDROME, EXCITED DELIRIUM, HYPERACTIVE DELIRIUM, AGITATED DELIRIUM, AND
EXHAUSTIVE MANIA. The application of this subdivision shall not be
confined to the instances enumerated.
§ 5. The civil practice law and rules is amended by adding a new
section 4551 to read as follows:
§ 4551. EXCITED DELIRIUM. 1. EVIDENCE THAT A PLAINTIFF, OR DECEDENT ON
WHOSE BEHALF A WRONGFUL DEATH ACTION HAS BEEN FILED, SUFFERED FROM
EXCITED DELIRIUM SHALL BE INADMISSIBLE, INCLUDING BUT NOT LIMITED TO
EVIDENCE PRESENTED BY EXPERT WITNESSES; PROVIDED, HOWEVER, THAT THIS
SECTION SHALL NOT BE CONSTRUED TO LIMIT THE ABILITY OF A DEFENDANT TO
DESCRIBE THE FACTUAL CIRCUMSTANCES SURROUNDING THE SUBJECT OF THE
ACTION, INCLUDING THE BEHAVIOR OF A PLAINTIFF, OR DECEDENT ON WHOSE
BEHALF A WRONGFUL DEATH ACTION HAS BEEN FILED, SO LONG AS NO DIAGNOSIS,
CAUSE OF DEATH, OR LABEL FITTING THE DEFINITION OF EXCITED DELIRIUM IS
USED.
S. 9039 3
2. FOR THE PURPOSES OF THIS SECTION, "EXCITED DELIRIUM" SHALL MEAN A
TERM USED TO DESCRIBE A PERSON'S STATE OF AGITATION, EXCITABILITY, PARA-
NOIA, EXTREME AGGRESSION, PHYSICAL VIOLENCE, AND APPARENT IMMUNITY TO
PAIN THAT IS NOT LISTED IN THE MOST CURRENT VERSION OF THE DIAGNOSTIC
AND STATISTICAL MANUAL OF MENTAL DISORDERS, OR FOR WHICH THE COURT FINDS
THERE IS INSUFFICIENT SCIENTIFIC EVIDENCE OR DIAGNOSTIC CRITERIA TO BE
RECOGNIZED AS A MEDICAL CONDITION. EXCITED DELIRIUM ALSO INCLUDES
EXCITED DELIRIUM SYNDROME, EXCITED DELIRIUM, HYPERACTIVE DELIRIUM,
AGITATED DELIRIUM, AND EXHAUSTIVE MANIA.
§ 6. The criminal procedure law is amended by adding a new section
60.80 to read as follows:
§ 60.80 RULES OF EVIDENCE; EXCITED DELIRIUM.
1. EXCITED DELIRIUM SHALL NOT BE USED AS A DEFENSE IN A PROSECUTION
FOR ANY CRIMINAL OFFENSE.
2. EVIDENCE THAT AN ALLEGED VICTIM OF A CRIME SUFFERED FROM EXCITED
DELIRIUM SHALL BE INADMISSIBLE BY A DEFENDANT IN A CRIMINAL PROCEEDING,
INCLUDING BUT NOT LIMITED TO EVIDENCE PRESENTED BY EXPERT WITNESSES.
3. THIS SECTION SHALL NOT BE CONSTRUED TO LIMIT THE ABILITY OF A
DEFENDANT TO DESCRIBE THE FACTUAL CIRCUMSTANCES SURROUNDING THE SUBJECT
OF A CRIMINAL PROCEEDING, INCLUDING THE BEHAVIOR OF AN ALLEGED VICTIM,
SO LONG AS NO DIAGNOSIS, CAUSE OF DEATH, OR LABEL FITTING THE DEFINITION
OF EXCITED DELIRIUM IS USED.
4. FOR THE PURPOSES OF THIS SECTION, "EXCITED DELIRIUM" SHALL MEAN A
TERM USED TO DESCRIBE A PERSON'S STATE OF AGITATION, EXCITABILITY, PARA-
NOIA, EXTREME AGGRESSION, PHYSICAL VIOLENCE, AND APPARENT IMMUNITY TO
PAIN THAT IS NOT LISTED IN THE MOST CURRENT VERSION OF THE DIAGNOSTIC
AND STATISTICAL MANUAL OF MENTAL DISORDERS, OR FOR WHICH THE COURT FINDS
THERE IS INSUFFICIENT SCIENTIFIC EVIDENCE OR DIAGNOSTIC CRITERIA TO BE
RECOGNIZED AS A MEDICAL CONDITION. EXCITED DELIRIUM ALSO INCLUDES
EXCITED DELIRIUM SYNDROME, EXCITED DELIRIUM, HYPERACTIVE DELIRIUM,
AGITATED DELIRIUM, AND EXHAUSTIVE MANIA.
§ 7. The labor law is amended by adding a new section 203-g to read as
follows:
§ 203-G. PROHIBITION OF USE OF EXCITED DELIRIUM. 1. AS USED IN THIS
SECTION:
(A) "CONTRACTOR" MEANS ANY PERSON, FIRM, PARTNERSHIP, CORPORATION,
ASSOCIATION, COMPANY, ORGANIZATION OR OTHER SIMILAR ENTITY, OR ANY
COMBINATION THEREOF, INCLUDING ANY SUBCONTRACTOR THEREOF, THAT EMPLOYS
EMPLOYEES TO PERFORM WORK PURSUANT TO AN AGREEMENT WITH A PUBLIC AGENCY.
(B) "PUBLIC AGENCY" MEANS THE STATE, AND ANY DEPARTMENT, AGENCY,
BOARD, BUREAU, COMMISSION, DIVISION, COUNCIL OR OFFICE OF THE STATE OR
ANY POLITICAL SUBDIVISION THEREOF, AS DEFINED IN SECTION ONE HUNDRED OF
THE GENERAL MUNICIPAL LAW, A MUNICIPAL CORPORATION AS DEFINED IN SECTION
SIXTY-SIX OF THE GENERAL CONSTRUCTION LAW AND ANY DISTRICT THEREOF, A
PUBLIC BENEFIT CORPORATION, OR LOCAL OR STATE AUTHORITY AS DEFINED IN
SECTION TWO OF THE PUBLIC AUTHORITIES LAW, AND ANY OTHER ENTITY AUTHOR-
IZED AND EMPOWERED TO ENTER INTO ANY CONTRACT OR ARRANGEMENT TO CONDUCT
ECONOMIC DEVELOPMENT ACTIVITY ON BEHALF OF ANY SUCH PUBLIC AGENCY.
(C) "EXCITED DELIRIUM" MEANS A TERM USED TO DESCRIBE A PERSON'S STATE
OF AGITATION, EXCITABILITY, PARANOIA, EXTREME AGGRESSION, PHYSICAL
VIOLENCE, AND APPARENT IMMUNITY TO PAIN THAT IS NOT LISTED IN THE MOST
CURRENT VERSION OF THE DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL
DISORDERS, OR FOR WHICH THE COURT FINDS THERE IS INSUFFICIENT SCIENTIFIC
EVIDENCE OR DIAGNOSTIC CRITERIA TO BE RECOGNIZED AS A MEDICAL CONDITION.
EXCITED DELIRIUM ALSO INCLUDES EXCITED DELIRIUM SYNDROME, EXCITED DELI-
RIUM, HYPERACTIVE DELIRIUM, AGITATED DELIRIUM, AND EXHAUSTIVE MANIA.
S. 9039 4
2. NO EMPLOYEE OF A PUBLIC AGENCY OR CONTRACTOR OR EMPLOYEE OF A
CONTRACTOR SHALL ISSUE A DIAGNOSIS OF EXCITED DELIRIUM, REPORT EXCITED
DELIRIUM AS A CAUSE OF DEATH OR A CONTRIBUTING FACTOR TO A DEATH, OR
CONDUCT ANY TRAININGS OR SHARE MATERIALS ATTESTING TO THE VALIDITY OF
EXCITED DELIRIUM AS A CAUSE OF DEATH.
3. NO PUBLIC AGENCY OR CONTRACTOR SHALL ADOPT OR MAINTAIN ANY POLICY
OR PROCEDURE, INCLUDING BUT NOT LIMITED TO POLICE MANUALS AND TRAININGS,
THAT ACKNOWLEDGES THE VALIDITY OF THE DIAGNOSIS, CAUSE OF DEATH, OR
LABEL OF EXCITED DELIRIUM.
§ 8. This act shall take effect immediately.