NY State Senate Bill 2021-S5676

Archive: Last Bill Status - Passed Senate & Assembly

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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Actions

View Actions

	Assembly Actions - Lowercase Senate Actions - UPPERCASE
Jun 03, 2022	returned to senate passed assembly ordered to third reading cal.599 substituted for a6579
May 16, 2022	referred to ways and means delivered to assembly passed senate
May 02, 2022	advanced to third reading
Apr 27, 2022	2nd report cal.
Apr 26, 2022	1st report cal.901
Jan 05, 2022	referred to disabilities returned to senate died in assembly
Jun 01, 2021	referred to ways and means delivered to assembly passed senate
May 03, 2021	advanced to third reading
Apr 28, 2021	2nd report cal.
Apr 27, 2021	1st report cal.813
Mar 16, 2021	referred to disabilities

Votes

- May 16, 2022 - Floor Vote
  S5676
  
  61
  
  Aye
  
  0
  
  Nay
  
  0
  
  Absent
  
  2
  
  Excused
  
  0
  
  Abstained
  - - Floor Vote: May 16, 2022
      
      aye (61)
      
      Addabbo Jr.
      
      Akshar
      
      Bailey
      
      Biaggi
      
      Borrello
      
      Boyle
      
      Breslin
      
      Brisport
      
      Brooks
      
      Cleare
      
      Comrie
      
      Cooney
      
      Felder
      
      Gallivan
      
      Gaughran
      
      Gianaris
      
      Gounardes
      
      Griffo
      
      Harckham
      
      Helming
      
      Hinchey
      
      Hoylman-Sigal
      
      Jackson
      
      Jordan
      
      Kaminsky
      
      Kaplan
      
      Kavanagh
      
      Kennedy
      
      Krueger
      
      Lanza
      
      Liu
      
      Mannion
      
      Martucci
      
      Mattera
      
      May
      
      Mayer
      
      Myrie
      
      O'Mara
      
      Oberacker
      
      Ortt
      
      Palumbo
      
      Parker
      
      Persaud
      
      Ramos
      
      Rath III
      
      Reichlin-Melnick
      
      Ritchie
      
      Rivera
      
      Ryan
      
      Salazar
      
      Savino
      
      Sepúlveda
      
      Serino
      
      Serrano
      
      Skoufis
      
      Stavisky
      
      Stec
      
      Stewart-Cousins
      
      Tedisco
      
      Thomas
      
      Weik
      
      excused (2)
      
      Brouk
      
      Sanders Jr.
  Apr 26, 2022 - Disabilities Committee Vote
  S5676
  
  7
  
  Aye
  
  0
  
  Nay
  
  0
  
  Aye with Reservations
  
  0
  
  Absent
  
  0
  
  Excused
  
  0
  
  Abstained
  - - Disabilities Committee Vote: Apr 26, 2022
      
      aye (7)
      
      Akshar
      
      Brooks
      
      Cleare
      
      Felder
      
      Mannion
      
      Martucci
      
      Persaud

co-Sponsors

2021-S5676 (ACTIVE) - Details

See Assembly Version of this Bill:: A6579
Law Section:: Public Health Law
Laws Affected:: Add §2559-c, Pub Health L
Versions Introduced in 2023-2024 Legislative Session:: S1198

2021-S5676 (ACTIVE) - Summary

Directs the commissioner of health to do a comprehensive assessment of the existing methodology used to determine payment for early intervention screenings, evaluations, services and service coordination; directs recommendations on reimbursement methodology as well as needs under the program.

2021-S5676 (ACTIVE) - Sponsor Memo

                                
 
BILL NUMBER: S5676

SPONSOR: RIVERA
 
TITLE OF BILL:

An act to amend the public health law, in relation to a review and
recommendations of reimbursement adequacy and other matters relating to
early intervention

 
PURPOSE OR GENERAL IDEA OF BILL: To require the

Department of Health to conduct a study and prepare a report on
reimbursement rates in the early intervention program.

 
SUMMARY OF PROVISIONS:

Section 1 creates a new Public Health Law section 2559-C requiring the
Department of Health to conduct a rate adequacy review and submit a
report on the findings and recommendations within one year. The review
must include an assessment of the existing payment methodologies and
levels, recommendations for maintaining or changing the methodologies,

the projected number of children who will need early intervention
services over the next five years, and the workforce needed to provide
services to all of those children.

Section 2 is the immediate effective date.

 
JUSTIFICATION:

The early intervention (El) program provides services for babies and
toddlers (0-3 years old) with developmental delays and disabilities.  El
services help many children meet developmental milestones they would
otherwise miss. Most El services are provided in each individual fami-
ly's home, and some are provided in groups and centers.

El reimbursement rates as a whole have not been raised since the 1990s.
Individual providers and provider agencies have been steadily leaving
the program because they cannot afford to keep providing the services at
the State's payment rates. In some parts of the state, there is an utter
lack of providers qualified to provide El services.  In areas without an
overall provider shortage, there is still a shortage of El providers
because they can make a more sustainable living by serving people
through other programs and institutions. And even in areas that have a
pool of available El providers, families in certain neighborhoods are
unable to find a provider who will come to their home. From New York
City to Rochester and all throughout the state, babies with disabilities
are waiting months to receive the services they need and deserve. Since
El is only available to children until their third birthdays, a delay in
services is a denial of services.

Despite years of raising the issue of low reimbursement and the result-
ing provider shortage, no serious effort has been made to evaluate the
true costs of providing EI services, or to compare the salaries of the
same type of provider in and out of the EI program.  The reimbursement
rates were not high in 1990, and they are certainly not adequate now.
The State needs to re-evaluate its payment methodolbgies and ensure that
all children eligible for El are able to access the services they need
before it's too late.

 
PRIOR LEGISLATIVE HISTORY:

New bill.

 
FISCAL IMPLICATIONS FOR STATE AND LOCAL GOVERNMENTS:

None.

 
EFFECTIVE DATE:
This act shall take effect immediately.

2021-S5676 (ACTIVE) - Bill Text download pdf

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   5676
 
                        2021-2022 Regular Sessions
 
                             I N  S E N A T E
 
                              March 16, 2021
                                ___________
 
 Introduced  by  Sen.  RIVERA -- read twice and ordered printed, and when
   printed to be committed to the Committee on Disabilities
 
 AN ACT to amend the public health law,  in  relation  to  a  review  and
   recommendations  of  reimbursement adequacy and other matters relating
   to early intervention

   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1.  The  public health law is amended by adding a new section
 2559-c to read as follows:
   § 2559-C. EARLY INTERVENTION RATE ADEQUACY REVIEW. 1. THE COMMISSIONER
 SHALL REVIEW THE RATES OF REIMBURSEMENT MADE THROUGH  THE  EARLY  INTER-
 VENTION PROGRAM FOR RATE ADEQUACY. THE REVIEW SHALL INCLUDE:
   (A)  A  COMPREHENSIVE  ASSESSMENT  OF THE EXISTING METHODOLOGY USED TO
 DETERMINE  PAYMENT  FOR  EARLY  INTERVENTION  SCREENINGS,   EVALUATIONS,
 SERVICES AND SERVICE COORDINATION, INCLUDING BUT NOT LIMITED TO:
   (I)  ANALYSIS  OF EARLY INTERVENTION RULES, REGULATIONS, AND POLICIES,
 INCLUDING POLICIES, PROCESSES, AND REVENUE SOURCES;
   (II) ANALYSIS OF COSTS TO PROVIDERS PARTICIPATING IN THE EARLY  INTER-
 VENTION  PROGRAM,  INCLUDING TIME AND COST OF TRAVEL, SERVICE PROVISION,
 AND ADMINISTRATIVE ACTIVITIES; AND
   (III) ANALYSIS BY DISCIPLINE AND LABOR REGION  OF  SALARY  LEVELS  FOR
 INDIVIDUALS PROVIDING EARLY INTERVENTION SERVICES COMPARED TO THE SALARY
 LEVELS FOR INDIVIDUALS IN THE SAME DISCIPLINES AND LABOR REGIONS PROVID-
 ING SERVICES OTHER THAN IN THE EARLY INTERVENTION PROGRAM;
   (B)  RECOMMENDATIONS FOR MAINTAINING OR CHANGING REIMBURSEMENT METHOD-
 OLOGIES. RECOMMENDATIONS UNDER THIS PARAGRAPH SHALL BE  CONSISTENT  WITH
 FEDERAL LAW AND SHALL INCLUDE RECOMMENDATIONS FOR APPROPRIATE CHANGES IN
 STATE  LAW AND REGULATIONS. THE RECOMMENDATIONS SHALL CONSIDER APPROPRI-
 ATE PAYMENT METHODOLOGIES AND RATES FOR IN-PERSON AND  TELEHEALTH  EARLY
 INTERVENTION  EVALUATIONS  AND  SERVICES  TO  ADDRESS BARRIERS IN TIMELY
 SERVICE PROVISION AS WELL AS RACIAL  AND  SOCIOECONOMIC  DISPARITIES  IN
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.

                                                            LBD10413-01-1

 S. 5676                             2
 
 ACCESS,  WITH  CONSIDERATION  OF  FACTORS INCLUDING, BUT NOT LIMITED TO,
 PAYMENT FOR BILINGUAL SERVICES,  TRAVEL  TIME,  GEOGRAPHIC  VARIABILITY,
 ACCESS  TO AND COST OF TECHNOLOGY, COST OF LIVING, AND OTHER BARRIERS TO
 TIMELY SERVICE PROVISION;
   (C)  THE PROJECTED NUMBER OF CHILDREN WHO WILL NEED EARLY INTERVENTION
 SERVICES IN THE NEXT FIVE YEARS DISAGGREGATED BY COUNTY;
   (D) THE WORKFORCE NEEDED TO PROVIDE SERVICES IN THE NEXT FIVE YEARS TO
 ALL CHILDREN ELIGIBLE FOR EARLY INTERVENTION SERVICES, DISAGGREGATED  BY
 COUNTY; AND
   (E) OPPORTUNITIES FOR STAKEHOLDER INPUT ON CURRENT RATE METHODOLOGIES.
   2.  WITHIN  ONE  YEAR  AFTER  THE  EFFECTIVE DATE OF THIS SECTION, THE
 COMMISSIONER SHALL SUBMIT A REPORT OF THE FINDINGS  AND  RECOMMENDATIONS
 UNDER  THIS  SECTION  TO  THE  GOVERNOR,  THE TEMPORARY PRESIDENT OF THE
 SENATE, THE SPEAKER OF THE ASSEMBLY, AND THE CHAIRS OF  THE  SENATE  AND
 ASSEMBLY  COMMITTEES ON HEALTH, AND SHALL POST THE REPORT ON THE DEPART-
 MENT'S WEBSITE.
   § 2. This act shall take effect immediately.

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Senate Bill S5676

Sponsored By

Archive: Last Bill Status - Passed Senate & Assembly

May 16, 2022 - Floor Vote

Floor Vote: May 16, 2022

Apr 26, 2022 - Disabilities Committee Vote

Disabilities Committee Vote: Apr 26, 2022

co-Sponsors

2021-S5676 (ACTIVE) - Details

2021-S5676 (ACTIVE) - Summary

2021-S5676 (ACTIVE) - Sponsor Memo

2021-S5676 (ACTIVE) - Bill Text download pdf

Comments

Senate Bill S5676

Share this bill

Sponsored By

Gustavo Rivera

Archive: Last Bill Status - Passed Senate & Assembly

co-Sponsors

John W. Mannion

Zellnor Myrie

2021-S5676 (ACTIVE) - Details

2021-S5676 (ACTIVE) - Summary

2021-S5676 (ACTIVE) - Sponsor Memo

2021-S5676 (ACTIVE) - Bill Text download pdf

Comments