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A06729 Summary:

BILL NOA06729
 
SAME ASSAME AS S07259
 
SPONSORSimone
 
COSPNSRBurdick
 
MLTSPNSR
 
Add §367-z, Soc Serv L
 
Requires social services districts to distribute educational materials pertaining to sexual health, including information on HIV prevention and pre-exposure prophylaxis to individuals enrolled in Medicaid.
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A06729 Actions:

BILL NOA06729
 
03/11/2025referred to social services
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A06729 Memo:

NEW YORK STATE ASSEMBLY
MEMORANDUM IN SUPPORT OF LEGISLATION
submitted in accordance with Assembly Rule III, Sec 1(f)
 
BILL NUMBER: A6729
 
SPONSOR: Simone
  TITLE OF BILL: An act to amend the social services law, in relation to requiring social services districts to distribute educational materials pertaining to sexual health to individuals enrolled in Medicaid   PURPOSE: To educate people who are at risk of becoming HIV positive on the preventative benefits of PEP and PrEP,   SUMMARY OF PROVISIONS: Section 1 of the bill amends the social services law to authorize the commissioner of social services to establish a sexual health education program for the purpose of providing knowledge to individuals enrolled in Medicaid plans about pre-exposure prophylaxis. Section 2 of the bill is the effective date.   JUSTIFICATION: Although significant strides have been made in the treatment and prevention of HIV, low income individuals and those with limited resources are still disproportionately at risk of contracting the virus. Far too often, new infections stem from lack of education regarding HIV prevention and treatment options or lack of access to care. Currently, many people at higher risk for HIV are eligible, for Medicaid, and/or members of mainstream Medicaid health plans. Nonetheless, many Medicaid health plan members are not receiving sexual health and HIV prevention education services that address PEP and PrEP. Populations at higher risk of becoming HIV+, including young same gender loving/MSM/gay/bi men of color, transgender women of color and women of color, will benefit from additional information about HIV preventative measures. As it currently stands, only Medicaid eligible transgender persons who are HIV negative or persons who are homeless are eligible to choose an HIV Special Needs Plan where more robust PrEP education is occurring. The New York State Department of Health (NYSDOH) AIDS Institute has estimated that to end the HIV epidemic in New York State, access to PEP and PrEP within the Medicaid program must increase from current access by 6,000 Medicaid members to 30,000 medicaid members who may end up using PEP and PrEP. In addition, recent increases from 3,000 to 6,000 Medicaid members accessing PrEP has occurred largely amongst gay white men, so it appears that furthering information access among other popu- lations would increase use. PEP and PrEP education have the potential for significant Medicaid cost savings -- For every averted HIV transmission, NYSDOH/Medicaid saves approximately $400,000-$500,000 in lifetime costs of HIV treatment. NYSDOH/Medicaid has already negotiated for supplemental manufacturer discounts on all HIV medications, regardless of the intended use (treat- ment or prevention). As such, costs for new PrEP scripts are already covered. NYSDOH/Medicaid could seek deeper discounts associated with the increased volume anticipated in Medicaid use of PEP and PrEP. It is also extremely important that, as we seek to let as many people as possible know about and access PEP and PrEP, it is critical that we protect the privacy of individuals considered part of high risk popu- lations, as well as every individual's medical history. Both within Medicaid, and when it comes to informing patients about their options, those administering education campaigns must be mindful to do so in a sensitive, culturally appropriate manner.   LEGISLATIVE HISTORY: 2023-2024: A.4416 2021-2022: A.8819   STATE AND LOCAL FISCAL IMPLICATIONS: To be determined   EFFECTIVE DATE:. This act shall take effect on the ninetieth day after it shall have become law.
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A06729 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          6729
 
                               2025-2026 Regular Sessions
 
                   IN ASSEMBLY
 
                                     March 11, 2025
                                       ___________
 
        Introduced  by M. of A. SIMONE, BURDICK -- read once and referred to the
          Committee on Social Services
 
        AN ACT to amend the social services law, in relation to requiring social
          services districts to distribute educational materials  pertaining  to
          sexual health to individuals enrolled in Medicaid

          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 a new  section
     2  367-z to read as follows:
     3    §  367-z.  Sexual  health  education  program.  1. The commissioner is
     4  authorized to establish  a  sexual  health  education  program  for  the
     5  purpose  of providing knowledge to members about pre-exposure prophylax-
     6  is. Such education program shall require social  services  districts  to
     7  produce  and  annually  distribute  educational  materials pertaining to
     8  sexual  education,  sexual  health,  HIV  prevention,  and  pre-exposure
     9  prophylaxis to individuals enrolled in Medicaid plans.
    10    2. Social services districts shall distribute such educational materi-
    11  als semi-annually to individuals deemed necessary to receive such educa-
    12  tional  materials  on a semi-annual basis.  Such districts shall utilize
    13  internal data, including claims data for sexually  transmitted  diseases
    14  and HIV tests, prescriptions for sexually transmitted diseases and other
    15  data  deemed  relevant  by  such  districts  to  identify individuals to
    16  receive such educational materials on a semi-annual basis.
    17    3. The AIDS institute shall oversee and  monitor  the  production  and
    18  distribution of such educational materials.
    19    §  2.  This  act shall take effect on the ninetieth day after it shall
    20  have become a law.
 

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD06208-01-5
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