Opinion: I voted yes on Medical Aid in Dying. Now the Senate must act.

Last month, the New York State Assembly made history. After more than a decade of tireless advocacy, we passed the Medical Aid in Dying Act (A.136). I was proud to cast my vote in favor of this compassionate and thoughtfully worded bill, because New Yorkers deserve the right to make their own decisions, especially at the end of their life.

This legislation offers terminally ill patients the option to seek medical aid in dying during their final six months, should they choose it. It does not mandate anything. What it does is give people facing unimaginable pain and loss of autonomy the ability to die on their own terms… with dignity, ideally surrounded by the people they love.

As a first-term legislator and lifelong advocate for human dignity and respect, I do not take this vote lightly. It’s one of the most impactful decisions I’ve made in my time in public service, and, naturally, is deeply personal for so many of us. Throughout this session, and during my campaign, I’ve heard many different opinions on this legislation from constituents, medical professionals, faith leaders and advocates. 

But the overwhelming message I’ve received from the people of the 109th Assembly District is clear: they want this choice. Since the day I first took office, and long before that, when I knocked on doors as a candidate, this has been one of the issues I’ve been asked about the most. Again and again, I heard a plea for autonomy, for dignity, for the ability to choose.

The legislation we passed includes strict safeguards to protect patients. Two physicians must independently confirm the terminal diagnosis and ensure the patient is mentally capable of making their own medical decisions. If there’s any doubt, a mental health evaluation is required. The process is voluntary and rigorous, and it includes multiple oral and written requests. There are severe penalties for coercion, fraud or abuse.

Importantly, this bill does not allow euthanasia or lethal injection. Only the patient can self-administer the medication. Patients are counseled on hospice and palliative care and are encouraged to speak with family members, close friends and/or spiritual advisors. This ensures that patients have full agency and control over the process from start to finish.

As an attorney, I’m also encouraged by the support this bill has received from trusted institutions. The New York State Medical Society and the New York State Bar Association have both endorsed this legislation, affirming that it provides strong protections for patients and clear opt-out provisions for medical professionals.

When I was elected to the Assembly, I made a promise to my constituents that I would fight for their voices to be heard. This bill is about compassion, dignity and ensuring that those facing the most difficult moments of their lives have a choice. I voted yes for you, my constituents. I voted yes for my family and friends. And most importantly, I voted yes for every New Yorker who may one day face a terminal diagnosis and who deserves the ability to choose their own path. Because the point is that by supporting Medical Aid in Dying, you are supporting choice. 

The Assembly has done its part. Now, it’s time for the state Senate to act.