NY State Senate Bill 2019-S8227

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
Apr 27, 2020	referred to health

co-Sponsors

2019-S8227 (ACTIVE) - Details

Current Committee:: Senate Health
Law Section:: Public Health Law
Laws Affected:: Add Art 29-H §§2999-ee - 2999-ff, Pub Health L
Versions Introduced in 2021-2022 Legislative Session:: S2300

2019-S8227 (ACTIVE) - Summary

Relates to emergency medicine triage delivery of services; provides that health care services provided by means of emergency medicine triage shall be entitled to reimbursement.

2019-S8227 (ACTIVE) - Sponsor Memo

                                
 
BILL NUMBER: S8227

SPONSOR: JORDAN
 
TITLE OF BILL:

An act to amend the public health law, in relation to emergency medicine
triage delivery of services

 
SUMMARY OF PROVISIONS:

Section 1 provides for legislative intent.

Section 2 adds a new Section 29-H to the public health law outlining and
defining the parameters of emergency medicine triage programs. It also
provides that said services are reimbursable under Section 367-U of the
social services law, which allows for payment for home telehealth
services.

Section 3 allows the counties, through social services demonstration
programs, to share in the savings achieved in the Medicaid program as a
result of utilizing emergency medicine triage.

Section 4 sets forth the effective date.

 
JUSTIFICATION:

In recent years, telemedicine technology has vastly expanded access to
health care for New York State residents while maintaining a very high
quality of care. Technological advancements have succeeded in bringing
health care to those typically unable to access care thus improving
continuity of care. In 2019, Rensselaer County took another step by
developing a "virtual emergency room" system, which allows medical
personnel to instantly triage conditions that would otherwise be emer-
gency room visits for the Medicaid population. In these cases, personnel
are often able to prevent an emergency room visit altogether, and in the
cases that require emergency care they are able to directly connect with
county 911 dispatch. The reduction of physical emergency room visits
will not only reduce hospital congestion and improve access to care, but
it will also likely save Rensselaer County and its residents a consider-
able amount in the Medicaid program.

The program operated by Rensselaer County is a model for localities
throughout the rest of the State to follow, and New York State should
act proactively to encourage and further incentivize adoption of this
innovative technique. This bill specifically achieves these by two
means; not only does it solidify the status of virtual ER programs as
reimbursable telemedicine programs, but it also creates a financial
incentive for counties to participate. Specifically, it allows counties
to share with the state savings achieved as a result of reduced utiliza-
tion in the Medicaid program.

 
LEGISLATIVE HISTORY:

New bill.

 
FISCAL IMPLICATIONS:

Potential for considerable savings.

 
EFFECTIVE DATE:
Immediately.

2019-S8227 (ACTIVE) - Bill Text download pdf

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   8227
 
                             I N  S E N A T E
 
                              April 27, 2020
                                ___________
 
 Introduced  by Sens. JORDAN, BORRELLO -- 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 emergency medicine
   triage delivery of services
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:

   Section  1.  Legislative  findings  and intent. The legislature hereby
 finds and declares that  telemedicine  technology  has  vastly  expanded
 access to health care for New York State residents while maintaining the
 utmost  quality  of  care.  Technological advancements have succeeded in
 bringing health care to those  typically  unable  to  access  care  thus
 improving  continuity  of  care.  It is the intent of the legislature to
 expand these initiatives to include emergency  medical  triage  services
 within  the  Medicaid program to reduce unnecessary emergency department
 admissions while maintaining the quality care New York  State  residents
 deserve.    Emergency medical triage allows individuals to obtain health
 care services for acute medical emergencies  with  emergency  department
 physicians   through  available  technology  for  diagnosis,  treatment,
 prescriptions, triage, appropriate labs and imaging and patient  follow-
 up.  These services will help to reduce the burden on hospital emergency
 departments, which are oftentimes the first point of access to care  for
 members of the community.
   §  2. The public health law is amended by adding a new article 29-H to
 read as follows:
                                ARTICLE 29-H
                         EMERGENCY MEDICINE TRIAGE
 SECTION 2999-EE. DEFINITIONS.
         2999-FF. EMERGENCY MEDICINE TRIAGE DELIVERY OF SERVICES.
   § 2999-EE. DEFINITIONS. AS USED IN THIS ARTICLE, THE  FOLLOWING  TERMS
 SHALL HAVE THE FOLLOWING MEANINGS:
   1.  "DISTANT  SITE" MEANS A SITE AT WHICH AN EMERGENCY MEDICINE TRIAGE
 PROVIDER IS LOCATED WHILE DELIVERING HEALTH CARE SERVICES  BY  MEANS  OF
 EMERGENCY MEDICINE TRIAGE.
   2. "EMERGENCY MEDICINE TRIAGE PROVIDER" MEANS:
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets

                       [ ] is old law to be omitted.
                                                            LBD14596-02-0

 S. 8227                             2
 
   (A) A PHYSICIAN LICENSED PURSUANT TO ARTICLE ONE HUNDRED THIRTY-ONE OF
 THE EDUCATION LAW AND CREDENTIALED BY A REGIONAL EMERGENCY MEDICAL ADVI-
 SORY COMMITTEE;
   (B)  A  PHYSICIAN  ASSISTANT  LICENSED PURSUANT TO ARTICLE ONE HUNDRED
 THIRTY-ONE-B OF THE EDUCATION LAW UNDER  THE  DIRECT  SUPERVISION  OF  A
 REGIONAL EMERGENCY MEDICAL ADVISORY COMMITTEE CREDENTIALED PHYSICIAN;
   (C)  A  NURSE  PRACTITIONER  LICENSED  PURSUANT TO ARTICLE ONE HUNDRED
 THIRTY-NINE OF THE EDUCATION LAW  UNDER  THE  DIRECT  SUPERVISION  OF  A
 REGIONAL  EMERGENCY  MEDICAL  ADVISORY COMMITTEE CREDENTIALED PHYSICIAN;
 AND
   (D) ANY OTHER PROVIDER AS DETERMINED BY THE COMMISSIONER  PURSUANT  TO
 REGULATION.
   3.  "ORIGINATING  SITE"  MEANS A SITE AT WHICH A PATIENT IS LOCATED AT
 THE TIME HEALTH CARE SERVICES ARE DELIVERED TO HIM OR HER  BY  MEANS  OF
 EMERGENCY MEDICINE TRIAGE.
   4.  "EMERGENCY  MEDICINE  TRIAGE" MEANS THE USE OF ELECTRONIC COMMUNI-
 CATION TECHNOLOGIES BY  EMERGENCY  MEDICINE  TRIAGE  PROVIDERS  FOR  THE
 PURPOSE OF TRIAGING A PATIENT'S LEVEL OF MEDICAL SEVERITY AND TO DELIVER
 HEALTH CARE SERVICES, WHICH MAY INCLUDE ASSESSMENT, DIAGNOSIS, TREATMENT
 AND REFERRAL, WHEN AN ACUTE MEDICAL EMERGENCY OCCURS.
   § 2999-FF. EMERGENCY MEDICINE TRIAGE DELIVERY OF SERVICES. HEALTH CARE
 SERVICES  DELIVERED BY MEANS OF EMERGENCY MEDICINE TRIAGE SHALL BE ENTI-
 TLED TO REIMBURSEMENT UNDER SECTION THREE HUNDRED SIXTY-SEVEN-U  OF  THE
 SOCIAL SERVICES LAW.
   §  3.  Notwithstanding  the provisions of any law to the contrary, the
 commissioner of health is authorized to approve social services district
 use of emergency medicine triage delivery services to improve the deliv-
 ery of quality health care services  in  a  cost-effective  manner.  The
 commissioner  shall evaluate the results of utilization of such program,
 including any savings  resulting  therefrom.  Any  such  savings,  after
 certification  by  the  director of the division of the budget, shall be
 shared equally with the applicable social services districts  to  offset
 the participating social services district's yearly net share of medical
 assistance  expenditures  in  a  manner  to be determined jointly by the
 commissioner of health and the director of the division of the budget.
   § 4. This act shall take effect immediately.

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Senate Bill S8227

Sponsored By

Archive: Last Bill Status - In Senate Committee Health Committee

co-Sponsors

2019-S8227 (ACTIVE) - Details

2019-S8227 (ACTIVE) - Summary

2019-S8227 (ACTIVE) - Sponsor Memo

2019-S8227 (ACTIVE) - Bill Text download pdf

Comments

Senate Bill S8227

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Sponsored By

Daphne Jordan

Archive: Last Bill Status - In Senate Committee Health Committee

co-Sponsors

George M. Borrello

Robert G. Ortt

Michael H. Ranzenhofer

2019-S8227 (ACTIVE) - Details

2019-S8227 (ACTIVE) - Summary

2019-S8227 (ACTIVE) - Sponsor Memo

2019-S8227 (ACTIVE) - Bill Text download pdf

Comments