Bill Text: NY S08227 | 2019-2020 | General Assembly | Introduced


Bill Title: Relates to emergency medicine triage delivery of services; provides that health care services provided by means of emergency medicine triage shall be entitled to reimbursement.

Spectrum: Partisan Bill (Republican 4-0)

Status: (Introduced - Dead) 2020-04-27 - REFERRED TO HEALTH [S08227 Detail]

Download: New_York-2019-S08227-Introduced.html



                STATE OF NEW YORK
        ________________________________________________________________________

                                          8227

                    IN SENATE

                                     April 27, 2020
                                       ___________

        Introduced  by Sens. JORDAN, BORRELLO -- 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 emergency medicine
          triage delivery of services

          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:

     1    Section  1.  Legislative  findings  and intent. The legislature hereby
     2  finds and declares that  telemedicine  technology  has  vastly  expanded
     3  access to health care for New York State residents while maintaining the
     4  utmost  quality  of  care.  Technological advancements have succeeded in
     5  bringing health care to those  typically  unable  to  access  care  thus
     6  improving  continuity  of  care.  It is the intent of the legislature to
     7  expand these initiatives to include emergency  medical  triage  services
     8  within  the  Medicaid program to reduce unnecessary emergency department
     9  admissions while maintaining the quality care New York  State  residents
    10  deserve.    Emergency medical triage allows individuals to obtain health
    11  care services for acute medical emergencies  with  emergency  department
    12  physicians   through  available  technology  for  diagnosis,  treatment,
    13  prescriptions, triage, appropriate labs and imaging and patient  follow-
    14  up.  These services will help to reduce the burden on hospital emergency
    15  departments, which are oftentimes the first point of access to care  for
    16  members of the community.
    17    §  2. The public health law is amended by adding a new article 29-H to
    18  read as follows:
    19                                 ARTICLE 29-H
    20                          EMERGENCY MEDICINE TRIAGE
    21  Section 2999-ee. Definitions.
    22          2999-ff. Emergency medicine triage delivery of services.
    23    § 2999-ee. Definitions. As used in this article, the  following  terms
    24  shall have the following meanings:
    25    1.  "Distant  site" means a site at which an emergency medicine triage
    26  provider is located while delivering health care services  by  means  of
    27  emergency medicine triage.
    28    2. "Emergency medicine triage provider" means:

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD14596-02-0

        S. 8227                             2

     1    (a) a physician licensed pursuant to article one hundred thirty-one of
     2  the education law and credentialed by a regional emergency medical advi-
     3  sory committee;
     4    (b)  a  physician  assistant  licensed pursuant to article one hundred
     5  thirty-one-B of the education law under  the  direct  supervision  of  a
     6  regional emergency medical advisory committee credentialed physician;
     7    (c)  a  nurse  practitioner  licensed  pursuant to article one hundred
     8  thirty-nine of the education law  under  the  direct  supervision  of  a
     9  regional  emergency  medical  advisory committee credentialed physician;
    10  and
    11    (d) any other provider as determined by the commissioner  pursuant  to
    12  regulation.
    13    3.  "Originating  site"  means a site at which a patient is located at
    14  the time health care services are delivered to him or her  by  means  of
    15  emergency medicine triage.
    16    4.  "Emergency  medicine  triage" means the use of electronic communi-
    17  cation technologies by  emergency  medicine  triage  providers  for  the
    18  purpose of triaging a patient's level of medical severity and to deliver
    19  health care services, which may include assessment, diagnosis, treatment
    20  and referral, when an acute medical emergency occurs.
    21    § 2999-ff. Emergency medicine triage delivery of services. Health care
    22  services  delivered by means of emergency medicine triage shall be enti-
    23  tled to reimbursement under section three hundred sixty-seven-u  of  the
    24  social services law.
    25    §  3.  Notwithstanding  the provisions of any law to the contrary, the
    26  commissioner of health is authorized to approve social services district
    27  use of emergency medicine triage delivery services to improve the deliv-
    28  ery of quality health care services  in  a  cost-effective  manner.  The
    29  commissioner  shall evaluate the results of utilization of such program,
    30  including any savings  resulting  therefrom.  Any  such  savings,  after
    31  certification  by  the  director of the division of the budget, shall be
    32  shared equally with the applicable social services districts  to  offset
    33  the participating social services district's yearly net share of medical
    34  assistance  expenditures  in  a  manner  to be determined jointly by the
    35  commissioner of health and the director of the division of the budget.
    36    § 4. This act shall take effect immediately.
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