All Roll Calls
Yes: 116 • No: 94
New YorkA 1362025-2026 Regular SessionHouse
Relates to the medical aid in dying act
Sponsored By: Amy Paulin (Democratic)
Signed by Governor
HEALTHCODESRULES
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Bill Overview
Analyzed Economic Effects
9 provisions identified: 2 benefits, 0 costs, 7 mixed.
Terminally ill adults gain end-of-life choice
Effective immediately, New York allows qualified adults to get prescribed medication to end their lives. Patients must be at least 18 and have an incurable, irreversible illness expected to cause death within six months. Two doctors must confirm the illness, and patients must have decision-making capacity and make an informed choice without pressure. Only the patient can consciously and voluntarily ingest the medication; no one else can administer it. Lethal injection and infusion are not allowed.
Patients keep insurance and benefit protections
Insurers cannot deny life insurance benefits because of actions allowed by this law. Life insurance, annuity, and health coverage availability or prices cannot depend on making or withdrawing a request or other allowed actions. Health payers cannot deny otherwise-covered care because a patient uses or does not use the medication. Insurers cannot send medication-availability information unless the patient or attending doctor asks, or combine it with a treatment-coverage denial. General coverage information remains allowed, and existing rules about policy challenges and material false statements still apply.
Patient requests need witnesses and safeguards
Patients must personally make two oral requests and a signed, dated written request witnessed by at least two eligible adults. An agent, surrogate, or advance directive cannot make the request; age or disability alone does not establish eligibility. Witnesses cannot be relatives, estate beneficiaries, domestic partners, health care proxies, treating-facility employees, or the reviewing doctors or capacity evaluator. The required form confirms a voluntary choice, understanding of risks and alternatives, and a choice about family notification. It also warns that timing varies and allows contact with other clinicians. Language and supported-communication rules require interpreter declarations in specified cases, including English requests following non-English consultations. Interpreters must meet language, confidentiality, and conflict-of-interest rules, with a limited exception for facility interpreters; false declarations carry penalties.
Patients need independent medical review
The attending doctor must examine the patient and records, explain the diagnosis, medication risks, and alternatives, including hospice and palliative care. A second doctor must independently examine the patient and records and provide written confirmation to the patient and attending doctor. Either doctor must refer the patient for a mental health evaluation when a condition may impair decision-making capacity. A finding that the patient lacks capacity blocks a prescription. Doctors must discuss having another person present and warn against another person administering the medication or assistance in public places. At the patient's request, the attending doctor can help arrange filling and delivery.
Providers can refuse; patients get transfers
Clinicians, pharmacists, and facilities do not have to participate in providing the medication. Private facilities can ban participation on-site through a formally adopted policy based on central religious or moral beliefs. They must tell patients before admission or as soon as reasonably possible and promptly arrange a reasonably accessible transfer when requested. Providers who decline participation must send relevant records on request when a patient transfers care. Facilities can sanction staff or contractors for violating their policy only after giving written notice.
Patients can withdraw without contract limits
Patients can withdraw a medication request at any time, even after losing decision-making capacity. The attending doctor must offer a chance to withdraw before writing a prescription. Contracts, agreements, and wills cannot control whether someone requests, withdraws, or takes another action allowed by this law.
Families face medication disposal rules
After a patient's death, anyone holding unused medication must deliver it to the nearest qualified disposal facility or use another lawful method. Qualified facilities must accept and dispose of it, whether or not it is a controlled substance. For deaths after lawful self-administration, the death certificate must list the underlying terminal illness or condition. The attending doctor can sign the certificate only when otherwise authorized by law.
Legal protections come with misconduct limits
Actions that follow the law are not legally treated as suicide, assisted suicide, euthanasia, mercy killing, or homicide. Reasonable, good-faith participation or refusal receives protection from civil, criminal, professional, employment, credentialing, and contract penalties. Malpractice insurers cannot base policy availability or prices on a professional's participation. These protections do not cover negligence, recklessness, or intentional misconduct. Violations remain subject to professional discipline, civil liability, and applicable criminal charges, including homicide, forgery, or coercion.
Private patient records support state oversight
Doctors must record requests, witness and interpreter declarations, medical findings, capacity reviews, and prescribed medication in the patient's record. The health commissioner must set physician reporting rules and review a sample of records each year for use and compliance. The commissioner must send an annual report to lawmakers and post it publicly. Collected information must protect patient, family, and provider privacy and is not open to public inspection. Government disclosures are allowed only when legally authorized or required for professional discipline, public health, or law enforcement.
Sponsors & Cosponsors
Sponsor
Amy Paulin
Democratic • House
Cosponsors
Al Taylor
Democratic • House
Albert A. Stirpe
House
Alex Bores
Democratic • House
Alicia Hyndman
Democratic • House
Amanda Septimo
Democratic • House
Andrew Hevesi
Democratic • House
Anna Kelles
Democratic • House
Brian Cunningham
Democratic • House
Carrie Woerner
Democratic • House
Catalina Cruz
Democratic • House
Chantel Jackson
Democratic • House
Charles Lavine
Democratic • House
Chris Burdick
Democratic • House
Claire Valdez
Democratic • House
Dana Levenberg
Democratic • House
Deborah Glick
Democratic • House
Demond Meeks
Democratic • House
Donna Lupardo
Democratic • House
Eddie Gibbs
Democratic • House
Edward Braunstein
Democratic • House
Emerita Torres
Democratic • House
Emily Gallagher
Democratic • House
Erik Dilan
Democratic • House
Gabriella Romero
Democratic • House
George Alvarez
Democratic • House
Grace Lee
Democratic • House
Harry B. Bronson
Democratic • House
Harvey Epstein
Democratic • House
Jeffrey Dinowitz
Democratic • House
Jen Lunsford
Democratic • House
Jenifer Rajkumar
Democratic • House
Jessica Gonzalez-Rojas
Democratic • House
Jonathan Jacobson
Democratic • House
Jonathan Rivera
Democratic • House
Karines Reyes
Democratic • House
Khaleel Anderson
Democratic • House
Landon C. Dais
Democratic • House
Linda Rosenthal
Democratic • House
Manny De Los Santos
Democratic • House
Marcela Mitaynes
Democratic • House
Maritza Davila
Democratic • House
MaryJane Shimsky
Democratic • House
Micah Lasher
Democratic • House
Monique Chandler-Waterman
Democratic • House
Nader Sayegh
Democratic • House
Noah Burroughs
Democratic • House
Pamela J. Hunter
Democratic • House
Patrick J. Carroll
Democratic • House
Paula Kay
Democratic • House
Phara Souffrant Forrest
Democratic • House
Phil Steck
Democratic • House
Philip Ramos
Democratic • House
Rebecca Seawright
Democratic • House
Ron Kim
Democratic • House
Sarah Clark
Democratic • House
Sarahana Shrestha
Democratic • House
Stefani Zinerman
Democratic • House
Steve Stern
Democratic • House
Steven Otis
Democratic • House
Steven Raga
Democratic • House
Tommy Schiavoni
Democratic • House
Tony Simone
Democratic • House
Yudelka Tapia
Democratic • House
Zohran Mamdani
Democratic • House
Roll Call Votes
Senate vote • 6/9/2025
FLOOR Vote
Yes: 35 • No: 27
House vote • 4/29/2025
Assembly floor vote
Yes: 81 • No: 67
Actions Timeline
APPROVAL MEMO.89
2/6/2026HouseSIGNED CHAP.714
2/6/2026HouseDELIVERED TO GOVERNOR
12/31/2025HouseRETURNED TO ASSEMBLY
6/9/2025SenatePASSED SENATE
6/9/2025Senate3RD READING CAL.1674
6/9/2025SenateSUBSTITUTED FOR S138
6/9/2025SenateREFERRED TO HEALTH
4/29/2025SenateDELIVERED TO SENATE
4/29/2025HousePASSED ASSEMBLY
4/29/2025HouseORDERED TO THIRD READING RULES CAL.153
4/29/2025HouseRULES REPORT CAL.153
4/29/2025HouseREPORTED
4/29/2025HouseREPORTED REFERRED TO RULES
4/28/2025HouseREPORTED REFERRED TO CODES
4/28/2025HouseREFERRED TO HEALTH
1/8/2025House
Bill Text
Original
12/23/2024
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