The New York State Senate

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

                                  4942

                       2019-2020 Regular Sessions

                            I N  S E N A T E

                              April 2, 2019
                               ___________

Introduced  by  Sen. SANDERS -- 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  collaborative
  models for addressing health care disparities

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

  Section 1. Subdivision 4 of section 2805-x of the public health law is
amended by adding a new paragraph (d) to read as follows:
  (D) COLLABORATIVE PROGRAMS  TO  ADDRESS  DISPARITIES  IN  HEALTH  CARE
ACCESS  OR TREATMENT, AND/OR CONDITIONS OF HIGHER PREVALENCE, IN CERTAIN
POPULATIONS, WHERE SUCH COLLABORATIVE PROGRAMS COULD PROVIDE AND  MANAGE
SERVICES  IN A MORE EFFECTIVE, PERSON-CENTERED AND COST-EFFICIENT MANNER
FOR REDUCTION OR ELIMINATION OF SUCH DISPARITIES.
  (I) SUCH PROGRAMS MAY TARGET ONE  OR  MORE  DISPARATE  CONDITIONS,  OR
AREAS  OF UNDER-SERVICE, EVIDENCED IN DEFINED POPULATIONS, INCLUDING BUT
NOT BE LIMITED TO:
  (A) CARDIOVASCULAR DISEASE;
  (B) HYPERTENSION;
  (C) DIABETES;
  (D) OBESITY;
  (E) ASTHMA;
  (F) SICKLE CELL DISEASE;
  (G) SEPSIS;
  (H) LUPUS;
  (I) BREAST, LUNG, PROSTATE AND COLORECTAL CANCERS;
  (J) GEOGRAPHIC SHORTAGE  OF  PRIMARY  CARE,  PRENATAL/OBSTETRIC  CARE,
SPECIALTY  MEDICAL  CARE,  HOME  HEALTH CARE, OR CULTURALLY AND LINGUIS-
TICALLY COMPATIBLE CARE;
  (K) ALCOHOL, TOBACCO, OR SUBSTANCE ABUSE;
  (L) POST-TRAUMATIC STRESS DISORDER AND OTHER CONDITIONS MORE PREVALENT
AMONG VETERANS OF THE UNITED STATES MILITARY SERVICES;

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

                                                           LBD04741-02-9

S. 4942                             2

  (M) ATTRACTING MEMBERS OF MINORITY POPULATIONS TO THE FIELD AND  PRAC-
TICE OF MEDICINE; AND
  (N) SUCH OTHER AREAS APPROVED BY THE COMMISSIONER.
  (II)  COLLABORATIVE  HOSPITAL-HOME  CARE-PHYSICIAN,  AND AS APPLICABLE
ADDITIONAL PARTNER, MODELS MAY INCLUDE UNDER SUCH DISPARITIES PROGRAMS:
  (A) SERVICE PLANNING AND DESIGN;
  (B) RECRUITMENT OF SPECIALTY PERSONNEL AND/OR  SPECIALTY  TRAINING  OF
PROFESSIONALS OR OTHER DIRECT CARE PERSONNEL (INCLUDING PHYSICIANS, HOME
CARE AND HOSPITAL STAFFS), PATIENTS AND INFORMAL CAREGIVERS;
  (C) CONTINUING MEDICAL EDUCATION AND CLINICAL TRAINING FOR PHYSICIANS,
FOLLOW-UP EVALUATIONS, AND SUPPORTING EDUCATIONAL MATERIALS;
  (D)  USE OF EVIDENCED-BASED APPROACHES AND/OR BEST PRACTICES TO TREAT-
MENT;
  (E) REIMBURSEMENT OF UNCOVERED SERVICES;
  (F) BUNDLED OR OTHER INTEGRATED PAYMENT METHODS TO SUPPORT THE  NECES-
SARY, COORDINATED AND COST-EFFECTIVE SERVICES;
  (G)  REGULATORY  WAIVERS TO FACILITATE FLEXIBILITY IN PROVIDER COLLAB-
ORATION AND PERSON-CENTERED CARE;
  (H) PATIENT/FAMILY PEER SUPPORT AND EDUCATION;
  (I) DATA COLLECTION, RESEARCH AND EVALUATION OF EFFICACY; AND/OR
  (J) OTHER COMPONENTS OR INNOVATIONS SATISFACTORY TO THE COMMISSIONER.
  (III) NOTHING CONTAINED IN THIS PARAGRAPH SHALL PREVENT  A  PHYSICIAN,
PHYSICIANS GROUP, HOME CARE AGENCY, OR HOSPITAL FROM INDIVIDUALLY APPLY-
ING FOR SAID GRANT.
  (IV)  THE  COMMISSIONER SHALL CONSULT WITH PHYSICIANS, HOME CARE AGEN-
CIES, HOSPITALS, CONSUMERS,  STATEWIDE  ASSOCIATIONS  REPRESENTATIVE  OF
SUCH  PARTICIPANTS,  AND  OTHER  EXPERTS  IN HEALTH CARE DISPARITIES, IN
DEVELOPING AN APPLICATION PROCESS FOR GRANT FUNDING OR RATE  ADJUSTMENT,
AND  FOR  REQUEST OF STATE REGULATORY WAIVERS, TO FACILITATE IMPLEMENTA-
TION OF DISPARITIES PROGRAMS UNDER THIS PARAGRAPH.
  § 2. This act shall take effect immediately.