S T A T E O F N E W Y O R K
________________________________________________________________________
2306
2019-2020 Regular Sessions
I N A S S E M B L Y
January 22, 2019
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Introduced by M. of A. SOLAGES -- read once and referred to the Commit-
tee on Health
AN ACT to amend the social services law, in relation to requiring
patient's health home to use the adverse childhood experience ques-
tionnaire in assessing the patient's health risks and to making Medi-
caid reimbursement of primary care providers contingent upon the use
of the adverse childhood experience questionnaire; and to require the
commissioner of health to submit reports to the senate and assembly
health committees
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. The social services law is amended by adding two new
sections 365-l-1 and 365-l-2 to read as follows:
§ 365-L-1. STANDARDS FOR PROVISION OF HEALTH HOME SERVICES TO MEDICAID
ENROLLEES WITH CHRONIC CONDITIONS. CONSISTENT WITH FEDERAL LAW TO ENSURE
FEDERAL FINANCIAL PARTICIPATION, A HEALTH CARE PROFESSIONAL PROVIDING A
PATIENT'S HEALTH HOME SHALL:
1. PROVIDE COMPREHENSIVE PREVENTION AND DISEASE SCREENING FOR HIS OR
HER PATIENTS AND MANAGING HIS OR HER PATIENTS' CHRONIC CONDITIONS BY
COORDINATING CARE;
2. ENABLE PATIENTS TO HAVE ACCESS TO PERSONAL HEALTH INFORMATION
THROUGH A SECURE MEDIUM, SUCH AS THROUGH THE INTERNET, CONSISTENT WITH
FEDERAL HEALTH INFORMATION TECHNOLOGY STANDARDS;
3. COLLABORATE WITH THE COMMUNITY HEALTH TEAMS, INCLUDING BY DEVELOP-
ING AND IMPLEMENTING A COMPREHENSIVE PLAN FOR PARTICIPATING PATIENTS;
4. UTILIZE THE ADVERSE CHILDHOOD EXPERIENCE QUESTIONNAIRE IN ASSESSING
A PATENT'S HEALTH AND HEALTH RISKS;
5. ENSURE ACCESS TO A PATIENT'S MEDICAL RECORDS BY THE COMMUNITY
HEALTH TEAM MEMBERS IN A MANNER COMPLIANT WITH THE HEALTH INSURANCE
PORTABILITY AND ACCOUNTABILITY ACT, 12 V.S.A. § 1612, AND 21 V.S.A. §
516; AND
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD04235-02-9
A. 2306 2
6. MEET REGULARLY WITH THE COMMUNITY HEALTH TEAM TO ENSURE INTEGRATION
OF A PARTICIPATING PATIENT'S CARE.
§ 365-L-2. ADVERSE CHILDHOOD EXPERIENCE QUESTIONNAIRE. REIMBURSEMENT
FOR PRIMARY CARE PROVIDED TO A MEDICAID PATIENT SHALL BE CONTINGENT UPON
THE PROVIDER'S USE OF THE ADVERSE CHILDHOOD EXPERIENCE QUESTIONNAIRE
(ACE-IQ) FOR THE PURPOSE OF ASSESSING THE PATIENT'S HEALTH RISKS. AS
USED IN THIS SECTION, "PRIMARY CARE" MEANS HEALTH SERVICES PROVIDED BY
HEALTH CARE PROFESSIONALS TO IDENTIFY AND TREAT ASYMPTOMATIC INDIVIDUALS
WHO HAVE RISK FACTORS OR PRECLINICAL DISEASE, BUT IN WHOM THE DISEASE IS
NOT CLINICALLY APPARENT, INCLUDING IMMUNIZATIONS AND SCREENING, COUN-
SELING, TREATMENT, AND MEDICATION DETERMINED BY SCIENTIFIC EVIDENCE TO
BE EFFECTIVE IN PREVENTING OR DETECTING A CONDITION.
§ 2. On or before December 15, 2019, the commissioner of health shall
submit a report to the senate and assembly health committees containing
recommendations on the following:
(a) whether and how trauma-informed care could be more widely incorpo-
rated into the practice of medicine throughout New York state; and
(b) whether and how the use of the advance childhood experience ques-
tionnaire and other preventive medical services could be expanded
throughout New York state.
§ 3. This act shall take effect on the first of July next succeeding
the date upon which it shall have become a law.