senate Bill S7377

2013-2014 Legislative Session

Directs local government units providing services to individuals with mental illness or developmental disabilities to create a single point of access system

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Archive: Last Bill Status - In Committee


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

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May 14, 2014 referred to mental health and developmental disabilities

S7377 - Bill Details

See Assembly Version of this Bill:
A6510
Current Committee:
Law Section:
Mental Hygiene Law
Laws Affected:
Amd ยง41.13, Ment Hyg L
Versions Introduced in 2011-2012 Legislative Session:
A10453

S7377 - Bill Texts

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Directs local government units providing services to individuals with mental illness or developmental disabilities to create a single point of access system.

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BILL NUMBER:S7377

TITLE OF BILL: An act to amend the mental hygiene law, in relation to
directing local government units providing services to individuals
with mental illness or developmental disabilities to create a single
point of access system

PURPOSE OR GENERAL IDEA OF BILL:

Single Point of Access (SPOA) was a part of the NYS Office of Mental
Health's program initiatives 2000-2001. It was designed to expand the
existing community based mental health system to enable people with
the most serious service needs to access needed housing and care
management on a priority basis. The result is a more cohesive and
better coordinated system which is responsive to individual needs. No
specific statutory basis was ever enacted for the SPOA. During this
time of redesign and reform of the behavioral health delivery system
in New York, there is a real danger that the substantial benefits
which the SPOA provides to real people will be lost or severely
diminished causing a substantial reduction in the ability of the
community based system to ensure access to care. This bill would
recognize SPOAs as a statutorily required part of the community
behavioral health system and would preserve its valuable role in the
overall service delivery system.

SUMMARY OF SPECIFIC PROVISIONS:

Adds a new section 17 to section 41.13 of the Mental Hygiene Law to
require that a local governmental unit create, direct and supervise a
single point of access system to coordinate the care the provision of
ancillary services for high need adults and children with mental
disabilities.

JUSTIFICATION:

SPOA (Single Point of Access) is a process, generally led by a SPOA
Coordinator, which helps Local Governmental Units achieve community
based behavioral health systems that are cohesive and well-
coordinated. The SPOA process provides for the identification of
adults and children most in need of services, and manages service
access and utilization, including, but not limited to, care
management, housing, access to social, services, vocational services,
family supports, community resources, and transforming from the
criminal justice system.

Since their creation, OMH, the counties and New York City have made
significant progress in establishing SPOA processes for adults and
children. These intensive referral and care coordination mechanisms
enable people with the most serious services needs to access
appropriate services on a priority basis. SPOA systems also help to
manage referrals to Assertive Community Treatment (ACT) teams which
provide highly individualized treatments and supports in the community
to people with serious mental illness. LGUs through their SPOAs
routinely work to monitor access to services and services outcomes for
individuals with intensive service needs regardless of the ability to
pay, insurance coverage or the existence of co-occurring disorders.


The use of LGU-level mechanisms for ensuring access represents an
important milestone in the development of statewide accountability for
successful service system outcomes, particularly as they affect to
critical community support services. The SPOA process addresses the
need for individuals and their families, providers, and county and NYC
governments to successfully manage the access issue.

As State and Federal funding is reduced and the Medicaid behavioral
health system move into managed care, the SPOA process becomes more
important to ensure timely access to services for those most-in need.
It is critical that the function and role of SPOA be preserved in the
managed care world. This legislation recognizes the critical role that
the SPOA plays in ensuring the efficient use of sometimes scarce
resources needed to manage capacity and improve the appropriate
utilization of existing services.

Experience has demonstrated the ability of the community behavioral
health system to better meet and manage the service needs of its
clients. This bill will help insure the continuation of that ability
by preserving this important part of the system and allowing the
community itself to determine its own needs and allocate its existing
services.

LEGISLATIVE HISTORY:

New Bill.

FISCAL IMPLICATIONS:

None to the state.

EFFECTIVE DATE:

Immediately.

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

                                  7377

                            I N  S E N A T E

                              May 14, 2014
                               ___________

Introduced  by Sen. CARLUCCI -- read twice and ordered printed, and when
  printed to be committed to the Committee on Mental Health and Develop-
  mental Disabilities

AN ACT to amend the mental hygiene law, in relation to  directing  local
  government units providing services to individuals with mental illness
  or  developmental  disabilities  to  create  a  single point of access
  system

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

  Section 1.  Subdivision (a) of section 41.13 of the mental hygiene law
is amended by adding a new paragraph 17 to read as follows:
  17.  CREATE,  DIRECT  AND EXERCISE SUPERVISORY AUTHORITY OVER A SINGLE
POINT  OF  ACCESS  SYSTEM  TO  FACILITATE  ENTRY  TO  CARE  COORDINATION
SERVICES,  RESIDENTIAL  PLACEMENT,  REHABILITATIVE  SERVICES,  AND OTHER
SERVICES FOR HIGH NEED ADULTS AND CHILDREN. THE SINGLE POINT  OF  ACCESS
SYSTEM  MAY  BE  OPERATED  EITHER INDIVIDUALLY BY THE LOCAL GOVERNMENTAL
UNIT OR COLLECTIVELY IN COOPERATION WITH ONE OR MORE OTHER LOCAL GOVERN-
MENTAL UNITS. SEPARATE SINGLE POINT OF ACCESS SYSTEMS MAY BE ESTABLISHED
IN ORDER TO ADDRESS THE NEEDS OF A TARGETED POPULATION BASED ON CRITERIA
INCLUDING, BUT NOT  LIMITED  TO,  AGE,  DISABILITY,  VETERAN  STATUS  OR
SPECIFIC SERVICE NEED SUCH AS HOUSING OR CARE COORDINATION. SINGLE POINT
OF ACCESS SYSTEMS SHALL HAVE THE POWER TO:
  (I)  RECEIVE  REFERRALS  OF  ALL  PERSONS  WITH A MENTAL DISABILITY AS
DEFINED IN SECTION 1.03 OF THIS CHAPTER WHO ARE  IDENTIFIED  AS  A  HIGH
NEED PERSON BY THE COMMISSIONER;
  (II)  RECEIVE  REFERRALS  REGARDLESS OF AGE, ABILITY TO PAY, OR HEALTH
INSURANCE STATUS;
  (III) REQUIRE THE COOPERATION OF PROVIDERS OF CARE COORDINATION, HOUS-
ING, HEALTH CARE, AND MANAGED CARE OPERATING WITHIN THE JURISDICTION  OF
THE  LOCAL  GOVERNMENTAL UNIT TO DETERMINE THE APPROPRIATE LEVEL OF CARE
AND SERVICE DELIVERY FOR DESIGNATED HIGH NEED PERSONS.
  S 2. This act shall take effect immediately.

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD09515-01-3

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