Section 2803-C. Rights of patients in certain medical facilities  


Latest version.
  • 1. The
      principles enunciated in subdivision three hereof are declared to be the
      public policy of the state and a copy of such statement  of  rights  and
      responsibilities shall be posted conspicuously in a public place in each
      facility covered hereunder.
        2. The commissioner shall require that every nursing home and facility
      providing  health  related  service,  as  defined in subdivision two and
      paragraph (b) of subdivision four of section twenty-eight hundred one of
      this article, shall adopt and make public a statement of the rights  and
      responsibilities  of  the  patients  who  are  receiving  care  in  such
      facilities, and  shall  treat  such  patients  in  accordance  with  the
      provisions of such statement.
        3.  Said  statement  of rights and responsibilities shall include, but
      not be limited to the following:
        a. Every patient's civil and religious liberties, including the  right
      to  independent  personal  decisions and knowledge of available choices,
      shall not be infringed and the facility shall encourage  and  assist  in
      the fullest possible exercise of these rights.
        b.  Every  patient shall have the right to have private communications
      and consultations with his or her physician,  attorney,  and  any  other
      person.
        c.  Every patient shall have the right to present grievances on behalf
      of  himself  or  herself  or  others,  to  the   facility's   staff   or
      administrator, to governmental officials, or to any other person without
      fear  of reprisal, and to join with other patients or individuals within
      or outside of the facility to work for improvements in patient care.
        d. Every patient shall have  the  right  to  manage  his  or  her  own
      financial  affairs,  or  to  have at least a quarterly accounting of any
      personal financial transactions undertaken in his or her behalf  by  the
      facility  during  any  period  of  time  the  patient has delegated such
      responsibilities to the facility.
        e. Every  patient  shall  have  the  right  to  receive  adequate  and
      appropriate  medical  care,  to  be fully informed of his or her medical
      condition and proposed treatment unless medically  contraindicated,  and
      to  refuse  medication  and  treatment after being fully informed of and
      understanding the consequences of such actions.
        f. Every patient shall have the right to have privacy in treatment and
      in caring for  personal  needs,  confidentiality  in  the  treatment  of
      personal   and   medical  records,  and  security  in  storing  personal
      possessions.
        g. Every patient shall have the right to receive courteous, fair,  and
      respectful  care  and  treatment and a written statement of the services
      provided by the facility, including those required to be offered  on  an
      as-needed basis.
        h. Every patient shall be free from mental and physical abuse and from
      physical  and chemical restraints, except those restraints authorized in
      writing by a physician for a specified and limited period of time or  as
      are necessitated by an emergency in which case the restraint may only be
      applied by a qualified licensed nurse who shall set forth in writing the
      circumstances requiring the use of restraint and in the case of use of a
      chemical  restraint  a  physician  shall be consulted within twenty-four
      hours.
        i. A statement of the facility's regulations and an explanation of the
      patient's responsibility to  obey  all  reasonable  regulations  of  the
      facility  and to respect the personal rights and private property of the
      other patients.
        j. A statement that should the patient be adjudicated incompetent  and
      not  be  restored  to  legal  capacity,  or  if  a conservator should be
    
      appointed for the patient, the above rights and  responsibilities  shall
      be   exercised   by   the   appointed  committee  or  conservator  in  a
      representative capacity.
        k.  Every  patient shall have the right to receive upon request kosher
      food or food products prepared in accordance with sections  two  hundred
      one-a,  two  hundred  one-b and two hundred one-c of the agriculture and
      markets law.
        k-1. Every patient shall have the right to receive upon request  halal
      food  or  food products prepared in accordance with sections two hundred
      one-e, two hundred one-f and two hundred one-g of  the  agriculture  and
      markets law.
        l.  Pursuant  to  regulations  promulgated  by  the  commissioner,  no
      facility or individual and no general hospital providing medical care to
      persons having been admitted from such facilities  or  from  adult  care
      facilities covered by the provisions of section four hundred sixty-one-b
      of  the  social  services  law, or to applicants for readmission to such
      facilities or to adult care facilities  covered  by  the  provisions  of
      section  four  hundred  sixty-one-b  of  the  social services law, shall
      restrict or prohibit the access to the facility or general hospital  nor
      interfere  with  the  performance  of  the  official  duties,  including
      confidential  visits  with  residents,  of   duly   designated   persons
      participating in the long term care ombudsman program as provided for in
      sections  five  hundred  forty-four  and  five hundred forty-five of the
      executive law.
        m.  Pursuant  to  regulations  promulgated  by  the  commissioner   in
      consultation  with the director of the office for the aging, no facility
      shall restrict or prohibit access by records access ombudsmen  specially
      designated under section five hundred forty-four of the executive law to
      the  medical  or  personal  records  of  any patient or resident if such
      patient  or  resident,  or,  where   appropriate,   committee   for   an
      incompetent,  has  given  express  written  consent  to such disclosure;
      provided, however, that (i) in the case of medical  records,  disclosure
      may  be  exclusive  of the personal notes of the physician as defined in
      such regulations and (ii) access may be limited to such times as may  be
      specified in such regulations. Such records shall be made available by a
      member or members of the facility's staff who shall be designated by the
      facility  to  provide  access to and, where necessary, interpretation of
      such records to such records access ombudsman, who shall have the  right
      to  photocopy such records. The facility may charge a reasonable fee for
      photocopying pursuant to  such  regulations.  Disclosure  to  a  records
      access  ombudsman  of records of any patient or resident pursuant to the
      written consent of such patient or resident shall not give rise  to  any
      claim  against  the  facility, its staff, or the patient's or resident's
      physician based solely on the fact of such disclosure pursuant  to  such
      written  consent.  Nothing in this paragraph shall be construed to limit
      or abridge any right of access to records, including financial  records,
      otherwise  available  to  ombudsmen, patients or residents, or any other
      person.
        n.  Pursuant  to  regulations  promulgated  by  the  commissioner   in
      consultation  with the director of the office for the aging, no facility
      or individual shall retaliate or take reprisals  against  any  resident,
      employee,  or  other person for having filed a complaint with, or having
      provided  information  to,  any  long  term   care   patient   ombudsman
      functioning  in  accordance with section five hundred forty-four or five
      hundred forty-five of the executive  law,  nor  shall  any  facility  or
      individual  interfere  with  the  official duties of any such ombudsman.
      Such regulations shall provide for appropriate sanctions with respect to
      such retaliation, reprisals, or interference.
    
        (o) Every patient shall have  the  right  to  authorize  those  family
      members  and other adults who will be given priority to visit consistent
      with the patient's or resident's ability to receive visitors.
        p.  A  statement  informing  the  patient  of his or her right to make
      organ, tissue or whole body  donations,  and  the  means  by  which  the
      patient  may make such a donation. The commissioner shall promulgate any
      rules and regulations necessary to  implement  the  provisions  of  this
      paragraph.
        4. Each facility shall give a copy of the statement to each patient at
      or  prior  to the time of admission to the facility, or to the appointed
      personal representative at the time of appointment and to each member of
      the facility's staff.
        5. Each facility shall prepare a written plan and provide  appropriate
      staff  training  to  implement  each  patient's  right  included  in the
      statement.