Bill Text: NY S05916 | 2013-2014 | General Assembly | Introduced

NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: Relates to creating the Brooklyn health care commission.

Spectrum: Partisan Bill (Democrat 4-0)

Status: (Introduced - Dead) 2014-01-27 - PRINT NUMBER 5916A [S05916 Detail]

Download: New_York-2013-S05916-Introduced.html
                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
           S. 5916                                                  A. 8119
                              2013-2014 Regular Sessions
                             S E N A T E - A S S E M B L Y
                                     July 12, 2013
                                      ___________
       IN SENATE -- Introduced by Sens. PARKER, ADAMS, DILAN, MONTGOMERY, SAMP-
         SON  -- read twice and ordered printed, and when printed to be commit-
         ted to the Committee on Rules
       IN ASSEMBLY -- Introduced by M. of A. CAMARA -- Multi-Sponsored by -- M.
         of A. BARRON,  BRENNAN,  BROOK-KRASNY,  CYMBROWITZ,  ESPINAL,  JACOBS,
         LENTOL,  MAISEL,  MILLMAN,  MOSLEY, PERRY -- read once and referred to
         the Committee on Health
       AN ACT to amend the executive law, in relation to creating the  Brooklyn
         health care commission
         THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section 1. The executive law is amended by adding a new  article  49-c
    2  to read as follows:
    3                                ARTICLE 49-C
    4                       BROOKLYN HEALTH CARE COMMISSION
    5  SECTION 996. BROOKLYN HEALTH CARE COMMISSION.
    6          996-A. KINGS COUNTY HEALTH CARE STAKEHOLDERS COUNCIL.
    7    S  996. BROOKLYN HEALTH CARE COMMISSION. 1. THERE IS HEREBY CREATED IN
    8  THE EXECUTIVE DEPARTMENT, A COMMISSION TO  BE  KNOWN  AS  THE  "BROOKLYN
    9  HEALTH  CARE  COMMISSION,"  HEREAFTER  REFERRED  TO AS THE "COMMISSION",
   10  WHICH SHALL BE CHARGED WITH EXAMINING THE SYSTEM OF  GENERAL  HOSPITALS,
   11  NURSING  HOMES,  AMBULATORY  AND  PRIMARY  CARE  FACILITIES, AND MEDICAL
   12  SCHOOL FACILITIES IN KINGS  COUNTY  AND  RECOMMENDING  CHANGES  TO  THAT
   13  SYSTEM.
   14    2.  THE  COMMISSION SHALL CONSIST OF THE FOLLOWING ELEVEN MEMBERS: (A)
   15  ONE MEMBER APPOINTED BY THE TEMPORARY PRESIDENT OF THE SENATE;  (B)  ONE
   16  MEMBER  APPOINTED  BY  THE  SPEAKER  OF  THE  ASSEMBLY;  (C)  ONE MEMBER
   17  APPOINTED BY THE MINORITY LEADER OF THE SENATE; (D) ONE MEMBER APPOINTED
   18  BY THE MINORITY LEADER OF THE ASSEMBLY; (E) THREE MEMBERS  APPOINTED  BY
   19  THE  KINGS COUNTY BOROUGH PRESIDENT, ONE MEMBER FROM EACH OF THE FOLLOW-
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD11603-01-3
       S. 5916                             2                            A. 8119
    1  ING THREE REGIONS: (I) NORTH OF ATLANTIC AVENUE; (II) SOUTH AND WEST  OF
    2  FLATBUSH AVENUE; AND (III) SOUTH OF ATLANTIC AVENUE AND EAST OF FLATBUSH
    3  AVENUE;  (F)  TWO MEMBERS APPOINTED   BY THE MAYOR OF NEW YORK CITY; AND
    4  (G) TWO MEMBERS APPOINTED BY THE GOVERNOR.
    5    3.  THE  MEMBERS  OF  THE COMMISSION SHALL RECEIVE NO COMPENSATION FOR
    6  THEIR SERVICE AS MEMBERS, BUT SHALL BE ALLOWED THEIR ACTUAL  AND  NECES-
    7  SARY EXPENSES INCURRED IN THE PERFORMANCE OF THEIR DUTIES.
    8    4.  THE  COMMISSION  SHALL BEGIN TO ACT FORTY-FIVE DAYS AFTER THIS ACT
    9  SHALL HAVE BECOME A LAW.
   10    5. THE COMMISSIONER OF HEALTH SHALL DESIGNATE SUCH  EMPLOYEES  OF  THE
   11  DEPARTMENT  OF  HEALTH  AS  ARE  REASONABLY NECESSARY TO PROVIDE SUPPORT
   12  SERVICES TO THE COMMISSION.
   13    6. THE COMMISSIONER OF HEALTH SHALL APPOINT: (A) ONE OR MORE REPRESEN-
   14  TATIVES OF THE DEPARTMENT TO SERVE AS A LIAISON BETWEEN  THE  DEPARTMENT
   15  AND THE COMMISSION; (B) ONE OR MORE REPRESENTATIVES OF THE DEPARTMENT TO
   16  SERVE  AS  A  LIAISON  BETWEEN THE KINGS COUNTY HEALTH CARE STAKEHOLDERS
   17  COUNCIL AND THE COMMISSION.
   18    7. THE DIRECTOR OF THE DORMITORY AUTHORITY OF THE STATE  OF  NEW  YORK
   19  SHALL  APPOINT  ONE  OR MORE REPRESENTATIVES TO BE A LIAISON BETWEEN THE
   20  COMMISSION AND THE AUTHORITY.
   21    8. ALL DEPARTMENTS, COMMISSIONS AND PUBLIC AUTHORITIES  OF  THE  STATE
   22  SHALL  BE  REQUIRED  TO  PROVIDE  SUCH  ASSISTANCE  AS MAY BE REASONABLY
   23  REQUESTED BY THE CHAIR OF THE COMMISSION.
   24    9. IN CARRYING OUT ITS TASK, THE COMMISSION SHALL:
   25    (A) CONDUCT A COMPLETE  AND  COMPREHENSIVE  EPIDEMIOLOGICAL  STUDY  OF
   26  KINGS COUNTY'S HEALTH CARE CHALLENGES AND NEEDS;
   27    (B)  CONDUCT A COMPLETE AND COMPREHENSIVE USABILITY STUDY OF WHAT TYPE
   28  AND HOW MUCH HEALTH CARE SERVICES ARE USED BY KINGS COUNTY'S  RESIDENTS,
   29  AND IN WHICH HOSPITALS, PRIMARY CARE OR URGENT CARE FACILITIES;
   30    (C) STUDY THE NEED FOR CAPACITY IN THE GENERAL HOSPITAL, NURSING HOME,
   31  MEDICAL  SCHOOL,  AMBULATORY  CARE FACILITIES AND SERVICES, PRIMARY CARE
   32  FACILITIES AND SERVICES, URGENT CARE  FACILITIES  AND  SERVICES,  PUBLIC
   33  HEALTH  CLINICS,  AND  HOME/COMMUNITY-BASED HEALTH CARE SERVICES IN EACH
   34  REGION OF KINGS COUNTY;
   35    (D) STUDY THE CAPACITY CURRENTLY EXISTING  IN  SUCH  SYSTEMS  IN  EACH
   36  REGION OF KINGS COUNTY;
   37    (E)  STUDY  THE ECONOMIC IMPACT OF THE ECONOMIC FAILURE OF KINGS COUN-
   38  TY'S HOSPITALS, MEDICAL SCHOOL AND OTHER HEALTH CARE FACILITIES  ON  THE
   39  STATE,  CITY  AND  KINGS COUNTY ECONOMIES, INCLUDING THE CAPACITY OF THE
   40  HEALTH CARE SYSTEM TO PROVIDE EMPLOYMENT  OR  TRAINING  TO  HEALTH  CARE
   41  WORKERS AFFECTED BY SUCH EVENTUALITIES;
   42    (F)  STUDY  THE AMOUNT OF CAPITAL DEBT BEING CARRIED BY GENERAL HOSPI-
   43  TALS AND NURSING HOMES, AND SUCH OTHER ENTITIES  PROVIDING  HEALTH  CARE
   44  SERVICES  IN  KINGS  COUNTY,  AND  THE  NATURE OF THE BONDING AND CREDIT
   45  ENHANCEMENT, IF ANY, SUPPORTING SUCH DEBT, AND THE FINANCIAL  STATUS  OF
   46  GENERAL  HOSPITALS  AND NURSING HOMES, INCLUDING REVENUES FROM MEDICARE,
   47  MEDICAID, OTHER GOVERNMENT FUNDS, AND PRIVATE THIRD-PARTY PAYORS;
   48    (G) STUDY THE AVAILABILITY OF  ALTERNATIVE  SOURCES  OF  FUNDING  WITH
   49  REGARD  TO THE CAPITAL DEBT OF ALL HEALTH CARE FACILITIES IN KINGS COUN-
   50  TY;
   51    (H) STUDY THE EXISTENCE OF OTHER HEALTH CARE SERVICES IN THE  AFFECTED
   52  REGION,  INCLUDING  THE  AVAILABILITY  OF SERVICES FOR THE UNINSURED AND
   53  UNDERINSURED, AND INCLUDING SERVICES  PROVIDED  OTHER  THAN  BY  GENERAL
   54  HOSPITALS AND NURSING HOMES;
       S. 5916                             3                            A. 8119
    1    (I)  STUDY  THE POTENTIAL CONVERSION OF FACILITIES OR CURRENT FACILITY
    2  CAPACITY FOR USES OTHER THAN AS INPATIENT  OR  RESIDENTIAL  HEALTH  CARE
    3  FACILITIES;
    4    (J)  STUDY THE EXTENT TO WHICH A FACILITY SERVES THE HEALTH CARE NEEDS
    5  OF THE REGION, INCLUDING SERVING MEDICAID RECIPIENTS, THE UNINSURED, AND
    6  UNDERSERVED COMMUNITIES; AND
    7    (K) STUDY THE POTENTIAL FOR IMPROVED QUALITY OF  CARE  AND  THE  REDI-
    8  RECTION OF RESOURCES FROM SUPPORTING EXCESS CAPACITY WITHIN KINGS COUNTY
    9  TOWARD  REINVESTMENT INTO PRODUCTIVE HEALTH CARE PURPOSES IN KINGS COUN-
   10  TY, AND THE EXTENT TO WHICH THE ACTIONS RECOMMENDED  BY  THE  COMMISSION
   11  WOULD  RESULT  IN  GREATER  STABILITY  AND EFFICIENCY IN THE DELIVERY OF
   12  NEEDED HEALTH CARE SERVICES FOR A COMMUNITY.
   13    10. THE COMMISSIONER OF HEALTH  AND  THE  DIRECTOR  OF  THE  DORMITORY
   14  AUTHORITY  OF  THE  STATE  OF  NEW  YORK  MAY SUBMIT ADDITIONAL RELEVANT
   15  FACTORS TO BE CONSIDERED IN THE DELIBERATIONS  OF  THE  COMMISSION.  THE
   16  COMMISSION  SHALL  ALSO ADOPT ADDITIONAL FACTORS TO BE CONSIDERED IN ITS
   17  DELIBERATIONS, FROM AMONG A LIST OF SUCH FACTORS SUBMITTED BY THE  KINGS
   18  COUNTY HEALTH CARE STAKEHOLDER'S COUNCIL.
   19    11. THE COMMISSIONER SHALL ALSO SUBMIT TO THE COMMISSION SUCH INFORMA-
   20  TION AS MAY BE AVAILABLE FROM THE DEPARTMENT OF HEALTH ON GENERAL HOSPI-
   21  TAL AND NURSING HOME CAPACITY, SERVICES AND BEDS, AVAILABILITY OF PRIMA-
   22  RY  AND  AMBULATORY  CARE  SERVICES,  AND CURRENT NUMBER OF BEDS IN SUCH
   23  FACILITIES, INCLUDING, BUT NOT LIMITED TO, INFORMATION FROM:
   24    (A) OPERATING CERTIFICATE FILES;
   25    (B) INSTITUTIONAL COST REPORTS;
   26    (C) FACILITY OCCUPANCY REPORTS;
   27    (D) ANNUAL REPORTS OF THE CERTIFICATE OF NEED PROGRAM; AND
   28    (E) THE STATEWIDE PLANNING AND RESEARCH COOPERATIVE SYSTEM.
   29    12. RECORDS SUBMITTED TO THE COMMISSION OR ANY COMMITTEE THEREOF SHALL
   30  NOT BE SUBJECT TO DISCLOSURE PURSUANT TO ARTICLE SIX OF THE PUBLIC OFFI-
   31  CERS LAW, UNLESS THE RECORD  WOULD  BE  A  PUBLIC  RECORD  BEFORE  BEING
   32  SUBMITTED TO THE COMMISSION.
   33    13.  IN  CARRYING  OUT  ITS  TASK,  THE COMMISSION SHALL ALSO FORMALLY
   34  SOLICIT RECOMMENDATIONS FROM HEALTH CARE EXPERTS, COUNTY HEALTH  DEPART-
   35  MENTS,  COMMUNITY-BASED  ORGANIZATIONS,  STATE  AND REGIONAL HEALTH CARE
   36  INDUSTRY ASSOCIATIONS, LABOR UNIONS  AND  OTHER  INTERESTED  PARTIES  AS
   37  BROADLY  AS IT CONSIDERS IT NECESSARY AND PROPER, AND IT SHALL TAKE INTO
   38  ACCOUNT SUCH RECOMMENDATIONS AND THE RECOMMENDATIONS OF THE KINGS COUNTY
   39  HEALTH CARE STAKEHOLDERS COUNCIL DURING ITS DELIBERATIONS. IN DEVELOPING
   40  ITS RECOMMENDATIONS, THE COMMISSION SHALL AS FAR AS PRACTICABLE ESTIMATE
   41  THE IMPROVEMENT IN QUALITY OF CARE, FINANCIAL STATUS OF  THE  HOSPITALS,
   42  AND  ALL  OTHER EFFICIENCIES THAT MAY BE DERIVED FROM RECONFIGURATION OF
   43  THE KINGS COUNTY HEALTH CARE SYSTEM.
   44    14. THE COMMISSION SHALL BE FINISHED WITH ITS STUDY AND  ANALYSIS  AND
   45  PROVIDE ITS RECOMMENDATIONS, ALONG WITH SUGGESTED LEGISLATIVE AND EXECU-
   46  TIVE  ACTION,  INCLUDING  BUT NOT LIMITED TO INFRASTRUCTURE INVESTMENTS,
   47  AND REFINANCING OF EXISTING DEBT OF GENERAL HOSPITALS IN  KINGS  COUNTY,
   48  BY DECEMBER 1, 2013.
   49    15.  THE  COMMISSION AND ITS DELIBERATIONS SHALL BE SUBJECT TO ARTICLE
   50  SEVEN OF THE PUBLIC OFFICERS LAW. THE COMMISSIONERS SHALL BE  CONSIDERED
   51  PUBLIC OFFICERS.
   52    16. THE COMMISSION SHALL ADOPT ITS BYLAWS ON OR BY ITS SECOND MEETING.
   53    S  996-A.  KINGS  COUNTY HEALTH CARE STAKEHOLDERS COUNCIL. 1. THERE IS
   54  HEREBY CREATED AS PART OF THE COMMISSION A COUNCIL TO BE  KNOWN  AS  THE
   55  "KINGS COUNTY HEALTH CARE STAKEHOLDERS COUNCIL" HEREAFTER REFERRED TO AS
   56  THE  "COUNCIL",  WHICH  SHALL CONSIST OF THE FOLLOWING NINE MEMBERS: (A)
       S. 5916                             4                            A. 8119
    1  THREE MEMBERS APPOINTED BY  THE  KINGS  COUNTY  BOROUGH  PRESIDENT,  ONE
    2  MEMBER  FROM  EACH OF THE FOLLOWING THREE REGIONS; (I) NORTH OF ATLANTIC
    3  AVENUE; (II) SOUTH AND WEST OF  FLATBUSH  AVENUE;  AND  (III)  SOUTH  OF
    4  ATLANTIC AVENUE AND EAST OF FLATBUSH AVENUE; (B) THREE MEMBERS APPOINTED
    5  BY  THE  GOVERNOR,  ONE MEMBER FROM EACH OF THE FOLLOWING THREE REGIONS:
    6  (I) NORTH OF ATLANTIC AVENUE; (II) SOUTH AND WEST  OF  FLATBUSH  AVENUE;
    7  AND  (III) SOUTH OF ATLANTIC AVENUE AND EAST OF FLATBUSH AVENUE; AND (C)
    8  THREE MEMBERS APPOINTED BY THE  MAYOR,  ONE  MEMBER  FROM  EACH  OF  THE
    9  FOLLOWING  THREE  REGIONS:  (I) NORTH OF ATLANTIC AVENUE; (II) SOUTH AND
   10  WEST OF FLATBUSH AVENUE; AND (III) SOUTH OF ATLANTIC AVENUE AND EAST  OF
   11  FLATBUSH AVENUE.
   12    2.  THE MEMBERS OF THE COUNCIL SHALL RECEIVE NO COMPENSATION FOR THEIR
   13  SERVICE AS MEMBERS.
   14    3. THE COUNCIL SHALL BEGIN TO ACT FORTY-FIVE DAYS AFTER THIS ACT SHALL
   15  HAVE BECOME A LAW.
   16    4. THE COUNCIL SHALL HAVE AT LEAST THREE PUBLIC  MEETINGS  DURING  THE
   17  EXISTENCE  OF  THE COMMISSION. EACH MEETING SHALL BE HELD IN A DIFFERENT
   18  REGION OF KINGS COUNTY.
   19    5. THE COUNCIL SHALL DEVELOP RECOMMENDATIONS FOR THE  COMMISSION  WITH
   20  REGARD  TO  RECONFIGURING  KINGS  COUNTY'S  SYSTEM OF GENERAL HOSPITALS,
   21  NURSING HOMES, AMBULATORY  AND  PRIMARY  CARE  FACILITIES,  AND  MEDICAL
   22  SCHOOL FACILITIES.
   23    6. IN DEVELOPING RECOMMENDATIONS FOR THE COMMISSION, THE COUNCIL SHALL
   24  FOSTER DISCUSSIONS AMONG, AND CONDUCT FORMAL PUBLIC HEARINGS WITH REQUI-
   25  SITE  PUBLIC  NOTICE TO SOLICIT INPUT FROM, LOCAL STAKEHOLDER INTERESTS,
   26  INCLUDING BUT NOT LIMITED TO COMMUNITY-BASED ORGANIZATIONS, HEALTH  CARE
   27  PROVIDERS, LABOR UNIONS, PAYERS, BUSINESSES AND CONSUMERS.
   28    S 2. This act shall take effect immediately.
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