|Assembly Actions - Lowercase
Senate Actions - UPPERCASE
|Jun 16, 2014||referred to health|
delivered to assembly
|Jun 02, 2014||advanced to third reading|
|May 29, 2014||2nd report cal.|
|May 28, 2014||1st report cal.948|
|May 06, 2014||reported and committed to finance|
|Jan 08, 2014||referred to health|
|May 15, 2013||referred to health|
senate Bill S5258
Establishes the hospital-home care-physician collaboration program in the department of health
Archive: Last Bill Status - Passed Senate
- In Committee
- On Floor Calendar
- Passed Senate
- Passed Assembly
- Delivered to Governor
- Signed/Vetoed by Governor
view actions (9)
Jun 16, 2014 - floor VoteS5258570floor57Aye0Nay0Absent4Excused0Abstained
show floor vote details
Floor Vote: Jun 16, 2014aye (57)
May 28, 2014 - Finance committee VoteS5258370committee37Aye0Nay0Aye with Reservations0Absent0Excused0Abstained
show Finance committee vote details
Finance Committee Vote: May 28, 2014aye (37)
May 6, 2014 - Health committee VoteS5258170committee17Aye0Nay0Aye with Reservations0Absent0Excused0Abstained
- show floor vote details
S5258 - Bill Details
- See Assembly Version of this Bill:
- Current Committee:
- Law Section:
- Public Health Law
- Laws Affected:
- Add §2805-w, Pub Health L
S5258 - Bill Texts
Establishes the hospital-home care-physician collaboration program in the department of health to facilitate innovation in hospital, home care agency and physician collaboration in meeting health care needs in communities.
view sponsor memo
TITLE OF BILL: An act to amend the public health law, in relation to
establishing a hospital-home care-physician collaboration program
To facilitate improvement, efficiency and strengthened infrastructure
in the health care system though collaborative hospital, home care and
physician initiatives. Provides support for these initiatives through
funding and regulatory flexibility. Also includes nursing homes,
multidisciplinary providers and practitioners, payors, and other
service entities as additional potential partners.
SUMMARY OF PROVISIONS:
Section one establishes a new section 2805-w of the public health law,
"Hospital-Home Care-Physician Collaboration Program."
Subdivision 1 states the purpose, to provide a framework to support
collaborative hospital-home care-physician initiatives for improving
patient care access and management, patient health outcomes,
cost-effectiveness in the use of health care services, and community
population health. Collaborating partners may also include skilled
nursing facilities, other interdisciplinary providers and
practitioners, payors and others.
Subdivision 2 defines key terms used in the section.
Subdivision 3 authorizes the Commissioner of Health to provide support
to facilitate these initiatives, including:
(a) Grants, rate adjustments, premium adjustments or other financing,
to the extent available to support the program. Includes as potential
funding sources state-secured waivers (e.g., the state is seeking
through waivers $10 billion in federal health care reinvestment
(b) Regulatory flexibility waivers for the program. Subdivision 4
specifies categories and subcategories of collaborative initiatives
under the program, including but not limited to:
(a) Integration initiatives, including: Transitions in care; Clinical
pathways; Application of telehealth/telemedicine services;
Facilitation of physician house calls; Prevention of avoidable
hospital readmissions and emergency room visits; Health Home
development; Development and demonstration of new models of integrated
or collaborative care and care management not otherwise achievable
through existing models; and Bundled payment demonstrations for
(b) Recruitment, training, retention and placement of essential direct
(c) Initiatives in the care and management of special needs, high-risk
and high-cost patients, through best practices, training and education
of direct care practitioners and personnel. Subdivision 5 provides
for reporting requirements.
Section 2 establishes an immediate effective date for the bill.
Communities and the providers which serve them face increasing
challenges in adapting to the changing health care system and to
meeting citizens' health care needs. Both patient and system needs are
growing in complexity, diversity and demand.
Provider collaboration is a highly effective and vital vehicle to
coordinate and maximize both clinical efforts and local resources in
meeting patient/community needs. In addition, such collaboration leads
to better integration of health care services and is critical to
facilitating quality of care, advanced care management techniques and
health care cost-efficiency.
The major benefits of hospital, home care agency and physician
collaboration are being seen in the overall improved management and
delivery of services, in effective patient care transition programs,
telehealth/telemedicine services, specialty care management, physician
house call programs, preventive as well as post-acute and chronic care
initiatives, and other innovations. These collaborative initiatives
hold potential for further, far-reaching benefit to patients and to
the evolving system, particularly in resource-limited areas. These
initiatives are in sync with the state's major health care reform
policies, its 1115 waiver and waiver reinvestment proposals, the
federal Affordable Care Act, and industry-led trends.
The benefits of these initiatives compel state policy, program and
financial support. In supporting these initiatives, this legislation
will facilitate patient care management, outcomes, efficiency, health
care infrastructure and population health.
This bill will promote efficiency and coordination in service
delivery, with better outcomes, reduced costs, and ultimately
sustainability and access of care.
The bill would take effect immediately.
view full text
S T A T E O F N E W Y O R K ________________________________________________________________________ 5258 2013-2014 Regular Sessions I N S E N A T E May 15, 2013 ___________ Introduced by Sen. HANNON -- 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 establishing a hospital-home care-physician collaboration program THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. The public health law is amended by adding a new section 2805-w to read as follows: S 2805-W. HOSPITAL-HOME CARE-PHYSICIAN COLLABORATION PROGRAM. 1. THE PURPOSE OF THIS SECTION SHALL BE TO FACILITATE INNOVATION IN HOSPITAL, HOME CARE AGENCY AND PHYSICIAN COLLABORATION IN MEETING THE COMMUNITY'S HEALTH CARE NEEDS. IT SHALL PROVIDE A FRAMEWORK TO SUPPORT VOLUNTARY INITIATIVES IN COLLABORATION TO IMPROVE PATIENT CARE ACCESS AND MANAGE- MENT, PATIENT HEALTH OUTCOMES, COST-EFFECTIVENESS IN THE USE OF HEALTH CARE SERVICES AND COMMUNITY POPULATION HEALTH. SUCH COLLABORATIVE INITI- ATIVES MAY ALSO INCLUDE PAYORS, SKILLED NURSING FACILITIES AND OTHER INTERDISCIPLINARY PROVIDERS, PRACTITIONERS AND SERVICE ENTITIES. 2. FOR PURPOSES OF THIS SECTION: (A) "HOSPITAL" SHALL INCLUDE A GENERAL HOSPITAL AS DEFINED IN THIS ARTICLE OR OTHER INPATIENT FACILITY FOR REHABILITATION OR SPECIALTY CARE WITHIN THE DEFINITION OF HOSPITAL IN THIS ARTICLE. (B) "HOME CARE AGENCY" SHALL MEAN A CERTIFIED HOME HEALTH AGENCY, LONG TERM HOME HEALTH CARE PROGRAM OR LICENSED HOME CARE SERVICES AGENCY AS DEFINED IN ARTICLE THIRTY-SIX OF THIS CHAPTER. (C) "PAYOR" SHALL MEAN A HEALTH PLAN APPROVED PURSUANT TO ARTICLE FORTY-FOUR OF THIS CHAPTER, OR ARTICLE THIRTY-TWO OR FORTY-THREE OF THE INSURANCE LAW. (D) "PRACTITIONER" SHALL MEAN ANY OF THE HEALTH, MENTAL HEALTH OR HEALTH RELATED PROFESSIONS LICENSED PURSUANT TO TITLE EIGHT OF THE EDUCATION LAW. EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD10954-01-3 S. 5258 2 3. THE COMMISSIONER IS AUTHORIZED TO PROVIDE FINANCING INCLUDING, BUT NOT LIMITED TO, GRANTS OR POSITIVE ADJUSTMENTS IN MEDICAL ASSISTANCE RATES OR PREMIUM PAYMENTS, TO THE EXTENT OF FUNDS AVAILABLE AND ALLO- CATED OR APPROPRIATED THEREFOR, INCLUDING FUNDS PROVIDED TO THE STATE THROUGH FEDERAL WAIVERS, FUNDS MADE AVAILABLE THROUGH STATE APPROPRI- ATIONS AND/OR FUNDING THROUGH SECTION TWENTY-EIGHT HUNDRED SEVEN-V OF THIS ARTICLE, AS WELL AS WAIVERS OF REGULATIONS UNDER TITLE TEN OF THE NEW YORK CODES, RULES AND REGULATIONS, TO SUPPORT THE VOLUNTARY INITI- ATIVES AND OBJECTIVES OF THIS SECTION. 4. HOSPITAL-HOME CARE-PHYSICIAN COLLABORATIVE INITIATIVES UNDER THIS SECTION MAY INCLUDE, BUT ARE NOT BE LIMITED TO: (A) HOSPITAL-HOME CARE-PHYSICIAN INTEGRATION INITIATIVES, INCLUDING BUT NOT LIMITED TO: (I) TRANSITIONS IN CARE INITIATIVES TO HELP EFFECTIVELY TRANSITION PATIENTS TO POST-ACUTE CARE AT HOME, COORDINATE FOLLOW-UP CARE AND ADDRESS ISSUES CRITICAL TO CARE PLAN SUCCESS AND READMISSION AVOIDANCE; (II) CLINICAL PATHWAYS FOR SPECIFIED CONDITIONS, GUIDING PATIENTS' PROGRESS AND OUTCOME GOALS, AS WELL AS EFFECTIVE HEALTH SERVICES USE; (III) APPLICATION OF TELEHEALTH/TELEMEDICINE SERVICES IN MONITORING AND MANAGING PATIENT CONDITIONS, AND PROMOTING SELF-CARE/MANAGEMENT, IMPROVED OUTCOMES AND EFFECTIVE SERVICES USE; (IV) FACILITATION OF PHYSICIAN HOUSE CALLS TO HOMEBOUND PATIENTS AND/OR TO PATIENTS FOR WHOM SUCH HOME VISITS ARE DETERMINED NECESSARY AND EFFECTIVE FOR PATIENT CARE MANAGEMENT; (V) ADDITIONAL MODELS FOR PREVENTION OF AVOIDABLE HOSPITAL READMIS- SIONS AND EMERGENCY ROOM VISITS; (VI) HEALTH HOME DEVELOPMENT; (VII) DEVELOPMENT AND DEMONSTRATION OF NEW MODELS OF INTEGRATED OR COLLABORATIVE CARE AND CARE MANAGEMENT NOT OTHERWISE ACHIEVABLE THROUGH EXISTING MODELS; AND (VIII) BUNDLED PAYMENT DEMONSTRATIONS FOR HOSPITAL-TO-POST-ACUTE-CARE FOR SPECIFIED CONDITIONS OR CATEGORIES OF CONDITIONS, IN PARTICULAR, CONDITIONS PREDISPOSED TO HIGH PREVALENCE OF READMISSION, INCLUDING THOSE CURRENTLY SUBJECT TO FEDERAL/STATE PENALTY, AND OTHER DISCHARGES WITH EXTENSIVE POST-ACUTE NEEDS; (B) RECRUITMENT, TRAINING AND RETENTION OF HOSPITAL/HOME CARE DIRECT CARE STAFF AND PHYSICIANS, IN GEOGRAPHIC OR CLINICAL AREAS OF DEMON- STRATED NEED. SUCH INITIATIVES MAY INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING ACTIVITIES: (I) OUTREACH AND PUBLIC EDUCATION ABOUT THE NEED AND VALUE OF SERVICE IN HEALTH OCCUPATIONS; (II) TRAINING/CONTINUING EDUCATION AND REGULATORY FACILITATION FOR CROSS-TRAINING TO MAXIMIZE FLEXIBILITY IN THE UTILIZATION OF STAFF, INCLUDING: (A) TRAINING OF HOSPITAL NURSES IN HOME CARE; (B) DUAL CERTIFIED NURSE AIDE/HOME HEALTH AIDE CERTIFICATION; AND (C) DUAL PERSONAL CARE AIDE/HHA CERTIFICATION; (III) SALARY/BENEFIT ENHANCEMENT; (IV) CAREER LADDER DEVELOPMENT; AND (V) OTHER INCENTIVES TO PRACTICE IN SHORTAGE AREAS; AND (C) HOSPITAL, HOME CARE, PHYSICIAN COLLABORATIVES FOR THE CARE AND MANAGEMENT OF SPECIAL NEEDS, HIGH-RISK AND HIGH-COST PATIENTS, INCLUDING BUT NOT LIMITED TO BEST PRACTICES, AND TRAINING AND EDUCATION OF DIRECT CARE PRACTITIONERS AND SERVICE EMPLOYEES. 5. HOSPITALS AND HOME CARE AGENCIES WHICH ARE PROVIDED FINANCING OR WAIVERS PURSUANT TO THIS SECTION SHALL REPORT TO THE COMMISSIONER ON THE S. 5258 3 PATIENT, SERVICE AND COST EXPERIENCES PURSUANT TO THIS SECTION, INCLUD- ING THE EXTENT TO WHICH THE PROJECT GOALS ARE ACHIEVED. THE COMMISSIONER SHALL COMPILE AND MAKE SUCH REPORTS AVAILABLE ON THE DEPARTMENT'S WEBSITE. S 2. This act shall take effect immediately.
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