A 3245: Relates to life-sustaining treatment standards.
The bill aims to amend the Public Health Law in New York to clarify the artificial hydration and nutrition decision standard. The law defines "health care" to include hydration and nutrition, in addition to medical treatments. The bill also provides guidance for health care agents on making decisions on behalf of individuals who lack the capacity to make decisions for themselves. Agents must consult with licensed professionals and consider the individual's wishes, including religious and moral beliefs, when making decisions. If the individual's wishes are unknown or cannot be determined, agents must make decisions in the individual's best interests. The amendments to the Public Health Law take effect on the 90th day after the bill becomes a law, and apply to decisions made by health care proxies created before and after the effective date.
- What is the current status of A 3245?
- As of January 8, 2026, A 3245 is recorded as "Introduced": it has been introduced and is waiting for its first committee hearing or floor vote. The last recorded action, on January 7, 2026, was "referred to health".
- Did A 3245 pass?
- Not yet. A 3245 has been introduced and has not passed either house.
- Who wrote A 3245, and where is it now?
- A 3245 was authored by Asm. Linda Rosenthal with 2 coauthors. Its committee of record is Assembly Health.
| Jan. 07, 2026 | referred to health |
| Feb. 18, 2025 | amend and recommit to health |
| Feb. 18, 2025 | print number 3245a |
| Jan. 27, 2025 | referred to health |
STATE OF NEW YORK ________________________________________________________________________ 3245 2025-2026 Regular Sessions IN ASSEMBLY January 27, 2025 ___________ Introduced by M. of A. ROSENTHAL, BRONSON, DAVILA -- read once and referred to the Committee on Health AN ACT to amend the public health law, in relation to the artificial hydration and nutrition decision standard The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Subdivision 4 of section 2980 of the public health law, as 2 added by chapter 752 of the laws of 1990, is amended to read as follows: 3 4. "Health care" means any treatment, service or procedure to diagnose 4 or treat an individual's physical or mental condition, including 5 hydration and nutrition. 6 § 2. The fourth undesignated paragraph of paragraph (d) of subdivision 7 5 of section 2981 of the public health law, as added by chapter 752 of 8 the laws of 1990, is amended to read as follows: 9 NOTE: Although not necessary, and neither encouraged nor discouraged, 10 you may wish to state instructions or wishes, and limit your agent's 11 authority. [Unless your agent knows your wishes about artificial nutri-12tion and hydration, your agent will not have authority to decide about13artificial nutrition and hydration.] For example, you may state your 14 wishes regarding withholding or withdrawing life-sustaining treatment 15 (including hydration and nutrition) to guide your agent's decisions. If 16 you choose to state instructions, wishes, or limits, please do so below: 17 ______________________________________________________________________ 18 ______________________________________________________________________ 19 ______________________________________________________________________ 20 § 3. Subdivision 2 of section 2982 of the public health law, as 21 amended by chapter 619 of the laws of 2024, is amended to read as 22 follows: 23 2. Decision-making standard. After consultation with a licensed physi- 24 cian, registered nurse, physician assistant, nurse practitioner, 25 licensed psychologist, licensed master social worker, or a licensed EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD00668-02-5A. 3245 2 1 clinical social worker, the agent shall make health care decisions: (a) 2 in accordance with the principal's wishes, including the principal's 3 religious and moral beliefs; or (b) if the principal's wishes are not 4 reasonably known and cannot with reasonable diligence be ascertained, in 5 accordance with the principal's best interests[; provided, however, that6if the principal's wishes regarding the administration of artificial7nutrition and hydration are not reasonably known and cannot with reason-8able diligence be ascertained, the agent shall not have the authority to9make decisions regarding these measures]. 10 § 4. This act shall take effect on the ninetieth day after it shall 11 have become a law; provided, however, that the amendments to sections 12 2981 and 2982 of the public health law made by sections two and three of 13 this act shall apply to decisions made pursuant to health care proxies 14 created prior to the effective date of this act as well as those created 15 thereafter; and provided, further, that if chapter 619 of the laws of 16 2024 shall not have taken effect on or before such date then section two 17 of this act shall take effect on the same date and in the same manner as 18 such chapter of the laws of 2024, takes effect.