senate Bill S2190A

2013-2014 Legislative Session

Expands the Doctors Across New York program to include dentists

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Sponsored By

Archive: Last Bill Status - Passed Senate


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

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Actions

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Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jun 10, 2014 referred to health
delivered to assembly
passed senate
May 19, 2014 advanced to third reading
May 14, 2014 2nd report cal.
amended 2190b
May 13, 2014 1st report cal.718
Feb 27, 2014 reported and committed to finance
Jan 29, 2014 print number 2190a
amend (t) and recommit to health
Jan 08, 2014 referred to health
returned to senate
died in assembly
May 07, 2013 referred to health
delivered to assembly
passed senate
May 06, 2013 advanced to third reading
May 01, 2013 2nd report cal.
Apr 30, 2013 1st report cal.475
Jan 14, 2013 referred to health

Votes

view votes

May 13, 2014 - Finance committee Vote

S2190A
35
0
committee
35
Aye
0
Nay
1
Aye with Reservations
0
Absent
1
Excused
0
Abstained
show Finance committee vote details

Feb 27, 2014 - Health committee Vote

S2190A
14
0
committee
14
Aye
0
Nay
2
Aye with Reservations
0
Absent
0
Excused
0
Abstained
show Health committee vote details

Apr 30, 2013 - Health committee Vote

S2190
16
0
committee
16
Aye
0
Nay
1
Aye with Reservations
0
Absent
0
Excused
0
Abstained
show committee vote details

Bill Amendments

Original
A
B (Active)
Original
A
B (Active)

Co-Sponsors

S2190 - Bill Details

Current Committee:
Law Section:
Public Health Law
Laws Affected:
Amd §2807-m, Pub Health L
Versions Introduced in 2011-2012 Legislative Session:
S5210

S2190 - Bill Texts

view summary

Expands the Doctors Across New York program to include dentists.

view sponsor memo
BILL NUMBER:S2190

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

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: 2011, 2012: S.5210/A.7179 Passed 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 full text
download pdf
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                  2190

                       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

AN  ACT  to  amend  the  public health law, in relation to expanding the
  Doctors Across New York program to include dentists

  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, 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  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 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:

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD00749-01-3

S. 2190                             2

  (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,  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 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.
  (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

S. 2190                             3

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.
  (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.

Co-Sponsors

S2190A - Bill Details

Current Committee:
Law Section:
Public Health Law
Laws Affected:
Amd §2807-m, Pub Health L
Versions Introduced in 2011-2012 Legislative Session:
S5210

S2190A - Bill Texts

view summary

Expands the Doctors Across New York program to include dentists.

view 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 full text
download pdf
                    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.

Co-Sponsors

S2190B (ACTIVE) - Bill Details

Current Committee:
Law Section:
Public Health Law
Laws Affected:
Amd §2807-m, Pub Health L
Versions Introduced in 2011-2012 Legislative Session:
S5210

S2190B (ACTIVE) - Bill Texts

view summary

Expands the Doctors Across New York program to include dentists.

view 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.

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                    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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