A08066 Summary:

BILL NO    A08066 

SAME AS    SAME AS S05906-A

SPONSOR    Perry (MS)

COSPNSR    Lentol, Brennan, Mosley, Camara, Millman, Colton, Robinson, Jacobs,
           Cymbrowitz, Abbate, Brook-Krasny

MLTSPNSR   Weinstein

Add Part Q S5-a, Chap 56 of 2013

Relates to SUNY Downstate Hospital.
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A08066 Actions:

BILL NO    A08066 

06/17/2013 referred to ways and means
01/08/2014 referred to ways and means
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A08066 Votes:

There are no votes for this bill in this legislative session.
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A08066 Memo:

NEW YORK STATE ASSEMBLY
MEMORANDUM IN SUPPORT OF LEGISLATION
submitted in accordance with Assembly Rule III, Sec 1(f)
 
BILL NUMBER: A8066
 
SPONSOR: Perry (MS)
  TITLE OF BILL: An act to amend part Q of chapter 56 of the laws of 2013 amending the education law and other laws relating to funding to SUNY Downstate Medical Center, in relation to a sustainability plan for a hospital   PURPOSE OR GENERAL IDEA OF BILL: To provide for the sustained operation of an independent SUNY Downstate Medical Center, using existing assets to leverage support for the expan- sion of community-based care.   SUMMARY OF SPECIFIC PROVISIONS: Section one establishes legislative intent. Section two sets conditions that must be included in order for the sustainability plan, as enacted in the State Fiscal Year 2013-14 budget, to be implemented, Subdivision (a) requires the establishment of ambulatory care clinics and provides for staffing levels therein. Subdivision (b) requires the net value of real estate at the Long Island College Hospital be monetized to support implementation of the plan and the solvency of SUNY Downstate Medical Center. Subdivision (c) requires SUNY Downstate Medical to develop curriculum for resident education at the freestanding clinics required under this legislation.   JUSTIFICATION: SUNY Downstate Medical Center is located in central Brooklyn and is comprised of the University Hospital of Brooklyn; the College of Medi- cine; the College of Health Related Professions; the College of Nursing; the School of Graduate Studies; and School of Public Health. SUNY Down- state employs approximately 8,000 faculty and staff and is the fourth largest employer in Brooklyn. SUNY Downstate plays a central role in the Brooklyn health care system that provides critical services to the borough's 2.5 million residents. SUNY Downstate's recent financial difficulties not only jeopardize the health care system in Brooklyn but the SUNY system as a whole. This bill provides leverages SUNY Downstate's existing resources to support a facility restructuring that will position the institution to become a leader in health care in Brooklyn.   HISTORY: New bill.   FISCAL IMPLICATIONS: This bill leverages SUNY Downstate's existing resources without the need for additional State support.   EFFECTIVE DATE: Effective immediately.
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A08066 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          8066
 
                               2013-2014 Regular Sessions
 
                   IN ASSEMBLY
 
                                      June 17, 2013
                                       ___________
 
        Introduced  by  M. of A. PERRY, LENTOL, BRENNAN, BARRON, MOSLEY, CAMARA,
          MILLMAN, COLTON, ROBINSON, JACOBS, CYMBROWITZ, MAISEL,  ABBATE,  ESPI-
          NAL,  BROOK-KRASNY  -- read once and referred to the Committee on Ways
          and Means
 
        AN ACT to amend part Q of chapter 56 of the laws of  2013  amending  the

          education  law  and  other  laws relating to funding to SUNY Downstate
          Medical Center, in relation to a sustainability plan for a hospital
 
          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:
 
     1    Section  1.  Legislative  intent.  The  legislature  hereby  finds and
     2  declares that a strong academic medical center which  controls  its  own
     3  and its affiliated clinical facilities is the central organizing princi-
     4  ple  of  urban  health  care  in America in 2013. SUNY Downstate Medical
     5  Center must fully maintain its public status and be the lead institution
     6  in meeting the significant unmet health care needs in Brooklyn including
     7  providing expanded primary and ambulatory care in the neighborhoods that
     8  need it the most. All other states' experience,  as  well  as  the  last

     9  seven  years of experience in Brooklyn, indicates that if SUNY Downstate
    10  does not take leadership of this mission it will not get done.
    11    Over the next three years, SUNY Downstate Hospital should  develop  up
    12  to  four  decentralized, freestanding primary and ambulatory care satel-
    13  lites.  Funding for these satellites is anticipated from monetizing  the
    14  net  asset  value  of  real estate acquired with the Long Island College
    15  Hospital while still operating Long Island College Hospital as a  health
    16  care  facility.  Two  thirds  of  the net asset value of the Long Island
    17  College Hospital real estate will be devoted to subsidy  of  SUNY  Down-
    18  state  Hospital  and  Long Island College Hospitals' operations during a
    19  three year transition and development period.
    20    The implementation of this legislation will make SUNY Downstate Hospi-

    21  tal sustainable and restore the state subsidy to its historic level. Its
    22  implementation is an alternative to closing LICH and laying off a  mini-
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD11556-02-3

        A. 8066                             2
 
     1  mum  of 600 health care workers in Brooklyn which has one of the highest
     2  unemployment rates in New York. It makes no sense to lay off health care
     3  workers if they can be  retrained  to  provide  the  primary  care  that
     4  central and western Brooklyn desperately needs.
     5    §  2.  Part Q of chapter 56 of the laws of 2013 amending the education
     6  law and other laws relating to funding to SUNY Downstate Medical Center,

     7  is amended by adding a new section 5-a to read as follows:
     8    § 5-a. The sustainability plan adopted pursuant  to  section  five  of
     9  this  act  shall  not  be  implemented  until  it contains the following
    10  provisions. (a) SUNY Downstate Hospital will operate up to  four  decen-
    11  tralized,  freestanding primary and ambulatory care satellites in commu-
    12  nity based settings.  These satellites will be staffed by  employees  of
    13  SUNY  Downstate  Hospital  who  shall  maintain their current collective
    14  bargaining representation, or, for satellites located in  the  community
    15  served  by  Long  Island  College  Hospital  by employees of Long Island
    16  College Hospital who shall maintain their current collective  bargaining

    17  representation.  The freestanding primary and ambulatory care satellites
    18  shall operate at least sixteen hours a day,  provide  a  full  range  of
    19  out-patient and ambulatory services as determined by community need, and
    20  collectively  employ  at least six hundred health care professionals and
    21  support staff. These freestanding primary and ambulatory care satellites
    22  must be established no later than three years  after  the  enactment  of
    23  this section.
    24    (b)  The  state  shall  monetize  the  net  asset value of real estate
    25  acquired with the Long Island College  Hospital  while  still  operating
    26  Long  Island College Hospital as a health care facility. The state divi-
    27  sion of budget shall develop a process that maximizes the value  of  the

    28  assets of Long Island College Hospital and shall consider the following:
    29  (i) leasing all or some of the property; (ii) a sale-leaseback of all or
    30  some  of  the  property; and (iii) establishing a real estate investment
    31  trust, with the proviso that the real assets continue to be used, in any
    32  of these arrangements, for the provision  of  inpatient  and  outpatient
    33  health  services. The assets of this process shall be used to retire the
    34  liabilities of Long Island College  Hospital  and  to  provide  start-up
    35  funding  for  the  freestanding  primary  and ambulatory care satellites
    36  established pursuant to subdivision (a) of this section. SUNY  Downstate
    37  Hospital  is authorized to apply for and receive funding from any avail-

    38  able state, local, and/or federal  sources  to  assist  in  establishing
    39  freestanding  primary  and ambulatory care satellites including, but not
    40  limited to, state grants  available  pursuant  to  section  twenty-eight
    41  hundred  eighteen  of the public health law and acceleration of payments
    42  pursuant to section twenty-eight hundred seven-k of  the  public  health
    43  law.
    44    (c)  SUNY Downstate College of Medicine shall develop a curriculum for
    45  the education of  resident  physicians  in  out-patient  and  ambulatory
    46  services  that shall be implemented in the four freestanding primary and
    47  ambulatory care satellites established pursuant to  subdivision  (a)  of
    48  this section.
    49    § 3. This act shall take effect immediately.
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