N.Y. Public Health Law § 2500-c: Special programs with respect to diethylstilbestrol

§ 2500-c. Special programs with respect to diethylstilbestrol. 1. For

the purpose of identifying persons who have been exposed to the

potential hazards and afflictions of diethylstilbestrol, and for the

purpose of educating the public concerning the symptoms and prevention

of associated malignancies, the commissioner shall establish, promote

and maintain a public information campaign on diethylstilbestrol. Such

campaign shall be conducted throughout the state and shall include but

not be limited to a concerted effort at reaching those persons or the

offspring of persons who have been exposed to diethylstilbestrol in

order to encourage them to seek medical care for the prevention or

treatment of any malignant condition.

2. (a) The commissioner shall designate and enter into contracts with

providers of health care for the purpose of establishing regional

screening programs for diethylstilbestrol exposed persons. In

determining the provider with which to contract, the commissioner shall

consider such provider's compliance with state and federally mandated

standards, the location in relation to the geographical distribution of

persons exposed to diethylstilbestrol, and the capacity of such provider

to properly screen for breast cancer, vaginal cancer, cervical cancer,

vaginal adenosis, testicular cancer and any other malignancy and

abnormal conditions resulting from DES exposure.

(b) Each contract for a regional screening program shall be upon such

terms and conditions as the commissioner determines, provided, however,

that expenses incurred shall be reimbursed by the state after applying

against the total cost of screening and diagnosis the amounts received

from third party payers and less any fee charged each person receiving

such services where the commissioner shall determine a sliding fee scale

based on ability to pay.

3. Each provider of health care that enters into a contract as

provided for in this section shall conduct a training program in

conjunction with the department for purposes of instructing physicians,

physician assistants and nurses within the respective health systems

agency in the detection, diagnosis, treatment and prevention of

diethylstilbestrol exposed persons.

4. The bureau of cancer control within the health department shall

establish and maintain a registry of women who took diethylstilbestrol

during pregnancy and their offspring who were exposed to

diethylstilbestrol prenatally for the purpose of follow-up care and

treatment of long term problems associated with diethylstilbestrol

exposure. Enrollment in the registry shall be upon a voluntary basis.

5. The commissioner may request and shall receive from any department,

division, board, bureau, commission or agency of the state or of any

political subdivision thereof such assistance and data as will enable

him to properly carry out his activities hereunder and effectuate the

purposes herein set forth. The commissioner may also enter into any

contract for services as he deems necessary with a private agency or

concern upon said terms and conditions as he deems appropriate.

7. Special programs as provided for in this section shall be conducted

within the appropriation made therefor.