Bill Text: NY S05079 | 2021-2022 | General Assembly | Introduced

Bill Title: Establishes a program of tiered eligibility for services offered by the office for people with developmental disabilities for persons with learning disabilities and other complex neurological impairments.

Spectrum: Partisan Bill (Democrat 5-0)

Status: (Introduced) 2021-02-23 - REFERRED TO DISABILITIES [S05079 Detail]

Download: New_York-2021-S05079-Introduced.html

                STATE OF NEW YORK


                               2021-2022 Regular Sessions

                    IN SENATE

                                    February 23, 2021

        Introduced  by  Sens.  PARKER, ADDABBO, BAILEY, KENNEDY, PERSAUD -- read
          twice and ordered printed, and when printed to  be  committed  to  the
          Committee on Disabilities

        AN  ACT  to  amend the mental hygiene law, in relation to establishing a
          program of tiered eligibility for services offered by the  office  for
          people with developmental disabilities for persons with learning disa-
          bilities and other complex neurological impairments

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

     1    Section 1. The mental hygiene law is amended by adding a  new  section
     2  41.59 to read as follows:
     3  § 41.59 Tiered services eligibility.
     4    1. Legislative findings and purpose. The legislature hereby finds that
     5  individuals  with  learning  disabilities and other complex neurological
     6  impairments are often not provided essential  support  and  habilitative
     7  services  due to the lack of established office for people with develop-
     8  mental disabilities' eligibility protocols.  This  includes  individuals
     9  with  learning disabilities, high functioning autism spectrum disorders,
    10  such as Asperger's Syndrome, and a number of other complex neurological-
    11  ly based cognitive disabilities. Unfortunately,  these  individuals  are
    12  then  left to navigate their lives and the challenges of their disabili-
    13  ties with minimal or no assistance. As a result, such individuals  often
    14  lead  lives  of great difficulty and vulnerability that may include, but
    15  are not limited to, extended periods of incarceration, lifelong  depend-
    16  ence  on  public assistance, substance abuse, and victimization, coupled
    17  with many other negative and costly outcomes. In response to this  grow-
    18  ing problem, the legislature hereby directs the commissioner of develop-
    19  mental  disabilities to develop and implement a program of tiered eligi-
    20  bility for office for people with developmental  disabilities'  services
    21  for  persons  with  learning disabilities and other complex neurological
    22  impairments. This tiered service-delivery model would allow services  to

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

        S. 5079                             2

     1  be  targeted and based on an individual's specific needs, which for some
     2  may be more intensive and for others relatively minimal. This model will
     3  also facilitate rapid response to  addressing  problems  encountered  by
     4  individuals in crisis.  Providing services that are truly needed will be
     5  more  cost  effective and a more sensible option than the current eligi-
     6  bility process utilized by the  office  for  people  with  developmental
     7  disabilities.
     8    2.  When  used  in  this article, unless otherwise expressly stated or
     9  unless the context otherwise requires:
    10    (a) "learning disability" means a disorder in one or more of the basic
    11  psychological processes involved in understanding or in using spoken  or
    12  written  language,  which may manifest itself in an imperfect ability to
    13  listen, think, speak, read, write, spell or to  do  mathematical  calcu-
    14  lations. This includes such conditions as perceptual disabilities, mini-
    15  mal brain dysfunction, dyslexia, dysgraphia, dyscalculia, dyspraxia, and
    16  developmental aphasia;
    17    (b)  "complex neurological impairment" means autism spectrum disorder,
    18  such as Asperger's Syndrome, or other cognitive disabilities of a  simi-
    19  lar nature and resulting in similar needs by affected individuals;
    20    (c) "intensive service navigation" means a service whose primary func-
    21  tion  is  to  connect  persons  with  learning disabilities and/or other
    22  complex neurological impairments to appropriate services  and  supports.
    23  Intensive  service navigation coordinates all services for a person with
    24  a learning disability or other complex neurological  impairment  includ-
    25  ing,  but  not  limited  to,  mental health services, parenting classes,
    26  support groups, recreational activities, vocational services, and educa-
    27  tional transitional planning and all basic needs of the individual.  The
    28  services  of  the  intensive  service  navigator  are  time  limited and
    29  oriented to short term crisis intervention.
    30    3. Notwithstanding any inconsistent provisions of this chapter or  any
    31  other  state  law,  the commissioner of developmental disabilities shall
    32  establish a program of tiered eligibility for services  offered  by  the
    33  office  for  people  with  developmental  disabilities  for persons with
    34  learning disabilities and other complex neurological  impairments.  Such
    35  program shall contain the following elements:
    36    (a)  when an individual presents to a service provider seeking support
    37  services, the service provider shall  determine  if  the  individual  is
    38  presenting  with  a  learning  disability  or other complex neurological
    39  impairment. If the service provider determines that the individual is  a
    40  person  with an apparent learning disability or other complex neurologi-
    41  cal impairment, and that such individual requires immediate  service  in
    42  order to protect and promote the individual's health and safety, or that
    43  the  individual otherwise faces a crisis situation that can be helped by
    44  service and assistance, the service provider may  implement  the  tiered
    45  services eligibility program;
    46    (b)  tier  one of the tiered services eligibility program will consist
    47  of  the  immediate  provision  of  intensive  service  navigation.  This
    48  provision of services will be provided for up to six months in duration.
    49  The  service may end anytime prior to the end of the six-month period if
    50  the individual and service provider agree that  no  further  service  or
    51  intervention  is  required. If the individual and service provider agree
    52  at the end of the six month period that the need for  services  persists
    53  and  more  intervention  is required, the individual will move into tier
    54  two;
    55    (c) tier two of  the  tiered  services  eligibility  program  will  be
    56  provided for up to an additional six-month period and provide:

        S. 5079                             3

     1    (1)   continuation   and  intensification  of  the  intensive  service
     2  navigator's efforts to stabilize the individual's crisis situation;
     3    (2)  a  process potentially leading to full eligibility for office for
     4  people with developmental disabilities' services. As part of this  proc-
     5  ess,  the  intensive service navigator will conduct an assessment of the
     6  individual's adaptive behavior levels, conduct an assessment of an indi-
     7  vidual's ability to effectively learn and put into practice new adaptive
     8  skills, and generally prepare the individual for the  eligibility  proc-
     9  ess;
    10    (d)  if  during  tier  two,  the  individual learns new skills and the
    11  crisis subsides, the individual and  service  provider  can  agree  that
    12  services be terminated prior to the conclusion of this tier; and
    13    (e)  if  the intensive service navigator and individual agree that the
    14  individual would benefit from on-going service and support,  the  inten-
    15  sive  service  navigator  will  assist the individual in applying to the
    16  office for people with developmental disabilities for a full eligibility
    17  determination.
    18    4. The commissioner of developmental disabilities shall, in  consulta-
    19  tion with experienced service providers, develop a reimbursement method-
    20  ology  for  intensive  service  navigation as described in this section.
    21  Such reimbursement shall cover the service provider's  reasonable  costs
    22  for  providing this service and be paid to the service providers as part
    23  of the usual and customary cost reimbursement process.
    24    5. In developing this program, the commissioner of developmental disa-
    25  bilities shall consult with a statewide association specifically repres-
    26  enting individuals  with  learning  disabilities  and  related  services
    27  providers.
    28    § 2. This act shall take effect on the one hundred eightieth day after
    29  it  shall have become a law.  Effective immediately the addition, amend-
    30  ment and/or repeal of any rule or regulation necessary for the implemen-
    31  tation of this act on its effective date are authorized to be  made  and
    32  completed on or before such date.