NY State Senate Bill 2019-S1791

Archive: Last Bill Status - In Senate Committee Health 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
Jan 08, 2020	referred to health
Jan 16, 2019	referred to health

2019-S1791 (ACTIVE) - Details

Current Committee:: Senate Health
Law Section:: Public Health Law
Laws Affected:: Ren §3622 to be §3623, add §3623, Pub Health L
Versions Introduced in Other Legislative Sessions:: 2015-2016: S8168
2017-2018: S5674

2019-S1791 (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.

2019-S1791 (ACTIVE) - Sponsor Memo

                                
 
BILL NUMBER: S1791

SPONSOR: RIVERA
 
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 informa-
tion 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 vari-
ous 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, physi-
cian, 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 admin-
istration.

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:

2016: S.8168

 
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.

2019-S1791 (ACTIVE) - Bill Text download pdf

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   1791
 
                        2019-2020 Regular Sessions
 
                             I N  S E N A T E
 
                             January 16, 2019
                                ___________
 
 Introduced  by  Sen.  RIVERA -- 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 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".
   § 2. Section 3622 of the public health law, as renumbered  by  section
 22  of  part  C of chapter 58 of the laws of 2004, is renumbered section
 3623 and a new section 3622 is added to read as follows:
   § 3622. 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:
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.

                                                            LBD07739-01-9

 S. 1791                             2
 
   (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
 LONGTERM  HOME  HEALTH CARE PROGRAMS FOR CLINICAL AND HEALTH INFORMATION
 TECHNOLOGY. SUCH GRANTS SHALL BE PROVIDED  PURSUANT  TO  AN  APPLICATION
 PROCESS  DEVELOPED  BY  THE COMMISSIONER, IN CONSULTATION WITH REPRESEN-
 TATIVES 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 TWENTY, THE COMMISSION-
 ER 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

 S. 1791                             3
 
 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-
 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.
   § 3. This act shall take effect immediately.

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Senate Bill S1791

Sponsored By

Archive: Last Bill Status - In Senate Committee Health Committee

2019-S1791 (ACTIVE) - Details

2019-S1791 (ACTIVE) - Summary

2019-S1791 (ACTIVE) - Sponsor Memo

2019-S1791 (ACTIVE) - Bill Text download pdf

Comments

Senate Bill S1791

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Sponsored By

Gustavo Rivera

Archive: Last Bill Status - In Senate Committee Health Committee

2019-S1791 (ACTIVE) - Details

2019-S1791 (ACTIVE) - Summary

2019-S1791 (ACTIVE) - Sponsor Memo

2019-S1791 (ACTIVE) - Bill Text download pdf

Comments