Bill Text: NY S09107 | 2019-2020 | General Assembly | Introduced


Bill Title: Establishes a residential care home for people with advanced needs pilot program in the counties of Albany, Schenectady, Saratoga and such other counties as approved by the department; provides that such program shall provide medical, social and residential care to persons afflicted by dementia, significant cognitive disease and/or behavior disturbances as defined by the Diagnostic and Statistical Manual 5 (DSM-5) and other standards as approved by the commissioner.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2020-11-30 - REFERRED TO RULES [S09107 Detail]

Download: New_York-2019-S09107-Introduced.html



                STATE OF NEW YORK
        ________________________________________________________________________

                                          9107

                    IN SENATE

                                    November 30, 2020
                                       ___________

        Introduced  by  Sen.  RIVERA -- 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  establishing  a
          residential  care  home  for people with advanced needs pilot program;
          and providing for the repeal of such provisions  upon  the  expiration
          thereof

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

     1    Section 1. The public health law is amended by adding  a  new  section
     2  2959-b to read as follows:
     3    §  2959-b.  Residential care home for people with advanced needs pilot
     4  program. 1. The commissioner shall establish  a  residential  care  home
     5  pilot  program for people with advanced needs in the counties of Albany,
     6  Schenectady, Saratoga and such other counties as approved by the depart-
     7  ment. Such pilot program shall provide medical, social  and  residential
     8  care  to  persons  afflicted  by dementia, significant cognitive disease
     9  and/or behavior disturbances as defined by the  Diagnostic  and  Statis-
    10  tical  Manual  5  (DSM-5) and other standards as approved by the commis-
    11  sioner. Such pilot program shall:
    12    (a) be limited to persons with private pay resources absent the avail-
    13  ability and approval by the department  of  Medicaid  funding  for  such
    14  pilot program;
    15    (b) demonstrate the ability to improve health care outcomes of persons
    16  through palliative care and the coordination of health care services;
    17    (c) provide medical, nursing and residential services;
    18    (d)  demonstrate the ability to assist residents with severe cognitive
    19  and behavioral dysfunction consistent with their diagnosis;
    20    (e) be limited to no more than ten residents per  site  together  with
    21  two flexible adult daycare persons;
    22    (f)  have an operator who shall be responsible for the care and safety
    23  of persons in such pilot program;
    24    (g) have a physician who shall be responsible for oversight and super-
    25  vision of the operator of each site, staff and persons residing at  such
    26  site; and

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD17656-01-0

        S. 9107                             2

     1    (h)  have  entered  into  a  memorandum of understanding with regional
     2  hospitals and skilled nursing facilities for patient transfer and care.
     3    2.  The  commissioner  shall be responsible for approving, inspecting,
     4  and supervising facilities under this section.
     5    3. The commissioner shall, to the extent necessary for the purpose  of
     6  this  section,  submit  the  appropriate waivers and other applications,
     7  including, but not limited to, those  authorized  pursuant  to  sections
     8  eleven  hundred  fifteen  and  nineteen  hundred  fifteen of the federal
     9  social security act, or successor provisions, and any other  waivers  or
    10  applications  necessary  to  achieve the purposes of high quality, inte-
    11  grated, and cost effective care  and  integrated  financial  eligibility
    12  policies  under  Medicaid,  family  health plus and child health plus or
    13  Medicare. Copies of such original waiver and other applications shall be
    14  provided to the chairman of the senate finance committee and the  chair-
    15  man  of  the assembly ways and means committee simultaneously with their
    16  submission to the federal government.
    17    4. Notwithstanding any inconsistent provision of law to the  contrary,
    18  the   commissioner  is  authorized  to  waive,  modify  or  suspend  the
    19  provisions of rules and  regulations  promulgated  pursuant  to  article
    20  twenty-eight  of  this  chapter if the commissioner determines that such
    21  waiver, modification or  suspension  is  necessary  for  the  successful
    22  implementing of the residential care home for people with advanced needs
    23  pilot  program authorized pursuant to this section and provided that the
    24  commissioner determines that the health, safety and general  welfare  of
    25  people  receiving  health  care  under  such  pilot  program will not be
    26  impaired as a result of such waiver, modification, or suspension.
    27    5. Twelve months after the approval of the residential care  home  for
    28  people  with  advanced needs pilot program, and annually thereafter, the
    29  program shall report to the commissioner on the progress of the program.
    30  The commissioner shall evaluate the findings of the study and report  to
    31  the  governor, the temporary president of the senate, the speaker of the
    32  assembly, the chair of the senate standing committee on health  and  the
    33  chair of the assembly health committee.
    34    §  2. Subdivision 2 and paragraph l of subdivision 3 of section 2803-c
    35  of the public health law, subdivision 2 as amended by chapter 186 of the
    36  laws of 1979 and paragraph 1 of subdivision 3 as amended by chapter  270
    37  of the laws of 2011, is amended to read as follows:
    38    2. The commissioner shall require that every nursing home and facility
    39  providing  health  related  service,  as  defined in subdivision two and
    40  paragraph (b) of subdivision four of section twenty-eight hundred one of
    41  this article or any pilot program  approved  under  section  twenty-nine
    42  hundred  fifty-nine-b  of  this  chapter,  shall adopt and make public a
    43  statement of the rights and responsibilities of  the  patients  who  are
    44  receiving  care  in  such  facilities,  and shall treat such patients in
    45  accordance with the provisions of such statement.
    46    l. Pursuant to regulations promulgated by the commissioner, no facili-
    47  ty or individual and no  general  hospital  providing  medical  care  to
    48  persons  having  been  admitted  from such facilities or from adult care
    49  facilities covered by the provisions of section four hundred sixty-one-b
    50  of the social services law, or to applicants  for  readmission  to  such
    51  facilities  or  to  adult  care  facilities covered by the provisions of
    52  section four hundred sixty-one-b of the social services law or  individ-
    53  uals  admitted to a residential care home for people with advanced needs
    54  approved under section twenty-nine hundred fifty-nine-b of this chapter,
    55  shall restrict or prohibit the access to the facility or general  hospi-
    56  tal nor interfere with the performance of the official duties, including

        S. 9107                             3

     1  confidential  visits  with residents, of duly designated persons partic-
     2  ipating in the long term care  ombudsman  program  as  provided  for  in
     3  section two hundred eighteen of the elder law.
     4    §  3.  This act shall be effective immediately and shall expire and be
     5  deemed repealed December 31, 2024.
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