# New York A 136: Relates to the medical aid in dying act

New York A 136, Relates to the medical aid in dying act, is a 2025-2026 Regular Session House bill sponsored by Amy Paulin (Democratic); status signed, last action 2026-02-06 (APPROVAL MEMO.89) (as of 2026-10-19).

- Canonical: https://policyrisk.com/state-bill/NY-A136-2025
- As of: 2026-10-19
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: New York A 136
- State: New York
- Session: 2025-2026 Regular Session
- Title: Relates to the medical aid in dying act
- Status: signed
- Chamber: House
- Introduced: 2025-01-08
- Last action: 2026-02-06, APPROVAL MEMO.89
- Sponsor: Amy Paulin (Democratic)
- Cosponsors: 64
- Subjects: HEALTH, CODES, RULES
- Touches household money: no
- Roll calls: 2 (116 yes, 94 no in all)
- Economic provisions PRIA read: 9

## Summary

No summary available.

## Bill overview: provisions PRIA read

- Patients keep insurance and benefit protections: benefit, medium. 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…
- Patients can withdraw without contract limits: benefit, low. 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 allowe…
- Terminally ill adults gain end-of-life choice: mixed, high. 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 c…
- Patient requests need witnesses and safeguards: mixed, medium. 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 beneficiari…
- Patients need independent medical review: mixed, medium. 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. Eithe…
- Providers can refuse; patients get transfers: mixed, medium. 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…
- Families face medication disposal rules: mixed, low. 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…
- Legal protections come with misconduct limits: mixed, low. 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 c…
- Private patient records support state oversight: mixed, low. 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 mus…

## Sponsors and cosponsors

- Sponsor: Amy Paulin (Democratic), House
- Cosponsor: Al Taylor (Democratic), House
- Cosponsor: Albert A. Stirpe, House
- Cosponsor: Alex Bores (Democratic), House
- Cosponsor: Alicia Hyndman (Democratic), House
- Cosponsor: Amanda Septimo (Democratic), House
- Cosponsor: Andrew Hevesi (Democratic), House
- Cosponsor: Anna Kelles (Democratic), House
- Cosponsor: Brian Cunningham (Democratic), House
- Cosponsor: Carrie Woerner (Democratic), House
- Cosponsor: Catalina Cruz (Democratic), House
- Cosponsor: Chantel Jackson (Democratic), House
- Cosponsor: Charles Lavine (Democratic), House
- Cosponsor: Chris Burdick (Democratic), House
- Cosponsor: Claire Valdez (Democratic), House
- Cosponsor: Dana Levenberg (Democratic), House
- Cosponsor: Deborah Glick (Democratic), House
- Cosponsor: Demond Meeks (Democratic), House
- Cosponsor: Donna Lupardo (Democratic), House
- Cosponsor: Eddie Gibbs (Democratic), House
- Cosponsor: Edward Braunstein (Democratic), House
- Cosponsor: Emerita Torres (Democratic), House
- Cosponsor: Emily Gallagher (Democratic), House
- Cosponsor: Erik Dilan (Democratic), House
- Cosponsor: Gabriella Romero (Democratic), House
- Cosponsor: George Alvarez (Democratic), House
- Cosponsor: Grace Lee (Democratic), House
- Cosponsor: Harry B. Bronson (Democratic), House
- Cosponsor: Harvey Epstein (Democratic), House
- Cosponsor: Jeffrey Dinowitz (Democratic), House
- Cosponsor: Jen Lunsford (Democratic), House
- Cosponsor: Jenifer Rajkumar (Democratic), House
- Cosponsor: Jessica Gonzalez-Rojas (Democratic), House
- Cosponsor: Jonathan Jacobson (Democratic), House
- Cosponsor: Jonathan Rivera (Democratic), House
- Cosponsor: Karines Reyes (Democratic), House
- Cosponsor: Khaleel Anderson (Democratic), House
- Cosponsor: Landon C. Dais (Democratic), House
- Cosponsor: Linda Rosenthal (Democratic), House
- Cosponsor: Manny De Los Santos (Democratic), House
- Cosponsor: Marcela Mitaynes (Democratic), House
- Cosponsor: Maritza Davila (Democratic), House
- Cosponsor: MaryJane Shimsky (Democratic), House
- Cosponsor: Micah Lasher (Democratic), House
- Cosponsor: Monique Chandler-Waterman (Democratic), House
- Cosponsor: Nader Sayegh (Democratic), House
- Cosponsor: Noah Burroughs (Democratic), House
- Cosponsor: Pamela J. Hunter (Democratic), House
- Cosponsor: Patrick J. Carroll (Democratic), House
- Cosponsor: Paula Kay (Democratic), House
- Cosponsor: Phara Souffrant Forrest (Democratic), House
- Cosponsor: Phil Steck (Democratic), House
- Cosponsor: Philip Ramos (Democratic), House
- Cosponsor: Rebecca Seawright (Democratic), House
- Cosponsor: Ron Kim (Democratic), House
- Cosponsor: Sarah Clark (Democratic), House
- Cosponsor: Sarahana Shrestha (Democratic), House
- Cosponsor: Stefani Zinerman (Democratic), House
- Cosponsor: Steve Stern (Democratic), House
- Cosponsor: Steven Otis (Democratic), House
- Cosponsor: Steven Raga (Democratic), House
- Cosponsor: Tommy Schiavoni (Democratic), House
- Cosponsor: Tony Simone (Democratic), House
- Cosponsor: Yudelka Tapia (Democratic), House
- Cosponsor: Zohran Mamdani (Democratic), House

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2025-06-09 | Senate | FLOOR Vote | pass | 35 | 27 |   |
| 2025-04-29 | House | Assembly floor vote | pass | 81 | 67 |   |

## Actions (16)

- 2026-02-06: APPROVAL MEMO.89 (House)
- 2026-02-06: SIGNED CHAP.714 (House)
- 2025-12-31: DELIVERED TO GOVERNOR (House)
- 2025-06-09: RETURNED TO ASSEMBLY (Senate)
- 2025-06-09: PASSED SENATE (Senate)
- 2025-06-09: 3RD READING CAL.1674 (Senate)
- 2025-06-09: SUBSTITUTED FOR S138 (Senate)
- 2025-04-29: REFERRED TO HEALTH (Senate)
- 2025-04-29: DELIVERED TO SENATE (House)
- 2025-04-29: PASSED ASSEMBLY (House)
- 2025-04-29: ORDERED TO THIRD READING RULES CAL.153 (House)
- 2025-04-29: RULES REPORT CAL.153 (House)
- 2025-04-29: REPORTED (House)
- 2025-04-28: REPORTED REFERRED TO RULES (House)
- 2025-04-28: REPORTED REFERRED TO CODES (House)
- 2025-01-08: REFERRED TO HEALTH (House)

## Bill text

- Original, 2024-12-23: [PDF](https://legislation.nysenate.gov/pdf/bills/2025/A136)

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## Sources
- [Original (PDF)](https://legislation.nysenate.gov/pdf/bills/2025/A136)

## Related
- [S 10643: Relates to labor peace agreements and the cannabis industry wage board; repealer](https://policyrisk.com/state-bill/NY-S10643-2025)
- [S 9051: Prohibits artificial intelligence companions from using features which are cons…](https://policyrisk.com/state-bill/NY-S9051-2025)
- [A 5175: Requires certain security features and warning labels on baby monitors](https://policyrisk.com/state-bill/NY-A5175-2025)
- [A 11443: Relates to commercial food fish licenses](https://policyrisk.com/state-bill/NY-A11443-2025)
- [A 10343: Relates to fees and expenses in unemployment insurance proceedings; extending e…](https://policyrisk.com/state-bill/NY-A10343-2025)
- [A 10052: Extends the effectiveness of the authority of the town of Red Hook to impose re…](https://policyrisk.com/state-bill/NY-A10052-2025)
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Source: PRIA, https://policyrisk.com/state-bill/NY-A136-2025 (as of 2026-10-19).
