S T A T E O F N E W Y O R K
________________________________________________________________________
1589
2025-2026 Regular Sessions
I N A S S E M B L Y
January 10, 2025
___________
Introduced by M. of A. CLARK -- read once and referred to the Committee
on Mental Health
AN ACT to amend the mental hygiene law, in relation to providing for
mental health screening and creating a presumption that post-traumatic
stress disorder is proximately caused by employment for law enforce-
ment officers and emergency medical services personnel
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. The mental hygiene law is amended by adding a new article
48 to read as follows:
ARTICLE 48
EMERGENCY SERVICES PERSONNEL MENTAL HEALTH
SECTION 48.01 DEFINITIONS.
48.03 MENTAL HEALTH SCREENING.
48.05 PRESUMPTION OF POST-TRAUMATIC STRESS DISORDER.
§ 48.01 DEFINITIONS.
AS USED IN THIS ARTICLE, THE FOLLOWING TERMS SHALL HAVE THE FOLLOWING
MEANINGS:
(A) "EMERGENCY MEDICAL SERVICES PERSONNEL" MEANS A LICENSED INDIVIDUAL
WHO FUNCTIONS WITHIN THE EMERGENCY MEDICAL SERVICES SYSTEM TO PROVIDE
EMERGENCY AID, INCLUDING, BUT NOT LIMITED TO, FIREFIGHTERS AND UNIFORMED
SERVICES.
(B) "LAW ENFORCEMENT OFFICER" MEANS A SALARIED AND COMMISSIONED OR
CERTIFIED LAW ENFORCEMENT OFFICER OF A POLICE OR SHERIFF'S DEPARTMENT OR
A PEACE OFFICER WHO IS PART OF OR ADMINISTERED BY THE STATE OR A POLI-
TICAL SUBDIVISION OF THE STATE.
(C) "UNIFORMED SERVICES" MEANS INDIVIDUALS EMPLOYED BY THE STATE OR A
POLITICAL SUBDIVISION OF THE STATE WHO WEAR A DISTINCT UNIFORM THAT
DIFFERENTIATES SUCH INDIVIDUALS FROM MEMBERS OF THE GENERAL PUBLIC AND
WHOSE PURPOSE IS TO MAINTAIN PEACE, SECURITY, SAFETY AND HEALTH OF THE
PUBLIC.
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD02613-01-5
A. 1589 2
§ 48.03 MENTAL HEALTH SCREENING.
ANY LAW ENFORCEMENT OFFICER OR EMERGENCY MEDICAL SERVICES PERSONNEL
SHALL BE REQUIRED TO SUBMIT TO PRE-EMPLOYMENT MENTAL HEALTH SCREENINGS
AND SHALL UNDERGO MENTAL HEALTH EVALUATIONS AS PART OF REGULAR MEDICAL
EXAMINATIONS. SUCH PARTICIPATION IN SCREENING AND EVALUATIONS SHALL
ASSIST TO MONITOR CHANGES IN THE MENTAL HEALTH OF LAW ENFORCEMENT OFFI-
CERS AND EMERGENCY MEDICAL SERVICES PERSONNEL.
§ 48.05 PRESUMPTION OF POST-TRAUMATIC STRESS DISORDER.
(A) IF ANY LAW ENFORCEMENT OFFICER OR EMERGENCY MEDICAL SERVICES
PERSONNEL ARE DIAGNOSED WITH POST-TRAUMATIC STRESS DISORDER BY A
LICENSED PHYSICIAN, MENTAL HEALTH PROFESSIONAL OR ANY PRACTITIONER QUAL-
IFIED TO MAKE SUCH A DIAGNOSIS, AND THE CONDITION WAS NOT REVEALED
DURING AN INITIAL EMPLOYMENT MEDICAL SCREENING EXAMINATION OR DURING A
SUBSEQUENT MEDICAL REVIEW CONDUCTED PURSUANT TO SECTION 48.03 OF THIS
ARTICLE, SUCH DISORDER SHALL BE PRESUMED TO BE PROXIMATELY CAUSED BY
EMPLOYMENT AS A LAW ENFORCEMENT OFFICER OR EMERGENCY MEDICAL SERVICES
PERSONNEL.
(B) THE PRESUMPTION CREATED IN SUBDIVISION (A) OF THIS SECTION MAY BE
REBUTTED BY A PREPONDERANCE OF EVIDENCE IN A COURT OF COMPETENT JURIS-
DICTION SHOWING THAT A LAW ENFORCEMENT OFFICER OR EMERGENCY MEDICAL
SERVICES PERSONNEL DIAGNOSED WITH POST-TRAUMATIC STRESS DISORDER ENGAGED
IN CONDUCT OR ACTIVITIES OUTSIDE OF THE SCOPE OF THEIR EMPLOYMENT THAT
POSED A SIGNIFICANT RISK OF DEVELOPING SUCH DISORDER.
(C) WHEN THE PRESUMPTION CREATED IN THIS SECTION DOES NOT APPLY, IT
SHALL NOT PRECLUDE ANY LAW ENFORCEMENT OFFICER OR EMERGENCY MEDICAL
SERVICES PERSONNEL FROM DEMONSTRATING A CAUSAL CONNECTION BETWEEN
EMPLOYMENT AND CONDITION OR INJURY BY A PREPONDERANCE OF EVIDENCE IN A
COURT OF COMPETENT JURISDICTION.
(D) MEDICAL TREATMENT BASED ON THE PRESUMPTION CREATED IN THIS SECTION
SHALL BE PROVIDED BY AN EMPLOYER AS FOR A JOB-RELATED CONDITION OR INJU-
RY, UNLESS AND UNTIL A COURT OF COMPETENT JURISDICTION DETERMINES THAT
SUCH PRESUMPTION DOES NOT APPLY. IF THE COURT DETERMINES THAT SUCH
PRESUMPTION DOES NOT APPLY, OR THAT THE CONDITION IS NOT JOB-RELATED,
THE EMPLOYER'S WORKERS' COMPENSATION INSURANCE PROVIDER SHALL BE REIM-
BURSED FOR HEALTH CARE COSTS BY THE MEDICAL OR HEALTH INSURANCE PLAN OR
BENEFIT PROVIDED FOR THE LAW ENFORCEMENT OFFICER OR EMERGENCY MEDICAL
SERVICES PERSONNEL BY THE EMPLOYER.
§ 2. This act shall take effect immediately.