senate Bill S2190B

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

Sponsor Memo

BILL NUMBER:S2190B

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 under-
served 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 exist-
ing 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--B
    Cal. No. 718

                       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 -- reported
  favorably from said  committee  and  committed  to  the  Committee  on
  Finance  --  reported  favorably from said committee, ordered to first
  report, amended on first  report,  ordered  to  a  second  report  and
  ordered reprinted, retaining its place in the order of second report

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. Paragraphs (d) and (e) of subdivision 5-a of section 2807-m
of the public health law, as amended by section 9 of part B  of  chapter
60 of the laws of 2014, are 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,  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, and up to  one  million  seven  hundred
five thousand dollars each state fiscal year for the period April first,
two  thousand  fourteen  through March thirty-first, two thousand seven-

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD00749-04-4

S. 2190--B                          2

teen, 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  loan
repayment  in  accordance with subdivision ten of this section. Notwith-
standing 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 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.
  (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, four million three hundred thousand dollars  each  state  fiscal
year for the period April first, two thousand eleven through March thir-
ty-first,  two  thousand  fourteen, and up to four million three hundred
sixty thousand dollars each state  fiscal  year  for  the  period  April
first,  two  thousand  fourteen through March thirty-first, two thousand
seventeen, 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 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)  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

S. 2190--B                          3

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.
  (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 2. 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

S. 2190--B                          4

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.
  (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 3. This act shall take effect immediately.

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