NY A11300

Prohibits long-term care facilities from discriminating against residents based on sexual orientation, gender identity, expression, or HIV status in admission, transfer, discharge, room assignment, restroom access, or medical care decisions.

Requires facilities to use residents' preferred names and pronouns, allow clothing and appearance choices, and permit consensual relationships on the same basis as other residents, unless clinical judgment supports restrictions.

Mandates facilities maintain confidential records of residents' gender identity, preferred names, and pronouns, and protect personally identifiable information regarding sexual orientation, transgender status, and HIV status from unauthorized disclosure.

Requires all facility staff working directly with residents receive cultural competency training on LGBT care within six months of hire, with training at least every two years covering health disparities, legal requirements, confidentiality practices, and addressing discrimination and bias.

Establishes violations as breaches of public health law with civil liability for intentional violations, allowing residents to seek injunctive relief and damages; takes effect 30 days after enactment.