BILL NO A00810
SAME AS No same as
SPONSOR Gunther (MS)
COSPNSR Lifton, Steck, Cook, Palmesano
MLTSPNSR Duprey
Ren S3622 to be S3623, add S3622, Pub Health L
Creates a rural home health flexibility program.
BILL NUMBER:A810
TITLE OF BILL: An act to amend the public health law, in relation to
creating a rural home health flexibility program
PURPOSE OR GENERAL IDEA OF BILL: To provide for regulatory flexibility
in the establishment and provision of home care services in rural
areas, in order to provide for access and efficiency of care and to
facilitate overall rural health care systems.
SUMMARY OF PROVISIONS: Creates a new S 3622 of the public health law,
the "Rural Home Health Flexibility Program. Authorizes; provides a
framework for, and directs the State Commissioner of Health to
consider proposals from providers operating in rural counties for
regulatory' flexibility for the establishment and/or operation of new
and/or existing home care services for the community, including
proposals to enhance the administration, services, and quality of care
provided by a home care agency or program in such an area.
JUSTIFICATION: There are enormous challenges to the provision and
accessibility of home health care and long term home health "care
program services in rural areas. Limitations in the health care
workforce, service diversity and volume combine with large geographic
distances and difficult topography, sparse population, small-size
economy and other characteristics to create extraordinary obstacles to
service.
Especially in this context, well intended, but often ridged,
inordinately costly and/or unattainable regulations risk the viability
and sustainability of rural home care agencies and their mission. This
is made exponentially more difficult in the state's current fiscal
climate, with constant reimbursement reductions and the lack of new
sources of funding to respond to these challenges.
This proposed Rural Home Health Flexibility Program is necessary to
provide vital regulatory flexibility to support the development and
maintenance of rural home health capacity as well as the operation and
innovativeness of rural agencies and their delivery of patient
services. The establishment and sustainability of these services is
further critical to the operation and cost-efficiency of the entire
rural health system, which depends upon viable home care.
PRIOR LEGISLATIVE HISTORY: 2013-14: A1721 referred to Health 2011-12:
A7895 referred to Health/S5448 referred to Health
FISCAL IMPLICATIONS: Potential cost-savings to the state and rural
home care providers and communities through regulatory flexibility and
through sustainability of cost-effective home care services in these
communities as a result of this legislation.
EFFECTIVE DATE: This act takes effect immediately.
S T A T E O F N E W Y O R K
________________________________________________________________________
810
2015-2016 Regular Sessions
I N A S S E M B L Y
January 7, 2015
___________
Introduced by M. of A. GUNTHER, LIFTON, STECK, COOK, PALMESANO --
Multi-Sponsored by -- M. of A. DUPREY -- read once and referred to the
Committee on Health
AN ACT to amend the public health law, in relation to creating a rural
home health flexibility program
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
1 Section 1. Section 3622 of the public health law, as renumbered by
2 section 22 of part C of chapter 58 of the laws of 2004, is renumbered
3 section 3623 and a new section 3622 is added to read as follows:
4 S 3622. RURAL HOME HEALTH FLEXIBILITY PROGRAM. 1. THE LEGISLATURE
5 FINDS AND DECLARES THAT THE PROVISION AND ACCESSIBILITY OF HOME HEALTH
6 CARE AND LONG TERM HOME HEALTH CARE PROGRAM SERVICES IN RURAL AREAS
7 NECESSITATES REGULATORY FLEXIBILITY IN ORDER FOR LIMITED RESOURCES TO BE
8 BEST UTILIZED AND MAXIMIZED TO MEET THE HEALTH CARE NEEDS OF RURAL CITI-
9 ZENS AND TO PROMOTE THE EFFICIENCY OF THE DELIVERY OF SERVICES IN RURAL
10 AREAS. THE LEGISLATURE THEREFORE ESTABLISHES A RURAL HOME HEALTH FLEXI-
11 BILITY PROGRAM FOR SUCH PURPOSES.
12 2. PURSUANT TO THE PURPOSES OF THIS SECTION, THE COMMISSIONER,
13 NOTWITHSTANDING ANY INCONSISTENT PROVISION OF LAW OR REGULATION, SHALL
14 CONSIDER FOR APPROVAL PROPOSALS FROM PROVIDERS OPERATING UNDER THIS
15 ARTICLE AND SERVING RURAL COUNTIES TO:
16 (A) CREATE AND OPERATE A LONG TERM HOME HEALTH CARE PROGRAM WHICH DOES
17 NOT PROVIDE ALL THE REQUIRED SERVICES SPECIFIED IN REGULATIONS OF THE
18 DEPARTMENT, PROVIDED THAT:
19 (I) THERE IS DEMONSTRATED NEED FOR SUCH PROGRAM IN THE SERVICE AREA;
20 AND
21 (II) THE APPLICANT TO PROVIDE SUCH PROGRAM DEMONSTRATES TO THE COMMIS-
22 SIONER'S SATISFACTION THAT SUCH APPLICANT HAS MADE, AND CONTINUES TO
23 MAKE, ALL APPROPRIATE EFFORTS TO PROVIDE ALL REQUIRED SERVICES BUT THAT
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD01654-01-5
A. 810 2
1 THE LACK OF AVAILABLE HEALTH PERSONNEL WITHIN THE SERVICE AREA IS AN
2 OBSTACLE.
3 (B) ESTABLISH OR OPERATE A CERTIFIED HOME HEALTH AGENCY OR LONG TERM
4 HOME HEALTH CARE PROGRAM WHICH SERVES A GEOGRAPHIC AREA LESS THAN AN
5 ENTIRE PLANNING AREA WHEN:
6 (I) NO OTHER PROVIDER OTHERWISE SERVES THE ENTIRE PLANNING AREA;
7 (II) COLLABORATIVE APPROACHES TO THE SERVICE OF CITIZENS IN THE PLAN-
8 NING AREA IS APPROPRIATE FOR FEASIBILITY AND EFFICIENCY; AND
9 (III) THE DEPARTMENT IS SATISFIED THAT SUCH COLLABORATION WILL RESULT
10 IN ACCESSIBLE AND ECONOMICALLY-FEASIBLE SERVICES WITHIN THE PLANNING
11 AREA.
12 (C) QUALIFY FOR HOME TELEHEALTH REIMBURSEMENT PURSUANT TO THIS ARTICLE
13 WHEN ALL OF THE CONDITIONS ORDINARILY REQUIRED FOR SUCH REIMBURSEMENT OR
14 SERVICES ARE UNABLE TO BE MET, PROVIDED THAT THE APPLICANT DEMONSTRATES,
15 AND CONTINUES TO UNDERTAKE, BEST EFFORTS TO MEET SUCH REQUIREMENTS AND
16 THAT THE QUALITY OR SAFETY OF PATIENT CARE WILL NOT BE DIMINISHED AS A
17 RESULT.
18 (D) BE EXEMPTED FROM THE APPLICABILITY OF A REGULATORY REQUIREMENT, OR
19 ANY PART THEREOF, THAT IMPOSES ADVERSE IMPACTS ON SUCH RURAL PROVIDERS
20 WHEN:
21 (I) SUCH IMPACTS HAVE BEEN IDENTIFIED BY THE DEPARTMENT PURSUANT TO
22 ARTICLE TWO OF THE STATE ADMINISTRATIVE PROCEDURE ACT; AND
23 (II) COMPLIANCE WITH SUCH REQUIREMENTS WOULD BE OVERLY BURDENSOME
24 BECAUSE OF THE CONSTRAINTS OR DEMANDS OF THE PROVIDER'S RURAL AREA, OR
25 THE PROVIDER'S RESOURCES.
26 (E) RECEIVE APPROVAL FOR SUCH OTHER AREAS OF FLEXIBILITY THE COMMIS-
27 SIONER IDENTIFIES, WITH THE ASSISTANCE OF THE WORKGROUP AUTHORIZED IN
28 SUBDIVISION THREE OF THIS SECTION, APPROPRIATE TO THE PURPOSES OF THIS
29 SECTION, INCLUDING PROPOSALS TO ENHANCE THE ADMINISTRATION, SERVICES AND
30 QUALITY OF CARE PROVIDED BY A HOME CARE AGENCY OR PROGRAM, PROVIDED THAT
31 SUCH FLEXIBILITY DOES NOT COMPROMISE THE QUALITY AND SAFETY OF SERVICES
32 PROVIDED.
33 3. THE COMMISSIONER SHALL CONVENE A TEMPORARY WORKGROUP COMPRISED OF
34 REPRESENTATIVES OF CERTIFIED HOME HEALTH AGENCIES, LONG TERM HOME HEALTH
35 CARE PROGRAMS AND LICENSED HOME CARE SERVICES AGENCIES SERVING RURAL
36 COUNTIES, AS WELL AS RURAL CONSUMERS AND RURAL WORKFORCE REPRESEN-
37 TATIVES, TO ASSIST IN IDENTIFYING ADDITIONAL AREAS FOR FLEXIBILITY IN
38 THE DEPARTMENT'S RULES, REGULATIONS AND ADMINISTRATIVE REQUIREMENTS,
39 CONSISTENT WITH THE PURPOSES OF THIS SECTION.
40 S 2. This act shall take effect immediately.
