S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   11067
 
                           I N  A S S E M B L Y
 
                               June 4, 2018
                                ___________
 
 Introduced by COMMITTEE ON RULES -- (at request of M. of A. McDonald) --
   read once and referred to the Committee on Health
 
 AN  ACT  to amend the public health law, in relation to integrating home
   care into the state's public health and prevention efforts
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:

   Section  1.  The  public health law is amended by adding a new section
 3620-a to read as follows:
   § 3620-A. PUBLIC HEALTH  PRIORITY  INITIATIVES.  1.  THE  COMMISSIONER
 SHALL  PROMOTE HOME CARE'S INTEGRATION INTO THE STATE'S HEALTH CONTINUUM
 STRATEGY TO ADDRESS PUBLIC  HEALTH  PRIORITIES  IN  DISEASE  PREVENTION,
 INTERVENTION, POPULATION HEALTH IMPROVEMENT, ASSOCIATED HEALTH CARE COST
 REDUCTION  AND  RESEARCH.  SUCH  INTEGRATED ROLES FOR HOME CARE SHALL BE
 PROMOTED AND INCENTIVIZED ON AN AGENCY VOLUNTARY BASIS.  THE COMMISSION-
 ER SHALL UNDERTAKE THESE PURPOSES THROUGH:
   (A) INCORPORATION OF HOME CARE AGENCY DIRECT CARE AND CARE  MANAGEMENT
 COMPETENCIES  IN  THE  DEPARTMENT'S  PREVENTION, PRIMARY CARE AND PUBLIC
 HEALTH STRATEGIES;
   (B) PROMULGATION OF DEPARTMENTAL GUIDANCE DOCUMENTS THAT DESCRIBE  AND
 ASSIST HOME CARE AGENCIES IN EXERCISING THESE ROLES;
   (C)  PROMOTION  OF EVIDENCE-BASED, BEST PRACTICES IN PUBLIC HEALTH AND
 PREVENTION FOR USE BY HOME CARE AGENCIES;
   (D) PROVIDING OPPORTUNITIES FOR HOME CARE  STAFF  TRAINING  IN  PUBLIC
 HEALTH  PRIORITY  AREAS  IN THE DEPARTMENT'S VARIOUS TRAINING AND EDUCA-
 TIONAL PROGRAMS FOR THE HEALTH WORKFORCE AND/OR HEALTH CARE PROVIDERS;
   (E) REGULATORY AND PROCEDURAL FLEXIBILITY TO  OPTIMIZE  PUBLIC  HEALTH
 TRIAGE AND INTERVENTION BY HOME CARE;
   (F)  PROVIDING  OR  MAKING AVAILABLE PUBLIC HEALTH AND EPIDEMIOLOGICAL
 DATA FOR HOME CARE AGENCY USE  IN  IDENTIFYING,  TARGETING  AND  SHAPING
 INTERVENTION;
   (G)  TO THE EXTENT OF AVAILABLE FUNDS, AND UPON APPROVAL OF THE DIREC-
 TOR OF THE BUDGET, REIMBURSEMENT SUPPLEMENTATION TO  RATES  OR  PREMIUMS
 ISSUED  UNDER  SECTION  THIRTY-SIX  HUNDRED  FOURTEEN OF THIS ARTICLE OR
 SECTION FORTY-FOUR HUNDRED THREE-F OF THIS CHAPTER, RESPECTIVELY;
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
              

                       [ ] is old law to be omitted.
                                                            LBD15833-01-8

 A. 11067                            2
 
   (H) PROMOTION OF PUBLIC HEALTH PRIORITY COLLABORATIVES  UNDER  SECTION
 TWENTY-EIGHT HUNDRED FIVE-X OF THIS CHAPTER; AND
   (I) OTHER MEANS THE COMMISSIONER DETERMINES APPROPRIATE.
   2.  PRIORITY  PUBLIC  HEALTH AREAS UNDER THIS SECTION MAY INCLUDE, BUT
 NOT BE LIMITED TO:
   (A) SEPSIS EDUCATION, PATIENT SCREENING AND EARLY INTERVENTION;
   (B) ASTHMA AND RESPIRATORY CONDITION MANAGEMENT, INCLUDING HOME  ENVI-
 RONMENTAL ASSESSMENT;
   (C) FALLS PREVENTION SCREENING, EDUCATION AND PREVENTION;
   (D)  OPIOID  MANAGEMENT  AND  OVERUSE  OR  ABUSE PREVENTION, INCLUDING
 ALTERNATIVES IN PAIN MANAGEMENT, AND PROGRAMS IN PALLIATIVE CARE;
   (E) MEDICATION MANAGEMENT, INCLUDING IN  CARE  TRANSITIONS  AND  POLY-
 PHARMACY POPULATIONS;
   (F) PRESSURE ULCER PREVENTION AND MITIGATION;
   (G) DIABETES;
   (H) OBESITY;
   (I) CARDIOVASCULAR HEALTH;
   (J) HEALTH CARE DISPARITIES;
   (K) HIGH RISK PRENATAL AND POST-PARTUM CARE;
   (L) IMMUNIZATIONS; AND
   (M)  OTHER  PRIORITY  AREAS  IN  POPULATION HEALTH, AND IN THE RELATED
 SOCIAL DETERMINANTS OF HEALTH, THAT THE COMMISSIONER MAY DESIGNATE.
   3. IN IMPLEMENTING THIS  SECTION,  THE  COMMISSIONER  SHALL  SEEK  THE
 ADVICE  OF  REPRESENTATIVES  OF  HOME CARE PROVIDERS, STATE ASSOCIATIONS
 REPRESENTATIVE OF HOME CARE, STATE ASSOCIATIONS REPRESENTATIVE OF PHYSI-
 CIANS,  STATE  ASSOCIATIONS  REPRESENTATIVE  OF  COUNTY  PUBLIC   HEALTH
 SERVICES  AND  OTHERS WITH HOME CARE AND/OR PUBLIC HEALTH EXPERTISE WHOM
 THE COMMISSIONER MAY DESIGNATE.
   4. THE COMMISSIONER IS AUTHORIZED TO CALCULATE COST  SAVINGS  ACHIEVED
 FROM  PUBLIC HEALTH INITIATIVES THROUGH HOME CARE WHICH THE COMMISSIONER
 SHALL DETERMINE APPLICABLE, AND UPON APPROVAL OF THE STATE BUDGET DIREC-
 TOR, MAY PROVIDE A PORTION OF WHICH AS SHARED  SAVINGS  REINVESTMENT  TO
 PARTICIPATING  PROVIDERS.  SUCH  SHARED  SAVINGS MAY BE PROVIDED THROUGH
 SUPPLEMENTATION OF THEIR  MEDICAL  ASSISTANCE  REIMBURSEMENT,  OR  OTHER
 MEANS WHICH THE COMMISSIONER DETERMINES.
   5. THE DEPARTMENT SHALL COLLECT AND REPORT TO THE LEGISLATURE INFORMA-
 TION ON THE ACTIVITIES AND IMPACT OF HOME CARE PUBLIC HEALTH INITIATIVES
 AS  THE  DEPARTMENT  DETERMINES  RELEVANT, INCLUDING INFORMATION ON COST
 SAVINGS, AND SHALL INCLUDE RECOMMENDATIONS FOR FURTHER  SUPPORT  OF  THE
 GOALS  OF  THIS  SECTION.  THIS REPORT SHALL BE PROVIDED WITHIN EIGHTEEN
 MONTHS OF THE EFFECTIVE DATE OF THIS SECTION.
   § 2. This act shall take effect immediately.