Bill Text: NY S06121 | 2011-2012 | General Assembly | Introduced


Bill Title: Amends provisions relating to certain statutory authorizations in relation to the establishment of a long term care community in Columbia county known as Camphill Ghent, Inc. to provide integrated services to certain persons.

Spectrum: Partisan Bill (Republican 1-0)

Status: (Introduced - Dead) 2012-02-06 - SUBSTITUTED BY A8908 [S06121 Detail]

Download: New_York-2011-S06121-Introduced.html
                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                         6121
                                   I N  S E N A T E
                                      (PREFILED)
                                    January 4, 2012
                                      ___________
       Introduced  by  Sen.  SALAND -- read twice and ordered printed, and when
         printed to be committed to the Committee on Local Government
       AN ACT to amend chapter 594 of the laws of 2011, relating to authorizing
         the establishment of a long term care  community  in  Columbia  county
         known  as  Camphill  Ghent,  Inc.  to  provide  integrated services to
         certain persons, in  relation  to  statutory  authorizations;  and  to
         repeal section 4 of such chapter relating thereto
         THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section 1. Section 1 of chapter 594 of the laws of 2011,  relating  to
    2  authorizing  the establishment of a long term care community in Columbia
    3  county known as Camphill Ghent, Inc. to provide integrated  services  to
    4  certain persons, is amended to read as follows:
    5    Section  1.    Legislative intent. [New York state has long recognized
    6  the need to support a full continuum of long term care services for  the
    7  aging  that  supports  the  ability  of  seniors to remain in integrated
    8  community settings for as long as possible. The state has offered  simi-
    9  lar  support  to allow persons with developmental disabilities and their
   10  caregivers to live in community settings, but for the most part  not  in
   11  integrated  housing  arrangements. Further, the state does not currently
   12  support a  service  model  that  adequately  supports  the  increasingly
   13  sophisticated  long term health care needs of persons with developmental
   14  disabilities who are elderly in an  integrated  community  setting  that
   15  includes elderly persons with developmental disabilities and others.]
   16    The  Legislature finds that the Camphill movement has a long tradition
   17  of providing services to  persons  with  developmental  disabilities  in
   18  fully  integrated  community  settings  through its worldwide network of
   19  planned, intentional communities serving persons with and without devel-
   20  opmental disabilities. [Much more than providers of basic  services  for
   21  people  with  developmental  disabilities, Camphill communities offer an
   22  environment where people of all ages and abilities share home, work  and
   23  social  activities  and  enjoy  a  rich  artistic and cultural life with
   24  opportunities for spiritual  expression  and  dignified  work.  Camphill
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD11097-09-2
       S. 6121                             2
    1  communities  rely  on  both  paid  and  volunteer workers to ensure that
    2  persons with developmental disabilities can realize their full potential
    3  through constructive and productive interactions as fully  participatory
    4  members of their communities.
    5    The  Legislature  further  finds that members of such communities must
    6  frequently leave those communities when they develop  long  term  health
    7  care  needs  that  cannot be addressed in those settings. In such cases,
    8  they are often admitted to  less  integrated  settings  that  negatively
    9  impact their quality of life and generate costs to those individuals and
   10  to  the state that would not be necessary if a more appropriate alterna-
   11  tive were available. In recognition of this fact,] Camphill Village USA,
   12  Inc., which currently operates a Camphill community in Copake, New York,
   13  is in the process of developing a community in Ghent,  New  York,  under
   14  the  auspices  of  Camphill  Ghent, Inc., ("Camphill Ghent"), that would
   15  provide an array of long term care services, including assisted  living,
   16  to persons with and without developmental disabilities WHO WOULD LIVE IN
   17  A  FULLY  INTEGRATED  SETTING  in  the Camphill tradition. TO PERMIT THE
   18  ESTABLISHMENT AND OPERATION OF SUCH COMMUNITY AND ALLOW ITS RESIDENTS TO
   19  "AGE IN PLACE," IT IS NECESSARY TO EXEMPT CAMPHILL  GHENT  FROM  CERTAIN
   20  STATUTORY PROVISIONS.
   21    [The  Legislature  further  finds  that  the Camphill Ghent project is
   22  consistent with the goal of both the department of health and the office
   23  for people with developmental disabilities  to  provide  cost  effective
   24  services  in  the  most  integrated  setting appropriate to the needs of
   25  residents. In fact, Camphill Ghent has already received support from the
   26  state in the form of a $9.6 million grant under the Healthcare Efficien-
   27  cy and Affordability Law for New Yorkers and  the  Federal-State  Health
   28  Reform  Partnership,  pursuant to which it is subject to state oversight
   29  and regulation.
   30    However, there are currently legislative barriers to the full realiza-
   31  tion of the Camphill Ghent goal,  including  barriers  against  allowing
   32  residents  to  age  in  place,  barriers  against  full  funding for the
   33  services necessary for persons living in a fully integrated setting  who
   34  have  both  developmental  disabilities and significant long term health
   35  care needs, and barriers against the use of volunteer services  provided
   36  by the potential residents of the new community. In the past, the Legis-
   37  lature has enacted legislation to support a Camphill-related facility in
   38  New  York  state  by removing such barriers.  Moreover, Camphill Village
   39  has a proven track record of providing services at  substantially  lower
   40  cost  than comparable providers. Accordingly, the Legislature finds that
   41  it is in the best interests of the state to establish Camphill Ghent  as
   42  a  unique  program  to  provide  long term care services to persons with
   43  developmental disabilities and others in an integrated community setting
   44  in a manner that allows such individuals to age in place with all appro-
   45  priate state supports, and without the barriers that will  prevent  such
   46  persons from becoming fully participatory members of their community.]
   47    S 2. Section 2 of chapter 594 of the laws of 2011, relating to author-
   48  izing the establishment of a long term care community in Columbia county
   49  known  as Camphill Ghent, Inc. to provide integrated services to certain
   50  persons, is amended to read as follows:
   51    S 2. The Legislature hereby authorizes the establishment of a communi-
   52  ty in Columbia county known as Camphill Ghent, Inc. (hereinafter  "Camp-
   53  hill  Ghent"),  that  is specifically designed to provide long term care
   54  and other  services  to  persons  with  developmental  disabilities  and
   55  others.  Such community shall:
       S. 6121                             3
    1    (a) include, at a minimum, SUBJECT TO THE APPROVAL OF THE COMMISSIONER
    2  OF  HEALTH  AND THE PUBLIC HEALTH AND HEALTH PLANNING COUNCIL, AS APPRO-
    3  PRIATE, an assisted living program as defined in section  461-l  of  the
    4  social  services law, other adult home beds as defined in subdivision 25
    5  of section 2 of the social services law, and unlicensed housing targeted
    6  to  seniors  aged  55  and  over comprised of self-contained studio, one
    7  bedroom and two bedroom units  connected  to  common  areas  for  common
    8  dining  and  recreation,  and  two and three bedroom independent housing
    9  units;
   10    (b) include a series of buildings for common use  that  will  house  a
   11  variety of non-medical services available to community residents;
   12    (c)  include  both persons with developmental disabilities and persons
   13  without developmental disabilities among the residents;
   14    (d) include extensive use of volunteers  to  supplement  the  services
   15  provided by the required professional staff; and
   16    (e)  provide  regular  reports  to the state consistent with its obli-
   17  gations under section 2818 of the public health law.
   18    S 3. Section 3 of chapter 594 of the laws of 2011, relating to author-
   19  izing the establishment of a long term care community in Columbia county
   20  known as Camphill Ghent, Inc. to provide integrated services to  certain
   21  persons, is amended to read as follows:
   22    S  3.  Notwithstanding subdivision 6 of section 461-c and subparagraph
   23  (ii) of paragraph (d) of subdivision 1 and subparagraph (iii)  of  para-
   24  graph  (d) of subdivision 2 of section 461-l of the social services law,
   25  an eligible person who has been admitted to the adult home  or  assisted
   26  living  program  at  Camphill Ghent, who is otherwise no longer eligible
   27  for participation in an adult home or assisted  living  program  because
   28  such person is in need of continual nursing or medical care, chronically
   29  bedfast  or  chairfast, or cognitively, physically or medically impaired
   30  to such a degree that his or her safety would otherwise  be  endangered,
   31  may  remain  in  the  adult  home or assisted living program at Camphill
   32  Ghent provided  that  the  program  provides  such  additional  nursing,
   33  medical  or  other  care  as  necessary for such person to be safely and
   34  adequately cared for, as determined by the program and  such  person  or
   35  his  or  her  legal  representative.  [The rates payable to the assisted
   36  living program at Camphill Ghent may be adjusted to reflect all or  part
   37  of the cost of such additional medical, nursing or other care.]
   38    S 4. Section 4 of chapter 594 of the laws of 2011, relating to author-
   39  izing the establishment of a long term care community in Columbia county
   40  known  as Camphill Ghent, Inc. to provide integrated services to certain
   41  persons, is REPEALED.
   42    S 5. Section 5 of chapter 594 of the laws of 2011, relating to author-
   43  izing the establishment of a long term care community in Columbia county
   44  known as Camphill Ghent, Inc. to provide integrated services to  certain
   45  persons, is amended to read as follows:
   46    S 5.  Camphill Ghent shall be exempt from [the following provisions of
   47  the  social  services law:] subdivision 6 of section 461-c of the social
   48  services law regarding retention standards  in  adult  care  facilities;
   49  subdivision  4  of  section  461-d  of the social services law regarding
   50  compensation of residents of certain adult care facilities for  services
   51  performed  on  behalf of such adult care facility; and subparagraph (ii)
   52  of paragraph (d) of  subdivision  1  of  section  461-l  of  the  social
   53  services  law regarding retention standards in assisted living programs.
   54  Camphill Ghent shall also be exempt from subdivision 15 of section  4651
   55  and  section 4654 of the public health law, AS ADDED BY CHAPTER 2 OF THE
   56  LAWS OF 2004, regarding  enhanced  assisted  living  certification.  The
       S. 6121                             4
    1  exemption from subdivision 6 of section 461-c of the social services law
    2  and subparagraph (ii) of paragraph (d) of subdivision 1 of section 461-l
    3  of  the social services law shall apply only to the extent that Camphill
    4  Ghent meets the requirements of section three of this act.
    5    S 6. This act shall take effect immediately.
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