Bill Text: NY S08168 | 2015-2016 | General Assembly | Introduced


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 (Republican 1-0)

Status: (Introduced - Dead) 2016-07-15 - REFERRED TO RULES [S08168 Detail]

Download: New_York-2015-S08168-Introduced.html


                STATE OF NEW YORK
        ________________________________________________________________________
                                          8168
                    IN SENATE
                                      July 15, 2016
                                       ___________
        Introduced  by  Sen.  HANNON -- read twice and ordered printed, and when
          printed to be committed to the Committee on Rules
        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.
    23    2.  The  program  shall  include, but not be limited to, the following
    24  components:
    25    (a) Capital grants. Subject to the availability of funds therefor, the
    26  commissioner shall  be  authorized  to  make  available  and,  upon  the
    27  approval  of  the  director  of  the  budget, to provide state grants to
    28  certified home health agencies, licensed home care services agencies and
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD15936-01-6

        S. 8168                             2
     1  long home health care programs for clinical and health information tech-
     2  nology. Such grants shall be provided pursuant to an application process
     3  developed by the commissioner, in consultation with  representatives  of
     4  the  providers,  managed  care plans and the other entities specified in
     5  subdivision one of this section;
     6    (b) Technology adjustment to episodic payment system. The commissioner
     7  is authorized to provide a  technology  adjustment  for  certified  home
     8  health  agencies  and  contracted  licensed  home care services agencies
     9  under the episodic payment system established  pursuant  to  subdivision
    10  thirteen  of  section  thirty-six hundred fourteen of this article. Such
    11  adjustment may be made as either a statewide base price adjustment or an
    12  add-on to the episodic rate, as the commissioner deems  appropriate,  to
    13  support  the purposes of this section. The commissioner is authorized to
    14  also adjust, for said purposes, the payment rates  for  long  term  home
    15  health care program providers;
    16    (c)  Technology  adjustment  under  managed  care. The commissioner is
    17  authorized to provide  a  technology  adjustment  to  managed  care  and
    18  managed  long  term  care premiums established pursuant to section three
    19  hundred sixty-four-j of the social services law and  section  forty-four
    20  hundred  three-f  of  this  chapter. Such adjustment shall be in amounts
    21  which are in addition to other payments to  managed  care  organizations
    22  and  plans,  and  shall  be provided for health information and clinical
    23  technology support  for  home  care  providers  delivering  or  managing
    24  services  under contract with such plans, and shall promote the purposes
    25  of this section;
    26    (d) Technology support under the department's health workforce  initi-
    27  atives.   The commissioner shall consider opportunities for clinical and
    28  health information technology support  within  the  department's  initi-
    29  atives and funding for health workforce recruitment, training, retention
    30  and development. The commissioner shall seek to include such support for
    31  technology  when  deemed to further the purposes of this section and the
    32  specific workforce initiative, and to the extent  allowable  under  such
    33  workforce  funding.  Workforce  initiatives  under  this  section  shall
    34  include, but not be limited to, workforce funding authorized  under  the
    35  state's  section  eleven  hundred  fifteen  waiver to the federal social
    36  security act for the state's medical assistance program;
    37    (e)  Technology  incentive  under  managed  care   quality   incentive
    38  payments.  On and after April first, two thousand seventeen, the commis-
    39  sioner shall establish additional quality incentive payments to  managed
    40  care and managed long term care plans, respectively, pursuant to section
    41  three  hundred  sixty-four-j  of  the  social  services  law and section
    42  forty-four hundred three-f of this chapter, based on  evidence  of  plan
    43  support  for  home  care  clinical  and  health  information  technology
    44  consistent with the purposes of this section. Such amounts shall  be  in
    45  addition  to  any  other payments made to a managed care organization or
    46  plan, and support shall be evidenced in a plan's contracts and  payments
    47  to  home  care  providers and/or through other metrics identified by the
    48  commissioner in consultation with representatives of managed care organ-
    49  izations and plans;
    50    (f) Technology support under  the  delivery  system  reform  incentive
    51  payment program. The commissioner shall include a contingency to funding
    52  awarded to performing providers systems under the delivery system reform
    53  incentive  payment  program  such  that  the  performing provider system
    54  demonstrates to the satisfaction of the commissioner  that  it  provides
    55  programmatic and fiscal support for health information technology capac-

        S. 8168                             3
     1  ity  for  home  care  providers within such system's network, consistent
     2  with the purposes of this section.
     3    (g)  Health  care  reform  act technology funding. Notwithstanding any
     4  inconsistent provision of this chapter or the rules and  regulations  of
     5  the  department, the commissioner, subject to the approval of the direc-
     6  tor of the budget, is authorized  to  redirect  undistributed  funds  an
     7  aggregate  annual  amount  of  up to one hundred million dollars for the
     8  support of paragraphs (a), (b) and (c) of this subdivision.
     9    3. The provisions of this section shall be implemented in a manner  in
    10  collaboration  with and consistent with the goals of the delivery system
    11  reform incentive payment program and other technology initiatives under-
    12  taken by the state.
    13    § 3. This act shall take effect immediately.
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