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A01155 Summary:

Amd §2805-x, Pub Health L
Relates to collaborative models for addressing health care disparities.
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A01155 Actions:

01/07/2021referred to health
02/24/2021reported referred to ways and means
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A01155 Memo:

submitted in accordance with Assembly Rule III, Sec 1(f)
SPONSOR: Peoples-Stokes
  TITLE OF BILL: An act to amend the public health law, in relation to collaborative models for addressing health care disparities   PURPOSE OR GENERAL IDEA OF BILL:   SUMMARY OF PROVISIONS: Section one of the bill would amend subdivision 4 of section 2805-x of the public health law, Hospital-Home Care-Physician Collaborative Program, by adding a new paragraph .(d), to authorize programs which address issues of healthcare access and/or treatment which contribute to health disparities among certain populations within the State.   JUSTIFICATION: There are many definitions of health disparities. Healthy People 2020, a federal health promotion and disease prevention initiative, defines a health disparity as: "a particular type of health difference that is closely linked with social, economic, and/or environmental disadvantage. Health disparities adversely affect groups of people who have systemat- ically experienced greater obstacles to health based on their racial or ethnic group; religion; socioeconomic status; gender; age; mental health; cognitive, sensory, or physical disability; sexual orientation or gender identity; geographic location; or other characteristics historically linked to discrimination or exclusion." By authorizing programs of collaboration between hospitals, home care agencies and physicians targeted at health disparities, this bill would encourage health care innovations designed to improve health outcomes for under- served persons and, reduce health care costs within the State.   PRIOR LEGISLATIVE HISTORY: A.6772 of 2019/2020; A.2925 of 2017/2018; A.10693 of 2015/2016.   FISCAL IMPLICATIONS FOR STATE AND LOCAL GOVERNMENTS: There are no fiscal impacts resulting from this bill. The bill would provide additional direction for an existing program to include health care disparities within its focus. Funding for the collaboration models comes from a combination of State appropriation, Federal waivers and the tobacco control and insurance initiative Health Care Reform Act (HCRA) pool, and would not be affected.   EFFECTIVE DATE: This act shall take effect immediately
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A01155 Text:

                STATE OF NEW YORK
                               2021-2022 Regular Sessions
                   IN ASSEMBLY
                                     January 7, 2021
        Introduced  by  M. of A. PEOPLES-STOKES -- read once and referred 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:

     1    Section 1. Subdivision 4 of section 2805-x of the public health law is
     2  amended by adding a new paragraph (d) to read as follows:
     3    (d) Collaborative programs  to  address  disparities  in  health  care
     4  access  or treatment, and/or conditions of higher prevalence, in certain
     5  populations, where such collaborative programs could provide and  manage
     6  services  in a more effective, person-centered and cost-efficient manner
     7  for reduction or elimination of such disparities.
     8    (i) Such programs may target one  or  more  disparate  conditions,  or
     9  areas  of under-service, evidenced in defined populations, including but
    10  not be limited to:
    11    (A) cardiovascular disease;
    12    (B) hypertension;
    13    (C) diabetes;
    14    (D) obesity;
    15    (E) asthma;
    16    (F) sickle cell disease;
    17    (G) sepsis;
    18    (H) lupus;
    19    (I) breast, lung, prostate and colorectal cancers;
    20    (J) geographic shortage  of  primary  care,  prenatal/obstetric  care,
    21  specialty  medical  care,  home  health care, or culturally and linguis-
    22  tically compatible care;
    23    (K) alcohol, tobacco, or substance abuse;
    24    (L) post-traumatic stress disorder and other conditions more prevalent
    25  among veterans of the United States military services;
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.

        A. 1155                             2
     1    (M) attracting members of minority populations to the field and  prac-
     2  tice of medicine; and
     3    (N) such other areas approved by the commissioner.
     4    (ii)  Collaborative  hospital-home  care-physician,  and as applicable
     5  additional partner, models may include under such disparities programs:
     6    (A) service planning and design;
     7    (B) recruitment of specialty personnel and/or  specialty  training  of
     8  professionals or other direct care personnel (including physicians, home
     9  care and hospital staffs), patients and informal caregivers;
    10    (C) continuing medical education and clinical training for physicians,
    11  follow-up evaluations, and supporting educational materials;
    12    (D)  use of evidenced-based approaches and/or best practices to treat-
    13  ment;
    14    (E) reimbursement of uncovered services;
    15    (F) bundled or other integrated payment methods to support the  neces-
    16  sary, coordinated and cost-effective services;
    17    (G)  regulatory  waivers to facilitate flexibility in provider collab-
    18  oration and person-centered care;
    19    (H) patient/family peer support and education;
    20    (I) data collection, research and evaluation of efficacy; and/or
    21    (J) other components or innovations satisfactory to the commissioner.
    22    (iii) Nothing contained in this paragraph shall prevent  a  physician,
    23  physicians group, home care agency, or hospital from individually apply-
    24  ing for said grant.
    25    (iv)  The  commissioner shall consult with physicians, home care agen-
    26  cies, hospitals, consumers,  statewide  associations  representative  of
    27  such  participants,  and  other  experts  in health care disparities, in
    28  developing an application process for grant funding or rate  adjustment,
    29  and  for  request of state regulatory waivers, to facilitate implementa-
    30  tion of disparities programs under this paragraph.
    31    § 2. This act shall take effect immediately.
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