S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                        6505--A
                              2015-2016 Regular Sessions
                                 I N  A S S E M B L Y
                                    March 25, 2015
                                      ___________
       Introduced  by  M.  of A. CRESPO, PICHARDO, RIVERA, COOK, CROUCH, FINCH,
         RAIA, DILAN -- Multi-Sponsored by -- M. of A. LUPINACCI --  read  once
         and  referred to the Committee on Health -- committee discharged, bill
         amended, ordered reprinted as amended and recommitted to said  commit-
         tee
       AN  ACT  to amend the public health law, in relation to establishing the
         asthma prevention and education program (Part A); to amend the  public
         health  law,  in  relation  to  in-utero  exposure  to  tobacco  smoke
         prevention (Part B); to amend the public health law,  in  relation  to
         reporting  on  the  incidence  of asthma (Part C); to amend the public
         health law, in relation  to  including  certain  respiratory  diseases
         within  disease  management  demonstration programs (Part D); to amend
         the public health law, in relation  to  the  reduction  of  emphysema,
         chronic  bronchitis and other chronic respiratory diseases in children
         (Part E); to amend the public  health  law,  in  relation  to  smoking
         restrictions in certain outdoor areas (Part F); to amend the education
         law,  in relation to requiring all teachers to be trained in identify-
         ing and responding to asthma emergencies (Part G); to amend  the  real
         property law, in relation to residential rental property smoking poli-
         cies  (Part  H);  to amend the education law, in relation to requiring
         school districts and  private  elementary  and  secondary  schools  to
         establish  and  implement  rules  prohibiting  the engine of any motor
         vehicle to remain idling while parked or standing  on  school  grounds
         (Part I); to amend the education law, in relation to the use of inhal-
         ers  and  nebulizers (Part J); to amend the environmental conservation
         law, in relation to pesticide alternatives used  at  schools  and  day
         care  centers  (Part  K);  and  to  amend the public buildings law, in
         relation to curtailing the use of cleaning materials  that  induce  or
         trigger asthma episodes (Part L)
         THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
       BLY, DO ENACT AS FOLLOWS:
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD03883-04-5
       A. 6505--A                          2
    1    Section 1. This act enacts into law major  components  of  legislation
    2  which combat the incidence of asthma and other respiratory diseases such
    3  as  emphysema and chronic bronchitis. Each component is wholly contained
    4  within a Part identified as Parts A through L. The  effective  date  for
    5  each particular provision contained within such Part is set forth in the
    6  last section of such Part. Any provision in any section contained within
    7  a  Part,  including the effective date of the Part, which makes a refer-
    8  ence to a section "of this act",  when  used  in  connection  with  that
    9  particular  component,  shall  be deemed to mean and refer to the corre-
   10  sponding section of the Part in which it is found. Section four of  this
   11  act sets forth the general effective date of this act.
   12    S  2.  Legislative  findings  and  purpose. The legislature finds that
   13  asthma is a chronic, potentially life-threatening,  respiratory  illness
   14  that affects over a million New Yorkers, including thousands of children
   15  and  adolescents.  Asthma is the leading cause of school absences attri-
   16  buted to chronic conditions. Asthma is also directly linked to large and
   17  growing inpatient bills for  medicaid  and  other  health  care  payers.
   18  Therefore,  the  legislature  finds  that  establishing  a comprehensive
   19  statewide asthma prevention management and control program which coordi-
   20  nates the efforts  of  individuals,  families,  health  care  providers,
   21  schools  and community-based organizations is in the public interest and
   22  would benefit the people of the state of New York.
   23                                   PART A
   24    Section 1. The public health law is amended by adding  a  new  article
   25  27-BB to read as follows:
   26                                 ARTICLE 27-BB
   27                    ASTHMA DISEASE MANAGEMENT AND CONTROL
   28  SECTION 2725. ASTHMA DISEASE MANAGEMENT AND CONTROL PROGRAM.
   29          2726. STUDY OF ASTHMA INCIDENCE AND PREVALENCE.
   30          2727. ANNUAL REPORT.
   31    S  2725.  ASTHMA  DISEASE  MANAGEMENT AND CONTROL PROGRAM. 1. THERE IS
   32  HEREBY CREATED WITHIN THE DEPARTMENT THE ASTHMA DISEASE  MANAGEMENT  AND
   33  CONTROL  PROGRAM  (HEREINAFTER  REFERRED  TO  IN  THIS  ARTICLE  AS  THE
   34  "PROGRAM"). THE PURPOSE OF THE PROGRAM  IS  TO  PROMOTE  ASTHMA  DISEASE
   35  MANAGEMENT  AND EDUCATION AND OUTREACH ABOUT ASTHMA TO PEOPLE WHO SUFFER
   36  FROM ASTHMA AND THEIR FAMILIES, HEALTH CARE PROVIDERS, AND  THE  GENERAL
   37  PUBLIC.
   38    2. SERVICES TO BE PROVIDED BY THE PROGRAM MAY INCLUDE:
   39    (A)  ASTHMA  DISEASE  MANAGEMENT  AND CASE MANAGEMENT FOR PATIENTS AND
   40  THEIR FAMILIES;
   41    (B) ASTHMA OUTREACH AND SCREENING;
   42    (C) THE PROMOTION OF AWARENESS OF THE CAUSES OF ASTHMA;
   43    (D) EDUCATION ON PREVENTION STRATEGIES;
   44    (E) EDUCATION ON PROPER DISEASE MANAGEMENT PRACTICES; AND
   45    (F) EDUCATION ON AVAILABLE TREATMENT MODALITIES.
   46    3. THE COMMISSIONER SHALL MAKE GRANTS WITHIN THE AMOUNTS  APPROPRIATED
   47  THEREFOR  TO  LOCAL  HEALTH  AGENCIES,  HEALTH  CARE PROVIDERS, SCHOOLS,
   48  SCHOOL BASED HEALTH CENTERS AND COMMUNITY-BASED ORGANIZATIONS, AND OTHER
   49  ORGANIZATIONS  WITH  DEMONSTRATED  INTEREST  AND  EXPERTISE  IN  SERVING
   50  PERSONS  WITH  ASTHMA  TO  PROVIDE THE SERVICES SET OUT IN THIS SECTION.
   51  GRANT RECIPIENTS SHALL BE GOVERNMENT ENTITIES OR  NOT-FOR-PROFIT  ORGAN-
   52  IZATIONS.
   53    THE COMMISSIONER MAY COORDINATE GRANTS UNDER THIS SUBDIVISION WITH THE
   54  AVAILABILITY  OF  GRANTS  FROM  OTHER SOURCES. THE COMMISSIONER MAY ALSO
       A. 6505--A                          3
    1  ACCEPT OR SEEK GRANTS FROM OTHER SOURCES TO ENHANCE THE  AMOUNTS  APPRO-
    2  PRIATED TO THE PROGRAM.
    3    S  2726.  STUDY  OF ASTHMA INCIDENCE AND PREVALENCE. 1. THE DEPARTMENT
    4  SHALL STUDY THE INCIDENCE AND PREVALENCE OF ASTHMA IN THE STATE'S  POPU-
    5  LATION  AND  CURRENT  DISEASE  MANAGEMENT  PRACTICES.  SUCH  STUDY SHALL
    6  UTILIZE INFORMATION OBTAINED PURSUANT TO ARTICLE TWENTY-FOUR-F  OF  THIS
    7  CHAPTER, AND INCLUDE:
    8    (A) THE CAUSE AND NATURE OF THE DISEASE;
    9    (B) BEHAVIORAL AND ENVIRONMENTAL TRIGGERS;
   10    (C)  AN ASSESSMENT OF THE NEED FOR PATIENT-CENTERED CASE MANAGEMENT TO
   11  MEET SPECIFIC PHYSICAL AND ENVIRONMENTAL NEEDS OF PATIENTS;
   12    (D) OUTCOME  EVALUATIONS,  INCLUDING,  BUT  NOT  LIMITED  TO,  PATIENT
   13  PERCEPTIONS  OF  IMPROVEMENT,  SIGNS  AND  SYMPTOMS OF ASTHMA, PULMONARY
   14  FUNCTION, HISTORY OF ASTHMA EXACERBATIONS,  PHARMACOTHERAPY,  ASSESSMENT
   15  OF  HOSPITAL  EMERGENCY  ROOM  VISITS  FOR  ASTHMA, AND PATIENT-PROVIDER
   16  COMMUNICATION; AND
   17    (E) AN ASSESSMENT OF THE ABILITY OF PROVIDERS,  INCLUDING  NON-PROFES-
   18  SIONALS  AND HEALTH CARE PROFESSIONALS SUCH AS PHYSICIANS, NURSES, PHAR-
   19  MACISTS AND RESPIRATORY THERAPISTS, TO SYSTEMICALLY INSTRUCT AND DEVELOP
   20  ASTHMA MANAGEMENT PLANS FOR PATIENTS AND FREQUENTLY REVIEW WITH PATIENTS
   21  AND THEIR FAMILIES HOW TO MANAGE AND CONTROL THEIR ASTHMA.
   22    2. THE DEPARTMENT SHALL GATHER DATA  FOR  MONITORING  THE  OCCURRENCE,
   23  FREQUENCY, INCIDENCE, CAUSE, EFFECT AND SEVERITY OF ASTHMA.
   24    (A) THE DEPARTMENT MAY REQUIRE THE FOLLOWING TO REPORT DATA UNDER THIS
   25  SUBDIVISION:
   26    I. THE STATEWIDE PLANNING AND RESEARCH COOPERATIVE SYSTEM (SPARCS);
   27    II.  HEALTH  MAINTENANCE  ORGANIZATIONS  LICENSED  PURSUANT TO ARTICLE
   28  FORTY-THREE OF THE INSURANCE LAW OR CERTIFIED PURSUANT TO  THIS  CHAPTER
   29  OR  AN INDEPENDENT PRACTICE ASSOCIATION CERTIFIED OR RECOGNIZED PURSUANT
   30  TO THIS CHAPTER;
   31    III. OTHER INSURERS;
   32    IV. THE MEDICAID (TITLE  XIX  OF  THE  FEDERAL  SOCIAL  SECURITY  ACT)
   33  PROGRAM;
   34    V. HEALTH FACILITIES;
   35    VI. HEALTH CARE PRACTITIONERS;
   36    VII. PATIENTS: SELF REPORTING;
   37    VIII. THE DEPARTMENT OF ENVIRONMENTAL CONSERVATION; AND
   38    IX. ANY OTHER SOURCE THE COMMISSIONER DEEMS APPROPRIATE.
   39    (B) THE DEPARTMENT SHALL COMPILE AND ANALYZE DATA GATHERED UNDER PARA-
   40  GRAPH (A) OF THIS SUBDIVISION AND ARTICLE TWENTY-FOUR-F OF THIS CHAPTER,
   41  AND  CORRELATE  IT  WITH DATA AS TO PLACES OF EMPLOYMENT, AREAS OF RESI-
   42  DENCE, SCHOOLS ATTENDED, AGES OF THOSE AFFLICTED, ENVIRONMENTAL  FACTORS
   43  INCLUDING  PROXIMITY  TO  SOURCE OF POLLUTION AND SUCH OTHER DATA AS THE
   44  DEPARTMENT DEEMS APPROPRIATE.
   45    (C) THE DEPARTMENT SHALL MAINTAIN  AND  COMPILE  REPORTED  DATA  IN  A
   46  MANNER  SUITABLE  FOR  RESEARCH PURPOSES AND SHALL COLLECT AND MAKE SUCH
   47  DATA AVAILABLE TO PERSONS IN THE MANNER SET FORTH IN  SUBDIVISION  THREE
   48  OF THIS SECTION.
   49    3.  ANY  DATA  COLLECTED OR REPORTED SHALL NOT CONTAIN THE NAME OF ANY
   50  PATIENT, HIS OR HER SOCIAL SECURITY NUMBER,  OR  ANY  OTHER  INFORMATION
   51  WHICH  WOULD  PERMIT  A  PATIENT  TO BE IDENTIFIED. THE DEPARTMENT SHALL
   52  DEVELOP A UNIQUE, CONFIDENTIAL IDENTIFIER TO BE USED IN  THE  COLLECTION
   53  OF PATIENT INFORMATION AS REQUIRED BY THIS SECTION.
   54    S  2727.  ANNUAL  REPORT. ON OR BEFORE THE FIRST OF JANUARY DURING THE
   55  TWO CALENDAR YEARS NEXT SUCCEEDING THE EFFECTIVE DATE  OF  THIS  SECTION
   56  AND  BIENNIALLY  THEREAFTER,  THE  COMMISSIONER  SHALL  SUBMIT  A REPORT
       A. 6505--A                          4
    1  REGARDING THE STATUS AND ACCOMPLISHMENTS  OF  THE  PROGRAM  AND  PROVIDE
    2  RECOMMENDATIONS TO THE GOVERNOR, THE TEMPORARY PRESIDENT AND THE MINORI-
    3  TY  LEADER OF THE SENATE, AND THE SPEAKER AND THE MINORITY LEADER OF THE
    4  ASSEMBLY.  SUCH  REPORT  MAY BE SUBMITTED IN CONJUNCTION WITH THE REPORT
    5  REQUIRED BY ARTICLE TWENTY-FOUR-F OF THIS CHAPTER.
    6    S 2. This act shall take effect on the one hundred eightieth day after
    7  it shall have become law.  Effective  immediately  the  commissioner  of
    8  health is authorized to promulgate any and all rules and regulations and
    9  take  any  other  measures necessary to implement the provisions of this
   10  act on its effective date.
   11                                   PART B
   12    Section 1. The public health law is amended by adding  a  new  article
   13  13-I to read as follows:
   14                                ARTICLE 13-I
   15                IN-UTERO EXPOSURE TO TOBACCO SMOKE PREVENTION
   16  SECTION 1399-XX. IN-UTERO EXPOSURE PREVENTION.
   17          1399-YY. PROGRAMS.
   18    S 1399-XX. IN-UTERO EXPOSURE PREVENTION. 1. EVERY HEALTHCARE PROVIDER,
   19  HEALTHCARE INSURER AND PREGNANCY PROGRAM SHALL DISTRIBUTE INFORMATION ON
   20  THE  ADVERSE  EFFECTS OF SMOKING DURING PREGNANCY FOR BOTH FIRSTHAND AND
   21  SECONDHAND SMOKE. SUCH ADVERSE EFFECTS TO THE INFANT INCLUDE LOWER BIRTH
   22  RATES, HIGHER INCIDENCE OF ASTHMA AND OBESITY, AND COGNITIVE AND  DEVEL-
   23  OPMENTAL DAMAGE.
   24    2.  EVERY HEALTHCARE PROVIDER SHALL MONITOR EXPECTANT MOTHERS' SMOKING
   25  STATUSES AND OFFER CONTINUOUS TAILORED DISCUSSION  OF  QUITTING  SMOKING
   26  WITH EXPECTANT MOTHERS DURING THEIR PRENATAL CARE.
   27    S 1399-YY. PROGRAMS. THE FOLLOWING PROGRAMS SHALL BE ADDED TO EXISTING
   28  TOBACCO  CONTROL  PROGRAMS  FOR  PREGNANT  WOMEN  OR  TO OTHER PREGNANCY
   29  RELATED PROGRAMS:
   30    1. CARBON MONOXIDE MONITORING;
   31    2. DEPRESSION, SOCIAL SUPPORT  AND  DOMESTIC  VIOLENCE  SCREENING  AND
   32  REFERRALS;
   33    3. REFERRALS FOR SMOKING CESSATION FOR HOUSEHOLD MEMBERS;
   34    4. ONGOING SUPPORT BY COUNSELING AND EDUCATIONAL MATERIALS; AND
   35    5. FINANCIAL INCENTIVES SUCH AS SHIPPING VOUCHER OR DIAPER COUPONS FOR
   36  QUITTING FOR MORE THAN FOUR WEEKS.
   37    S 2. This act shall take effect on the one hundred eightieth day after
   38  it  shall  have  become  a law. Provided, that effective immediately the
   39  commissioner of health is authorized and directed to promulgate any  and
   40  all  rules  and  regulations,  and  take any other measures necessary to
   41  implement the provisions of this act on its effective date.
   42                                   PART C
   43    Section 1. The public health law is amended by adding  a  new  article
   44  24-F to read as follows:
   45                                ARTICLE 24-F
   46                              ASTHMA REPORTING
   47  SECTION 2499-B. ASTHMA; DUTY TO REPORT.
   48          2499-C. REPORTING.
   49          2499-D. ASTHMA; REPORTS CONFIDENTIAL.
   50    S  2499-B. ASTHMA; DUTY TO REPORT. 1. EVERY PHYSICIAN AND OTHER HEALTH
   51  CARE PROVIDER SHALL GIVE NOTICE TO THE DEPARTMENT WITHIN THIRTY DAYS  OF
       A. 6505--A                          5
    1  EVERY  INCIDENT OF AN ASTHMA ATTACK COMING UNDER HIS OR HER CARE, EXCEPT
    2  AS OTHERWISE PROVIDED.
    3    2.  THE PERSON IN CHARGE OF EVERY ASTHMA REPORTING FACILITY SHALL GIVE
    4  NOTICE TO THE DEPARTMENT WITHIN THIRTY DAYS  OF  EVERY  INCIDENT  OF  AN
    5  ASTHMA ATTACK COMING UNDER THE CARE OF SUCH FACILITY.
    6    3.  THE  DEPARTMENT  SHALL  ESTABLISH  REGULATIONS  DESIGNATING  WHICH
    7  SPECIFIC INFORMATION SHALL BE REPORTED TO  THE  DEPARTMENT  PURSUANT  TO
    8  THIS SECTION.
    9    4.  A  PHYSICIAN  OR HEALTH CARE PROVIDER OR ASTHMA REPORTING FACILITY
   10  WHICH VIOLATES ANY PROVISION OF THIS SECTION SHALL BE SUBJECT TO A CIVIL
   11  PENALTY PURSUANT TO SECTION TWELVE OF THIS CHAPTER.
   12    5. THE NOTICES REQUIRED BY THIS SECTION SHALL BE UPON  FORMS  SUPPLIED
   13  BY  THE  COMMISSIONER  AND  SHALL  CONTAIN  SUCH INFORMATION AS SHALL BE
   14  REQUIRED BY THE COMMISSIONER.
   15    6. FOR THE PURPOSES OF THIS SECTION, AN  "ASTHMA  REPORTING  FACILITY"
   16  MEANS  A  HOSPITAL  AS  DEFINED IN ARTICLE TWENTY-EIGHT OF THIS CHAPTER,
   17  CLINIC, ANY ORGANIZATION CERTIFIED PURSUANT  TO  ARTICLE  FORTY-FOUR  OF
   18  THIS CHAPTER, OR OTHER SIMILAR PUBLIC OR PRIVATE INSTITUTION.
   19    S 2499-C. REPORTING. 1. THE COMMISSIONER SHALL SUBMIT BIENNIAL REPORTS
   20  TO  THE  GOVERNOR, THE TEMPORARY PRESIDENT OF THE SENATE, THE SPEAKER OF
   21  THE ASSEMBLY, THE MINORITY LEADER OF THE SENATE AND THE MINORITY  LEADER
   22  OF  THE ASSEMBLY.  THE REPORTS SHALL INCLUDE AN EVALUATION OF THE ASTHMA
   23  REGISTRY AS IT RELATES TO TIMELINESS, QUALITY AND COMPLETENESS; AN EVAL-
   24  UATION OF THE UTILITY OF THE REGISTRY FOR SCIENTIFIC RESEARCH; AN EVALU-
   25  ATION OF THE ACCESS, TIMELINESS AND QUALITY OF REPORTING INFORMATION  TO
   26  RESEARCHERS  AND  OTHER SIMILAR INDIVIDUALS; AN EVALUATION OF THE REGIS-
   27  TRY'S DATA ELEMENTS, INCLUDING TREATMENT, SEVERITY OF  DISEASE,  OCCUPA-
   28  TION, AGE AND RESIDENCE; AN EVALUATION OF THE FEASIBILITY AND UTILITY OF
   29  INCLUSION  OF  OCCUPATIONAL HISTORY AND RESIDENCE HISTORY; AND AN EVALU-
   30  ATION OF INTEGRATING THE REGISTRY WITH  OTHER  DATABASES  MAINTAINED  BY
   31  STATE  AGENCIES  AND  DEPARTMENTS,  INCLUDING THE STATEWIDE PLANNING AND
   32  RESEARCH COOPERATIVE SYSTEM.
   33    2. THE COMMISSIONER SHALL SUBMIT AN ANNUAL REPORT TO THE GOVERNOR, THE
   34  TEMPORARY PRESIDENT OF THE SENATE, THE  SPEAKER  OF  THE  ASSEMBLY,  THE
   35  MINORITY  LEADER  OF THE SENATE AND THE MINORITY LEADER OF THE ASSEMBLY.
   36  SUCH REPORT SHALL INCLUDE AN  EVALUATION  OF  WHETHER  THE  REGISTRY  IS
   37  ACHIEVING  ASTHMA  INCIDENCE  REGISTRY GOALS ESTABLISHED BY A NATIONALLY
   38  RECOGNIZED  ASTHMA  REGISTRY  ORGANIZATION,  INCLUDING  NUMERICAL  GOALS
   39  CONCERNING TIMELINESS, QUALITY, AND COMPLETENESS.
   40    S  2499-D. ASTHMA; REPORTS CONFIDENTIAL. THE REPORTS OF ASTHMA ATTACKS
   41  MADE PURSUANT TO THE PROVISIONS OF THIS ARTICLE SHALL NOT BE DIVULGED OR
   42  MADE PUBLIC BY ANY PERSON SO AS TO DISCLOSE THE IDENTITY OF  ANY  PERSON
   43  TO  WHOM THEY RELATE, EXCEPT IN SO FAR AS MAY BE AUTHORIZED IN THE SANI-
   44  TARY CODE.
   45    S 2. This act shall take effect on the one hundred eightieth day after
   46  it shall have become a law. Effective immediately, the  commissioner  of
   47  health is authorized to promulgate any and all rules and regulations and
   48  take any other measures necessary to implement this act on its effective
   49  date on or before such date.
   50                                   PART D
   51    Section  1.  Subdivisions 2 and 4 of section 2111 of the public health
   52  law, as added by section 21 of part C of chapter 58 of the laws of 2004,
   53  are amended to read as follows:
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    1    2. The department shall establish the criteria  by  which  individuals
    2  will  be  identified  as  eligible  for  enrollment in the demonstration
    3  programs.  Persons eligible for enrollment  in  the  disease  management
    4  demonstration  program  shall  be  limited  to  individuals who: receive
    5  medical  assistance  pursuant  to  title  eleven  of article five of the
    6  social services law and may be eligible for benefits pursuant  to  title
    7  18 of the social security act (Medicare); are not enrolled in a Medicaid
    8  managed  care  plan,  including  individuals who are not required or not
    9  eligible to participate in Medicaid managed care  programs  pursuant  to
   10  section three hundred sixty-four-j of the social services law; are diag-
   11  nosed  with  chronic  health  problems as may be specified by the entity
   12  undertaking the demonstration program, including, but not limited to one
   13  or more of the following: congestive heart failure, chronic  obstructive
   14  pulmonary  disease, asthma, EMPHYSEMA, CHRONIC BRONCHITIS, OTHER RESPIR-
   15  ATORY DISEASES, diabetes or other chronic health conditions  as  may  be
   16  specified  by the department; or have experienced or are likely to expe-
   17  rience one or more hospitalizations or are otherwise expected  to  incur
   18  excessive costs and high utilization of health care services.
   19    4.  The  demonstration program shall offer evidence-based services and
   20  interventions designed to ensure that the enrollees receive high  quali-
   21  ty, preventative and cost-effective care, aimed at reducing the necessi-
   22  ty  for hospitalization or emergency room care or at reducing lengths of
   23  stay when hospitalization is necessary. The  demonstration  program  may
   24  include  screening  of  eligible enrollees, developing an individualized
   25  care management plan for  each  enrollee  and  implementing  that  plan.
   26  Disease management demonstration programs that utilize information tech-
   27  nology  systems  that allow for continuous application of evidence-based
   28  guidelines to medical assistance claims data and other available data to
   29  identify specific instances in which clinical interventions  are  justi-
   30  fied  and communicate indicated interventions to physicians, health care
   31  providers and/or patients, and monitor physician and health care provid-
   32  er response to such interventions, shall have the enrollees,  or  groups
   33  of enrollees, approved by the department for participation. The services
   34  provided  by  the  demonstration  program as part of the care management
   35  plan may include, but are not limited to, case management, social  work,
   36  individualized  health  counselors, multi-behavioral goals plans, claims
   37  data management, health and self-care education, drug therapy management
   38  and oversight, personal emergency response systems and other  monitoring
   39  technologies,  SYSTEMATIC CHRONIC HEALTH CONDITIONS IDENTIFIED FOR MONI-
   40  TORING, telehealth services and similar services designed to improve the
   41  quality and cost-effectiveness of health care services.
   42    S 2. This act shall take effect immediately.
   43                                   PART E
   44    Section 1.  Subdivision 1 of section 2599-b of the public health  law,
   45  as amended by section 88 of part B of chapter 58 of the laws of 2005, is
   46  amended to read as follows:
   47    1.  The  program shall be designed to prevent and reduce the incidence
   48  and prevalence of obesity in children and adolescents, especially  among
   49  populations  with  high  rates  of  obesity  and  obesity-related health
   50  complications including, but not limited to,  diabetes,  heart  disease,
   51  cancer,  osteoarthritis,  asthma,  EMPHYSEMA,  CHRONIC BRONCHITIS, OTHER
   52  CHRONIC RESPIRATORY DISEASES and other conditions. The program shall use
   53  recommendations and goals of the United States departments  of  agricul-
   54  ture  and health and human services, the surgeon general and centers for
       A. 6505--A                          7
    1  disease control in developing and implementing guidelines for  nutrition
    2  education  and  physical activity projects as part of obesity prevention
    3  efforts. The content and implementation of the program shall stress  the
    4  benefits  of  choosing  a balanced, healthful diet from the many options
    5  available to consumers, without specifically targeting  the  elimination
    6  of any particular food group, food product or food-related industry.
    7    S  2. Paragraphs (f) and (g) of subdivision 2 of section 2599-b of the
    8  public health law, as amended by section 88 of part B of chapter  58  of
    9  the  laws  of 2005, are amended and a new paragraph (h) is added to read
   10  as follows:
   11    (f) developing training programs for medical and other health  profes-
   12  sionals to teach practical skills in nutrition and exercise education to
   13  children and their parents and caregivers; [and]
   14    (g)  developing  screening  programs  in coordination with health care
   15  providers and institutions including but not limited to day care centers
   16  and schools for overweight and obesity for  children  aged  two  through
   17  eighteen  years,  using  body  mass  index (BMI) appropriate for age and
   18  gender, and notification, in a manner protecting the confidentiality  of
   19  such children and their families, of parents of BMI status, and explana-
   20  tion  of  the consequences of such status, including recommended actions
   21  parents may need to take and information about resources  and  referrals
   22  available  to  families  to  enhance  nutrition and physical activity to
   23  reduce and prevent obesity[.]; AND
   24    (H) COORDINATING WITH THE EDUCATION DEPARTMENT,  OFFICE  OF  TEMPORARY
   25  AND  DISABILITY  ASSISTANCE,  OFFICE OF CHILDREN AND FAMILY SERVICES AND
   26  OTHER FEDERAL, STATE AND LOCAL AGENCIES  TO  INCORPORATE  STRATEGIES  TO
   27  CURTAIL THE INCIDENCE OF ASTHMA, EMPHYSEMA, CHRONIC BRONCHITIS AND OTHER
   28  CHRONIC  RESPIRATORY  DISEASES  TO  ENABLE ADULTS AND CHILDREN TO SAFELY
   29  INCREASE PHYSICAL ACTIVITY TO HELP CURB THE INCIDENCE OF OBESITY.
   30    S 3. This act shall take effect immediately.
   31                                   PART F
   32    Section 1. Legislative intent.  The legislature recognizes that  expo-
   33  sure  to  second-hand smoke is known to cause cancer, pneumonia, asthma,
   34  bronchitis and heart disease in humans, and to trigger  asthma  attacks.
   35  The  legislature  finds  that prohibiting smoking within a presumptively
   36  reasonable minimum distance of fifteen feet  from  entrances  and  exits
   37  that serve enclosed areas where smoking is prohibited is consistent with
   38  such prohibition.  This legislation will apply to any individual occupy-
   39  ing  such  area with the purpose of smoking, but provides exceptions for
   40  individuals passing through such area. Therefore, the legislature  finds
   41  that smoking in such area shall be prohibited and owners and other indi-
   42  viduals in control of such area are recommended to post signs indicating
   43  no smoking areas and providing for fines for violations.
   44    S  2.  Section  1399-o-1 of the public health law, as added by chapter
   45  102 of the laws of 2013, is amended to read as follows:
   46    S 1399-o-1. Smoking restrictions; certain outdoor areas. 1.  A.  Smok-
   47  ing  shall  not  be permitted and no person shall smoke during the hours
   48  between sunrise and sunset, when one or more persons under  the  age  of
   49  twelve are present at any playground. For the purposes of this [section]
   50  SUBDIVISION,  the  term  "playground"  means  an improved area designed,
   51  equipped, and set aside for play of six or more children  which  is  not
   52  intended  for  use  as  an athletic playing field or athletic court, and
   53  shall include any play equipment, surfacing,  fencing,  signs,  internal
   54  pathways, internal land forms, vegetation, and related structures. Play-
       A. 6505--A                          8
    1  grounds  or playground equipment constructed upon one, two and three-fa-
    2  mily residential real property are exempt from the requirements of  this
    3  [section]  SUBDIVISION.    This [section] SUBDIVISION shall not apply to
    4  any playground located within the city of New York.
    5    [2.]  B.  No  police officer, peace officer, regulatory officer or law
    6  enforcement official may arrest, ticket, stop  or  question  any  person
    7  based  solely  or in part on an alleged violation of PARAGRAPH A OF THIS
    8  subdivision [one of this section], nor may an alleged violation of PARA-
    9  GRAPH A OF THIS subdivision [one of this section] support probable cause
   10  to conduct any search or limited search of any  person  or  his  or  her
   11  immediate surroundings.
   12    2.  A. SMOKING IS PROHIBITED WITHIN A PRESUMPTIVELY REASONABLE MINIMUM
   13  DISTANCE OF FIFTEEN FEET FROM ENTRANCES OR EXITS OF PUBLIC BUILDINGS  OR
   14  PRIVATE BUILDINGS THAT CONTAIN STATE OR MUNICIPAL OFFICES OR EDUCATIONAL
   15  FACILITIES  FOR  ELEMENTARY OR SECONDARY SCHOOL STUDENTS.  SUCH DISTANCE
   16  SHALL BECOME A DESIGNATED NO SMOKING ZONE.
   17    B. LOCAL HEALTH DEPARTMENTS ARE AUTHORIZED TO ADOPT REGULATIONS AS ARE
   18  REQUIRED TO IMPLEMENT THIS SUBDIVISION. ANY PENALTY ASSESSED AND  RECOV-
   19  ERED  IN  AN  ACTION BROUGHT UNDER THIS SUBDIVISION SHALL BE PAID TO AND
   20  USED BY THE MUNICIPALITY BRINGING THE ACTION.
   21    C. THIS SUBDIVISION SHALL NOT APPLY TO INDIVIDUALS WALKING THROUGH THE
   22  DESIGNATED NO SMOKING ZONE OF SUCH AREA FOR THE PURPOSE  OF  GETTING  TO
   23  ANOTHER  DESTINATION,  BUT SHALL ONLY APPLY TO INDIVIDUALS OCCUPYING THE
   24  DESIGNATED NO SMOKING ZONE FOR THE PURPOSE OF SMOKING.
   25    D. ANY PERSON VIOLATING THE PROVISIONS OF THIS  SUBDIVISION  SHALL  BE
   26  GUILTY OF A VIOLATION, AND IS SUBJECT TO A FINE OF THIRTY-FIVE DOLLARS.
   27    E.  THE COMMISSIONER MAY RECOMMEND DESIGNS FOR SIGNS WHICH MAY BE USED
   28  BY THE OWNERS, OPERATORS, MANAGERS, EMPLOYERS OR OTHER PERSONS, AT THEIR
   29  OPTION, WHO CONTROL  AREAS  WHERE  SMOKING  IS  PROHIBITED  PURSUANT  TO
   30  SECTION THIRTEEN HUNDRED NINETY-NINE-O OF THIS ARTICLE. SUCH SIGNS SHALL
   31  INCLUDE  THE WARNING THAT "SMOKING IN THIS AREA IS PUNISHABLE BY LAW AND
   32  ALL VIOLATORS SHALL BE SUBJECT TO A FINE OF THIRTY-FIVE DOLLARS."
   33    F. NOTHING CONTAINED IN THIS SUBDIVISION IS INTENDED TO REGULATE SMOK-
   34  ING IN A PRIVATE RESIDENCE OR IN THE GENERAL PUBLIC OUTDOORS,  EXCEPTING
   35  PLACES IN WHICH SMOKING IS PROHIBITED THROUGH THE LOCAL FIRE DEPARTMENT,
   36  OR BY OTHER LAW, ORDINANCE OR REGULATION.
   37    S 3. This act shall take effect on the one hundred twentieth day after
   38  it shall have become a law.
   39                                   PART G
   40    Section 1. The education law is amended by adding a new section 3001-e
   41  to read as follows:
   42    S 3001-E. ASTHMA EMERGENCIES; TRAINING IN IDENTIFICATION AND RESPONSE.
   43  THE COMMISSIONER, IN CONSULTATION WITH THE COMMISSIONER OF HEALTH, SHALL
   44  ESTABLISH  STANDARDS  FOR THE TRAINING OF TEACHERS AND OTHER APPROPRIATE
   45  PERSONNEL IN IDENTIFYING AND RESPONDING TO ASTHMA EMERGENCIES IN  PUPILS
   46  AND  OTHER PERSONS. SUCH STANDARDS SHALL SPECIFY MINIMUM LEVELS OF KNOW-
   47  LEDGE AND PROCEDURES TO BE FOLLOWED. SUCH STANDARDS SHALL PERMIT  TRAIN-
   48  ING TO BE GIVEN BY PERSONS OR ORGANIZATIONS DEEMED QUALIFIED TO DO SO BY
   49  THE COMMISSIONER.
   50    S  2. This act shall take effect one year after it shall have become a
   51  law.
   52                                   PART H
       A. 6505--A                          9
    1    Section 1. The real property law is amended by adding  a  new  section
    2  235-h to read as follows:
    3    S  235-H.  RESIDENTIAL  RENTAL PROPERTY SMOKING POLICIES. EVERY RENTAL
    4  AGREEMENT FOR A DWELLING UNIT, IN A MULTIPLE DWELLING BUILDING WITH FOUR
    5  OR MORE UNITS, SHALL INCLUDE A DISCLOSURE OF THE SMOKING POLICY FOR  THE
    6  PREMISES  ON  WHICH  THE  DWELLING  UNIT IS LOCATED. THE DISCLOSURE MUST
    7  STATE WHETHER SMOKING IS PROHIBITED ON  THE  PREMISES,  ALLOWED  ON  THE
    8  ENTIRE  PREMISES  OR  ALLOWED  IN  LIMITED AREAS ON THE PREMISES. IF THE
    9  SMOKING POLICY ALLOWS SMOKING IN LIMITED  AREAS  ON  THE  PREMISES,  THE
   10  DISCLOSURE  MUST  IDENTIFY  THE  AREAS  ON THE PREMISES WHERE SMOKING IS
   11  ALLOWED.
   12    S 2. This act shall take effect on the first of January next  succeed-
   13  ing the date on which it shall have become a law.
   14                                   PART I
   15    Section 1. The education law is amended by adding a new section 1527-a
   16  to read as follows:
   17    S  1527-A.  IDLING  MOTOR  VEHICLES ON SCHOOL GROUNDS. 1. ON OR BEFORE
   18  SEPTEMBER FIRST, TWO THOUSAND SEVENTEEN AND CONSISTENT WITH THE  COMMIS-
   19  SIONER'S  REGULATIONS,  ADOPTED  PURSUANT  TO SECTION THIRTY-SIX HUNDRED
   20  THIRTY-SEVEN OF THIS CHAPTER, THE BOARD OF EDUCATION OR BOARD  OF  TRUS-
   21  TEES  OF  EVERY  SCHOOL DISTRICT AND THE GOVERNING BODY OF EVERY PRIVATE
   22  ELEMENTARY OR SECONDARY SCHOOL IN THE STATE SHALL PROMULGATE AND  IMPLE-
   23  MENT  RULES  PROHIBITING  THE ENGINE OF ANY MOTOR VEHICLE, AS DEFINED IN
   24  SECTION ONE HUNDRED TWENTY-FIVE OF  THE  VEHICLE  AND  TRAFFIC  LAW,  TO
   25  REMAIN  IDLING  FOR MORE THAN ONE MINUTE WHILE SUCH VEHICLE IS PARKED OR
   26  STANDING ON SCHOOL GROUNDS, ADJACENT TO SCHOOL GROUNDS, OR IN  FRONT  OF
   27  ANY SCHOOL WHILE LOADING OR OFF LOADING PASSENGERS.
   28    2.  EACH  SCHOOL  DISTRICT AND PRIVATE ELEMENTARY AND SECONDARY SCHOOL
   29  SHALL CONSPICUOUSLY POST SIGNS UPON, ADJACENT AND  IN  FRONT  OF  SCHOOL
   30  GROUNDS  ADVISING  OPERATORS  OF MOTOR VEHICLES OF THE PROVISIONS OF THE
   31  RULES ADOPTED PURSUANT TO SUBDIVISION ONE OF THIS SECTION.
   32    S 2. This act shall take effect immediately.
   33                                   PART J
   34    Section 1.  The education law is amended by adding a new  section  922
   35  to read as follows:
   36    S 922. USE OF NEBULIZER. 1. EVERY SCHOOL DISTRICT AND BOARD OF COOPER-
   37  ATIVE  EDUCATIONAL SERVICES IN THIS STATE MAY MAINTAIN ONE OR MORE NEBU-
   38  LIZERS IN THE OFFICE OF THE SCHOOL NURSE  OR  IN  A  SIMILAR  ACCESSIBLE
   39  LOCATION.
   40    2.  THE COMMISSIONER, IN CONSULTATION WITH THE COMMISSIONER OF HEALTH,
   41  MAY PROMULGATE REGULATIONS FOR THE ADMINISTRATION OF  ASTHMA  MEDICATION
   42  THROUGH  THE USE OF A NEBULIZER BY THE SCHOOL NURSE OR PERSON AUTHORIZED
   43  BY REGULATION. THE REGULATIONS MAY INCLUDE:
   44    A. A REQUIREMENT THAT EACH CERTIFIED NURSE OR OTHER PERSON  AUTHORIZED
   45  TO  ADMINISTER  ASTHMA  MEDICATION IN SCHOOLS RECEIVE TRAINING IN AIRWAY
   46  MANAGEMENT AND IN THE USE OF NEBULIZERS  AND  INHALERS  CONSISTENT  WITH
   47  NATIONALLY RECOGNIZED STANDARDS; AND
   48    B.  A  REQUIREMENT THAT EACH PUPIL AUTHORIZED TO USE ASTHMA MEDICATION
   49  PURSUANT TO SUBDIVISION ONE OF SECTION  NINE  HUNDRED  SIXTEEN  OF  THIS
   50  ARTICLE  OR  A  NEBULIZER  HAVE AN ASTHMA TREATMENT PLAN PREPARED BY THE
   51  PHYSICIAN OF THE PUPIL, WHICH IDENTIFY, AT A MINIMUM,  ASTHMA  TRIGGERS,
       A. 6505--A                         10
    1  THE  TREATMENT  PLAN,  AND SUCH OTHER ELEMENTS AS SHALL BE DETERMINED BY
    2  THE REGENTS.
    3    S 2. This act shall take effect on the one hundred eightieth day after
    4  it shall have become a law; provided, however, that effective immediate-
    5  ly  the  commissioner of education is authorized to promulgate rules and
    6  regulations for the implementation of this act on such effective date.
    7                                   PART K
    8    Section 1. Subdivision 7  of  section  33-0303  of  the  environmental
    9  conservation law, as added by chapter 85 of the laws of 2010, is amended
   10  to read as follows:
   11    7.  The  commissioner, in consultation with the commissioner of educa-
   12  tion and the commissioner of health, shall develop  guidance  AND  REGU-
   13  LATIONS  on pesticide alternatives to facilitate compliance with section
   14  four hundred nine-k of the education law and three hundred  ninety-g  of
   15  the social services law. PROVIDED, FURTHER, THAT SUCH PESTICIDE ALTERNA-
   16  TIVES  SHALL  HELP TO MINIMIZE THE INCIDENCE OF ASTHMA ATTACKS IN PUBLIC
   17  AND PRIVATE BUILDINGS AND RESIDENCES, WHILE STILL  EFFECTIVELY  CONTROL-
   18  LING  THE TARGETED PEST OR ORGANISM.  SUCH REGULATIONS SHALL PROVIDE FOR
   19  THE USE OF THE LEAST TOXIC PESTICIDE OR  PESTICIDES,  WHICH  EFFECTIVELY
   20  ERADICATES THE TARGETED PEST OR ORGANISM.
   21    S 2. This act shall take effect immediately.
   22                                   PART L
   23    Section  1.    The  public  buildings  law  is amended by adding a new
   24  section 143 to read as follows:
   25    S 143. CURTAIL USE OF CHEMICALS THAT INDUCE OR TRIGGER ASTHMA ATTACKS.
   26  1.  NOTWITHSTANDING ANY OTHER PROVISION OF  LAW  TO  THE  CONTRARY,  THE
   27  SUPERINTENDENT  OF EVERY STATE PUBLIC BUILDING, AND OF EVERY TRANSPORTA-
   28  TION FACILITY OPERATED BY A PUBLIC AUTHORITY, PUBLIC BENEFIT CORPORATION
   29  OR MUNICIPALITY SHALL TO THE BEST OF HIS OR HER ABILITY CURTAIL THE  USE
   30  OF  CLEANING  MATERIALS OR CHEMICALS, EXPOSURE TO WHICH MAY CAUSE EITHER
   31  THE BUILDING CLEANING STAFF OR OTHER PERSONS WHO ENTER SUCH BUILDING  TO
   32  DEVELOP  THE  DISEASE  OF  ASTHMA, OR WHICH MAY EXACERBATE OR TRIGGER AN
   33  ASTHMA ATTACK.
   34    2. A DETERMINATION OF WHICH OR THE QUANTITY OR CONCENTRATION  OF  SUCH
   35  CLEANING  MATERIALS  OR CHEMICALS EXPOSURE TO WHICH MAY CAUSE PERSONS TO
   36  DEVELOP THE DISEASE OF ASTHMA, OR WHICH MAY  EXACERBATE  OR  TRIGGER  AN
   37  ASTHMA  ATTACK,  SHALL  BE  MADE BY THE COMMISSIONER OF HEALTH WHO SHALL
   38  PROMULGATE A LIST OF SUCH CLEANING MATERIALS OR CHEMICALS.
   39    S 2. This act shall take effect on the one hundred eightieth day after
   40  it shall have become a law.
   41    S 3.  Severability clause. If any clause, sentence, paragraph,  subdi-
   42  vision,  section  or  part of this act shall be adjudged by any court of
   43  competent jurisdiction to be invalid, such judgment  shall  not  affect,
   44  impair,  or  invalidate  the remainder thereof, but shall be confined in
   45  its operation to the clause, sentence, paragraph,  subdivision,  section
   46  or part thereof directly involved in the controversy in which such judg-
   47  ment shall have been rendered. It is hereby declared to be the intent of
   48  the  legislature  that  this  act  would  have been enacted even if such
   49  invalid provisions had not been included herein.
   50    S 4. This act shall take effect immediately  provided,  however,  that
   51  the  applicable effective date of Parts A through L of this act shall be
   52  as specifically set forth in the last section of such Parts.