S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                  9841

                          I N  A S S E M B L Y

                             April 15, 2016
                               ___________

Introduced  by M. of A. SOLAGES -- read once and referred to the Commit-
  tee on Health

AN ACT to amend the  social  services  law,  in  relation  to  requiring
  patient's  health  home  to use the adverse childhood experience ques-
  tionnaire in assessing the patient's health risks and to making  Medi-
  caid  reimbursement  of primary care providers contingent upon the use
  of the adverse childhood experience questionnaire; and to require  the
  commissioner  of  health  to submit reports to the senate and assembly
  health committees

  THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
BLY, DO ENACT AS FOLLOWS:

  Section  1.  The  social  services  law  is  amended by adding two new
sections 365-l-1 and 365-l-2 to read as follows:
  S 365-L-1. STANDARDS FOR PROVISION OF HEALTH HOME SERVICES TO MEDICAID
ENROLLEES WITH CHRONIC CONDITIONS. CONSISTENT WITH FEDERAL LAW TO ENSURE
FEDERAL FINANCIAL PARTICIPATION, A HEALTH CARE PROFESSIONAL PROVIDING  A
PATIENT'S HEALTH HOME SHALL:
  1.  PROVIDE  COMPREHENSIVE PREVENTION AND DISEASE SCREENING FOR HIS OR
HER PATIENTS AND MANAGING HIS OR HER  PATIENTS'  CHRONIC  CONDITIONS  BY
COORDINATING CARE;
  2.  ENABLE  PATIENTS  TO  HAVE  ACCESS  TO PERSONAL HEALTH INFORMATION
THROUGH A SECURE MEDIUM, SUCH AS THROUGH THE INTERNET,  CONSISTENT  WITH
FEDERAL HEALTH INFORMATION TECHNOLOGY STANDARDS;
  3.  COLLABORATE WITH THE COMMUNITY HEALTH TEAMS, INCLUDING BY DEVELOP-
ING AND IMPLEMENTING A COMPREHENSIVE PLAN FOR PARTICIPATING PATIENTS;
  4. UTILIZE THE ADVERSE CHILDHOOD EXPERIENCE QUESTIONNAIRE IN ASSESSING
A PATENT'S HEALTH AND HEALTH RISKS;
  5. ENSURE ACCESS TO A PATENT'S MEDICAL RECORDS BY THE COMMUNITY HEALTH
TEAM MEMBERS IN A MANNER COMPLIANT WITH THE HEALTH INSURANCE PORTABILITY
AND ACCOUNTABILITY ACT, 12 V.S.A. S 1612, AND 21 V.S.A. S 516; AND
  6. MEET REGULARLY WITH THE COMMUNITY HEALTH TEAM TO ENSURE INTEGRATION
OF A PARTICIPATING PATIENT'S CARE.
  S 365-L-2. ADVERSE CHILDHOOD EXPERIENCE QUESTIONNAIRE.  1.  REIMBURSE-
MENT FOR PRIMARY CARE PROVIDED TO A MEDICAID PATIENT SHALL BE CONTINGENT

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

                                                           LBD14927-02-6

A. 9841                             2

UPON  THE  PROVIDER'S  USE OF THE ADVERSE CHILDHOOD EXPERIENCE QUESTION-
NAIRE (ACE-IQ) FOR THE PURPOSE OF ASSESSING THE PATIENT'S HEALTH  RISKS.
AS  USED  IN THIS SECTION, "PRIMARY CARE" MEANS HEALTH SERVICES PROVIDED
BY HEALTH CARE PROFESSIONALS TO IDENTIFY AND TREAT ASYMPTOMATIC INDIVID-
UALS  WHO  HAVE  RISK  FACTORS  OR  PRECLINICAL DISEASE, BUT IN WHOM THE
DISEASE IS NOT CLINICALLY APPARENT, INCLUDING IMMUNIZATIONS AND  SCREEN-
ING,  COUNSELING,  TREATMENT,  AND  MEDICATION  DETERMINED BY SCIENTIFIC
EVIDENCE TO BE EFFECTIVE IN PREVENTING OR DETECTING A CONDITION.
  S 2. On or before December 15, 2016, the commissioner of health  shall
submit  a report to the senate and assembly health committees containing
recommendations on the following:
  (a) whether and how trauma-informed care could be more widely incorpo-
rated into the practice of medicine throughout New York state; and
  (b) whether and how the use of the advance childhood experience  ques-
tionnaire  and  other  preventive  medical  services  could  be expanded
throughout New York state.
  S 3. This act shall take effect on the first of July  next  succeeding
the date upon which it shall have become a law.