Authorizes the department of health to establish medication and treatment compliance demonstration programs to assist persons with chronic health problems; provides that services provided as part of the program and related administrative expenses that are not otherwise eligible for coverage under funding sources shall be eligible for reimbursement under the medical assistance program as long as federal financial participation is available; requires interim report to the governor and legislature on or before 12/31/2014 and a final report on or before 12/31/2016; provides for expiration and repeal of act on 3/31/2017.
STATE OF NEW YORK
________________________________________________________________________
2274
2011-2012 Regular Sessions
IN SENATE
January 18, 2011
___________
Introduced by Sen. KRUGER -- read twice and ordered printed, and when
printed to be committed to the Committee on Health
AN ACT authorizing medication and treatment compliance demonstration
programs and providing for the repeal of such programs upon expiration
thereof
The People of the State of New York, represented in Senate and Assem-bly, do enact as follows:
1 Section 1. Medication and treatment compliance demonstration programs.
2 1. The department of health may establish one or more demonstration
3 programs to improve medication and treatment compliance of persons with
4 chronic health problems (referred to in this section as a "demonstration
5 program"). In doing so, the department of health shall work in cooper-
6 ation with one or more not-for-profit organizations that have demon-
7 strated expertise in providing services within the scope of a specific
8 disease or in the administration and monitoring of medication and treat-
9 ment regimens. A demonstration program may offer monitoring and support
10 services to patients diagnosed with chronic health problems including,
11 but not limited to, one or more of the following: congestive heart fail-
12 ure, brittle diabetes, chronic obstructive pulmonary disease, cancer,
13 bipolar disorders, schizophrenia, HIV/AIDS, transplant patients and for
14 wound care. Services to be offered in a demonstration program may
15 include, but are not limited to, a proactive telephone-based reminder,
16 verification, support and reporting service coupled with face-to-face
17 patient medication evaluations.
18 2. Enrollment in a demonstration program shall be voluntary for all
19 clients. A participating individual may discontinue his or her enroll-
20 ment at any time without cause. The commissioner of health shall review
21 and approve all enrollment and marketing materials for a demonstration
22 program.
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD06671-01-1
S. 2274 2
1 3. The department of health shall be responsible for regulating the
2 quality, appropriateness and cost effectiveness of a demonstration
3 program.
4 4. The department of health shall utilize to the extent possible all
5 potential sources of funding for demonstration programs including, but
6 not limited to, funding available through titles 18 and 19 of the feder-
7 al social security act. Additional sources may include but shall not be
8 limited to, private payments and donations. Services provided as part of
9 a demonstration program and related administrative expenses not other-
10 wise eligible for coverage under these or other funding sources shall be
11 eligible for reimbursement under the medical assistance program for the
12 purposes of this act as long as federal financial participation is
13 available.
14 5. The department of health shall provide an interim report to the
15 governor and the legislature on or before December 31, 2014 and a final
16 report on or before December 31, 2016 on results of demonstration
17 programs. Both reports shall include findings as to demonstration
18 programs' cost effectiveness, including the cost of maintaining the
19 person in the community, funding sources, identification of the client
20 group served, programmatic benefits and the effect on the need for
21 hospital or residential health care facility beds. In the final report,
22 the department of health shall offer recommendations as to whether
23 demonstration programs should be extended, modified, eliminated or made
24 permanent.
25 § 2. This act shall take effect immediately and shall expire and be
26 deemed repealed March 31, 2017.
