senate Bill S4253A

2013-2014 Legislative Session

Adds certain school based health services to list of services which need not be provided by a managed care program

download bill text pdf

Sponsored By

Archive: Last Bill Status - In Committee


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

do you support this bill?

Actions

view actions (4)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jan 30, 2014 print number 4253a
amend and recommit to health
Jan 08, 2014 referred to health
Mar 15, 2013 referred to health

Bill Amendments

Original
A (Active)
Original
A (Active)

Co-Sponsors

S4253 - Bill Details

See Assembly Version of this Bill:
A5148A
Current Committee:
Law Section:
Social Services Law
Laws Affected:
Amd §364-j, Soc Serv L
Versions Introduced in Previous Legislative Sessions:
2011-2012: A1444
2009-2010: A1022

S4253 - Bill Texts

view summary

Adds certain school based health services (i.e., services provided by certain clinics which provide primary health care services within an elementary or secondary public school setting) to the list of services which need not be provided by a managed care program but which shall be continued to be provided outside of managed care programs in accordance with applicable reimbursement methodologies.

view sponsor memo
BILL NUMBER:S4253

TITLE OF BILL: An act to amend the social services law, in relation
to school-based health services under managed care programs

PURPOSE OR GENERAL IDEA OF BILL: To assure that Medicaid managed care
enrollees have continued access to school-based health services.

SUMMARY OF SPECIFIC PROVISIONS: Section 1 amends section 364-j(3)(e)
of the Social Services Law by adding a new subparagraph (x) adding
school-based health services to the list of services which need not be
provided by a managed care program.

Section 2 provides for an immediate effective date.

JUSTIFICATION: School-based health centers are recognized as a highly
effective vehicle for delivering crucially needed, timely health care
services to the most vulnerable underserved and uninsured school-age
children. The Department of Health has on several occasions delayed a
requirement that managed care programs contract with school-based
health centers. Managed care programs require each enrollee to choose
a primary care practitioner. But they generally will only contract
with physicians as primary care practitioners. Since school-based
health centers use mostly nurse practitioners, physician's assistants
and certified social workers with back up of physicians and
psychologists or psychiatrists, managed care programs are unlikely to
contract with school-based health centers as primary care providers
for eligible students who are enrolled in managed care. School-based
health centers have become an integral part of the fabric of the
communities where they are located. Often, they are the only
accessible primary care and mental health providers for the most
high-risk children and youth. While this bill would eliminate the
requirement that managed care providers offer school based health
services, it would allow for the establishment of procedures and
linkages which assure that the care of children enrolled in Medicaid
managed care programs is coordinated. This bill maintains a reasonable
balance between the development of managed care programs and the need
to assure continued access to school based health services.

PRIOR LEGISLATIVE HISTORY: Senate: New Bill. Assembly: 1999-00:
A.8634 passed the Assembly; 2001-02: A.2531 passed the Assembly;
2003-04: A.3503 passed the Assembly; 2005-06: A.3270 passed the
Assembly; 2007: A.3600 referred to Social Services; 2008: A.3600
passed Assembly; 2009-10: A.1022 passed the Assembly; 2011-12: A.1444
referred to Social Services Committee.

FISCAL IMPLICATIONS: None. The Department of Health has been unable to
develop a model for the incorporation of school-based health services
into managed care programs.

EFFECTIVE DATE: Immediate.

view full text
download pdf
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                  4253

                       2013-2014 Regular Sessions

                            I N  S E N A T E

                             March 15, 2013
                               ___________

Introduced  by  Sens.  MONTGOMERY,  GIPSON, HASSELL-THOMPSON, KENNEDY --
  read twice and ordered printed, and when printed to  be  committed  to
  the Committee on Health

AN  ACT  to  amend  the social services law, in relation to school-based
  health services under managed care programs

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

  Section  1. Subparagraphs (ix) and (x) of paragraph (d) of subdivision
3 of section 364-j of the social services law, as amended by chapter 648
of the laws of 1999 and such paragraph as relettered by  section  77  of
part  H  of  chapter  59  of  the  laws  of 2011, are amended to read as
follows:
  (ix) HIV COBRA case management; [and]
  (x) THE SERVICES PROVIDED ARE BY A CLINIC LICENSED UNDER ARTICLE TWEN-
TY-EIGHT OF THE PUBLIC HEALTH LAW, OR SPONSORED BY A  FACILITY  LICENSED
UNDER  SUCH  ARTICLE,  WHICH  PROVIDES  PRIMARY  CARE SERVICES WITHIN AN
ELEMENTARY OR SECONDARY PUBLIC SCHOOL SETTING; AND
  (XI) other services as determined by the commissioner of health.
  S 2. This act shall take effect immediately  provided,  however,  that
the amendments to paragraph (d) of subdivision 3 of 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 repealed therewith.




 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD04069-01-3

Co-Sponsors

S4253A (ACTIVE) - Bill Details

See Assembly Version of this Bill:
A5148A
Current Committee:
Law Section:
Social Services Law
Laws Affected:
Amd §364-j, Soc Serv L
Versions Introduced in Previous Legislative Sessions:
2011-2012: A1444
2009-2010: A1022

S4253A (ACTIVE) - Bill Texts

view summary

Adds certain school based health services (i.e., services provided by certain clinics which provide primary health care services within an elementary or secondary public school setting) to the list of services which need not be provided by a managed care program but which shall be continued to be provided outside of managed care programs in accordance with applicable reimbursement methodologies.

view sponsor memo
BILL NUMBER:S4253A

TITLE OF BILL: An act to amend the social services law, in relation
to school-based health services under managed care programs

PURPOSE OR GENERAL IDEA OF BILL: To assure that Medicaid managed care
enrollees have continued access to school-based health services.

SUMMARY OF SPECIFIC PROVISIONS: Section 1 amends section 364-j(3)(e)
of the Social Services Law by adding a new subparagraph (x) adding
school-based health services to the list of services which need not be
provided by a managed care program.

Section 2 provides for an immediate effective date.

JUSTIFICATION: School-based health centers are recognized as a highly
effective vehicle for delivering crucially needed, timely health care
services to the most vulnerable underserved and uninsured school-age
children. The Department of Health has on several occasions delayed a
requirement that managed care programs contract with school-based
health centers. Managed care programs require each enrollee to choose
a primary care practitioner. But they generally will only contract
with physicians as primary care practitioners. Since school-based
health centers use mostly nurse practitioners, physician's assistants
and certified social workers with back up of physicians and
psychologists or psychiatrists, managed care programs are unlikely to
contract with school-based health centers as primary care providers
for eligible students who are enrolled in managed care. School-based
health centers have become an integral part of the fabric of the
communities where they are located. Often, they are the only
accessible primary care and mental health providers for the most
high-risk children and youth. While this bill would eliminate the
requirement that managed care providers offer school based health
services, it would allow for the establishment of procedures and
linkages which assure that the care of children enrolled in Medicaid
managed care programs is coordinated. This bill maintains a reasonable
balance between the development of managed care programs and the need
to assure continued access to school based health services.

PRIOR LEGISLATIVE HISTORY: Senate: New Bill. Assembly: 1999-00:A.8634
passed the Assembly; 2001-02: A.2531 passed the Assembly; 2003-04:
A.3503 passed the Assembly; 2005-06: A.3270 passed the Assembly; 2007:
A.3600 referred to Social Services; 2008: A.3600 passed Assembly;
2009-10: A.1022 passed the Assembly; 2011-12: A.1444 referred to
Social Services Committee.

FISCAL IMPLICATIONS: None. The Department of Health has been unable to
develop a model for the incorporation of school-based health services
into managed care programs.

EFFECTIVE DATE: Immediate.

view full text
download pdf
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                 4253--A

                       2013-2014 Regular Sessions

                            I N  S E N A T E

                             March 15, 2013
                               ___________

Introduced  by  Sens.  MONTGOMERY,  GIPSON, HASSELL-THOMPSON, KENNEDY --
  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 commit-
  tee

AN ACT to amend the social services law,  in  relation  to  school-based
  health services under managed care programs

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

  Section 1.  Subparagraphs (viii) and (ix) of paragraph (d) of subdivi-
sion 3 of section 364-j of  the  social  services  law,  as  amended  by
section  38  of part A of chapter 56 of the laws of 2013, are amended to
read as follows:
  (viii) HIV COBRA case management; [and]
  (ix) THE SERVICES PROVIDED ARE BY  A  CLINIC  LICENSED  UNDER  ARTICLE
TWENTY-EIGHT  OF  THE  PUBLIC  HEALTH  LAW,  OR  SPONSORED BY A FACILITY
LICENSED UNDER SUCH ARTICLE, WHICH PROVIDES PRIMARY CARE SERVICES WITHIN
AN ELEMENTARY OR SECONDARY PUBLIC SCHOOL SETTING; AND
  (X) other services as determined by the commissioner of health.
  S 2. This act shall take effect immediately  provided,  however,  that
the amendments to paragraph (d) of subdivision 3 of 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 repealed therewith.



 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD04069-03-4

Comments

Open Legislation comments facilitate discussion of New York State legislation. All comments are subject to moderation. Comments deemed off-topic, commercial, campaign-related, self-promotional; or that contain profanity or hate speech; or that link to sites outside of the nysenate.gov domain are not permitted, and will not be published. Comment moderation is generally performed Monday through Friday.

By contributing or voting you agree to the Terms of Participation and verify you are over 13.