S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   1451
 
                        2023-2024 Regular Sessions
 
                             I N  S E N A T E
 
                             January 12, 2023
                                ___________
 
 Introduced  by  Sens.  SANDERS,  HOYLMAN-SIGAL,  MAY  --  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) CHRONIC KIDNEY DISEASE;
   (E) OBESITY;
   (F) ASTHMA;
   (G) SICKLE CELL DISEASE;
   (H) SEPSIS;
   (I) LUPUS;
   (J) BREAST, LUNG, PROSTATE AND COLORECTAL CANCERS;
   (K)  GEOGRAPHIC  SHORTAGE  OF  PRIMARY  CARE, PRENATAL/OBSTETRIC CARE,
 SPECIALTY MEDICAL CARE, HOME HEALTH CARE,  OR  CULTURALLY  AND  LINGUIS-
 TICALLY COMPATIBLE CARE;
   (L) ALCOHOL, TOBACCO, OR SUBSTANCE ABUSE;
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD00055-01-3
              

 S. 1451                             2
 
   (M) POST-TRAUMATIC STRESS DISORDER AND OTHER CONDITIONS MORE PREVALENT
 AMONG VETERANS OF THE UNITED STATES MILITARY SERVICES;
   (N)  ATTRACTING MEMBERS OF MINORITY POPULATIONS TO THE FIELD AND PRAC-
 TICE OF MEDICINE; AND
   (O) 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.