S T A T E O F N E W Y O R K
________________________________________________________________________
8395
2025-2026 Regular Sessions
I N S E N A T E
June 7, 2025
___________
Introduced by Sen. BROUK -- (at request of the Office of Mental Health)
-- read twice and ordered printed, and when printed to be committed to
the Committee on Rules
AN ACT to amend the public health law, in relation to orders not to
resuscitate and decisions regarding life-sustaining treatment and
hospice care
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Section 2994-a of the public health law is amended by
adding a new subdivision 18-a to read as follows:
18-A. "MENTAL HYGIENE HOSPITAL" MEANS ANY HOSPITAL AS DEFINED IN
SUBDIVISION TEN OF SECTION 1.03 OF THE MENTAL HYGIENE LAW.
§ 2. Subdivision 1-a of section 2994-b of the public health law, as
added by chapter 742 of the laws of 2023, is amended to read as follows:
1-a. This article shall also apply to decisions regarding orders not
to resuscitate, LIFE-SUSTAINING TREATMENT, AND HOSPICE CARE for a
patient who lacks decision-making capacity in a MENTAL HYGIENE hospital
[as defined by section 1.03 of the mental hygiene law].
§ 3. Subparagraphs (ii) and (iii) of paragraph (b) of subdivision 3 of
section 2994-c of the public health law, as amended by chapter 708 of
the laws of 2019, are amended to read as follows:
(ii) In a general hospital OR MENTAL HYGIENE HOSPITAL, a health or
social services practitioner employed by or otherwise formally affil-
iated with the facility must independently determine whether an adult
patient lacks decision-making capacity if the surrogate's decision
concerns the withdrawal or withholding of life-sustaining treatment.
(iii) With respect to decisions regarding hospice care for a patient
in a general hospital, MENTAL HYGIENE HOSPITAL, or residential health
care facility, the health or social services practitioner must be
employed by or otherwise formally affiliated with the general hospital,
MENTAL HYGIENE HOSPITAL, or residential health care facility.
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD10155-01-5
S. 8395 2
§ 4. Paragraph (c) of subdivision 5 of section 2994-d of the public
health law, as amended by chapter 708 of the laws of 2019, is amended to
read as follows:
(c) In a general hospital OR MENTAL HYGIENE HOSPITAL, if the attending
practitioner objects to a surrogate's decision, under subparagraph (ii)
of paragraph (a) of this subdivision, to withdraw or withhold nutrition
and hydration provided by means of medical treatment, the decision shall
not be implemented until the ethics review committee, including at least
one physician, nurse practitioner or physician assistant who is not
directly responsible for the patient's care, or a court of competent
jurisdiction, reviews the decision and determines that it meets the
standards set forth in this subdivision and subdivision four of this
section.
§ 5. Subparagraphs (i) and (iii) of paragraph (b) of subdivision 5-a
of section 2994-g of the public health law, as amended by chapter 708 of
the laws of 2019, are amended to read as follows:
(i) in a general hospital OR MENTAL HYGIENE HOSPITAL, at least one
other physician, nurse practitioner or physician assistant designated by
the hospital must independently determine that [he or she] SUCH PHYSI-
CIAN, NURSE PRACTITIONER OR PHYSICIAN ASSISTANT concurs that the recom-
mendation is consistent with such standards for surrogate decisions;
(iii) in settings other than a general hospital, MENTAL HYGIENE HOSPI-
TAL or residential health care facility, the medical director of the
hospice, or a physician designated by the medical director, must inde-
pendently determine that [he or she] SUCH MEDICAL DIRECTOR OR PHYSICIAN
concurs that the recommendation is medically appropriate and consistent
with such standards for surrogate decisions; provided that if the
medical director is the patient's attending physician, a different
physician designated by the hospice must make this independent determi-
nation; and
§ 6. Paragraph (c) of subdivision 5-a of section 2994-g of the public
health law, as separately amended by chapters 622 and 708 of the laws of
2019, is amended to read as follows:
(c) The ethics review committee of the general hospital, MENTAL
HYGIENE HOSPITAL, residential health care facility or hospice, as appli-
cable, including at least one physician, nurse practitioner or physician
assistant who is not the patient's attending practitioner, or a court of
competent jurisdiction, must review the decision and determine that it
is consistent with such standards for surrogate decisions. This require-
ment shall not apply to decisions about routine medical treatment. Such
decisions shall be governed by subdivision three of this section.
§ 7. The opening paragraph of subdivision 1 of section 2994-l of the
public health law, as amended by chapter 40 of the laws of 2024, is
amended to read as follows:
If a patient with an order to withhold or withdraw life-sustaining
treatment is transferred from a mental hygiene facility to a hospital or
from a hospital to a different hospital, INCLUDING A MENTAL HYGIENE
HOSPITAL, any such order or plan shall remain effective until an attend-
ing practitioner first examines the transferred patient, whereupon an
attending practitioner must either:
§ 8. Paragraph (a) of subdivision 4 of section 2994-m of the public
health law, as amended by chapter 708 of the laws of 2019, is amended to
read as follows:
(a) These procedures are required only when: (i) the ethics review
committee is convened to review a decision by a surrogate to withhold or
withdraw life-sustaining treatment for: (A) a patient in a residential
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health care facility pursuant to paragraph (b) of subdivision five of
section twenty-nine hundred ninety-four-d of this article; (B) a patient
in a general hospital OR MENTAL HYGIENE HOSPITAL, pursuant to paragraph
(c) of subdivision five of section twenty-nine hundred ninety-four-d of
this article; or (C) an emancipated minor patient pursuant to subdivi-
sion three of section twenty-nine hundred ninety-four-e of this article;
or (ii) when a person connected with the case requests the ethics review
committee to provide assistance in resolving a dispute about proposed
care. Nothing in this section shall bar health care providers from first
striving to resolve disputes through less formal means, including the
informal solicitation of ethical advice from any source.
§ 9. Paragraph (c) of subdivision 4 of section 2994-m of the public
health law, as amended by chapter 708 of the laws of 2019, is amended to
read as follows:
(c) When an ethics review committee is convened to review decisions
regarding hospice care for a patient in a general hospital, MENTAL
HYGIENE HOSPITAL, or residential health care facility, the responsibil-
ities of this section shall be carried out by the ethics review commit-
tee of the general hospital, MENTAL HYGIENE HOSPITAL, or residential
health care facility, provided that such committee shall invite a repre-
sentative from hospice to participate.
§ 10. This act shall take effect on the one hundred eightieth day
after it shall have become a law.
