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Gustavo Rivera

Sponsor · State Senator, District 33 · Democratic/Working Families

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Senate bill · S3356 (2025-26)

Enacts the lab services accessibility act

Latest action Apr 28, 2026

Summary

Enacts the lab services accessibility act.

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Where it stands

Passed one of the two chambers; it still needs the other.

  1. Introduced
  2. In committee
  3. Up for a vote
  4. Passed one chamber
  5. Passed
  6. Enacted

New York State Senate

Same as A482, the matching bill in the Assembly.

Amends the Public Health Law.

Committee

Health · New York State Assembly

Also referred to Health · New York State Senate.

Purpose, from the sponsor's memo

Section 1 provides the short title of this act to be known as the "Lab Services Accessibility Act." Section 2 amends section 585 of the Public Health Law by creating a new definition of "health services facilitator" to include persons or enti- ties that facilitate the provision of health or health-related services, including but not limited to, any person or entity who participates in the initiation, coordination, payment, delivery, or follow-up of health or health-related services. It also creates a definition of a public health program including but not limited to situations where the demand for testing may be increased. Section 3 amends subdivisions 2 and 3 of section 586 of the Public Health Law. Subdivision 2 is amended to add paragraph j, which exempts nonprofit clinics, other health care providers, or health services faci- litators whose purpose is the promotion of public health from Section 586 subdivision 1 of the Public Health Law. This would exempt health services facilitators who ordered or facilitated clinical laboratory services, including the testing and analysis of self-collected samples in a non-healthcare setting from the current requirement that the patient be the payor for such services. Subdivision 3 changes the enti- ty responsible for promulgating rules and regulations governing the operation of clinical laboratories from the Public Health and Health Planning Council (PHHPC) to the Department of Health (DOH). Section 4 sets the effective date.

Filed with the bill. Read it on nysenate.gov (opens in a new tab)

Recorded votes

  • Vote: Floor vote

    NY SenateApr 28, 2026Result: passed

    (38) (20) (0) (5)
  • Vote: Committee vote · Health

    Senate HealthApr 21, 2026Result: passed

    (11) (4) (0) (0)
  • Vote: Floor vote

    NY SenateJun 6, 2025Result: passed

    (37) (16) (0) (10)
  • Vote: Committee vote · Health

    Senate HealthMay 13, 2025Result: passed

    (11) (2) (0) (1)

The sponsor's argument

Why Gustavo Rivera says this is needed

Diseases such as HIV, syphilis, gonorrhea, chlamydia, and other sexually transmitted infections remain serious public health threats in New York, and without readily available testing, vulnerable communities, such as the LGBTQIA+ community, people of color, and lower income New Yorkers face detrimental health consequences. New York's current lab services billing law requires that clinical labo- ratories directly bill and receive payment from the recipients of their lab services with limited exceptions. The law is intended to protect recipients of lab services from increased prices due to fee-splitting by physicians with clinical laboratories, whereby physicians would markup patient lab services bills and pass the increased price onto patients. However, the current law extends beyond its consumer protection purpose by inadvertently stifling public health partnerships between clinical laboratories and healthcare nonprofit organizations as well as prevent- ing pharmacies and others from offering patients self-collected testing kits. Self-collected testing typically involves the collection of small biological samples (such as saliva, urine, or blood) that are sent to a laboratory to be analyzed for the presence of specific markers or indi- cators of disease. Self-collecting testing provides those who face geographic and financial barriers, experience social stigma and pres- sure, or have privacy concerns about testing in a medical facility with the diagnostic care they need. Ultimately, this legislation would further social equity and accessibility in the clinical laboratory services arena and bolster New York's public health surveillance systems.

This is the sponsor's own case for the bill, quoted from their memorandum. It is not Agora's description of what the bill does.

Full history

  1. Apr 28, 2026

    Sent to the executive

    DELIVERED TO ASSEMBLY

    NY Senate

  2. Apr 28, 2026

    Passed a chamber

    PASSED SENATE

    NY Senate

  3. Apr 28, 2026

    Referred to committee

    REFERRED TO HEALTH

    NY Assembly

  4. Apr 27, 2026

    Advanced to Third Reading

    ADVANCED TO THIRD READING

    NY Senate

  5. Apr 22, 2026

    2ND Report CAL.

    2ND REPORT CAL.

    NY Senate

Show full history (14 earlier events)
  1. Apr 21, 2026

    1ST Report CAL.806

    1ST REPORT CAL.806

    NY Senate

  2. Jan 7, 2026

    Died in Assembly

    DIED IN ASSEMBLY

    NY Assembly

  3. Jan 7, 2026

    Referred to committee

    REFERRED TO HEALTH

    NY Senate

  4. Jan 7, 2026

    Referred to committee

    REFERRED TO HEALTH

    NY Assembly

  5. Jun 6, 2025

    Sent to the executive

    DELIVERED TO ASSEMBLY

    NY Senate

  6. Jun 6, 2025

    Passed a chamber

    PASSED SENATE

    NY Senate

  7. Jun 6, 2025

    Referred to committee

    REFERRED TO HEALTH

    NY Assembly

  8. May 15, 2025

    Advanced to Third Reading

    ADVANCED TO THIRD READING

    NY Senate

  9. May 14, 2025

    2ND Report CAL.

    2ND REPORT CAL.

    NY Senate

  10. May 13, 2025

    1ST Report CAL.1085

    1ST REPORT CAL.1085

    NY Senate

  11. May 5, 2025

    Amend and Recommit to Health

    AMEND AND RECOMMIT TO HEALTH

    NY Senate

  12. May 1, 2025

    Amend and Recommit to Health

    AMEND AND RECOMMIT TO HEALTH

    NY Assembly

  13. Jan 27, 2025

    Referred to committee

    REFERRED TO HEALTH

    NY Senate

  14. Jan 8, 2025

    Referred to committee

    REFERRED TO HEALTH

    NY Assembly

About this record

Summary

The summary comes from NY Open Legislation, the New York State Senate's public record. For more, see How we handle summaries.

Cosponsors

The list shows the cosponsors who are on Agora, A to Z. The official record may list more.

Party colors

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Source

From NY Open Legislation, the NY Senate and Assembly, and official rosters. This record was last updated Nov 1, 2026. About our data

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