Requires home health care professionals to use the adverse childhood experience questionnaire in assessing the patient's health risks; makes Medicaid reimbursement of primary care providers contingent upon such use; requires the department of social services to report to the senate and assembly health committees.
STATE OF NEW YORK
________________________________________________________________________
6598
2023-2024 Regular Sessions
IN ASSEMBLY
April 24, 2023
___________
Introduced by M. of A. SOLAGES -- read once and referred to the Commit-
tee on Health
AN ACT to amend the social services law, in relation to requiring
patient's health home to use the adverse childhood experience ques-
tionnaire in assessing the patient's health risks and to making Medi-
caid reimbursement of primary care providers contingent upon the use
of the adverse childhood experience questionnaire; and to require the
commissioner of health to submit reports to the senate and assembly
health committees
The People of the State of New York, represented in Senate and Assem-bly, do enact as follows:
1 Section 1. The social services law is amended by adding two new
2 sections 365-l-1 and 365-l-2 to read as follows:
3 § 365-l-1. Standards for provision of health home services to Medicaid
4 enrollees with chronic conditions. Consistent with federal law to ensure
5 federal financial participation, a health care professional providing a
6 patient's health home shall:
7 1. provide comprehensive prevention and disease screening for his or
8 her patients and managing his or her patients' chronic conditions by
9 coordinating care;
10 2. enable patients to have access to personal health information
11 through a secure medium, such as through the internet, consistent with
12 federal health information technology standards;
13 3. collaborate with the community health teams, including by develop-
14 ing and implementing a comprehensive plan for participating patients;
15 4. utilize the adverse childhood experience questionnaire in assessing
16 a patent's health and health risks;
17 5. ensure access to a patient's medical records by the community
18 health team members in a manner compliant with the Health Insurance
19 Portability and Accountability Act, 12 V.S.A. § 1612, and 21 V.S.A. §
20 516; and
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD07124-01-3
A. 6598 2
1 6. meet regularly with the community health team to ensure integration
2 of a participating patient's care.
3 § 365-l-2. Adverse childhood experience questionnaire. Reimbursement
4 for primary care provided to a Medicaid patient shall be contingent upon
5 the provider's use of the adverse childhood experience questionnaire
6 (ACE-IQ) for the purpose of assessing the patient's health risks. As
7 used in this section, "primary care" means health services provided by
8 health care professionals to identify and treat asymptomatic individuals
9 who have risk factors or preclinical disease, but in whom the disease is
10 not clinically apparent, including immunizations and screening, coun-
11 seling, treatment, and medication determined by scientific evidence to
12 be effective in preventing or detecting a condition.
13 § 2. On or before December 15, 2023, the commissioner of health shall
14 submit a report to the senate and assembly health committees containing
15 recommendations on the following:
16 (a) whether and how trauma-informed care could be more widely incorpo-
17 rated into the practice of medicine throughout New York state; and
18 (b) whether and how the use of the advance childhood experience ques-
19 tionnaire and other preventive medical services could be expanded
20 throughout New York state.
21 § 3. This act shall take effect on the first of July next succeeding
22 the date upon which it shall have become a law.
