NY State Senate Bill 2011-S2274

Senate Bill S2274

2011-2012 Legislative Session

Authorizes the department of health to establish medication and treatment compliance demonstration programs to assist persons with chronic health problems

download bill text pdf

Archive: Last Bill Status - In Senate Committee Health Committee

Introduced
- In Committee Assembly
- In Committee Senate
- On Floor Calendar Assembly
- On Floor Calendar Senate
- Passed Assembly
- Passed Senate
Delivered to Governor
Signed By Governor

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Actions

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	Assembly Actions - Lowercase Senate Actions - UPPERCASE
Jan 18, 2011	referred to health

2011-S2274 (ACTIVE) - Details

Current Committee:: Senate Health
Law Section:: Health
Versions Introduced in 2009-2010 Legislative Session:: S4351

2011-S2274 (ACTIVE) - Summary

Authorizes the department of health to establish medication and treatment compliance demonstration programs to assist persons with chronic health problems; provides that services provided as part of the program and related administrative expenses that are not otherwise eligible for coverage under funding sources shall be eligible for reimbursement under the medical assistance program as long as federal financial participation is available; requires interim report to the governor and legislature on or before 12/31/2014 and a final report on or before 12/31/2016; provides for expiration and repeal of act on 3/31/2017.

2011-S2274 (ACTIVE) - Sponsor Memo

                                BILL NUMBER:S2274

TITLE OF BILL:
An act
authorizing medication and treatment compliance demonstration
programs and providing for the repeal of such
programs upon the expiration
thereof

SUMMARY OF SPECIFIC PROVISIONS:
Authorizes the Department of Health to design demonstration programs
to improve medication and treatment compliance. Services to be
provided and chronic health problems to be addressed are described.
DOH is made responsible for regulating the quality, appropriateness
and the cost effectiveness of the demonstration programs, and is
authorized to utilize all potential sources of funding.

Enrollment in programs is made voluntary, and participating
individuals are allowed to discontinue at any time without cause.

The Commissioner of Health is authorized to review and approve all
enrollment and marketing materials for demonstration programs, and
is directed to provide an interim report on or before December 31,
2012 and a final report on or before December 31, 2014.

JUSTIFICATION:

Unnecessary medical costs associated with non-compliant behavior of
patients have reached staggering proportions in today's health care
environment. Health care professionals have been continually
frustrated with the inability of many patients to follow through with
the medication or treatment regimen that has been prescribed. The
expanded use of home care has brought with it new and ever growing
complexities regarding compliance.

Non-compliant behavior has resulted in the expenditure of billions of
health care dollar's for preventable hospital and nursing home
admissions, physician visits, tests, and prescriptions. It has been
estimated that up to one third of the hospital and one half of the
nursing home admissions among elderly patients can be attributed to
patients not taking their medication as directed.

These demonstration programs will target approximately 1-2 percent of
the general population or 4-8 percent of the elderly population who
are using 5060 percent of all health care dollars. With concerns over
controlling health care costs, and the advent of managed care,
capitation agreements and other risk sharing arrangements, the need
to control needless over utilization has never been more evident.

FISCAL IMPLICATIONS:
The Health Commissioner is authorized to utilize all potential Sources
of funding. The demonstration is made eligible for Medicaid

reimbursement as long as federal financial participation is
available. It is
estimated that a $4,200 annual expenditure per person for the
monitoring program can save $46,200 by keeping a patient out of a
nursing home.

EFFECTIVE DATE:
This act shall take effect immediately and expires on March 31, 2017.

2011-S2274 (ACTIVE) - Bill Text download pdf

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

                                  2274

                       2011-2012 Regular Sessions

                            I N  S E N A T E

                            January 18, 2011
                               ___________

Introduced  by  Sen.  KRUGER -- read twice and ordered printed, and when
  printed to be committed to the Committee on Health

AN ACT authorizing medication  and  treatment  compliance  demonstration
  programs and providing for the repeal of such programs upon expiration
  thereof

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

  Section 1. Medication and treatment compliance demonstration programs.
1. The department of health may  establish  one  or  more  demonstration
programs  to improve medication and treatment compliance of persons with
chronic health problems (referred to in this section as a "demonstration
program"). In doing so, the department of health shall work  in  cooper-
ation  with  one  or  more not-for-profit organizations that have demon-
strated expertise in providing services within the scope of  a  specific
disease or in the administration and monitoring of medication and treat-
ment  regimens. A demonstration program may offer monitoring and support
services to patients diagnosed with chronic health  problems  including,
but not limited to, one or more of the following: congestive heart fail-
ure,  brittle  diabetes,  chronic obstructive pulmonary disease, cancer,
bipolar disorders, schizophrenia, HIV/AIDS, transplant patients and  for
wound  care.  Services  to  be  offered  in  a demonstration program may
include, but are not limited to, a proactive  telephone-based  reminder,
verification,  support  and  reporting service coupled with face-to-face
patient medication evaluations.
  2. Enrollment in a demonstration program shall be  voluntary  for  all
clients.  A  participating individual may discontinue his or her enroll-
ment at any time without cause. The commissioner of health shall  review
and  approve  all enrollment and marketing materials for a demonstration
program.

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD06671-01-1

S. 2274                             2

  3. The department of health shall be responsible  for  regulating  the
quality,  appropriateness  and  cost  effectiveness  of  a demonstration
program.
  4.  The  department of health shall utilize to the extent possible all
potential sources of funding for demonstration programs  including,  but
not limited to, funding available through titles 18 and 19 of the feder-
al  social security act. Additional sources may include but shall not be
limited to, private payments and donations. Services provided as part of
a demonstration program and related administrative expenses  not  other-
wise eligible for coverage under these or other funding sources shall be
eligible  for reimbursement under the medical assistance program for the
purposes of this act as  long  as  federal  financial  participation  is
available.
  5.  The  department  of  health shall provide an interim report to the
governor and the legislature on or before December 31, 2014 and a  final
report  on  or  before  December  31,  2016  on results of demonstration
programs. Both  reports  shall  include  findings  as  to  demonstration
programs'  cost  effectiveness,  including  the  cost of maintaining the
person in the community, funding sources, identification of  the  client
group  served,  programmatic  benefits  and  the  effect on the need for
hospital or residential health care facility beds. In the final  report,
the  department  of  health  shall  offer  recommendations as to whether
demonstration programs should be extended, modified, eliminated or  made
permanent.
  S  2.  This  act shall take effect immediately and shall expire and be
deemed repealed March 31, 2017.

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