Bill Text: NY S04351 | 2009-2010 | General Assembly | Introduced

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Bill Title: 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 12/31/2012 and a final report on or before 12/31/2014; provides for expiration and repeal of act on 3/31/2015.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2010-01-06 - REFERRED TO HEALTH [S04351 Detail]

Download: New_York-2009-S04351-Introduced.html

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                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                         4351
                              2009-2010 Regular Sessions
                                   I N  S E N A T E
                                    April 22, 2009
                                      ___________
       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 the expi-
         ration 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.
                                                                  LBD06413-01-9
       S. 4351                             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, 2012 and a  final
   16  report  on  or  before  December  31,  2014  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    S  2.  This  act shall take effect immediately and shall expire and be
   26  deemed repealed March 31, 2015.