Skip to code content (skip section selection)
Compare to:
New York City Overview
The New York City Charter
The New York City Administrative Code
NEW YORK CITY ADMINISTRATIVE CODE
Title 1: General Provisions
Title 2: City of New York
Title 3: Elected officials
Title 4: Property of the City
Title 5: Budget; Capital Projects
Title 6: Contracts, Purchases and Franchises
Title 7: Legal Affairs
Title 8: Civil Rights
Title 9: Criminal Justice
Title 10: Public Safety
Title 11: Taxation and Finance
Title 12: Personnel and Labor
Title 13: Retirement and Pensions
Title 14: Police
Title 15: Fire Prevention and Control
Title 16: Sanitation
Title 16-A: [Commercial Waste Removal]
Title 16-B: Commercial Waste Zones
Title 17: Health
Chapter 1: Department of Health and Mental Hygiene
§ 17-101 Definitions.
§ 17-102 Secretary; certification by chief clerk.
§ 17-103 Proofs and affidavits.
§ 17-104 Measures to prevent the spread of disease.
§ 17-105 Commercial paper during epidemic; duties of city clerk.
§ 17-106 Inspection of sick; reports.
§ 17-107 Inspection of vessels; removal; violation of orders, punishment for.
§ 17-108 Infected places outside the city; proclamation.
§ 17-109 Vaccinations.
§ 17-110 Sale and exchange of lymph and antitoxin.
§ 17-111 Appropriation for prevention of communicable diseases.
§ 17-112 Publication of reports and statistics.
§ 17-113 Repairs of buildings; removal of obstructions; regulation of public markets.
§ 17-114 Nuisances; abatement without suit.
§ 17-115 Right of inspection.
§ 17-116 Medical examiners' returns.
§ 17-117 Removal of bodies.
§ 17-118 Putrid cargoes, et cetera, may be destroyed.
§ 17-119 Drainage; orders therefor; maps.
§ 17-120 Orders for paving, et cetera, yards and cellars; notice.
§ 17-121 Care and treatment of physically handicapped children.
§ 17-122 Judicial notice of seal and presumptions.
§ 17-123 Window guards; notification to tenants.
§ 17-124 Aliens.
§ 17-125 Community air quality surveys and annual report.
§ 17-127 Oxygen in courthouses.
§ 17-128 The department as party.
§ 17-129 Proceedings presumed legal; presumptions.
§ 17-130 Copies of records; authentication.
§ 17-131 Order for examination before justice of supreme court.
§ 17-132 Appearance and examination of witnesses.
§ 17-133 Penalties.
§ 17-133.1 Failure to abate rodents; penalties.
§ 17-133.2 Rat mitigation zones.
§ 17.133.3 Rat mitigation reporting.
§ 17-134 Joinder of defendants.
§ 17-135 Court fees not to be charged.
§ 17-136 Costs.
§ 17-137 Jurisdiction; title to real estate.
§ 17-138 Officers to be peace officers.
§ 17-139 Injunctions against department; undertakings.
§ 17-140 Officers and judges to act promptly.
§ 17-141 Service of orders.
§ 17-142 Definition of nuisance.
§ 17-143 Nuisances; punishment.
§ 17-144 Nuisances; who is liable.
§ 17-145 Dangerous buildings, places and things; declaration as nuisance.
§ 17-146 Stay of execution; modification.
§ 17-147 Execution.
§ 17-148 Substituted service; posting; service by publication.
§ 17-149 On what expenses to be a lien.
§ 17-150 Suits for expenses.
§ 17-151 Lien on premises.
§ 17-152 Validity of lien; grounds for challenge.
§ 17-153 Statement of expenses of executing orders.
§ 17-154 Service of order or judgment.
§ 17-155 Payments to department.
§ 17-156 Refusal to pay department.
§ 17-157 Payment to department; effect.
§ 17-158 Department to retain moneys until twelve days after notice.
§ 17-159 Infected and uninhabitable houses; vacation orders.
§ 17-160 Proceedings for condemnation.
§ 17-161 Institution of proceedings.
§ 17-162 Admissible evidence.
§ 17-163 Amount of compensation.
§ 17-164 Inspection reports; publication.
§ 17-165 Inspection and removal of articles.
§ 17-166 Record of births, fetal deaths and deaths.
§ 17-167 Supplemental birth records.
§ 17-167.1 Sex designation on birth records.
§ 17-167.2 Report and advisory board on gender marker change requirement. [Repealed]
§ 17-168 Certificate of registration of birth.
§ 17-168.1 Distribution of college savings plan materials within three months of the receipt of the report of any birth.
§ 17-169 Certified copies of records of birth, fetal death, and death; certificates of birth.
§ 17-170 Records of births, deaths and marriages on file with the department and the clerk of the county of Kings; transfer to the department of general services; certification.
§ 17-171 Records of marriages on file with the department of health and mental hygiene; transfer to the city clerk; certification.
§ 17-172 Dislodging food from person choking; poster.
§ 17-173 Dangers of consuming alcoholic beverages during pregnancy; warning sign.
§ 17-174 Provision of interpretation services in hospitals.
§ 17-174.1 [Language access services for abortion providers.]
§ 17-175 Waste reduction study.
§ 17-176 Prohibitions on the distribution of tobacco products.
§ 17-176.1 Prohibition on the sale of discounted cigarettes and tobacco products.
§ 17-177 Prohibition on the distribution of tobacco products through vending machines.
§ 17-178 Availability of resuscitation equipment in certain public places.
§ 17-179 Department screening, diagnosis and treatment.
§ 17-180 Training of department personnel.
§ 17-180.1 Overdose prevention and reversal training; needle, syringe, and sharps buyback.
§ 17-180.2 Trauma-informed care.
§ 17-181 Lead-based paint; dry scraping and dry sanding prohibited.
§ 17-182 City-funded public hospitals and health facilities required to utilize peace officers.
§ 17-183 Publication and dissemination of public health insurance program options.
§ 17-184 Availability of contraception.
§ 17-184.1 Availability of medication abortion.
§ 17-184.2 Availability of rapid testing for sexually transmitted infections.
§ 17-185 Inspection by the department of unsafe work practices.
§ 17-186 Lead poisoning prevention in children.
§ 17-186.1 Education and outreach regarding childhood lead poisoning prevention.
§ 17-187 School nurses.
§ 17-188 Automated external defibrillators.
§ 17-188.1 Information on cardiopulmonary resuscitation courses available to the public.
§ 17-188.2 Blood pressure machines in public places.
§ 17-189 Prohibition on sale of certain substances containing lead.
§ 17-190 Deaths of homeless persons and homeless shelter residents; report.
§ 17-191 Child fatality review advisory team.
§ 17-192 Foods containing artificial trans fat.
§ 17-193 Trauma scenes.
§ 17-194 Drinking water tank inspections.
§ 17-194.1 Cooling towers; maintenance and inspection.
§ 17-195 Food allergy posters.
§ 17-195.1 Posting of sanitary inspection grade.
§ 17-196 Electronic death registration system.
§ 17-197 Restraining animals outdoors.
§ 17-197.1 Wild and exotic animal circus performances prohibited.
§ 17-198 Hepatitis B and hepatitis C data compilation and reporting.
§ 17-199 Health services in correctional facilities.
§ 17-199.1 Lactation rooms.
§ 17-199.2 Contraceptives reporting.
§ 17-199.2.1 Report on medical services relating to reproductive health care.
§ 17-199.3 Maternal mortality and morbidity annual report.
§ 17-199.3.1 Maternal mortality and morbidity review committee (M3RC).
§ 17-199.3.2 Education on polycystic ovary syndrome and endometriosis.
§ 17-199.3.3 Report and recommendations on cesarean sections.
§ 17-199.4 HPV vaccination reporting.
§ 17-199.5 Encouragement of physician referrals for indoor allergen hazards.
§ 17-199.6 Investigations of indoor allergen hazards in dwellings of persons with medically diagnosed moderate persistent or severe persistent asthma.
§ 17-199.7 Education about indoor allergen hazards.
§ 17-199.8 Inspection by the department of unsafe work practices for indoor allergen remediation.
§ 17-199.9 Educational materials on drugs and opiates awareness and prevention.
§ 17-199.10 Doulas.
§ 17-199.11 Food service establishment beverage options for children's meals.
§ 17-199.12 Report of early intervention services.
§ 17-199.12.1 Report of autism spectrum disorder services.
§ 17-199.13 Farm-to-city projects.
§ 17-199.14 Report on heat vulnerability and heat-related deaths.
§ 17-199.15 Gender and racial equity advisory board.
§ 17-199.16 Public information and outreach campaign on medically unnecessary treatments on individuals born with intersex traits or variations in sex characteristics.
§ 17-199.17 Information on midwives.
§ 17-199.18 Added sugar notifications.
§ 17-199.19 Provision of sexual and reproductive health services.
§ 17-199.20 Citywide diabetes reduction plan.
§ 17-199.21 Vision testing and eyeglasses.*
§ 17-199.21 Mental health and behavioral health services outreach and education.*
§ 17-199.22 Information regarding emergency rooms and pediatric trauma centers.
§ 17-199.23 Report on drownings.
§ 17-199.24 Sickle cell trait and disease.
§ 17-199.25 Citywide population health agenda.
§ 17-199.26.1 Mental health materials for individuals who have experienced pregnancy loss.
§ 17-199.27 Student wellness club toolkit.
§ 17-199.28 Peer-based mental health literacy trainings.
§ 17-200 Prohibited acts with respect to wild birds.
Chapter 2: Medical Examiner
Chapter 3: Licenses and Permits
Chapter 4: Standards Governing the Performance of Sterilizations
Chapter 5: Smoke-Free Air Act
Chapter 6: Drug Testing of School System Conveyance Drivers
Chapter 7: Regulation of Tobacco Products
Chapter 8: Animal Shelters and Sterilization Act
Chapter 9: Lead
Chapter 10: Prescription Drug Discount Card Act
Chapter 11: Neighbor Notification of Pesticide Application
Chapter 12: Pesticide Use by City Agencies
Chapter 13: Availability of Information Regarding Day Care Services
Chapter 14: Limits on Volatile Organic Compound Emissions in Carpet and Carpet Cushion
Chapter 15: Food Service Establishments
Chapter 16: Animal Abuse Registration Act
Chapter 17: Pet Shops
Chapter 18: Police and Correctional Healthcare Evaluation and Sharing
Chapter 19: Force-Fed Products
Chapter 20: Primary Care Services and Patient Navigation Program
Chapter 21: Interference with Reproductive or Endocrine Medical Care*
Chapter 21: Nightlife Opioid Antagonist Program*
Title 18: Parks
Title 19: Transportation
Title 20: Consumer and Worker Protection
Title 20-A: [Shipboard Gambling]
Title 21: Social Services
Title 21-A: Education
Title 22: Economic Affairs
Title 23: Communications
Title 24: Environmental Protection and Utilities
Title 25: Land Use
Title 26: Housing and Buildings
Title 27: Construction and Maintenance
Title 28: New York City Construction Codes
Title 29: New York City Fire Code
Title 30: Emergency Management
Title 31: Department of Veterans' Services
Title 32: Labor and Employment
Title 33: Investigations
Title 34: Racial Equity
Appendix A: Unconsolidated Local Laws
The Rules of the City of New York
THE RULES OF THE CITY OF NEW YORK
Title 1: Department of Buildings
Title 2: Board of Standards and Appeals
Title 3: Fire Department
Title 6: Department of Consumer and Worker Protection
Title 9: Procurement Policy Board Rules
Title 12: Franchise and Concession Review Committee
Title 15: Department of Environmental Protection
Title 16: Department of Sanitation
Title 17: Business Integrity Commission
Title 19: Department of Finance
Title 20: Tax Appeals Tribunal
Title 21: Tax Commission
Title 22: Banking Commission
Title 24: Department of Health and Mental Hygiene
Title 25: Department of Mental Health and Retardation [Repealed]
Title 28: Housing Preservation and Development
Title 29: Loft Board
Title 30: Rent Guidelines Board
Title 31: Mayor's Office of Homelessness and Single Room Occupancy
Title 34: Department of Transportation
Title 35: Taxi and Limousine Commission
Title 38: Police Department
Title 38-A: Civilian Complaint Review Board
Title 39: Department of Correction
Title 40: Board of Correction
Title 41: Department of Juvenile Justice
Title 42: Department of Probation
Title 43: Mayor
Title 44: Comptroller
Title 45: Borough Presidents
Title 46: Law Department
Title 47: Commission on Human Rights
Title 48: Office of Administrative Trials and Hearings (OATH)
Title 49: Department of Records and Information Services
Title 50: Community Assistance Unit
Title 51: City Clerk
Title 52: Campaign Finance Board*
Title 53: Conflicts of Interest Board
Title 55: Department of Citywide Administrative Services
Title 56: Department of Parks and Recreation
Title 57: Art Commission
Title 58: Department of Cultural Affairs
Title 60: Civil Service Commission
Title 61: Office of Collective Bargaining
Title 62: City Planning
Title 63: Landmarks Preservation Commission
Title 66: Department of Small Business Services
Title 67: Department of Information Technology and Telecommunications
Title 68: Human Resources Administration
Title 69: Department of Aging
Title 70: In Rem Foreclosure Release Board
Title 71: Voter Assistance Commission
Title 72: Office of Emergency Management
Title 73: Civic Engagement Commission
Title 74: Community Hiring
Loading...
§ 17-197.1 Wild and exotic animal circus performances prohibited.
   a.   Definitions. For the purposes of this section, the following terms have the following meanings:
      Cause a performance. The term "cause a performance" means to be financially or operationally responsible for the management of a performance, or to officially or financially sponsor a performance.
      Circus. The term "circus" means any live show or carnival which, along with clown, acrobatic, or stunt performances, features performances by live wild or exotic animals that, in order to be able to perform, have traveled in mobile housing facilities or were taken from their permanent residence and required to travel for any distance.
      Companion animal. The term "companion animal" means any domesticated animal normally maintained in or near the household of the owner or person who cares for such animal. The term "companion animal" does not include farm animals or animals that cannot be sold, given, possessed, harbored, kept or yarded pursuant to paragraph (1) of subdivision (a) of section 161.01 of the New York city health code.
      Farm animal. The term "farm animal" means poultry, sheep, swine, goats, donkeys, mules, horses, alpacas, llamas, camels, or any species of cattle.
      Wild or exotic animal. The term "wild or exotic animal" means any animal, other than a companion animal or farm animal, from any of the following superorders, orders, classes, families or clades, or any hybrid of any such animal, including a hybrid with a companion animal or farm animal:
         1.   Artiodactyla (including hippopotamuses and giraffes);
         2.   Canidae (including wolves, foxes and jackals);
         3.   Cetacea (including whales and dolphins);
         4.   Crocodilia (including alligators and crocodiles);
         5.   Elephantidae (elephants);
         6.   Felidae (including tigers, lions, jaguars and leopards);
         7.   Hyaenidae (hyenas);
         8.   Kangaroos;
         9.   Non-human primates (including apes, monkeys and lemurs);
         10.   Perissodactyla (including rhinoceroses, tapirs and zebras);
         11.   Pinnipedia (including seals, sea lions and walruses);
         12.   Struthio (ostriches); and
         13.   Ursidae (bears).
   b.   Prohibited acts. It shall be unlawful for any person to cause a performance of any wild or exotic animal that is part of a circus.
   c.   Enforcement. Any authorized employee, officer, or agent of the department or any other city agency designated by the mayor may enforce the provisions of this section or any rule promulgated thereunder.
   d.   Rules. The commissioner may promulgate rules as may be necessary for the purpose of carrying out this section.
   e.   Violation and penalties. Any person who violates subdivision b of this section or any rule promulgated thereunder shall be liable for a civil penalty not to exceed $2,500 for each violation recoverable in a proceeding before any tribunal established within the office of administrative trials and hearings or within any agency of the city of New York designated to conduct such proceedings; except that for a first such violation and other violations of subdivision b occurring on the same day, such person shall be liable for a civil penalty not to exceed $1,000 for each violation recoverable in a proceeding before any such tribunal. Each performance of an individual wild or exotic animal constitutes a separate violation of this section.
   f.   Other laws not affected. Nothing in this section shall be construed to affect any other protections or prohibitions related to animals pursuant to any other provision of law.
(L.L. 2017/118, 7/22/2017, eff. 10/1/2018; Am. L.L. 2017/138, 8/20/2017, eff. 8/20/2017; Am. L.L. 2023/151, 11/17/2023, eff. 11/17/2023)
Editor's note: For related unconsolidated provisions, see Appendix A at L.L. 2017/118.
§ 17-198 Hepatitis B and hepatitis C data compilation and reporting.
On or before September 30 of two thousand sixteen and each year thereafter, the department shall submit an annual report to the speaker of the council and the mayor detailing the department's efforts to identify and prevent the spread of hepatitis B and hepatitis C during the preceding calendar year.
   a.   Such annual report shall, at minimum, provide separate data on hepatitis B and hepatitis C, disaggregated by disease where applicable, including:
      (i)   the number of persons newly reported to the department with hepatitis B and hepatitis C infections;
      (ii)   the prevalence of diagnosed cases;
      (iii)   the top five causes of hepatitis B and hepatitis C infections in newly reported cases to the department where a cause is indicated;
      (iv)   the demographic information, including age, gender, zip code or other neighborhood-level designation, borough and, in cases where data is available, country of birth, of persons infected with hepatitis B and persons infected with hepatitis C;
      (v)   the demographic information, including, to the extent available, age, gender, zip code or other neighborhood-level designation, borough, race, ethnicity and national origin of persons infected with hepatitis B and of persons infected with hepatitis C who receive care or treatment in a program operated or contracted by the department or which receives funding from the council. The department shall also report any such information provided to it by the New York city health and hospitals corporation;
      (vi)   the number of deaths where hepatitis B and the number of deaths where hepatitis C is listed as the immediate cause of death or the immediate or underlying cause of death on a person's medical certificate of death, and the number of deaths where hepatitis B, hepatitis C or liver cancer is listed as a significant condition contributing to death on a person's medical certificate of death;
      (vii)   the number of new liver cancers diagnosed;
      (viii)   the number of new liver cancers diagnosed for which it has been reported to the department that the person also has hepatitis B or hepatitis C, provided, however, that the department is able to obtain the requisite information from the New York state department of health in order to complete such reporting;
      (ix)   in cases of hepatitis B or hepatitis C diagnosed in a viral hepatitis program operated or contracted by the department or which receives funding from the council, the number of persons linked to care; the number of persons evaluated for treatment; the number of persons who have started treatment; and the number of persons who have completed treatment. The department shall also report any such information provided to it by the New York city health and hospitals corporation;
      (x)   the number of hepatitis B vaccine doses given and three-dose series completed for hepatitis B for persons who receive care or treatment in a program operated or contracted by the department, including those for whom care or treatment is provided by sites that are contracted to provide department-provided hepatitis B vaccine and those for whom care or treatment is provided by entities that voluntarily provide such information to the department, and the number of hepatitis B vaccine doses given and three-dose series completed for hepatitis B for children;
      (xi)   the number of pregnant women with hepatitis B including their race, ethnicity and geographic region of birth;
      (xii)   funding for the previous fiscal year allocated and used specifically on hepatitis B and hepatitis C related programs through both full time equivalent staff and from grants or funding to non-governmental organizations; and
      (xiii)   a description and list of community outreach efforts targeting hepatitis B and hepatitis C. Provided, however, that the information in paragraph (i) of this subdivision shall be provided every two years beginning in the second year of reporting, the information in paragraphs (ii) and (viii) of this subdivision shall be provided every five years beginning in the second year of reporting and the information in paragraph (vi) of this subdivision shall be provided every three years beginning in the second year of reporting.
   b.   In addition to any other data the department may deem relevant, such report shall include:
      (i)   a list of programs and measurable outcomes of such programs, relating to hepatitis B and hepatitis C, including, but not limited to, those programs provided through the department's perinatal hepatitis B prevention program; and
      (ii)   identification of best practices in programs and/or strategies that could be implemented by the department, non-governmental organizations or other state or federal entities that effectively address hepatitis B and hepatitis C prevention, treatment, care, outreach and education.
   c.   The annual reports required pursuant to this section as well as any materials distributed by the department in conjunction with programs or initiatives involving hepatitis B and C shall be made available on the department's website and to any member of the public upon request.
   d.   Information required by this section shall be reported in a manner consistent with the requirements of section 11.11(a)(2) of the New York city health code, or successor provision thereto.
(L.L. 2015/043, 5/18/2015, eff. 5/18/2015)
§ 17-199 Health services in correctional facilities.
   a.   The department shall submit to the mayor and the speaker of the council no later than July 15, 2015, and every three months thereafter, a report regarding the medical and mental health services provided to incarcerated individuals in city correctional facilities during the previous three calendar months that includes, but need not be limited to:
      (i)   performance indicators reported to the department by any entity providing such services;
      (ii)   a description of the methodology used in measuring such performance;
      (iii)   the metrics utilized to determine whether such performance measures meet targets established by the department and any entity providing such services;
      (iv)   the results of such determinations; and
      (v)   any actions that the department has taken or plans to take in response to the data reported, including the imposition of liquidated damages.
   b.   The report required by subdivision a of this section shall also be posted on the department's website, with the data in such report posted in a non-proprietary searchable machine-readable format, and shall be maintained on such website for no fewer than ten years.
   c.   If no such performance indicators relating to (i) intake, (ii) follow-up care, (iii) patient safety, (iv) preventable hospitalizations, or (v) preventable errors in medical care, are reported to the department, the department shall include performance data relating to such indicators as a part of the report required by subdivision a of this section.
   d.   Notwithstanding any other requirement of this section, personally identifiable information contained in health records shall not be included in the report required by subdivision a of this section if such disclosure of such information would violate any federal, state or local law or regulation.
(L.L. 2015/058, 6/16/2015, eff. 6/16/2015; Am. 2021 N.Y. Laws Ch. 322, 8/2/2021, eff. 8/2/2021)
§ 17-199.1 Lactation rooms.
   a.   Definitions. For the purposes of this section, "lactation room" means a sanitary place, other than a restroom, that can be used to express breast milk shielded from view and free from intrusion and that includes at minimum an electrical outlet, a chair, a surface on which to place a breast pump and other personal items, and nearby access to running water.
   b.   Every job center, SNAP center, or medical assistance program center of the department of social services/human resources administration; city-owned borough office of the administration for children's services and the Nicholas Scoppetta children's center; and health center operated or maintained by the department shall, where practicable, make at least one lactation room available upon request to an individual utilizing on-site services. The presence of such a lactation room shall not affect such an individual's right to breastfeed in public pursuant to article 7 of the civil rights law.
   c.   Every city jail operated by the department of correction that accepts visitors and precinct operated by the police department shall, where practicable in a publicly-accessible and non-secure area, and provided that the functions of the department of correction or police department will not be materially affected, make at least one lactation room available upon request to an individual utilizing on-site services. The department of correction and the police department shall submit to the speaker of the council (i) on or before August 1, 2019, a report in a machine-readable format providing each such city jail and precinct where such department has determined that it is not practicable to make a lactation room available in accordance with this subdivision, along with an explanation for why it is not practicable, disaggregated by building, and (ii) on or before every August 1 thereafter, information regarding any plans to improve access to or provide for lactation rooms. The presence of such a lactation room shall not affect such an individual's right to breastfeed in public pursuant to article 7 of the civil rights law.
   d.   The department shall create a poster containing information on breast-feeding, an individual's right to nurse in public, and the availability of lactation rooms pursuant to this section. Such poster shall be made available on the department's website, shall be displayed in any lactation room required to be made available pursuant to this section, and shall be displayed in a clear and conspicuous manner in the waiting room of any public space where a lactation room is required to be made available pursuant to this section. No later than one year after the effective date of the local law adding this subdivision, the department shall create a list of all locations with lactation rooms available pursuant to this section. Such list shall be made available on the department's website.
   e.   The department of education shall submit to the speaker of the city council on or before August 1, 2017, and on or before every August 1 thereafter, a report summarizing the policies at New York city public schools to allow a student or the parent or guardian of a student access to a lactation room upon request. Such report shall indicate how information regarding such policies was communicated to students, parents and guardians during the previous school year.
   f.   The department may promulgate rules to implement the provisions of this section including, but not limited to, establishing training programs for staff working at locations required to make a lactation room available pursuant to subdivision b, and providing guidelines concerning the location of a lactation room.
(L.L. 2016/094, 8/11/2016, eff. 7/1/2017; Am. L.L. 2018/184, 11/17/2018, eff. 2/15/2019)
§ 17-199.2 Contraceptives reporting.
No later than September 30, 2017, and annually no later than September 30 of each year, the department shall submit to the speaker and post on its website, or shall include in the mayor's management report prepared pursuant to section 12 of the charter, the most recent fiscal year data available regarding commonly used contraceptive methods. Such data shall be collected no less than annually for adults, and no less than biennially for high school students. Such data shall also be disaggregated by age group, education, race or ethnicity, and community district, where available and statistically reliable.
(L.L. 2017/054, 3/21/2017, eff. 3/21/2017)
§ 17-199.2.1 Report on medical services relating to reproductive health care.
   a.   Definitions. As used in this section, the following terms have the following meanings:
      Abortion. The term "abortion" has the meaning given to the term "induced termination of pregnancy" as such term is defined in subdivision c of section 203.01 of the health code.
      Reproductive health care. The term "reproductive health care" means any medical service provided to a person relating to the reproductive system and its processes, functions and organs. Reproductive health care includes, but is not limited to, services related to contraception, sterilization, preconception care, maternity care, abortion care and counseling regarding reproductive health care.
   b.   No later than January 30, 2023, and on January 30 annually thereafter, the department shall submit to the mayor and the speaker of the council and post online a report, based upon the data included in the most recently published annual summary of vital statistics, on data regarding the provision of medical services in the city related to reproductive health care, to the extent such data is available to the department, disaggregated by borough and, to the extent possible without revealing personally identifiable information, further disaggregated by age, ethnicity, and race. Such report shall include, but need not be limited to, data on the following reproductive health care provided in the city based upon the data included in the most recently published annual summary of vital statistics:
      1.   The number of births and the number of abortions provided;
      2.   The number of births and the number of abortions provided to individuals who were residents of New York city at the time of such birth or abortion;
      3.   The number of births and the number of abortions provided to individuals who were not residents of New York city at the time of such birth or abortion;
   c.   The report required pursuant to this section shall include an assessment of the ability of licensed medical providers in the city to accommodate individuals seeking medical services related to reproductive health care, including, but not limited to, assessing potential issues such providers or individuals might face in providing or receiving such services, and recommendations for increasing the capacity of medical services provided in the city.
   d.   Information required to be reported pursuant to this section shall be reported in a manner that does not violate any applicable provision of federal, state or local law relating to the privacy of personally identifiable information.
(L.L. 2022/073, 8/12/2022, eff. 9/11/2022)
§ 17-199.3 Maternal mortality and morbidity annual report.
a.   For purposes of this section, the following terms have the following meanings:
      Maternal health. The term "maternal health" means the health of a person before, during, and after a pregnancy.
      Maternal mortality. The term "maternal mortality" means the death of a person that occurs during a pregnancy, or within one year from the end of pregnancy, regardless of the duration of such pregnancy.
      Pregnancy-Associated Death. The term "pregnancy-associated death" means the death of a person from any cause during pregnancy or within one year from the end of pregnancy.
      Pregnancy-Related Death. The term "pregnancy-related death" means the death of a person during pregnancy or within one year from the end of pregnancy that is due to a pregnancy complication, a chain of events initiated by pregnancy, or the aggravation of an unrelated condition by the physiologic effects of pregnancy.
      Severe maternal morbidity. The term "severe maternal morbidity" means a life-threatening complication affecting a person before, during, or after a pregnancy.
   b.   No later than September 30, 2022, and no later than September 30 annually thereafter, the department shall post on its website, submit to the speaker of the council and publish in a machine-readable format the most recent calendar year data available regarding maternal mortality in the city, to the extent such data is made available to the department. Data submitted shall not jeopardize the confidentiality of the pregnant person or mother and shall include, but not be limited to:
      1.   The total number of live births; and the total number of maternal mortalities, disaggregated by information about the pregnant person or mother where such disaggregated data is available. Such data shall be disaggregated by, but not limited to, the following:
         (a)   race or ethnicity;
         (b)   borough of residence;
         (c)   most frequent causes of maternal mortality; and
         (d)   whether the death was pregnancy-associated or pregnancy-related;
      2.   The total number of severe maternal morbidities, disaggregated by information about the pregnant person or mother, where such disaggregated data is available and statistically reliable. Such data shall include, but not be limited to:
         (a)   race or ethnicity;
         (b)   education;
         (c)   borough of residence;
         (d)   whether such person was born domestically or abroad;
         (e)   age;
         (f)   insurance status;
         (g)   trimester of prenatal care entry;
         (h)   preexisting health conditions;
         (i)   whether such person worked during pregnancy;
         (j)   whether such person had any previous miscarriages or still births; and
         (k)   whether the pregnancy resulted in the first live birth for such person;
      3.   The maternal mortality ratio, disaggregated by race or ethnicity and borough of residence where available and statistically reliable;
      4.   Recommendations regarding actions the department, the mayor, and the council can take to improve maternal health, particularly in disproportionately impacted communities; reduce maternal mortality; and enhance cooperation among city agencies to improve maternal health, particularly those agencies that have a mandate related to maternal health, including but not limited to the commission on gender equity. In developing recommendations, the department may consider the following factors, to the extent such information is available:
         (a)   the impact of factors such as prenatal care, doulas, economic, civic and social well-being, and race on pregnant persons and mothers, as they relate to maternal mortality and morbidity;
         (b)   the use and effect of hospital and institutional practices, policies, and administrative tools, such as checklists related to pregnancy and parenting;
         (c)   any previous traumatic events the mother or pregnant person experienced, where this information is provided and available, and whether the stress or trauma from that event might have affected the outcomes of the mother or pregnant person's experience during pregnancy, childbirth, and the postpartum period; and
         (d)   ways to analyze complications experienced by expectant parents and mothers and ways to develop equitable strategies to respond to them;
      5.   An update on the implementation of the recommendations made in previous reports made pursuant to this section regarding actions that the department or mayor can take to improve maternal health and reduce maternal mortality, if any; and
      6.   A list of data sources used in the development of reports made pursuant to this section.
   c.   No later than September 30, 2019, and by September 30 of every fifth year thereafter, the department shall submit to the speaker and publish in a machine-readable format additional data regarding maternal mortality in the city, for the most recent five-year period for which data is available. Data submitted shall not jeopardize the confidentiality of the pregnant person or mother and shall include, but not be limited to:
      1.   age;
      2.   education;
      3.   whether such person was born domestically or abroad;
      4.   whether the maternal mortality occurred in a hospital or inpatient setting, emergency room or outpatient setting, at home, or in another location;
      5.   trimester of prenatal care entry;
      6.   interval between end of pregnancy and maternal mortality, where available;
      7.   preexisting health conditions;
      8.   insurance status;
      9.   whether such person had any previous miscarriages or still births;
      10.   whether the pregnancy resulted in the first live birth for such person; and
      11.   whether such person worked during pregnancy.
   d.   In the development of reports made pursuant to this section, the department shall consult any review or assessment produced by the committee established pursuant to section 17-199.3.1.
(L.L. 2017/055, 3/21/2017, eff. 3/21/2017; Am. L.L. 2018/188, 11/17/2018, eff. 11/17/2018; Am. L.L. 2022/084, 9/6/2022, eff. 9/6/2022)
Loading...