NY State Senate Bill 2015-S8168

Archive: Last Bill Status - In Senate Committee Rules 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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	Assembly Actions - Lowercase Senate Actions - UPPERCASE
Jul 15, 2016	referred to rules

2015-S8168 (ACTIVE) - Details

Current Committee:: Senate Rules
Law Section:: Public Health Law
Laws Affected:: Add §3623, Pub Health L
Versions Introduced in Other Legislative Sessions:: 2017-2018: S5674
2019-2020: S1791

2015-S8168 (ACTIVE) - Summary

Enacts the "home health information and clinical technology act" to provide for the development and implementation of a health information and clinical technology infrastructure support program for the home care system.

2015-S8168 (ACTIVE) - Sponsor Memo

                                 BILL NUMBER:  S8168

 TITLE OF BILL :  An act to amend the public health law, in relation
to enacting the "home health information and clinical technology act"

 PURPOSE :

To establish and implement a plan to support home health information
and clinical technology development, capacity and exchange, consistent
with and necessary for execution of major state policies on health
information and clinical integration.

 SUMMARY OF PROVISIONS :

Section 1 of the bill creates a short title having the act known as
the "home health information and clinical technology act".

Section 2 of the bill provides that the state commissioner of health,
in consultation with representatives of home care providers, managed
care plans, and statewide associations representative of home care,
shall develop a health information and clinical technology
infrastructure support program for the home care system.

The plan and its implementation are to be implemented in a manner in
collaboration with, and consistent with the goals of major state
health integration reforms (e.g., DSRIP) and other technology

initiatives undertaken by the state.

The program is designed to:

*Promote quality, accessibility, care management, innovation and
cost-effectiveness in care;

*Support state goals for home care participation in integrated care
models under this chapter and the social services law, including but
not limited to Medicaid managed care, managed long term care, delivery
system reform incentive payment programs, value based payment models,
fully integrated duals advantage plans, health homes, patient-centered
medical homes, accountable care organizations, and hospital-home
care-physician collaboration programs; and

*Facilitate home care participation in regional health information
organizations.

The program would include, but not be limited to financial and program
support through: capital grants; technology adjustments to home care
and managed care rates; and incorporation of technology support under
various workforce, quality and public health initiatives of the state.

Section 3 of the bill provides for an effective date.

 JUSTIFICATION :

This bill would set in motion a planning and implementation process
for vital support for health information and clinical technology in
home care, and critical connectivity between home care and hospital,
physician, health plan and other partners in the continuum. This
essential support would promote health care quality,
cost-effectiveness, care management, and integration of home care
within provider and state/regional health information systems.

Health informational and clinical technology are at the core of every
aspect of health facility/agency operation; they are integral to
service delivery, quality evaluation and outcomes, cost-effectiveness
and administration.

Virtually every new state policy and care model requires this kind of
technology infrastructure and interoperability to succeed. To date
however state, federal and other relevant sources of support have long
overlooked home care in the health information technology development
arena.

This legislation would set into motion critically needed steps to
support home care, managed care, and ultimately the continuum of care
in vital health information connectivity and clinical technology
capacity.

 LEGISLATIVE HISTORY :

New bill.

 FISCAL IMPLICATIONS :

Necessary for efficient, cost-effective functioning of the system,
including Medicaid cost-containment reforms. Any funds allocated for
this bill would be subject to appropriations and future state fiscal
plan determinations.

 EFFECTIVE DATE :
Immediately.

2015-S8168 (ACTIVE) - Bill Text download pdf

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

                                  8168

                            I N  S E N A T E

                              July 15, 2016
                               ___________

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

AN ACT to amend the public health law, in relation to enacting the "home
  health information and clinical technology act"

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

  Section  1.  Short title.  This act shall be known and may be cited as
the "home health information and clinical technology act".
  S 2. The public health law is amended by adding a new section 3623  to
read as follows:
  S  3623.  HOME  HEALTH  INFORMATION  AND CLINICAL TECHNOLOGY.   1. THE
COMMISSIONER, IN CONSULTATION WITH REPRESENTATIVES OF HOME CARE  PROVID-
ERS,  MANAGED  CARE PLANS, STATEWIDE ASSOCIATIONS REPRESENTATIVE OF HOME
CARE, AND OTHER STAKEHOLDERS ENGAGED IN THE DEVELOPMENT  AND  COLLABORA-
TIVE  USE OF HEALTH INFORMATION TECHNOLOGY IN HOME CARE, SHALL DEVELOP A
HEALTH  INFORMATION  AND  CLINICAL  TECHNOLOGY  INFRASTRUCTURE   SUPPORT
PROGRAM FOR THE HOME CARE SYSTEM.  SUCH PROGRAM SHALL SEEK TO:
  (A)  PROMOTE  QUALITY,  ACCESSIBILITY, CARE MANAGEMENT, INNOVATION AND
COST-EFFECTIVENESS IN CARE;
  (B) SUPPORT STATE GOALS FOR HOME CARE PARTICIPATION IN INTEGRATED CARE
MODELS UNDER THIS CHAPTER AND THE SOCIAL SERVICES LAW INCLUDING, BUT NOT
LIMITED TO, MEDICAID MANAGED CARE,  MANAGED  LONG  TERM  CARE,  DELIVERY
SYSTEM  REFORM  INCENTIVE  PAYMENT PROGRAMS, VALUE BASED PAYMENT MODELS,
FULLY INTEGRATED DUALS ADVANTAGE PLANS, HEALTH  HOMES,  PATIENT-CENTERED
MEDICAL   HOMES,   ACCOUNTABLE  CARE  ORGANIZATIONS,  AND  HOSPITAL-HOME
CARE-PHYSICIAN COLLABORATION PROGRAMS; AND
  (C) FACILITATE HOME CARE PARTICIPATION IN REGIONAL HEALTH  INFORMATION
ORGANIZATIONS.
  2.  THE  PROGRAM  SHALL  INCLUDE, BUT NOT BE LIMITED TO, THE FOLLOWING
COMPONENTS:
  (A) CAPITAL GRANTS. SUBJECT TO THE AVAILABILITY OF FUNDS THEREFOR, THE
COMMISSIONER SHALL  BE  AUTHORIZED  TO  MAKE  AVAILABLE  AND,  UPON  THE
APPROVAL  OF  THE  DIRECTOR  OF  THE  BUDGET, TO PROVIDE STATE GRANTS TO
CERTIFIED HOME HEALTH AGENCIES, LICENSED HOME CARE SERVICES AGENCIES AND

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

                                                           LBD15936-01-6

S. 8168                             2

LONG HOME HEALTH CARE PROGRAMS FOR CLINICAL AND HEALTH INFORMATION TECH-
NOLOGY. SUCH GRANTS SHALL BE PROVIDED PURSUANT TO AN APPLICATION PROCESS
DEVELOPED BY THE COMMISSIONER, IN CONSULTATION WITH  REPRESENTATIVES  OF
THE  PROVIDERS,  MANAGED  CARE PLANS AND THE OTHER ENTITIES SPECIFIED IN
SUBDIVISION ONE OF THIS SECTION;
  (B) TECHNOLOGY ADJUSTMENT TO EPISODIC PAYMENT SYSTEM. THE COMMISSIONER
IS AUTHORIZED TO PROVIDE A  TECHNOLOGY  ADJUSTMENT  FOR  CERTIFIED  HOME
HEALTH  AGENCIES  AND  CONTRACTED  LICENSED  HOME CARE SERVICES AGENCIES
UNDER THE EPISODIC PAYMENT SYSTEM ESTABLISHED  PURSUANT  TO  SUBDIVISION
THIRTEEN  OF  SECTION  THIRTY-SIX HUNDRED FOURTEEN OF THIS ARTICLE. SUCH
ADJUSTMENT MAY BE MADE AS EITHER A STATEWIDE BASE PRICE ADJUSTMENT OR AN
ADD-ON TO THE EPISODIC RATE, AS THE COMMISSIONER DEEMS  APPROPRIATE,  TO
SUPPORT  THE PURPOSES OF THIS SECTION. THE COMMISSIONER IS AUTHORIZED TO
ALSO ADJUST, FOR SAID PURPOSES, THE PAYMENT RATES  FOR  LONG  TERM  HOME
HEALTH CARE PROGRAM PROVIDERS;
  (C)  TECHNOLOGY  ADJUSTMENT  UNDER  MANAGED  CARE. THE COMMISSIONER IS
AUTHORIZED TO PROVIDE  A  TECHNOLOGY  ADJUSTMENT  TO  MANAGED  CARE  AND
MANAGED  LONG  TERM  CARE PREMIUMS ESTABLISHED PURSUANT TO SECTION THREE
HUNDRED SIXTY-FOUR-J OF THE SOCIAL SERVICES LAW AND  SECTION  FORTY-FOUR
HUNDRED  THREE-F  OF  THIS  CHAPTER. SUCH ADJUSTMENT SHALL BE IN AMOUNTS
WHICH ARE IN ADDITION TO OTHER PAYMENTS TO  MANAGED  CARE  ORGANIZATIONS
AND  PLANS,  AND  SHALL  BE PROVIDED FOR HEALTH INFORMATION AND CLINICAL
TECHNOLOGY SUPPORT  FOR  HOME  CARE  PROVIDERS  DELIVERING  OR  MANAGING
SERVICES  UNDER CONTRACT WITH SUCH PLANS, AND SHALL PROMOTE THE PURPOSES
OF THIS SECTION;
  (D) TECHNOLOGY SUPPORT UNDER THE DEPARTMENT'S HEALTH WORKFORCE  INITI-
ATIVES.   THE COMMISSIONER SHALL CONSIDER OPPORTUNITIES FOR CLINICAL AND
HEALTH INFORMATION TECHNOLOGY SUPPORT  WITHIN  THE  DEPARTMENT'S  INITI-
ATIVES AND FUNDING FOR HEALTH WORKFORCE RECRUITMENT, TRAINING, RETENTION
AND DEVELOPMENT. THE COMMISSIONER SHALL SEEK TO INCLUDE SUCH SUPPORT FOR
TECHNOLOGY  WHEN  DEEMED TO FURTHER THE PURPOSES OF THIS SECTION AND THE
SPECIFIC WORKFORCE INITIATIVE, AND TO THE EXTENT  ALLOWABLE  UNDER  SUCH
WORKFORCE  FUNDING.  WORKFORCE  INITIATIVES  UNDER  THIS  SECTION  SHALL
INCLUDE, BUT NOT BE LIMITED TO, WORKFORCE FUNDING AUTHORIZED  UNDER  THE
STATE'S  SECTION  ELEVEN  HUNDRED  FIFTEEN  WAIVER TO THE FEDERAL SOCIAL
SECURITY ACT FOR THE STATE'S MEDICAL ASSISTANCE PROGRAM;
  (E)  TECHNOLOGY  INCENTIVE  UNDER  MANAGED  CARE   QUALITY   INCENTIVE
PAYMENTS.  ON AND AFTER APRIL FIRST, TWO THOUSAND SEVENTEEN, THE COMMIS-
SIONER SHALL ESTABLISH ADDITIONAL QUALITY INCENTIVE PAYMENTS TO  MANAGED
CARE AND MANAGED LONG TERM CARE PLANS, RESPECTIVELY, PURSUANT TO SECTION
THREE  HUNDRED  SIXTY-FOUR-J  OF  THE  SOCIAL  SERVICES  LAW AND SECTION
FORTY-FOUR HUNDRED THREE-F OF THIS CHAPTER, BASED ON  EVIDENCE  OF  PLAN
SUPPORT  FOR  HOME  CARE  CLINICAL  AND  HEALTH  INFORMATION  TECHNOLOGY
CONSISTENT WITH THE PURPOSES OF THIS SECTION. SUCH AMOUNTS SHALL  BE  IN
ADDITION  TO  ANY  OTHER PAYMENTS MADE TO A MANAGED CARE ORGANIZATION OR
PLAN, AND SUPPORT SHALL BE EVIDENCED IN A PLAN'S CONTRACTS AND  PAYMENTS
TO  HOME  CARE  PROVIDERS AND/OR THROUGH OTHER METRICS IDENTIFIED BY THE
COMMISSIONER IN CONSULTATION WITH REPRESENTATIVES OF MANAGED CARE ORGAN-
IZATIONS AND PLANS;
  (F) TECHNOLOGY SUPPORT UNDER  THE  DELIVERY  SYSTEM  REFORM  INCENTIVE
PAYMENT PROGRAM. THE COMMISSIONER SHALL INCLUDE A CONTINGENCY TO FUNDING
AWARDED TO PERFORMING PROVIDERS SYSTEMS UNDER THE DELIVERY SYSTEM REFORM
INCENTIVE  PAYMENT  PROGRAM  SUCH  THAT  THE  PERFORMING PROVIDER SYSTEM
DEMONSTRATES TO THE SATISFACTION OF THE COMMISSIONER  THAT  IT  PROVIDES
PROGRAMMATIC AND FISCAL SUPPORT FOR HEALTH INFORMATION TECHNOLOGY CAPAC-

S. 8168                             3

ITY  FOR  HOME  CARE  PROVIDERS WITHIN SUCH SYSTEM'S NETWORK, CONSISTENT
WITH THE PURPOSES OF THIS SECTION.
  (G)  HEALTH  CARE  REFORM  ACT TECHNOLOGY FUNDING. NOTWITHSTANDING ANY
INCONSISTENT PROVISION OF THIS CHAPTER OR THE RULES AND  REGULATIONS  OF
THE  DEPARTMENT, THE COMMISSIONER, SUBJECT TO THE APPROVAL OF THE DIREC-
TOR OF THE BUDGET, IS AUTHORIZED  TO  REDIRECT  UNDISTRIBUTED  FUNDS  AN
AGGREGATE  ANNUAL  AMOUNT  OF  UP TO ONE HUNDRED MILLION DOLLARS FOR THE
SUPPORT OF PARAGRAPHS (A), (B) AND (C) OF THIS SUBDIVISION.
  3. THE PROVISIONS OF THIS SECTION SHALL BE IMPLEMENTED IN A MANNER  IN
COLLABORATION  WITH AND CONSISTENT WITH THE GOALS OF THE DELIVERY SYSTEM
REFORM INCENTIVE PAYMENT PROGRAM AND OTHER TECHNOLOGY INITIATIVES UNDER-
TAKEN BY THE STATE.
  S 3. This act shall take effect immediately.

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Senate Bill S8168

Sponsored By

Archive: Last Bill Status - In Senate Committee Rules Committee

2015-S8168 (ACTIVE) - Details

2015-S8168 (ACTIVE) - Summary

2015-S8168 (ACTIVE) - Sponsor Memo

2015-S8168 (ACTIVE) - Bill Text download pdf

Comments

Senate Bill S8168

Share this bill

Sponsored By

Kemp Hannon

Archive: Last Bill Status - In Senate Committee Rules Committee

2015-S8168 (ACTIVE) - Details

2015-S8168 (ACTIVE) - Summary

2015-S8168 (ACTIVE) - Sponsor Memo

2015-S8168 (ACTIVE) - Bill Text download pdf

Comments