senate Bill S2190A

Amended

Expands the Doctors Across New York program to include dentists

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Bill Status


  • Introduced
  • In Committee
  • On Floor Calendar
    • Passed Senate
    • Passed Assembly
  • Delivered to Governor
  • Signed/Vetoed by Governor
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actions

  • 14 / Jan / 2013
    • REFERRED TO HEALTH
  • 30 / Apr / 2013
    • 1ST REPORT CAL.475
  • 01 / May / 2013
    • 2ND REPORT CAL.
  • 06 / May / 2013
    • ADVANCED TO THIRD READING
  • 07 / May / 2013
    • PASSED SENATE
  • 07 / May / 2013
    • DELIVERED TO ASSEMBLY
  • 07 / May / 2013
    • REFERRED TO HEALTH
  • 08 / Jan / 2014
    • DIED IN ASSEMBLY
  • 08 / Jan / 2014
    • RETURNED TO SENATE
  • 08 / Jan / 2014
    • REFERRED TO HEALTH
  • 29 / Jan / 2014
    • AMEND (T) AND RECOMMIT TO HEALTH
  • 29 / Jan / 2014
    • PRINT NUMBER 2190A
  • 27 / Feb / 2014
    • REPORTED AND COMMITTED TO FINANCE
  • 13 / May / 2014
    • 1ST REPORT CAL.718
  • 14 / May / 2014
    • AMENDED 2190B
  • 14 / May / 2014
    • 2ND REPORT CAL.
  • 19 / May / 2014
    • ADVANCED TO THIRD READING
  • 10 / Jun / 2014
    • PASSED SENATE
  • 10 / Jun / 2014
    • DELIVERED TO ASSEMBLY
  • 10 / Jun / 2014
    • REFERRED TO HEALTH

Summary

Expands the Doctors Across New York program to include dentists.

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Bill Details

Versions:
S2190
S2190A
S2190B
Legislative Cycle:
2013-2014
Current Committee:
Assembly Health
Law Section:
Public Health Law
Laws Affected:
Amd ยง2807-m, Pub Health L
Versions Introduced in 2011-2012 Legislative Cycle:
S5210

Votes

14
0
14
Aye
0
Nay
2
aye with reservations
0
absent
0
excused
0
abstained
show Health committee vote details

Sponsor Memo

BILL NUMBER:S2190A

TITLE OF BILL: An act to amend the public health law, in relation to
expanding the Doctors Across New York program to include dentists and
extending the duration of such program

PURPOSE OR GENERAL IDEA OF BILL: Would allow the Commissioner of
Health to include dentists in the Doctors Across New York program to
provide dental services to underserved areas of the state.

SUMMARY OF SPECIFIC PROVISIONS: Bill Section 1 would amend Paragraph
(d) of Subdivision 5-a of Section 2807-m of the Public Health Law to
permit dentists to be included in the distribution of funds for the
Doctors Across New York loan repayment program.

Bill Section 2 would amend Paragraph (e) of Subdivision 5-a of Section
2807-m of the Public Health Law to permit dentists to be included in
the distribution of funds for the Doctors Across New York practice
support program.

Bill Section 3 would amend Subdivision 10 of Section 2807-m of the
Public Health Law to require that dentists in the Doctors Across New
York program adhere to the same program conditions as physicians.

Bill Section 4 would provide that the law take effect immediately.

JUSTIFICATION: In 2010 the New York State Department of Health issued
a report to the Legislature and Governor finding that dentists should
be included in the Doctors Across New York program. This bill will
allow the Commissioner of Health to include dentists in the Doctors
Across New York program without increasing the costs of the program.
The bill simply gives the Commissioner of Health the discretionary
authority to include dentists in the program as called for by the 2010
Department of Health study. Access to dental care in underserved areas
of the state is a serious public health problem and this bill will
help to address that issue. The Doctors Across New York program has
worked very well for physicians in terms of increasing access to
medical care in underserved areas and should work equally well for
dentists in terms of increasing access to dental care in underserved
areas.

PRIOR LEGISLATIVE HISTORY: 2013: S.2190/A.2719 Passed the Senate
2011,2012: S.5210/A.7179 Passed the Senate

FISCAL IMPLICATIONS: None. The bill does not raise costs, but allows
for reallocating existing monies as needed.

EFFECTIVE DATE: The bill takes effect immediately.

view bill text
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                 2190--A

                       2013-2014 Regular Sessions

                            I N  S E N A T E

                            January 14, 2013
                               ___________

Introduced  by Sens. YOUNG, AVELLA, GOLDEN, MONTGOMERY -- read twice and
  ordered printed, and when printed to be committed to the Committee  on
  Health  --  recommitted  to the Committee on Health in accordance with
  Senate Rule 6, sec. 8 -- committee discharged, bill  amended,  ordered
  reprinted as amended and recommitted to said committee

AN  ACT  to  amend  the  public health law, in relation to expanding the
  Doctors Across New York program to include dentists and extending  the
  duration of such program

  THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:

  Section 1. Paragraph (d) of subdivision 5-a of section 2807-m  of  the
public  health  law, as amended by section 53 of part D of chapter 56 of
the laws of 2012, is amended to read as follows:
  (d) Physician AND/OR DENTIST loan repayment program. One million  nine
hundred  sixty  thousand dollars for the period January first, two thou-
sand eight  through  December  thirty-first,  two  thousand  eight,  one
million  nine  hundred  sixty  thousand  dollars  for the period January
first, two thousand nine through  December  thirty-first,  two  thousand
nine,  one  million  nine  hundred sixty thousand dollars for the period
January first, two thousand ten through December thirty-first, two thou-
sand ten, four hundred ninety thousand dollars for  the  period  January
first,  two  thousand  eleven  through  March thirty-first, two thousand
eleven, and one million seven hundred thousand dollars each state fiscal
year for the period April first, two thousand eleven through March thir-
ty-first, two thousand  [fourteen]  FIFTEEN,  shall  be  set  aside  and
reserved  by the commissioner from the regional pools established pursu-
ant to subdivision two of  this  section  and  shall  be  available  for
purposes  of physician AND/OR DENTISTS loan repayment in accordance with
subdivision ten of this section. Notwithstanding any contrary  provision
of this section, sections one hundred twelve and one hundred sixty-three
of  the  state finance law, or any other contrary provision of law, such

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD00749-02-4

S. 2190--A                          2

funding shall be allocated regionally with one-third of available  funds
going  to  New  York city and two-thirds of available funds going to the
rest of the state and shall be distributed in a manner to be  determined
by  the  commissioner  without a competitive bid or request for proposal
process as follows:
  (i) Funding shall first be awarded to repay loans of up to twenty-five
physicians AND/OR DENTISTS who train in primary care or specialty tracks
in teaching general hospitals, and who enter and remain in primary  care
or  specialty practices in underserved communities, as determined by the
commissioner.
  (ii) After distributions in accordance with subparagraph (i)  of  this
paragraph, all remaining funds shall be awarded to repay loans of physi-
cians  AND/OR DENTISTS who enter and remain in primary care or specialty
practices in underserved communities, as determined by the commissioner,
including but not limited  to  physicians  AND/OR  DENTISTS  working  in
general hospitals, or other health care facilities.
  (iii)  In no case shall less than fifty percent of the funds available
pursuant to this paragraph be distributed in  accordance  with  subpara-
graphs  (i)  and  (ii)  of  this paragraph to physicians AND/OR DENTISTS
identified by general hospitals.
  S 2. Paragraph (e) of subdivision 5-a of section 2807-m of the  public
health law, as amended by section 53 of part D of chapter 56 of the laws
of 2012, is amended to read as follows:
  (e)  Physician  AND/OR  DENTIST  practice  support.  Four million nine
hundred thousand dollars for the  period  January  first,  two  thousand
eight  through  December  thirty-first, two thousand eight, four million
nine hundred thousand dollars annually for the period January first, two
thousand nine through  December  thirty-first,  two  thousand  ten,  one
million  two hundred twenty-five thousand dollars for the period January
first, two thousand eleven  through  March  thirty-first,  two  thousand
eleven,  and  four  million  three  hundred  thousand dollars each state
fiscal year for the period April  first,  two  thousand  eleven  through
March  thirty-first, two thousand [fourteen] FIFTEEN, shall be set aside
and reserved by the commissioner from  the  regional  pools  established
pursuant  to  subdivision two of this section and shall be available for
purposes of physician AND/OR DENTIST practice  support.  Notwithstanding
any  contrary provision of this section, sections one hundred twelve and
one hundred sixty-three of the state finance law, or any other  contrary
provision  of  law, such funding shall be allocated regionally with one-
third of available funds going to New York city and two-thirds of avail-
able funds going to the rest of the state and shall be distributed in  a
manner to be determined by the commissioner without a competitive bid or
request for proposal process as follows:
  (i)  Preference in funding shall first be accorded to teaching general
hospitals for up to twenty-five awards, to  support  costs  incurred  by
physicians  AND/OR  DENTISTS  trained in primary or specialty tracks who
thereafter establish or join practices in  underserved  communities,  as
determined by the commissioner.
  (ii)  After  distributions in accordance with subparagraph (i) of this
paragraph, all remaining funds shall be  awarded  to  physicians  AND/OR
DENTISTS  to  support  the  cost of establishing or joining practices in
underserved communities, as  determined  by  the  commissioner,  and  to
hospitals  and  other  health  care  providers to recruit new physicians
AND/OR DENTISTS to  provide  services  in  underserved  communities,  as
determined by the commissioner.

S. 2190--A                          3

  (iii)  In no case shall less than fifty percent of the funds available
pursuant to this  paragraph  be  distributed  to  general  hospitals  in
accordance with subparagraphs (i) and (ii) of this paragraph.
  S  3.  Subdivision  10 of section 2807-m of the public health law,  as
added by section 75-e of part C of chapter 58 of the laws of  2008,  and
paragraphs  (a) and (c) as amended by section 13 of part B of chapter 58
of the laws of 2010, is amended to read as follows:
  10. Physician AND/OR DENTIST loan repayment program.    (a)  Beginning
January first, two thousand eight, the commissioner is authorized, with-
in  amounts available pursuant to subdivision five-a of this section, to
make loan repayment awards to primary care physicians AND/OR DENTISTS or
other physician AND/OR DENTIST specialties determined by the commission-
er to be in short supply, licensed to practice medicine AND/OR DENTISTRY
in New York state, who agree to practice for at least five years  in  an
underserved  area,  as  determined  by  the commissioner. Such physician
AND/OR DENTIST shall be eligible for a loan repayment award of up to one
hundred fifty thousand dollars over a five year  period  distributed  as
follows:  fifteen  percent of total loan debt not to exceed twenty thou-
sand dollars for the first year; fifteen percent of total loan debt  not
to  exceed  twenty-five  thousand  dollars  for  the second year; twenty
percent of total loan debt not to exceed  thirty-five  thousand  dollars
for  the  third  year; and twenty-five percent of total loan debt not to
exceed thirty-five thousand dollars per year for the  fourth  year;  and
any  unpaid  balance  of  the  total loan debt not to exceed the maximum
award amount for the fifth year of practice in such area.
  (b) Loan repayment awards made to a physician AND/OR DENTIST  pursuant
to paragraph (a) of this subdivision shall not exceed the total qualify-
ing  outstanding debt of the physician AND/OR DENTIST from student loans
to cover tuition and other related  educational  expenses,  made  by  or
guaranteed  by  the federal or state government, or made by a lending or
educational institution approved under title IV of  the  federal  higher
education  act. Loan repayment awards shall be used solely to repay such
outstanding debt.
  (c) In the event that a five-year commitment pursuant to the agreement
referenced in paragraph (a) of this subdivision is  not  fulfilled,  the
recipient  shall  be responsible for repayment in amounts which shall be
calculated in accordance with the formula set forth in  subdivision  (b)
of  section  two  hundred  fifty-four-o of title forty-two of the United
States Code, as amended.
  (d) The commissioner is authorized to apply any  funds  available  for
purposes  of paragraph (a) of this subdivision for use as matching funds
for federal grants for the purpose of assisting states in operating loan
repayment programs pursuant to section three hundred thirty-eight  I  of
the public health service act.
  (e)  The  commissioner may postpone, change or waive the service obli-
gation and repayment amounts  set  forth  in  paragraphs  (a)  and  (c),
respectively of this subdivision in individual circumstances where there
is compelling need or hardship.
  (f)(i)  When  a physician AND/OR DENTIST is not actually practicing in
an underserved area, he or she shall be deemed to be  practicing  in  an
underserved  area  if  he  or she practices in a facility or physician's
AND/OR DENTIST'S office that primarily serves an underserved  population
as  determined  by the commissioner, without regard to whether the popu-
lation or the facility or physician's AND/OR DENTIST'S office is located
in an underserved area.

S. 2190--A                          4

  (ii) In making criteria and determinations as to whether an area is an
underserved area or whether a facility or physician's  AND/OR  DENTIST'S
office  primarily serves an underserved population, the commissioner may
make separate criteria and determinations for different specialties.
  S 4. This act shall take effect immediately.

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