About the Bill

The New York Medical Aid in Dying Act (A.4321A/S.6471) is modeled after the Oregon Death With Dignity Act, which has been in effect since 1997 without a single legally documented instance of abuse or coercion. Read our bill summary.

Bill Sponsors

House Bill A.4321A

  • Assemblywoman Amy Paulin

Senate Bill S.6471

  • Senator Diane J. Savino

Bill Details

It includes more than a dozen safeguards:

Patient Protections

  • The patient must be able to take the medication themselves.
  • Only people with an incurable and irreversible terminal illness and six-month prognosis confirmed by two doctors are eligible for medical aid in dying. People are not eligible to use the law simply because of their age or disability.
  • The attending physician must inform the requesting person about all of their end-of-life care options, including hospice, comfort palliative care, and pain and symptom management.
  • If either doctor has concerns about the person’s mental capacity to make healthcare decisions, they must make a referral the person to a mental health professional for an assessment. Medication can’t be prescribed for the person until the doctors or mental health professional confirm the person’s mental capacity is determined to make their own healthcare decisions.
  • The person must make an oral and written request. Two people must witness the written request.
  • Anyone attempting to coerce a person into using medical aid in dying is subject to liable for criminal prosecution.
  • A terminally ill person can withdraw their request for medication, not take the medication once they have it or otherwise change their mind at any point in time.
  • Life insurance payments can’t be denied to the families of people who use the law just because they used the law.

Provider Protections

  • No physician, health provider or pharmacist is required to participate.
  • Healthcare providers have civil and criminal immunity for participating in the law, as long as they comply with all aspects of the law.

State/Federal Regulations

  • Unused medication must be disposed of in a safe and secure manner, according to the guidelines specified by the U.S. Food and Drug Administration and New York State Department of Health.
  • Prescribing doctors must comply with patient medical-record documentation requirements and make records available to the state department of health.
  • The state department of health is required to issue a publicly available annual report. Identifying information about individual people who use the law and doctors who participate in it is kept confidential.
  • The underlying illness — not medical aid in dying — will be listed as the cause of death on the death certificate because it this information helps prioritize disease research.

For More Information

New York Campaign at Compassion & Choices
Amanda Cavanaugh
518-801-9191
[email protected]

Bill History

Compassion & Choices launched a robust campaign to authorize medical aid in dying in New York in September 2015. Key highlights include:

  • Lawmakers first introduced the Medical Aid in Dying Act on May 10, 2016, with nearly 100 Compassion & Choices supporters visiting the Capitol in support.
  • On May 23, 2016, the Assembly Health Committee passed the bill.
  • In April and May 2018 the Assembly Health Committee held two hearings on the bill, drawing more than 50 supporters to testify in favor. Read our testimony.
  • Compassion & Choices has collected over 10,000 petition signatures at state, county, and local fairs, festivals, and events.
  • Our supporters have met with lawmakers in Albany on our lobby days and in their district offices.
  • We’ve built a coalition of supportive organizations representing doctors, seniors and healthcare advocates; and we have helped dozens of New Yorkers tell their stories in the media and in the two hearings held in 2018.