senate Bill S6142A

Provides managed care enrollees access to the services of the foot center of New York

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Sponsor

Bill Status


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

  • 08 / Jan / 2014
    • REFERRED TO HEALTH
  • 10 / Feb / 2014
    • AMEND AND RECOMMIT TO HEALTH
  • 10 / Feb / 2014
    • PRINT NUMBER 6142A
  • 10 / Jun / 2014
    • COMMITTEE DISCHARGED AND COMMITTED TO RULES
  • 10 / Jun / 2014
    • ORDERED TO THIRD READING CAL.1254
  • 11 / Jun / 2014
    • PASSED SENATE
  • 11 / Jun / 2014
    • DELIVERED TO ASSEMBLY
  • 11 / Jun / 2014
    • REFERRED TO WAYS AND MEANS

Summary

Provides managed care enrollees access to the services of the foot center of New York.

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Bill Details

See Assembly Version of this Bill:
A1071C
Versions:
S6142
S6142A
Legislative Cycle:
2013-2014
Current Committee:
Law Section:
Social Services Law
Laws Affected:
Amd ยง364-j, Soc Serv L

Sponsor Memo

BILL NUMBER:S6142A REVISED 5/19/14

TITLE OF BILL: An act to amend the social services law, in relation
to providing managed care enrollees access to the services of the foot
center of New York

PURPOSE: Amending the social service law to designate an academic
podiatry center as a State Specialty Care Center for its podiatry
services.

SUMMARY OF PROVISIONS:

Section 1. Amends the following: reletters paragraph (f) of
subparagraph (iii) of paragraph (a) of subdivision 4 of section 364-j
to (G) and adds a new clause (F) to mandate the reporting of services
provided at an academic podiatry center.

Section 2. This act shall take effect immediately, provided however,
that the amendment to section 364-j of the social services law made by
sections one and two of this act shall not affect the repeal of such
section and shall be deemed to repealed therewith.

JUSTIFICATION: The affordability and accessibility of podiatric
services such as those provided by an academic podiatry center is a
lifeline for residents in low-income communities across the City of
New York where a large portion of the population is grappling with
diabetes and many of these individuals are on some form of public
assistance. Diabetes is a citywide epidemic, according to the NYC
Department of Health and Mental Hygiene more than half a million adult
New Yorkers have been diagnosed with diabetes and additional 200,000
have diabetes but do not yet know it. Diabetes and
diabetes-associated. cardiovascular disease are leading causes of
death in NYC. These figures are worse in lower income areas of the
City where residents have up to 5 times the mortality rates of
diabetes as compared with NYC residents overall-with the vast majority
of individuals on Medicaid or Medicare, or uninsured. Given these
atrocious statistics, preserving affordable and accessible care at
podiatry clinics such as Foot Care Center of Mew York, the only
podiatric clinic in upper Manhattan is a citywide imperative. Under
the Managed Long Term Care reform enrollees will no longer have free
access to the podiatry clinic and will be forced to get these services
out side of their community or in emergency rooms as cases go
undetected or untreated. "Free access" means that managed care plan
enrollees are free to access these clinics, regardless of whether the
clinic is in their plans network and without the plans prior approval.
Currently, the State allows free access to managed care enrollees at
the SUNY College of Optometry as well as academic dental centers-but
not for academic podiatry centers.

According to the State Department of Health Commissioner "free access
requirements are pursuant to statute and are not under the purview of
the Department.

This legislation seeks to amend the Social Service Law statute for the
sole purpose of preserving the accessibility and affordability of the
specialty services which combat diabetes provided at the limited
number of podiatric clinics, like an academic podiatry center.


LEGISLATIVE HISTORY: Legislation.

FISCAL IMPLICATIONS: None to the State.

EFFECTIVE DATE: Effective immediately.

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

                                 6142--A

                            I N  S E N A T E

                               (PREFILED)

                             January 8, 2014
                               ___________

Introduced  by  Sen.  GOLDEN -- read twice and ordered printed, and when
  printed to be committed  to  the  Committee  on  Health  --  committee
  discharged, bill amended, ordered reprinted as amended and recommitted
  to said committee

AN  ACT  to  amend  the  social  services  law, in relation to providing
  managed care enrollees access to the services of the  foot  center  of
  New York

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

  Section 1.   Clause (F) of subparagraph  (iii)  of  paragraph  (a)  of
subdivision 4 of section 364-j of the social services law, as relettered
by  chapter  37  of the laws of 2010, is relettered clause (G) and a new
clause (F) is added to read as follows:
  (F) THE SERVICES ARE PODIATRIC SERVICES AND ARE PROVIDED BY A DIAGNOS-
TIC AND TREATMENT CENTER LICENSED BY ARTICLE TWENTY-EIGHT OF THE  PUBLIC
HEALTH  LAW  WHICH IS AFFILIATED WITH AN ACADEMIC PODIATRIC CENTER WHICH
HAS  BEEN  GRANTED  AN  OPERATING  CERTIFICATE   PURSUANT   TO   ARTICLE
TWENTY-EIGHT  OF  THE  PUBLIC  HEALTH  LAW  TO  PROVIDE  SUCH  PODIATRIC
SERVICES.  ANY  DIAGNOSTIC  AND  TREATMENT  CENTER  PROVIDING  PODIATRIC
SERVICES  PURSUANT TO THIS CLAUSE SHALL PRIOR TO JUNE FIRST OF EACH YEAR
REPORT TO THE GOVERNOR, TEMPORARY PRESIDENT OF THE SENATE AND SPEAKER OF
THE ASSEMBLY ON THE FOLLOWING:  THE  TOTAL  NUMBER  OF  VISITS  MADE  BY
MEDICAL  ASSISTANCE RECIPIENTS DURING THE IMMEDIATELY PRECEDING CALENDAR
YEAR; THE NUMBER OF VISITS MADE BY MEDICAL ASSISTANCE RECIPIENTS  DURING
THE  IMMEDIATELY PRECEDING CALENDAR YEAR BY RECIPIENTS WHO WERE ENROLLED
IN MANAGED CARE PROGRAMS; THE NUMBER OF VISITS MADE BY  MEDICAL  ASSIST-
ANCE RECIPIENTS DURING THE IMMEDIATELY PRECEDING CALENDAR YEAR BY RECIP-
IENTS  WHO WERE ENROLLED IN MANAGED CARE PROGRAMS THAT PROVIDE PODIATRIC
BENEFITS AS A COVERED SERVICE; AND THE NUMBER  OF  VISITS  MADE  BY  THE
UNINSURED DURING THE IMMEDIATELY PRECEDING CALENDAR YEAR; OR
  S  2.  This  act shall take effect immediately, provided however, that
the amendments to section 364-j of  the  social  services  law  made  by
section  one of this act shall not affect the repeal of such section and
shall be deemed to be repealed therewith.

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD02971-07-4

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