Bill Text: NY A05046 | 2017-2018 | General Assembly | Amended
Bill Title: 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.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Introduced - Dead) 2018-01-03 - referred to ways and means [A05046 Detail]
Download: New_York-2017-A05046-Amended.html
STATE OF NEW YORK ________________________________________________________________________ 5046--A 2017-2018 Regular Sessions IN ASSEMBLY February 6, 2017 ___________ Introduced by M. of A. GOTTFRIED -- read once and referred to the Committee on Health -- reported and referred to the Committee on Ways and Means -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee 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. The public health law is amended by adding a new section 3623 to 4 read as follows: 5 § 3623. Home health information and clinical technology. 1. The 6 commissioner, in consultation with representatives of home care provid- 7 ers, managed care plans, statewide associations representative of home 8 care, and other stakeholders engaged in the development and collabora- 9 tive use of health information technology in home care, shall develop a 10 health information and clinical technology infrastructure support 11 program for the home care system. Such program shall seek to: 12 (a) promote quality, accessibility, care management, innovation and 13 cost-effectiveness in care; 14 (b) support state goals for home care participation in integrated care 15 models under this chapter and the social services law including, but not 16 limited to, medicaid managed care, managed long term care, delivery 17 system reform incentive payment programs, value based payment models, 18 fully integrated duals advantage plans, health homes, patient-centered 19 medical homes, accountable care organizations, and hospital-home care- 20 physician collaboration programs; and 21 (c) facilitate home care participation in regional health information 22 organizations. EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD02572-02-7A. 5046--A 2 1 2. The program shall include, but not be limited to, the following 2 components: 3 (a) Capital grants. Subject to the availability of funds therefor, the 4 commissioner shall be authorized to make available and, upon the 5 approval of the director of the budget, to provide state grants to 6 certified home health agencies, licensed home care services agencies and 7 longterm home health care programs for clinical and health information 8 technology. Such grants shall be provided pursuant to an application 9 process developed by the commissioner, in consultation with represen- 10 tatives of the providers, managed care plans and the other entities 11 specified in subdivision one of this section; 12 (b) Technology adjustment to episodic payment system. The commissioner 13 is authorized to provide a technology adjustment for certified home 14 health agencies and contracted licensed home care services agencies 15 under the episodic payment system established pursuant to subdivision 16 thirteen of section thirty-six hundred fourteen of this article. Such 17 adjustment may be made as either a statewide base price adjustment or an 18 add-on to the episodic rate, as the commissioner deems appropriate, to 19 support the purposes of this section. The commissioner is authorized to 20 also adjust, for said purposes, the payment rates for long term home 21 health care program providers; 22 (c) Technology adjustment under managed care. The commissioner is 23 authorized to provide a technology adjustment to managed care and 24 managed long term care premiums established pursuant to section three 25 hundred sixty-four-j of the social services law and section forty-four 26 hundred three-f of this chapter. Such adjustment shall be in amounts 27 which are in addition to other payments to managed care organizations 28 and plans, and shall be provided for health information and clinical 29 technology support for home care providers delivering or managing 30 services under contract with such plans, and shall promote the purposes 31 of this section; 32 (d) Technology support under the department's health workforce initi- 33 atives. The commissioner shall consider opportunities for clinical and 34 health information technology support within the department's initi- 35 atives and funding for health workforce recruitment, training, retention 36 and development. The commissioner shall seek to include such support for 37 technology when deemed to further the purposes of this section and the 38 specific workforce initiative, and to the extent allowable under such 39 workforce funding. Workforce initiatives under this section shall 40 include, but not be limited to, workforce funding authorized under the 41 state's section eleven hundred fifteen waiver to the federal social 42 security act for the state's medical assistance program; 43 (e) Technology incentive under managed care quality incentive 44 payments. On and after April first, two thousand eighteen, the commis- 45 sioner shall establish additional quality incentive payments to managed 46 care and managed long term care plans, respectively, pursuant to section 47 three hundred sixty-four-j of the social services law and section 48 forty-four hundred three-f of this chapter, based on evidence of plan 49 support for home care clinical and health information technology 50 consistent with the purposes of this section. Such amounts shall be in 51 addition to any other payments made to a managed care organization or 52 plan, and support shall be evidenced in a plan's contracts and payments 53 to home care providers and/or through other metrics identified by the 54 commissioner in consultation with representatives of managed care organ- 55 izations and plans;A. 5046--A 3 1 (f) Technology support under the delivery system reform incentive 2 payment program. The commissioner shall include a contingency to funding 3 awarded to performing providers systems under the delivery system reform 4 incentive payment program such that the performing provider system 5 demonstrates to the satisfaction of the commissioner that it provides 6 programmatic and fiscal support for health information technology capac- 7 ity for home care providers within such system's network, consistent 8 with the purposes of this section. 9 (g) Health care reform act technology funding. Notwithstanding any 10 inconsistent provision of this chapter or the rules and regulations of 11 the department, the commissioner, subject to the approval of the direc- 12 tor of the budget, is authorized to redirect undistributed funds an 13 aggregate annual amount of up to one hundred million dollars for the 14 support of paragraphs (a), (b) and (c) of this subdivision. 15 3. The provisions of this section shall be implemented in a manner in 16 collaboration with and consistent with the goals of the delivery system 17 reform incentive payment program and other technology initiatives under- 18 taken by the state. 19 § 3. This act shall take effect immediately.
