NY A10186

Establishes the "Public Health Resilience, Early-Warning, and Planning (PREP) Act" requiring the Commissioner of Health to create a framework for identifying, assessing, and preparing for public health threats affecting New York residents.

Covers public health risks including extreme heat events, degraded air quality, vector-borne and zoonotic diseases, flooding, severe weather, and emerging infectious diseases.

Creates a Climate and Global Health Surveillance Unit within the Department of Health to monitor domestic and international health signals, develop early-warning indicators, and coordinate with state agencies and local health departments.

Authorizes use of surveillance data from federal agencies, academic institutions, and international networks like the WHO's Global Outbreak Alert and Response Network, limited to advisory purposes with no binding legal or financial obligations.

Requires annual reports to the governor and legislature on preparedness activities, interagency coordination, and recommendations, while mandating compliance with all state and federal privacy and data security laws.