S T A T E O F N E W Y O R K
________________________________________________________________________
501
2017-2018 Regular Sessions
I N A S S E M B L Y
January 9, 2017
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Introduced by M. of A. ABINANTI, TITONE -- Multi-Sponsored by -- M. of
A. COOK, MOSLEY -- read once and referred to the Committee on Mental
Health
AN ACT to amend the mental hygiene law, in relation to establishing a
program of tiered eligibility for services offered by the office for
people with developmental disabilities for persons with learning disa-
bilities and other complex neurological impairments
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. The mental hygiene law is amended by adding a new section
41.59 to read as follows:
§ 41.59 TIERED SERVICES ELIGIBILITY.
1. LEGISLATIVE FINDINGS AND PURPOSE. THE LEGISLATURE HEREBY FINDS THAT
INDIVIDUALS WITH LEARNING DISABILITIES AND OTHER COMPLEX NEUROLOGICAL
IMPAIRMENTS ARE OFTEN NOT PROVIDED ESSENTIAL SUPPORT AND HABILITATIVE
SERVICES DUE TO THE LACK OF ESTABLISHED OFFICE FOR PEOPLE WITH DEVELOP-
MENTAL DISABILITIES' ELIGIBILITY PROTOCOLS. THIS INCLUDES INDIVIDUALS
WITH LEARNING DISABILITIES, HIGH FUNCTIONING AUTISM SPECTRUM DISORDERS,
SUCH AS ASPERGER'S SYNDROME, AND A NUMBER OF OTHER COMPLEX NEUROLOGICAL-
LY BASED COGNITIVE DISABILITIES. UNFORTUNATELY, THESE INDIVIDUALS ARE
THEN LEFT TO NAVIGATE THEIR LIVES AND THE CHALLENGES OF THEIR DISABILI-
TIES WITH MINIMAL OR NO ASSISTANCE. AS A RESULT, SUCH INDIVIDUALS OFTEN
LEAD LIVES OF GREAT DIFFICULTY AND VULNERABILITY THAT MAY INCLUDE, BUT
ARE NOT LIMITED TO, EXTENDED PERIODS OF INCARCERATION, LIFELONG DEPEND-
ENCE ON PUBLIC ASSISTANCE, SUBSTANCE ABUSE, AND VICTIMIZATION, COUPLED
WITH MANY OTHER NEGATIVE AND COSTLY OUTCOMES. IN RESPONSE TO THIS GROW-
ING PROBLEM, THE LEGISLATURE HEREBY DIRECTS THE COMMISSIONER OF DEVELOP-
MENTAL DISABILITIES TO DEVELOP AND IMPLEMENT A PROGRAM OF TIERED ELIGI-
BILITY FOR OFFICE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES' SERVICES
FOR PERSONS WITH LEARNING DISABILITIES AND OTHER COMPLEX NEUROLOGICAL
IMPAIRMENTS. THIS TIERED SERVICE-DELIVERY MODEL WOULD ALLOW SERVICES TO
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD03318-01-7
A. 501 2
BE TARGETED AND BASED ON AN INDIVIDUAL'S SPECIFIC NEEDS, WHICH FOR SOME
MAY BE MORE INTENSIVE AND FOR OTHERS RELATIVELY MINIMAL. THIS MODEL WILL
ALSO FACILITATE RAPID RESPONSE TO ADDRESSING PROBLEMS ENCOUNTERED BY
INDIVIDUALS IN CRISIS. PROVIDING SERVICES THAT ARE TRULY NEEDED WILL BE
MORE COST EFFECTIVE AND A MORE SENSIBLE OPTION THAN THE CURRENT ELIGI-
BILITY PROCESS UTILIZED BY THE OFFICE FOR PEOPLE WITH DEVELOPMENTAL
DISABILITIES.
2. WHEN USED IN THIS ARTICLE, UNLESS OTHERWISE EXPRESSLY STATED OR
UNLESS THE CONTEXT OTHERWISE REQUIRES:
(A) "LEARNING DISABILITY" MEANS A DISORDER IN ONE OR MORE OF THE BASIC
PSYCHOLOGICAL PROCESSES INVOLVED IN UNDERSTANDING OR IN USING SPOKEN OR
WRITTEN LANGUAGE, WHICH MAY MANIFEST ITSELF IN AN IMPERFECT ABILITY TO
LISTEN, THINK, SPEAK, READ, WRITE, SPELL OR TO DO MATHEMATICAL CALCU-
LATIONS. THIS INCLUDES SUCH CONDITIONS AS PERCEPTUAL DISABILITIES, MINI-
MAL BRAIN DYSFUNCTION, DYSLEXIA, DYSGRAPHIA, DYSCALCULIA, DYSPRAXIA, AND
DEVELOPMENTAL APHASIA;
(B) "COMPLEX NEUROLOGICAL IMPAIRMENT" MEANS AUTISM SPECTRUM DISORDER,
SUCH AS ASPERGER'S SYNDROME, OR OTHER COGNITIVE DISABILITIES OF A SIMI-
LAR NATURE AND RESULTING IN SIMILAR NEEDS BY AFFECTED INDIVIDUALS;
(C) "INTENSIVE SERVICE NAVIGATION" MEANS A SERVICE WHOSE PRIMARY FUNC-
TION IS TO CONNECT PERSONS WITH LEARNING DISABILITIES AND/OR OTHER
COMPLEX NEUROLOGICAL IMPAIRMENTS TO APPROPRIATE SERVICES AND SUPPORTS.
INTENSIVE SERVICE NAVIGATION COORDINATES ALL SERVICES FOR A PERSON WITH
A LEARNING DISABILITY OR OTHER COMPLEX NEUROLOGICAL IMPAIRMENT INCLUD-
ING, BUT NOT LIMITED TO, MENTAL HEALTH SERVICES, PARENTING CLASSES,
SUPPORT GROUPS, RECREATIONAL ACTIVITIES, VOCATIONAL SERVICES, AND EDUCA-
TIONAL TRANSITIONAL PLANNING AND ALL BASIC NEEDS OF THE INDIVIDUAL. THE
SERVICES OF THE INTENSIVE SERVICE NAVIGATOR ARE TIME LIMITED AND
ORIENTED TO SHORT TERM CRISIS INTERVENTION.
3. NOTWITHSTANDING ANY INCONSISTENT PROVISIONS OF THIS CHAPTER OR ANY
OTHER STATE LAW, THE COMMISSIONER OF DEVELOPMENTAL DISABILITIES SHALL
ESTABLISH A PROGRAM OF TIERED ELIGIBILITY FOR SERVICES OFFERED BY THE
OFFICE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES FOR PERSONS WITH
LEARNING DISABILITIES AND OTHER COMPLEX NEUROLOGICAL IMPAIRMENTS. SUCH
PROGRAM SHALL CONTAIN THE FOLLOWING ELEMENTS:
(A) WHEN AN INDIVIDUAL PRESENTS TO A SERVICE PROVIDER SEEKING SUPPORT
SERVICES, THE SERVICE PROVIDER SHALL DETERMINE IF THE INDIVIDUAL IS
PRESENTING WITH A LEARNING DISABILITY OR OTHER COMPLEX NEUROLOGICAL
IMPAIRMENT. IF THE SERVICE PROVIDER DETERMINES THAT THE INDIVIDUAL IS A
PERSON WITH AN APPARENT LEARNING DISABILITY OR OTHER COMPLEX NEUROLOGI-
CAL IMPAIRMENT, AND THAT SUCH INDIVIDUAL REQUIRES IMMEDIATE SERVICE IN
ORDER TO PROTECT AND PROMOTE THE INDIVIDUAL'S HEALTH AND SAFETY, OR THAT
THE INDIVIDUAL OTHERWISE FACES A CRISIS SITUATION THAT CAN BE HELPED BY
SERVICE AND ASSISTANCE, THE SERVICE PROVIDER MAY IMPLEMENT THE TIERED
SERVICES ELIGIBILITY PROGRAM;
(B) TIER ONE OF THE TIERED SERVICES ELIGIBILITY PROGRAM WILL CONSIST
OF THE IMMEDIATE PROVISION OF INTENSIVE SERVICE NAVIGATION. THIS
PROVISION OF SERVICES WILL BE PROVIDED FOR UP TO SIX MONTHS IN DURATION.
THE SERVICE MAY END ANYTIME PRIOR TO THE END OF THE SIX-MONTH PERIOD IF
THE INDIVIDUAL AND SERVICE PROVIDER AGREE THAT NO FURTHER SERVICE OR
INTERVENTION IS REQUIRED. IF THE INDIVIDUAL AND SERVICE PROVIDER AGREE
AT THE END OF THE SIX MONTH PERIOD THAT THE NEED FOR SERVICES PERSISTS
AND MORE INTERVENTION IS REQUIRED, THE INDIVIDUAL WILL MOVE INTO TIER
TWO;
(C) TIER TWO OF THE TIERED SERVICES ELIGIBILITY PROGRAM WILL BE
PROVIDED FOR UP TO AN ADDITIONAL SIX-MONTH PERIOD AND PROVIDE:
A. 501 3
(1) CONTINUATION AND INTENSIFICATION OF THE INTENSIVE SERVICE
NAVIGATOR'S EFFORTS TO STABILIZE THE INDIVIDUAL'S CRISIS SITUATION;
(2) A PROCESS POTENTIALLY LEADING TO FULL ELIGIBILITY FOR OFFICE FOR
PEOPLE WITH DEVELOPMENTAL DISABILITIES' SERVICES. AS PART OF THIS PROC-
ESS, THE INTENSIVE SERVICE NAVIGATOR WILL CONDUCT AN ASSESSMENT OF THE
INDIVIDUAL'S ADAPTIVE BEHAVIOR LEVELS, CONDUCT AN ASSESSMENT OF AN INDI-
VIDUAL'S ABILITY TO EFFECTIVELY LEARN AND PUT INTO PRACTICE NEW ADAPTIVE
SKILLS, AND GENERALLY PREPARE THE INDIVIDUAL FOR THE ELIGIBILITY PROC-
ESS;
(D) IF DURING TIER TWO, THE INDIVIDUAL LEARNS NEW SKILLS AND THE
CRISIS SUBSIDES, THE INDIVIDUAL AND SERVICE PROVIDER CAN AGREE THAT
SERVICES BE TERMINATED PRIOR TO THE CONCLUSION OF THIS TIER; AND
(E) IF THE INTENSIVE SERVICE NAVIGATOR AND INDIVIDUAL AGREE THAT THE
INDIVIDUAL WOULD BENEFIT FROM ON-GOING SERVICE AND SUPPORT, THE INTEN-
SIVE SERVICE NAVIGATOR WILL ASSIST THE INDIVIDUAL IN APPLYING TO THE
OFFICE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES FOR A FULL ELIGIBILITY
DETERMINATION.
4. THE COMMISSIONER OF DEVELOPMENTAL DISABILITIES SHALL, IN CONSULTA-
TION WITH EXPERIENCED SERVICE PROVIDERS, DEVELOP A REIMBURSEMENT METHOD-
OLOGY FOR INTENSIVE SERVICE NAVIGATION AS DESCRIBED IN THIS SECTION.
SUCH REIMBURSEMENT SHALL COVER THE SERVICE PROVIDER'S REASONABLE COSTS
FOR PROVIDING THIS SERVICE AND BE PAID TO THE SERVICE PROVIDERS AS PART
OF THE USUAL AND CUSTOMARY COST REIMBURSEMENT PROCESS.
5. IN DEVELOPING THIS PROGRAM, THE COMMISSIONER OF DEVELOPMENTAL DISA-
BILITIES SHALL CONSULT WITH A STATEWIDE ASSOCIATION SPECIFICALLY REPRES-
ENTING INDIVIDUALS WITH LEARNING DISABILITIES AND RELATED SERVICES
PROVIDERS.
§ 2. This act shall take effect on the one hundred eightieth day after
it shall have become a law; provided however, that the commissioner of
developmental disabilities is authorized to promulgate any and all rules
and regulations and take any other measures necessary to implement this
act on its effective date on or before such effective date.