NY State Senate Bill 2023-S6641A

Senate Bill S6641A

Signed By Governor

2023-2024 Legislative Session

Provides for reimbursements for certain home health services that meet the definition of core public health services

download bill text pdf

Current Bill Status Via A7365 - Signed by Governor

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

Please enter your contact information

First Name

Last Name

Email Address

A valid email address is required.

Home address is used to determine the senate district in which you reside. Your support or opposition to this bill is then shared immediately with the senator who represents you.

Optional services from the NY State Senate:

Create an account. An account allows you to officially support or oppose key legislation, sign petitions with a single click, and follow issues, committees, and bills that matter to you. When you create an account, you agree to this platform's terms of participation.

Include a custom message for your Senator? (Optional)

Enter a message to your senator. Many New Yorkers use this to share the reasoning behind their support or opposition to the bill. Others might share a personal anecdote about how the bill would affect them or people they care about.

Actions

View Actions

	Assembly Actions - Lowercase Senate Actions - UPPERCASE
Dec 22, 2023	approval memo.71 signed chap.748
Dec 12, 2023	delivered to governor
Jun 07, 2023	returned to assembly passed senate 3rd reading cal.1531 substituted for s6641a
Jun 07, 2023	substituted by a7365
Jun 01, 2023	ordered to third reading cal.1531 committee discharged and committed to rules
May 23, 2023	reported and committed to finance
May 15, 2023	print number 6641a
May 15, 2023	amend and recommit to health
May 03, 2023	referred to health

Votes

- Jun 7, 2023 - Floor Vote
  A7365
  
  61
  
  Aye
  
  0
  
  Nay
  
  0
  
  Absent
  
  2
  
  Excused
  
  0
  
  Abstained
  - - Floor Vote: Jun 7, 2023
      
      aye (61)
      
      Addabbo Jr.
      
      Ashby
      
      Bailey
      
      Borrello
      
      Breslin
      
      Brisport
      
      Brouk
      
      Canzoneri-Fitzpatrick
      
      Chu
      
      Cleare
      
      Comrie
      
      Fernandez
      
      Gallivan
      
      Gianaris
      
      Gonzalez
      
      Gounardes
      
      Griffo
      
      Harckham
      
      Helming
      
      Hinchey
      
      Hoylman-Sigal
      
      Jackson
      
      Kavanagh
      
      Kennedy
      
      Krueger
      
      Lanza
      
      Liu
      
      Mannion
      
      Martinez
      
      Martins
      
      Mattera
      
      May
      
      Mayer
      
      Murray
      
      Myrie
      
      O'Mara
      
      Oberacker
      
      Ortt
      
      Palumbo
      
      Parker
      
      Persaud
      
      Ramos
      
      Rhoads
      
      Rivera
      
      Rolison
      
      Ryan
      
      Salazar
      
      Sanders Jr.
      
      Scarcella-Spanton
      
      Sepúlveda
      
      Serrano
      
      Skoufis
      
      Stavisky
      
      Stec
      
      Stewart-Cousins
      
      Tedisco
      
      Thomas
      
      Walczyk
      
      Webb
      
      Weber
      
      Weik
      
      excused (2)
      
      Cooney
      
      Felder
  Jun 1, 2023 - Rules Committee Vote
  S6641A
  
  16
  
  Aye
  
  0
  
  Nay
  
  5
  
  Aye with Reservations
  
  0
  
  Absent
  
  0
  
  Excused
  
  0
  
  Abstained
  - - Rules Committee Vote: Jun 1, 2023
      
      aye (16)
      
      Addabbo Jr.
      
      Bailey
      
      Breslin
      
      Comrie
      
      Fernandez
      
      Gallivan
      
      Gianaris
      
      Kennedy
      
      Krueger
      
      Liu
      
      Mayer
      
      Ortt
      
      Parker
      
      Sepúlveda
      
      Stewart-Cousins
      
      Thomas
      
      aye wr (5)
      
      Griffo
      
      Helming
      
      Lanza
      
      O'Mara
      
      Stec
  May 23, 2023 - Health Committee Vote
  S6641A
  
  15
  
  Aye
  
  0
  
  Nay
  
  0
  
  Aye with Reservations
  
  0
  
  Absent
  
  0
  
  Excused
  
  0
  
  Abstained
  - - Health Committee Vote: May 23, 2023
      
      aye (15)
      
      Ashby
      
      Brouk
      
      Felder
      
      Gallivan
      
      Hoylman-Sigal
      
      Mannion
      
      Martins
      
      May
      
      Myrie
      
      Rhoads
      
      Rivera
      
      Salazar
      
      Stec
      
      Thomas
      
      Webb

Bill Amendments

Original

A (Active)

2023-S6641 - Details

See Assembly Version of this Bill:: A7365
Law Section:: Public Health Law
Laws Affected:: Add §610, Pub Health L

2023-S6641 - Summary

Provides for reimbursements for certain home health services that meet the definition of core public health services.

2023-S6641 - Sponsor Memo

                                 
BILL NUMBER: S6641

SPONSOR: RIVERA
 
TITLE OF BILL:

An act to amend the public health law, in relation to licensure require-
ments and reimbursements for certain home health services

 
PURPOSE:

Provides for reimbursements for certain home health services that meet
the definition of core public health services

 
SUMMARY OF SPECIFIC PROVISIONS:

Section 1 amends section 3605 of Public Health Law, as it relates to
licensure of home care service agencies, by adding two new subdivisions
1-a and 1-b, to allow core public health services provided in the home
by local departments of a county or of the city of New York to provide
patient care without licensure and be eligible for reimbursement if
services provided meet federal and state requirements for such
reimbursement.

Section 2 sets an effective date.

 
JUSTIFICATION:

This bill will allow Local Health Departments to provide "light touch"
core public health services in the home to align the law and regulations
to the level of service provided. "Light touch" core public health
services in the home differ in scope, frequency, and level of clinical
care from services provided by traditional licensed home care services
agencies. These services could be immunizations, verbal assessments,
counseling, referral services, and lead screenings, all common services
already being successfully cared for by localities.

Relieving a local health department of the burden to monitor licensure
for this level of care would assure they are no longer being held to a
clinical regulatory model misaligned with the limited scope of in-home
public health services being provided. The decrease in monitoring needs
at the state and local level would result in administrative savings and
redeployment of the existing tax levies to meet other public health
needs.

 
LEGISLATIVE HISTORY:

New bill.

 
FISCAL IMPLICATIONS:

To be determined.

 
EFFECTIVE DATE:
This bill shall take effect immediately.

2023-S6641 - Bill Text download pdf

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   6641
 
                        2023-2024 Regular Sessions
 
                             I N  S E N A T E
 
                                May 3, 2023
                                ___________
 
 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 licensure require-
   ments and reimbursements for certain home health services
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1. Section 3605 of the public health law is amended by adding
 two new subdivisions 1-a and 1-b to read as follows:
   1-A. CORE PUBLIC HEALTH SERVICES, AS DEFINED IN  SECTION  SIX  HUNDRED
 TWO  OF  THIS  CHAPTER,  WHEN  PROVIDED  IN THE HOME BY THE LOCAL HEALTH
 DEPARTMENT OF A COUNTY OR OF THE CITY OF NEW  YORK,  SHALL  NOT  REQUIRE
 LICENSURE  UNDER  THIS  SECTION,  PROVIDED  THAT SUCH SERVICES SHALL NOT
 INCLUDE: HOME HEALTH AIDE SERVICES; PERSONAL CARE SERVICES;  OR  NURSING
 SERVICES  THAT  REQUIRE  MORE  THAN  MINIMAL  PATIENT  CONTACT.  FOR THE
 PURPOSES  OF  THIS  SUBDIVISION  THE  TERM  "MINIMAL  PATIENT   CONTACT"
 INCLUDES,  BUT  IS  NOT LIMITED TO, PROVIDING ASSESSMENTS OF NEW MOTHERS
 AND INFANTS, DIRECT OBSERVATION, AND  LEAD  SCREENING.  PATIENT  CONTACT
 SHALL  BE  CONSIDERED  MORE  THAN  MINIMAL  IF IT REQUIRES MORE THAN SIX
 PATIENT VISITS, EXCEPT WHERE THE SAME SERVICES CAN BE PROVIDED BY EITHER
 NURSE OR NON-NURSE PERSONNEL, THERE SHALL BE NO LIMIT ON THE  NUMBER  OF
 VISITS  NECESSARY  TO  PROVIDE  THE  CORE PUBLIC HEALTH SERVICES.   CORE
 PUBLIC HEALTH SERVICES THAT MAY BE PROVIDED WITHOUT A  LICENSE  PURSUANT
 TO THIS SUBDIVISION INCLUDE BUT ARE NOT LIMITED TO: IMMUNIZATIONS; TEST-
 ING FOR TUBERCULOSIS AND OBSERVATION OF TUBERCULOSIS SELF-DIRECTED THER-
 APY; VERBAL ASSESSMENT, COUNSELING AND REFERRAL SERVICES; AND SUCH OTHER
 SERVICES AS MAY BE DETERMINED BY THE DEPARTMENT.
   1-B.  CORE  PUBLIC  HEALTH SERVICES, AS DEFINED IN SECTION SIX HUNDRED
 TWO OF THIS CHAPTER, WHEN PROVIDED BY LOCAL HEALTH  DEPARTMENTS  IN  THE
 HOME  AS  AUTHORIZED  UNDER  SUBDIVISION  ONE-A  OF THIS SECTION, MAY BE
 ELIGIBLE FOR REIMBURSEMENT UNDER TITLE XIX OF THE FEDERAL SOCIAL SECURI-
 TY ACT PROVIDED THAT  THE  SERVICES  PROVIDED  MEET  FEDERAL  AND  STATE
 REQUIREMENTS FOR SUCH REIMBURSEMENT.
   § 2. This act shall take effect immediately.
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets

                       [ ] is old law to be omitted.
                                                            LBD11043-03-3

co-Sponsors

2023-S6641A (ACTIVE) - Details

See Assembly Version of this Bill:: A7365
Law Section:: Public Health Law
Laws Affected:: Add §610, Pub Health L

2023-S6641A (ACTIVE) - Summary

Provides for reimbursements for certain home health services that meet the definition of core public health services.

2023-S6641A (ACTIVE) - Sponsor Memo

                                 
BILL NUMBER: S6641A

SPONSOR: RIVERA
 
TITLE OF BILL:

An act to amend the public health law, in relation to licensure require-
ments and reimbursements for certain home health services

 
PURPOSE::

Provides for reimbursements for certain home health services that meet
the definition of core public health services

 
SUMMARY OF SPECIFIC PROVISIONS:

Section 1 adds a new section 610 to the public health law that allows a
nurse to visit the home and provide a core public health service, with-
out being subject to licensure, so long as it follows statutory require-
ments and is not intended to serve as nursing services. The commissioner
of health may determine if the services exceed the limits of the scope
of public health services, as well as establish the requirements for
reimbursement.

Section 2 provides the effective date.

 
JUSTIFICATION:

This bill will allow Local Health Departments to provide "light touch"
core public health services in the home to align the law and regulations
to the level of service provided. "Light touch" core public health
services in the home differ in scope, frequency, and level of clinical
care from services provided by traditional licensed home care services
agencies. These services could be immunizations, verbal assessments,
counseling, referral services, and lead screenings, all common services
already being successfully cared for by localities.

Relieving a local health department of the burden to monitor licensure
for this level of care would assure they are no longer being held to a
clinical regulatory model misaligned with the limited scope of in-home
public health services being provided. The decrease in monitoring needs
at the state and local level would result in administrative savings and
redeployment of the existing tax levies to meet other public health
needs.

 
LEGISLATIVE HISTORY::

New bill.

 
FISCAL IMPLICATIONS:

To be determined.

 
EFFECTIVE DATE::

This bill shall take effect immediately.

2023-S6641A (ACTIVE) - Bill Text download pdf

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  6641--A
 
                        2023-2024 Regular Sessions
 
                             I N  S E N A T E
 
                                May 3, 2023
                                ___________
 
 Introduced  by  Sen.  RIVERA -- read twice and ordered printed, and when
   printed to be committed  to  the  Committee  on  Health  --  committee
   discharged, bill amended, ordered reprinted as amended and recommitted
   to said committee
 
 AN ACT to amend the public health law, in relation to licensure require-
   ments and reimbursements for certain home health services
 
   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
 610 to read as follows:
   § 610. STATE AID; HOME VISIT CORE PUBLIC HEALTH SERVICES. 1.  NOTWITH-
 STANDING  ANY  OTHER PROVISION OF LAW, A VISIT TO THE HOME BY A NURSE TO
 PROVIDE A CORE PUBLIC HEALTH SERVICE, AS DEFINED IN SECTION SIX  HUNDRED
 TWO  OF  THIS  ARTICLE,  BY  A  COUNTY OR CITY PUBLIC HEALTH AGENCY THAT
 RECEIVES FUNDING UNDER THIS ARTICLE AND THAT IS FOR PURPOSES OF  MEETING
 STATUTORY  REQUIREMENTS OF THIS ARTICLE, AND IS NOT INTENDED TO SERVE AS
 NURSING SERVICES WITHIN THE MEANING OF ARTICLE THIRTY-SIX OF THIS  CHAP-
 TER,  SHALL  NOT  OTHERWISE  BE  SUBJECT  TO  LICENSURE  UNDER ANY OTHER
 PROVISION OF LAW.
   2. IF THE COMMISSIONER DETERMINES THAT THE SCOPE OF SERVICES  PROVIDED
 BY  A LOCAL HEALTH DEPARTMENT ESTABLISHED UNDER THIS SECTION EXCEEDS THE
 LIMITS PRESCRIBED, HE OR SHE MAY REQUIRE THAT SUCH CITY OR COUNTY PUBLIC
 HEALTH AGENCY BE SUBJECT TO THE REQUIREMENTS SET FORTH IN ARTICLE  THIR-
 TY-SIX OF THIS CHAPTER.
   3.  IF  THE  COMMISSIONER  DETERMINES  THAT  THE  CORE  PUBLIC  HEALTH
 SERVICES, AS DEFINED IN SECTION SIX HUNDRED TWO OF  THIS  ARTICLE,  WHEN
 PROVIDED  BY  LOCAL  HEALTH  DEPARTMENTS IN THE HOME AS AUTHORIZED UNDER
 THIS SECTION, ARE ELIGIBLE FOR REIMBURSEMENT  UNDER  TITLE  XIX  OF  THE
 FEDERAL  SOCIAL SECURITY ACT AND MEET FEDERAL AND STATE REQUIREMENTS FOR
 SUCH REIMBURSEMENT, A MUNICIPALITY SHALL SEEK REIMBURSEMENT AS  REQUIRED
 BY SUBDIVISION THREE OF SECTION SIX HUNDRED SIX OF THIS ARTICLE.
   § 2. This act shall take effect immediately.
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.

                                                            LBD11043-04-3

Comments

Open Legislation is a forum for New York State legislation. All comments are subject to review and community moderation is encouraged.

Comments deemed off-topic, commercial, campaign-related, self-promotional; or that contain profanity, hate or toxic speech; or that link to sites outside of the nysenate.gov domain are not permitted, and will not be published. Attempts to intimidate and silence contributors or deliberately deceive the public, including excessive or extraneous posting/posts, or coordinated activity, are prohibited and may result in the temporary or permanent banning of the user. Comment moderation is generally performed Monday through Friday. By contributing or voting you agree to the Terms of Participation and verify you are over 13.

Create an account. An account allows you to sign petitions with a single click, officially support or oppose key legislation, and follow issues, committees, and bills that matter to you. When you create an account, you agree to this platform's terms of participation.