---
type: "Bill"
title: "Relates to Down syndrome diagnosis awareness"
description: "Creates a Down syndrome awareness program to provide up-to-date and evidence-based information on Down syndrome to health care providers who order tests for a pregnant woman or infants to screen for Down syndrome."
jurisdiction: "us/states/ny"
legislature: "New York Legislature"
session: "2023-2024"
identifier: "A 4138"
citation: "New York A 4138 (2023-2024)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Karen McMahon"]
version_count: 2
action_count: 20
vote_count: 2
first_action: "2023-02-10"
last_action: "2024-12-13"
source: "openstates"
source_identifier: "ocd-bill/0c0a00d0-13c2-448a-862f-c44e2fe5243b"
source_url: "http://www.nysenate.gov/legislation/bills/2023/A4138"
source_hash: "49107253a384504e47b0f5402e3f6afdcc5b5dd4d24a066c6924bdf13a0aa8c1"
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 A 4138 (2023-2024) — Relates to Down syndrome diagnosis awareness

Creates a Down syndrome awareness program to provide up-to-date and evidence-based information on Down syndrome to health care providers who order tests for a pregnant woman or infants to screen for Down syndrome.

## Version chain

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

1. **A4138** (committee substitute) — [source](http://assembly.state.ny.us/leg/?sh=printbill&bn=A4138&term=2023&Text=Y)
2. **A4138A** (committee substitute) — [source](http://legislation.nysenate.gov/pdf/bills/2023/A4138A)

## Votes

- Floor Vote - Version: A — **57–0** (pass) · upper
- Assembly Vote — **147–0** (pass) · lower

## Sponsors

- Karen McMahon — primary (person)
- Aileen Gunther — cosponsor (person)
- Albert A. Stirpe — cosponsor (person)
- Andrew Hevesi — cosponsor (person)
- Angelo J. Morinello — cosponsor (person)
- Anna Kelles — cosponsor (person)
- Brian Manktelow — cosponsor (person)
- Catalina Cruz — cosponsor (person)
- Dana Levenberg — cosponsor (person)
- David McDonough — cosponsor (person)
- Deborah Glick — cosponsor (person)
- Fred Thiele — cosponsor (person)
- Harry B. Bronson — cosponsor (person)
- Inez E. Dickens — cosponsor (person)
- Jerett Gandolfo — cosponsor (person)
- Jessica Gonzalez-Rojas — cosponsor (person)
- Jo Anne Simon — cosponsor (person)
- Jodi Giglio — cosponsor (person)
- Joe DeStefano — cosponsor (person)
- John T. McDonald III — cosponsor (person)
- Joseph Giglio — cosponsor (person)
- Kenneth Zebrowski — cosponsor (person)
- Monica P. Wallace — cosponsor (person)
- Rebecca Seawright — cosponsor (person)
- Scott H. Bendett — cosponsor (person)
- Stephen Hawley — cosponsor (person)
- Steve Stern — cosponsor (person)
- Steven Raga — cosponsor (person)
- William Colton — cosponsor (person)
- William Conrad — cosponsor (person)

## Timeline

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

- **2023-02-10** REFERRED TO MENTAL HEALTH `referral-committee`
- **2023-05-17** AMEND (T) AND RECOMMIT TO MENTAL HEALTH `amendment-passage, referral-committee`
- **2023-05-17** PRINT NUMBER 4138A `amendment-passage`
- **2023-05-18** REFERENCE CHANGED TO HEALTH `referral-committee`
- **2023-05-23** REPORTED REFERRED TO WAYS AND MEANS `referral-committee`
- **2024-01-03** REFERRED TO WAYS AND MEANS `referral-committee`
- **2024-05-20** REPORTED REFERRED TO RULES `referral-committee`
- **2024-05-28** REPORTED
- **2024-05-28** RULES REPORT CAL.152
- **2024-05-28** ORDERED TO THIRD READING RULES CAL.152
- **2024-05-29** PASSED ASSEMBLY `passage`
- **2024-05-29** DELIVERED TO SENATE
- **2024-05-29** REFERRED TO HEALTH `referral-committee`
- **2024-05-30** SUBSTITUTED FOR S593A
- **2024-05-30** 3RD READING CAL.1342
- **2024-05-30** PASSED SENATE `passage`
- **2024-05-30** RETURNED TO ASSEMBLY
- **2024-12-02** DELIVERED TO GOVERNOR `executive-receipt`
- **2024-12-13** SIGNED CHAP.555 `executive-signature`
- **2024-12-13** APPROVAL MEMO.27

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/0c0a00d0-13c2-448a-862f-c44e2fe5243b`. Confidence: reported (aggregated from official New York legislature records).