S T A T E O F N E W Y O R K
________________________________________________________________________
755--A
2025-2026 Regular Sessions
I N A S S E M B L Y
(PREFILED)
January 8, 2025
___________
Introduced by M. of A. PAULIN -- read once and referred to the Committee
on Health -- committee discharged, bill amended, ordered reprinted as
amended and recommitted to said committee
AN ACT to amend the public health law, in relation to requiring the
department of health examine heat vulnerability and heat-related
deaths
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. The public health law is amended by adding a new section
212 to read as follows:
§ 212. HEAT VULNERABILITY AND HEAT-RELATED DEATHS. 1. FOR THE PURPOSES
OF THIS SECTION, THE FOLLOWING TERMS SHALL HAVE THE FOLLOWING MEANINGS:
(A) "HEAT-EXACERBATED DEATH" MEANS A DEATH CAUSED BY NATURAL CAUSES
ESTIMATED BY THE DEPARTMENT TO HAVE RESULTED FROM AN EXISTING HEALTH
CONDITION EXACERBATED BY EXTREME, OR NEAR EXTREME, HEAT.
(I) SUCH ESTIMATION SHALL BE DETERMINED USING ONE OR MORE STATISTICAL
MODELS BY THE DEPARTMENT.
(II) AT LEAST ONE SUCH MODEL USED BY THE DEPARTMENT SHALL UTILIZE
SENSITIVE STATISTICAL METHODS THAT ASSESS DAILY TEMPERATURE AS A CONTIN-
UOUS VARIABLE IN RELATION TO DAILY MORTALITY TO ESTIMATE HEAT-EXACERBAT-
ED DEATHS, WITHOUT THE USE OF A QUALIFYING TEMPERATURE THRESHOLD.
(III) ONE SUCH MODEL SHALL UTILIZE SENSITIVE STATISTICAL METHODS THAT
ASSESS DAILY TEMPERATURE AS A CONTINUOUS VARIABLE IN RELATION TO DAILY
MORTALITY TO ESTIMATE HEAT-EXACERBATED DEATHS, WITHOUT THE USE OF A
QUALIFYING TEMPERATURE THRESHOLD.
(B) "HEAT STRESS DEATH" MEANS A DEATH DIRECTLY ATTRIBUTED TO HEAT ON A
DEATH CERTIFICATE, OR WITH AN UNDERLYING OR CONTRIBUTING CAUSE OF (I)
EXCESSIVE NATURAL HEAT OR (II) THE EFFECTS OF HEAT AND LIGHT, AS SUCH
CONDITIONS ARE DEFINED IN THE MOST RECENT EDITION OF THE INTERNATIONAL
CLASSIFICATION OF DISEASES, PUBLISHED BY THE WORLD HEALTH ORGANIZATION.
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD00862-02-5
A. 755--A 2
(C) "HEAT VULNERABILITY" MEANS THE ESTIMATED RISK OF HEAT STRESS
DEATHS AND HEAT EXACERBATED DEATHS OCCURRING IN A GEOGRAPHICAL AREA
BASED ON SOCIAL AND ENVIRONMENTAL FACTORS IDENTIFIED BY THE DEPARTMENT.
2. THE DEPARTMENT SHALL ISSUE AN ANNUAL REPORT EXAMINING HEAT VULNER-
ABILITY AND HEAT-RELATED DEATHS IN THE STATE. SUCH REPORT SHALL INCLUDE
BUT NOT BE LIMITED TO:
(A) THE NUMBER OF HEAT STRESS DEATHS IN THE MOST RECENT YEAR AVAIL-
ABLE;
(B) THE ESTIMATION OF PAST HEAT-EXACERBATED DEATHS BASED ON THE MOST
RECENT AVAILABLE YEARS OF DATA AND THE SMALLEST INTERVAL OF TIME THAT
YIELDS A RELIABLE ESTIMATE;
(C) A DESCRIPTION OF THE RELATIVE HEAT VULNERABILITY OF EACH NEW YORK
COUNTY;
(D) A DESCRIPTION OF REPORTED DATA;
(E) A DESCRIPTION OF SOCIAL AND ENVIRONMENTAL FACTORS ASSESSED BY THE
DEPARTMENT TO DETERMINE HEAT VULNERABILITY;
(F) A DESCRIPTION OF METHODS USED TO DERIVE HEAT VULNERABILITY AND
ESTIMATE HEAT-EXACERBATED DEATHS; AND
(G) THE AGGREGATE DEMOGRAPHIC INFORMATION OF HEAT STRESS DEATHS,
INCLUDING, BUT NOT LIMITED TO, THE AGE, GENDER, COUNTY AND THE RACE OR
ETHNICITY OF THE DECEDENTS.
3. NO REPORT REQUIRED BY THIS SECTION SHALL CONTAIN PERSONAL IDENTIFY-
ING INFORMATION.
4. THE COMMISSIONER SHALL PROMULGATE RULES AND REGULATIONS AS MAY BE
NECESSARY TO IMPLEMENT THE PROVISIONS OF THIS SECTION.
5. THE COMMISSIONER MAY ENTER INTO AN AGREEMENT WITH THE CITY OF NEW
YORK WHEREBY THE CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE PROVIDES
TO THE STATE DEPARTMENT OF HEALTH ANY DATA AND ANALYSIS RELATED TO SUCH
REPORT.
6. SUCH REPORT SHALL BE SUBMITTED TO THE TEMPORARY PRESIDENT OF THE
SENATE, THE SPEAKER OF THE ASSEMBLY AND THE GOVERNOR NO LATER THAN JUNE
FIFTEENTH, TWO THOUSAND TWENTY-SIX AND ANNUALLY THEREAFTER. SUCH REPORT
SHALL BE CONSPICUOUSLY POSTED ON THE DEPARTMENT'S WEBSITE.
7. NOTHING IN THIS SECTION SHALL PREVENT THE CITY OF NEW YORK FROM
ESTABLISHING, WITHOUT AN AGREEMENT WITH THE COMMISSIONER, AN ANNUAL
REPORT EXAMINING HEAT VULNERABILITY AND HEAT RELATED DEATHS OCCURRING
WITHIN THE CITY OF NEW YORK.
§ 2. This act shall take effect immediately.