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1. COMPREHENSIVE HIV
TESTING IN NEW YORK
STATE
New York State Legislative
Advocacy Efforts
Marc D. Price, D.O.
NYS Board of Directors
NYS Advocacy Chair
5. The Background
• NYS Public Health Law
• Unique with regards to HIV privacy issues
• “The dead have rights”
6. The History
• 2003
• NYSAFP COD Resolution
• Protecting the rights of the exposed
healthcare provider
• Medical Society of the State of New York
(MSSNY)
• “HIV testing should be handled the same as
everything else, anything short of this is
unacceptable”
7. The Legislation
• 2007-2009
• Proposed legislation
• Streamlined written consent for HIV testing
• Allowed for testing in cases of occupational
exposure
• Supported by the NYSAFP
• Not passed by Republican lead Legislature
8. The Legislation
• 2010
• Proposed legislation
• Streamlined written consent for HIV testing
• Allowed anonymous testing of an
unconscious or deceased source patient in
the incidence of occupational exposure of
physicians, health care workers and first
responders
• Mandated the offering of HIV testing to
those 13yo-64yo
9. The Fight
• NYSAFP influence within the state and it’s
endorsement of the bill referenced by the
sponsor and Health Committee Chair
during the Assembly floor debate
• Academy joined by many allies
• NYC DOH, Gay Men’s Health Crisis, Harlem
United, Latino and Black Associations on
AIDS, NYS Nurses Association, Gay Pride
Association, etc
• Silent supporters
10. Unlikely Opposition
• MSSNY
• Requirement of offering HIV testing
placed an unacceptable, unfunded
mandate on physicians which could not
be supported
• Lack of specific details regarding
implementation, enforcement and
potential penalties of the mandate made
support of the bill impossible
11. Success!
• Unanimous passage in Democratic
lead Assembly
• Passage in Democratic lead Senate
• Legislation sent to Governor’s Office
• NYSAFP members met with Governor’s
Counsel
• July 30th, 2010, Governor Patterson
signed the legislation into law
12. Aftermath
• NYSAFP influential in implementation
of the new law through the DOH
• Able to shape and clarify qualifications for
“Routine Offering” of HIV testing
• NYSAFP contacted by DOH to opine
on other health care related issues
• NYSAFP relationship and influence
with key legislators and in the DOH
strengthened
13. Aftermath
• MSSNY upset and instructed us
(informally) that it would not be wise to
“break ranks” with them again
• NYSAFP legislative priorities given
more attention by MSSNY
• MSSNY legislative positions
seem, more recently, to be more in
line with NYSAFP
14. Stay Passionate!
• Don’t forget why
you became a
family physician
• Fight for what’s
good for you and
your patients
• Don’t give up
• Be an advocate!