Bill Text: NY A06439 | 2009-2010 | General Assembly | Introduced


Bill Title: Creates a pilot project for filing medical assistance applications for inmates in specialized "reentry" units prior to release; provides that inmates determined to be eligible for medical assistance would be enrolled in Medicaid upon release from custody.

Spectrum: Partisan Bill (Democrat 32-0)

Status: (Introduced - Dead) 2010-01-06 - referred to correction [A06439 Detail]

Download: New_York-2009-A06439-Introduced.html
                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                         6439
                              2009-2010 Regular Sessions
                                 I N  A S S E M B L Y
                                     March 4, 2009
                                      ___________
       Introduced  by  M.  of  A.  AUBRY,  BENJAMIN,  ORTIZ, GREENE, GOTTFRIED,
         JEFFRIES,  CARROZZA,  SCHROEDER,  MILLMAN,  CLARK,  LANCMAN,  PERALTA,
         TITONE,  WRIGHT,  ESPAILLAT,  COLTON -- Multi-Sponsored by -- M. of A.
         BRENNAN, COOK, DIAZ, GLICK, JACOBS, JOHN,  KELLNER,  MAISEL,  McENENY,
         PHEFFER,  REILLY, ROBINSON, SCARBOROUGH, WEISENBERG, ZEBROWSKI -- read
         once and referred to the Committee on Correction
       AN ACT to amend the correction law, in  relation  to  creating  a  pilot
         project  for  filing medical assistance applications for inmates prior
         to their release and providing for the repeal of such provisions  upon
         expiration thereof
         THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section 1. Legislative findings. The  legislature  hereby  finds  that
    2  inmates  face  significant health issues and suffer from relatively high
    3  rates of infectious diseases, mental illness, chronic drug  and  alcohol
    4  addictions,  and other conditions such as diabetes, asthma and hyperten-
    5  sion. Research has shown that individuals who are enrolled  in  Medicaid
    6  upon  release  from  incarceration, and therefore have access to medical
    7  and mental health care and drug treatment, are less likely to  be  rear-
    8  rested  and  to  engage  in  unhealthy behaviors. Additionally, multiple
    9  studies have shown that providing adequate medical assistance to persons
   10  returning from incarceration produces  considerable  fiscal  savings  by
   11  reducing  costs  associated with drug use and related crime and fighting
   12  the spread of communicable diseases like HIV and hepatitis.
   13    Therefore, the legislature finds  that  ensuring  access  to  Medicaid
   14  benefits  for  persons immediately upon their release from incarceration
   15  is essential to ensure adequate medical care, drug treatment and  mental
   16  health services.
   17    In  2007,  New York law was changed to allow for the suspension rather
   18  than termination  of  Medicaid  eligibility  upon  incarceration.  As  a
   19  result,  inmates  who are enrolled in Medicaid immediately before admis-
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD07935-01-9
       A. 6439                             2
    1  sion to the correctional system have their Medicaid  benefits  suspended
    2  rather  than  terminated  and therefore have access to Medicaid coverage
    3  upon release.  It is estimated that twenty to thirty percent of  inmates
    4  have  Medicaid  coverage  immediately  before their admission to prison.
    5  Nonetheless, many inmates who are not enrolled  in  Medicaid  when  they
    6  enter prison will require Medicaid coverage upon release.
    7    The  legislature finds that the most efficient way to facilitate Medi-
    8  caid coverage for eligible  inmates  upon  release  from  prison  is  to
    9  require  trained  correctional staff to file medical assistance applica-
   10  tions on behalf of inmates before their release to ensure that  Medicaid
   11  benefits  are available on the day of release. The department of correc-
   12  tional services is in the process of establishing specialized  "re-entry
   13  units"  to  assist  inmates  with their transition to the community. The
   14  department has indicated that inmates will be  sent  to  such  units  at
   15  least  ninety  days before their anticipated release and receive various
   16  re-entry related services including mentoring training, substance  abuse
   17  treatment,  job  training  and job placement counseling, family support,
   18  and educational programming.
   19    Therefore, the legislature finds that these "re-entry units"  are  the
   20  ideal  setting  to  institute  a  pilot  project  to ensure that inmates
   21  released from such units have access to Medicaid coverage at the  moment
   22  of release from prison. The legislature further finds that such applica-
   23  tions  for  medical  assistance  filed  on  behalf  of inmates should be
   24  submitted directly to and processed by the New York state department  of
   25  health  in  order  to  expedite  the  process  and  ensure coverage upon
   26  release.
   27    S 2. The correction law is amended by adding a new section 144 to read
   28  as follows:
   29    S 144. PILOT PROJECT FOR FILING MEDICAL  ASSISTANCE  APPLICATIONS  FOR
   30  INMATES  PRIOR  TO  THEIR RELEASE. 1.   THE COMMISSIONER SHALL DESIGNATE
   31  STAFF AT EACH STATE CORRECTIONAL FACILITY, OR PART OF  A  STATE  CORREC-
   32  TIONAL  FACILITY,  OPERATING  AS  A RE-ENTRY UNIT, TO PREPARE AND SUBMIT
   33  APPLICATIONS FOR MEDICAL ASSISTANCE ESTABLISHED UNDER  TITLE  ELEVEN  OF
   34  ARTICLE  FIVE  OF  THE SOCIAL SERVICES LAW, ON BEHALF OF EACH INMATE WHO
   35  WAS NOT RECEIVING  SUCH  MEDICAL  ASSISTANCE  IMMEDIATELY  BEFORE  BEING
   36  ADMITTED  TO  THE  CUSTODY OF THE DEPARTMENT. SUCH APPLICATIONS SHALL BE
   37  SUBMITTED TO THE COMMISSIONER OF HEALTH PURSUANT TO SUBDIVISION  TWENTY-
   38  FOUR  OF  SECTION  TWO  HUNDRED  SIX  OF  THE PUBLIC HEALTH LAW AT LEAST
   39  FORTY-FIVE DAYS BEFORE THE ANTICIPATED RELEASE, CONDITIONAL  RELEASE  OR
   40  DISCHARGE OF SUCH INMATES.
   41    2.  NOTWITHSTANDING ANY INCONSISTENT PROVISION OF LAW, UPON RECEIPT OF
   42  AN APPLICATION FOR MEDICAL ASSISTANCE FOR AN INMATE PURSUANT TO SUBDIVI-
   43  SION ONE OF THIS SECTION, THE COMMISSIONER OF HEALTH SHALL DETERMINE THE
   44  ELIGIBILITY OF SUCH INMATE FOR ENROLLMENT IN  THE  MEDICAL    ASSISTANCE
   45  PROGRAM  ESTABLISHED  UNDER  TITLE  ELEVEN OF ARTICLE FIVE OF THE SOCIAL
   46  SERVICES LAW OR THE FAMILY HEALTH PLUS PROGRAM ESTABLISHED  UNDER  TITLE
   47  ELEVEN-D  OF ARTICLE FIVE OF THE SOCIAL SERVICES LAW. SUCH DETERMINATION
   48  SHALL BE BASED ON WHETHER THE INMATE, EXCEPT FOR HIS OR HER STATUS AS AN
   49  INMATE, WOULD BE ELIGIBLE TO RECEIVE MEDICAL ASSISTANCE.  ENROLLMENT  IN
   50  THE  MEDICAL ASSISTANCE PROGRAM SHALL BE EFFECTIVE ON THE DATE AN ELIGI-
   51  BLE INMATE IS RELEASED, CONDITIONALLY RELEASED OR  DISCHARGED  FROM  THE
   52  DEPARTMENT  AND  THE  MEDICAL  ASSISTANCE  IDENTIFICATION  CARD SHALL BE
   53  PROVIDED TO THE INMATE UPON HIS OR HER RELEASE, CONDITIONAL  RELEASE  OR
   54  DISCHARGE FROM THE  DEPARTMENT.
       A. 6439                             3
    1    3.  THE  DIVISION  OF PAROLE SHALL ASSIST THE DEPARTMENT IN ANY MANNER
    2  NECESSARY TO ASSURE THAT THE PURPOSES AND OBJECTIVES OF THIS SECTION ARE
    3  EFFECTIVELY ACCOMPLISHED.
    4    4.  FOR  THE PURPOSES OF THIS SECTION, "RE-ENTRY UNIT" MEANS A PROGRAM
    5  ESTABLISHED IN A CORRECTIONAL   FACILITY,  OR  PART  OF  A  CORRECTIONAL
    6  FACILITY, OPERATED AS A JOINT EFFORT BY THE DEPARTMENT AND THE  DIVISION
    7  OF  PAROLE  FOR THE PURPOSE OF TRANSFERRING INMATES TO SUCH UNIT SHORTLY
    8  BEFORE THEIR ANTICIPATED RELEASE FROM THE  DEPARTMENT  TO  PROVIDE  SUCH
    9  INMATES WITH PROGRAMS, TREATMENT AND SERVICES TO ASSIST WITH THEIR TRAN-
   10  SITION  TO  THE COMMUNITY UPON RELEASE, PROVIDED THAT THIS SECTION SHALL
   11  NOT APPLY TO A RE-ENTRY UNIT ESTABLISHED  AT  THE  ORLEANS  CORRECTIONAL
   12  FACILITY.
   13    S 3. This act shall take effect on the one hundred eightieth day after
   14  it shall have become a law and shall expire and be deemed repealed April
   15  1, 2012.
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