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Senate Democrats in New York narrowly approved a bill Monday that would allow terminally ill patients to seek help from medical professionals to end their lives. The legislation now heads to Governor Kathy Hochul’s desk, who has yet to publicly indicate whether she intends to sign or veto it.

State Senator Brad Hoylman-Sigal (D-Manhattan), the bill’s sponsor, hailed the controversial proposal, condemned by critics as a gateway to denying life-saving treatments and an abrogation of the sanctity of life, as a “great social reform.”

The bill was passed by a slim 35-27 vote. Notably, six Democrat senators; April Baskin, Siela Bynoe, Cordelle Cleare, Monica Martinez, Roxanne Persaud, and Sam Sutton, broke ranks and opposed the measure, acknowledging the deep ethical concerns at stake.

A spokesperson for Governor Hochul commented simply, “The governor will review the legislation.”

The bill’s progression follows a long and hard-fought battle, which saw determined resistance from a broad spectrum of advocates. Orthodox Jewish leaders, members of the black community, disability rights groups, and clergy from various faiths united in their plea to uphold the sanctity of life.

After the vote, the New York Alliance Against Assisted Suicide released a heartfelt statement: “The Governor still has the opportunity to uphold New York’s commitment to suicide prevention, protect vulnerable communities, and affirm that every life—regardless of disability, age, or diagnosis—is worthy of care, dignity, and protection.”

Opponents of the bill warn that it lacks critical protective measures regarding how doctors would evaluate patients seeking life-ending drugs. The legislation does not include a waiting period, mental health screening, secure protocols for handling the drugs, in-person consultations, or even requirements for tracking when the drugs are used. These omissions, critics argue, leave at-risk individuals exposed to coercion and abuse.

According to the bill’s provisions, patients must obtain consent from two physicians, who may work in the same practice and merely sign off on a partner’s determination, and two witnesses, before being prescribed lethal medication to end their life at a chosen time.

The bill’s language reflects a deliberate softening of terms: lethal substances are called “medications,” physicians become “providers,” and those ending their lives are labeled “patients” being “aided” by the medical system.

Progressive circles have long pushed for the so-called “freedom” to choose death, but many argue the catastrophic societal and medical consequences are glossed over. Detractors warn this move paves the way for insurance companies to deny expensive care, for low-income patients to be nudged toward cheaper alternatives, and for heirs to manipulate the vulnerable for personal gain. Normalizing what is essentially state-sanctioned death, critics say, signals a serious erosion of moral standards.

They also point to data from other states, where legalizing assisted suicide has been followed by noticeable increases in non-assisted suicides.

Despite this, Hoylman remains optimistic, saying the bill would not result in “unintended consequences.”

Agudath Israel voiced deep concern in a public statement: “Today is a dark day in New York State, as the Senate voted, 35 to 27, to pass the Medical Aid in Dying Act (S.138) to legalize physician-assisted suicide. The Assembly passed the same bill in April; it now goes to Governor Kathy Hochul for signature,” the organization wrote.

The statement explained further, “The bill would allow physicians, at the request of patients, to write prescriptions for lethal drugs for patients who are believed by two physicians as having less than six months left to live.”

Agudah emphasized its opposition, saying: “Our tradition teaches that every human being is created in the image of G-d,” and that “every moment of life has infinite value.” Legalizing assisted death, even in cases of pain and suffering, undermines that principle and communicates to society’s most vulnerable that their lives are expendable. “The Medical Aid in Dying Act sends precisely such a dangerous and destructive message.”

Through its Chayim Aruchim division focused on elder care, Agudah has documented how elderly patients are too often marginalized in the current healthcare system.

Prognoses, the organization notes, are frequently inaccurate. “Chayim Aruchim has seen numerous cases where patients labeled as terminal by doctors went on to live meaningful lives. Coupled with the high rates of depression in those contemplating suicide, misdiagnoses, and subtle pressures from family or financial circumstances, these realities increase the risk of patients making tragic, irreversible decisions.”

Rabbi Chaim David Zwiebel, executive vice president of Agudath Israel, expressed profound disappointment at the outcome. He stated, “Since time immemorial, civilized societies have drawn a hard line on the issue of suicide. Taking one’s own life is a tragedy of untold proportion. Allowing physicians – whose calling is to heal – to serve as active accomplices in bringing about this tragedy of taking human life is a profound moral and practical misstep.”

Rabbi Yeruchim Silber, Agudath Israel’s Director of New York Government Relations, concluded, “The continued prayers and efforts of the Orthodox Jewish community will now be focused on urging the Governor to uphold the sanctity of life.”