---
type: "Bill"
title: "Relates to execution of orders not to resuscitate and orders pertaining to life sustaining treatments by physician assistants; repealer"
description: "Permits the execution of orders not to resuscitate and orders pertaining to life sustaining treatments by physician assistants."
jurisdiction: "us/states/ny"
legislature: "New York Legislature"
session: "2019-2020"
identifier: "S 4841"
citation: "New York S 4841 (2019-2020)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["RIVERA"]
version_count: 1
action_count: 13
vote_count: 3
first_action: "2019-03-27"
last_action: "2019-12-20"
source: "openstates"
source_identifier: "ocd-bill/dac3a82e-2fd9-4fce-ab46-f4248dab274b"
source_url: "http://www.nysenate.gov/legislation/bills/2019/S4841"
source_hash: "af321f505fbc548a74c0f5c94857cd7ca12bc71ec4eaf766d61858de305ce2e0"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-ny"]
---

# New York S 4841 (2019-2020) — Relates to execution of orders not to resuscitate and orders pertaining to life sustaining treatments by physician assistants; repealer

Permits the execution of orders not to resuscitate and orders pertaining to life sustaining treatments by physician assistants.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **S4841** (committee substitute) — [source](http://assembly.state.ny.us/leg/?sh=printbill&bn=S4841&term=2019&Text=Y)

## Votes

- Health Vote — **14–1** (pass) · upper
- Floor Vote — **55–6** (pass) · upper
- Assembly Vote — **122–24** (pass) · lower

## Sponsors

- RIVERA — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2019-03-27** REFERRED TO HEALTH `referral-committee`
- **2019-04-30** 1ST REPORT CAL.541
- **2019-05-01** 2ND REPORT CAL.
- **2019-05-06** ADVANCED TO THIRD READING
- **2019-05-22** PASSED SENATE `passage`
- **2019-05-22** DELIVERED TO ASSEMBLY
- **2019-05-22** REFERRED TO CODES `referral-committee`
- **2019-06-17** SUBSTITUTED FOR A1162A
- **2019-06-17** ORDERED TO THIRD READING RULES CAL.235
- **2019-06-20** PASSED ASSEMBLY `passage`
- **2019-06-20** RETURNED TO SENATE
- **2019-12-20** DELIVERED TO GOVERNOR `executive-receipt`
- **2019-12-20** SIGNED CHAP.708 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/dac3a82e-2fd9-4fce-ab46-f4248dab274b`. Confidence: reported (aggregated from official New York legislature records).