S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   3427
 
                        2017-2018 Regular Sessions
 
                           I N  A S S E M B L Y
 
                             January 27, 2017
                                ___________
 
 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:
   § 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  PATIENT'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. § 1612, AND  21  V.S.A.  §
 516; AND
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
              

                                                            LBD04713-01-7

 A. 3427                             2
 
   6. MEET REGULARLY WITH THE COMMUNITY HEALTH TEAM TO ENSURE INTEGRATION
 OF A PARTICIPATING PATIENT'S CARE.
   §  365-L-2.  ADVERSE CHILDHOOD EXPERIENCE QUESTIONNAIRE. 1. REIMBURSE-
 MENT FOR PRIMARY CARE PROVIDED TO A MEDICAID PATIENT SHALL BE CONTINGENT
 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.
   § 2. On or before December 15, 2017, 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.
   § 3. This act shall take effect on the first of July  next  succeeding
 the date upon which it shall have become a law.