S01791 Summary:

Ren 3622 to be 3623, add 3623, Pub Health L
Enacts the "home health information and clinical technology act" to provide for the development and implementation of a health information and clinical technology infrastructure support program for the home care system.
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S01791 Actions:

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S01791 Committee Votes:

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S01791 Floor Votes:

There are no votes for this bill in this legislative session.
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S01791 Text:

                STATE OF NEW YORK
                               2019-2020 Regular Sessions
                    IN SENATE
                                    January 16, 2019
        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 enacting the "home
          health information and clinical technology act"
          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:
     1    Section  1.  Short title.  This act shall be known and may be cited as
     2  the "home health information and clinical technology act".
     3    § 2. Section 3622 of the public health law, as renumbered  by  section
     4  22  of  part  C of chapter 58 of the laws of 2004, is renumbered section
     5  3623 and a new section 3622 is added to read as follows:
     6    § 3622. Home health information  and  clinical  technology.    1.  The
     7  commissioner,  in consultation with representatives of home care provid-
     8  ers, managed care plans, statewide associations representative  of  home
     9  care,  and  other stakeholders engaged in the development and collabora-
    10  tive use of health information technology in home care, shall develop  a
    11  health   information  and  clinical  technology  infrastructure  support
    12  program for the home care system.  Such program shall seek to:
    13    (a) promote quality, accessibility, care  management,  innovation  and
    14  cost-effectiveness in care;
    15    (b) support state goals for home care participation in integrated care
    16  models under this chapter and the social services law including, but not
    17  limited  to,  medicaid  managed  care,  managed long term care, delivery
    18  system reform incentive payment programs, value  based  payment  models,
    19  fully  integrated  duals advantage plans, health homes, patient-centered
    20  medical homes, accountable care organizations, and  hospital-home  care-
    21  physician collaboration programs; and
    22    (c)  facilitate home care participation in regional health information
    23  organizations.
    24    2. The program shall include, but not be  limited  to,  the  following
    25  components:
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.

        S. 1791                             2
     1    (a) Capital grants. Subject to the availability of funds therefor, the
     2  commissioner  shall  be  authorized  to  make  available  and,  upon the
     3  approval of the director of the  budget,  to  provide  state  grants  to
     4  certified home health agencies, licensed home care services agencies and
     5  longterm  home  health care programs for clinical and health information
     6  technology. Such grants shall be provided  pursuant  to  an  application
     7  process  developed  by  the commissioner, in consultation with represen-
     8  tatives of the providers, managed care  plans  and  the  other  entities
     9  specified in subdivision one of this section;
    10    (b) Technology adjustment to episodic payment system. The commissioner
    11  is  authorized  to  provide  a  technology adjustment for certified home
    12  health agencies and contracted  licensed  home  care  services  agencies
    13  under  the  episodic  payment system established pursuant to subdivision
    14  thirteen of section thirty-six hundred fourteen of  this  article.  Such
    15  adjustment may be made as either a statewide base price adjustment or an
    16  add-on  to  the episodic rate, as the commissioner deems appropriate, to
    17  support the purposes of this section. The commissioner is authorized  to
    18  also  adjust,  for  said  purposes, the payment rates for long term home
    19  health care program providers;
    20    (c) Technology adjustment under  managed  care.  The  commissioner  is
    21  authorized  to  provide  a  technology  adjustment  to  managed care and
    22  managed long term care premiums established pursuant  to  section  three
    23  hundred  sixty-four-j  of the social services law and section forty-four
    24  hundred three-f of this chapter. Such adjustment  shall  be  in  amounts
    25  which  are  in  addition to other payments to managed care organizations
    26  and plans, and shall be provided for  health  information  and  clinical
    27  technology  support  for  home  care  providers  delivering  or managing
    28  services under contract with such plans, and shall promote the  purposes
    29  of this section;
    30    (d)  Technology support under the department's health workforce initi-
    31  atives.  The commissioner shall consider opportunities for clinical  and
    32  health  information  technology  support  within the department's initi-
    33  atives and funding for health workforce recruitment, training, retention
    34  and development. The commissioner shall seek to include such support for
    35  technology when deemed to further the purposes of this section  and  the
    36  specific  workforce  initiative,  and to the extent allowable under such
    37  workforce  funding.  Workforce  initiatives  under  this  section  shall
    38  include,  but  not be limited to, workforce funding authorized under the
    39  state's section eleven hundred fifteen  waiver  to  the  federal  social
    40  security act for the state's medical assistance program;
    41    (e)   Technology   incentive  under  managed  care  quality  incentive
    42  payments. On and after April first, two thousand twenty, the commission-
    43  er shall establish additional quality incentive payments to managed care
    44  and managed long term care  plans,  respectively,  pursuant  to  section
    45  three  hundred  sixty-four-j  of  the  social  services  law and section
    46  forty-four hundred three-f of this chapter, based on  evidence  of  plan
    47  support  for  home  care  clinical  and  health  information  technology
    48  consistent with the purposes of this section. Such amounts shall  be  in
    49  addition  to  any  other payments made to a managed care organization or
    50  plan, and support shall be evidenced in a plan's contracts and  payments
    51  to  home  care  providers and/or through other metrics identified by the
    52  commissioner in consultation with representatives of managed care organ-
    53  izations and plans;
    54    (f) Technology support under  the  delivery  system  reform  incentive
    55  payment program. The commissioner shall include a contingency to funding
    56  awarded to performing providers systems under the delivery system reform

        S. 1791                             3
     1  incentive  payment  program  such  that  the  performing provider system
     2  demonstrates to the satisfaction of the commissioner  that  it  provides
     3  programmatic and fiscal support for health information technology capac-
     4  ity  for  home  care  providers within such system's network, consistent
     5  with the purposes of this section.
     6    (g) Health care reform act  technology  funding.  Notwithstanding  any
     7  inconsistent  provision  of this chapter or the rules and regulations of
     8  the department, the commissioner, subject to the approval of the  direc-
     9  tor  of  the  budget,  is  authorized to redirect undistributed funds an
    10  aggregate annual amount of up to one hundred  million  dollars  for  the
    11  support of paragraphs (a), (b) and (c) of this subdivision.
    12    3.  The provisions of this section shall be implemented in a manner in
    13  collaboration with and consistent with the goals of the delivery  system
    14  reform incentive payment program and other technology initiatives under-
    15  taken by the state.
    16    § 3. This act shall take effect immediately.
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