NY State Senate Bill 2019-S1817

Senate Bill S1817

Vetoed By Governor

2019-2020 Legislative Session

Relates to home care and community based sepsis prevention, screening, intervention and education

download bill text pdf

Archive: Last Bill Status - Vetoed by Governor

Introduced
- In Committee Assembly
- In Committee Senate
- On Floor Calendar Assembly
- On Floor Calendar Senate
- Passed Assembly
- Passed Senate
Vetoed By Governor
Signed By Governor

Please enter your contact information

First Name

Last Name

Email Address

A valid email address is required.

Home address is used to determine the senate district in which you reside. Your support or opposition to this bill is then shared immediately with the senator who represents you.

Optional services from the NY State Senate:

Create an account. An account allows you to officially support or oppose key legislation, sign petitions with a single click, and follow issues, committees, and bills that matter to you. When you create an account, you agree to this platform's terms of participation.

Include a custom message for your Senator? (Optional)

Enter a message to your senator. Many New Yorkers use this to share the reasoning behind their support or opposition to the bill. Others might share a personal anecdote about how the bill would affect them or people they care about.

Actions

View Actions

	Assembly Actions - Lowercase Senate Actions - UPPERCASE
Dec 20, 2019	vetoed memo.257
Dec 10, 2019	delivered to governor
Jun 18, 2019	returned to senate passed assembly ordered to third reading rules cal.340 substituted for a3839
May 06, 2019	referred to health delivered to assembly passed senate
Apr 29, 2019	advanced to third reading
Apr 10, 2019	2nd report cal.
Apr 09, 2019	1st report cal.424
Feb 27, 2019	reported and committed to finance
Jan 16, 2019	referred to health

Votes

- May 6, 2019 - Floor Vote
  S1817
  
  61
  
  Aye
  
  0
  
  Nay
  
  0
  
  Absent
  
  1
  
  Excused
  
  0
  
  Abstained
  - - Floor Vote: May 6, 2019
      
      aye (61)
      
      Addabbo Jr.
      
      Akshar
      
      Amedore
      
      Antonacci
      
      Bailey
      
      Benjamin
      
      Biaggi
      
      Boyle
      
      Breslin
      
      Brooks
      
      Carlucci
      
      Comrie
      
      Felder
      
      Flanagan
      
      Gallivan
      
      Gaughran
      
      Gianaris
      
      Gounardes
      
      Griffo
      
      Harckham
      
      Helming
      
      Hoylman-Sigal
      
      Jackson
      
      Jacobs
      
      Jordan
      
      Kaminsky
      
      Kaplan
      
      Kavanagh
      
      Kennedy
      
      Krueger
      
      LaValle
      
      Lanza
      
      Little
      
      Liu
      
      Martinez
      
      May
      
      Mayer
      
      Metzger
      
      Montgomery
      
      Myrie
      
      O'Mara
      
      Ortt
      
      Parker
      
      Persaud
      
      Ramos
      
      Ranzenhofer
      
      Ritchie
      
      Rivera
      
      Robach
      
      Salazar
      
      Sanders Jr.
      
      Savino
      
      Sepúlveda
      
      Serino
      
      Serrano
      
      Seward
      
      Skoufis
      
      Stavisky
      
      Stewart-Cousins
      
      Tedisco
      
      Thomas
      
      excused (1)
      
      Funke
  Feb 27, 2019 - Health Committee Vote
  S1817
  
  14
  
  Aye
  
  0
  
  Nay
  
  0
  
  Aye with Reservations
  
  0
  
  Absent
  
  1
  
  Excused
  
  0
  
  Abstained
  - - Health Committee Vote: Feb 27, 2019
      
      aye (14)
      
      Antonacci
      
      Benjamin
      
      Biaggi
      
      Carlucci
      
      Gallivan
      
      Hoylman-Sigal
      
      Jacobs
      
      Kaminsky
      
      Metzger
      
      Montgomery
      
      Ritchie
      
      Rivera
      
      Salazar
      
      Stavisky
      
      excused (1)
      
      Little
  Apr 9, 2019 - Finance Committee Vote
  S1817
  
  23
  
  Aye
  
  0
  
  Nay
  
  0
  
  Aye with Reservations
  
  0
  
  Absent
  
  0
  
  Excused
  
  0
  
  Abstained
  - - Finance Committee Vote: Apr 9, 2019
      
      aye (23)
      
      Antonacci
      
      Bailey
      
      Benjamin
      
      Breslin
      
      Comrie
      
      Hoylman-Sigal
      
      Kennedy
      
      Krueger
      
      LaValle
      
      Lanza
      
      Little
      
      Liu
      
      Montgomery
      
      Parker
      
      Ranzenhofer
      
      Ritchie
      
      Rivera
      
      Robach
      
      Savino
      
      Seward
      
      Skoufis
      
      Stavisky
      
      Thomas

co-Sponsors

2019-S1817 (ACTIVE) - Details

See Assembly Version of this Bill:: A3839
Law Section:: Public Health Law
Laws Affected:: Add §3620-a, Pub Health L
Versions Introduced in 2017-2018 Legislative Session:: S8669, A11078

2019-S1817 (ACTIVE) - Summary

Authorizes the department of health take certain actions for the purpose of supporting home care and community based sepsis prevention, screening, intervention and education.

2019-S1817 (ACTIVE) - Sponsor Memo

                                
 
BILL NUMBER: S1817

SPONSOR: RIVERA
 
TITLE OF BILL:

An act to amend the public health law, in relation to home care and
community based sepsis prevention, screening, intervention and education

 
PURPOSE:

To amend the Public Health Law, in relation to promoting sepsis
prevention, screening, intervention, education, and seamless and timely
continuum response through the engagement and support of the home and
community based care system.

 
SUMMARY OF PROVISIONS:

Section one of the bill adds a new § 3620-a to the public health law to
include state department of health support for home care sepsis screen-
ing, prevention, intervention, mitigation, cross-sector collaboration
and public education. It enumerates a series of provisions, which the

Department may promote.

Section two of the bill establishes that the commissioner shall report
its findings to the Legislature and Governor within 18 months of the
effective date of this act.

Section three of the bill establishes the effective date.

 
JUSTIFICATION:

Sepsis is the body's overwhelming and life-threatening response to an
infection. In sepsis, the very elements of a person's physiology that
are triggered to protect and respond to infection, become the threat of
serious and life-threatening consequences.

Every two minutes someone in the US dies of sepsis and every 20 seconds
someone is hospitalized with sepsis. Sepsis is the number one cause of
death in hospitals, the number one source of hospital readmissions, the
top national cost of hospital care at $27 billion annually, and the
number one NYS Medicaid expense for avoidable hospitalizations for the
overall Medicaid population. One in four patients discharged from hospi-
tals after sepsis is readmitted in 30 days. Sepsis takes the lives of
more children annually than cancer, at 18 children dying each day from
sepsis.

While sepsis has these impacts on and in hospitals, an estimated 80% -
90% of sepsis related infections occur at home and in community
settings. While healthy individuals can develop sepsis in response to
infection, those at high risk are the elderly, those with chronic condi-
tions and disabilities, the very young (and medically fragile children),
individuals prone to recurrent pneumonia, urinary tract infections and
other conditions or potential sources of infection.  These high risks
describe the very populations typically referred for home care, and are
within home care's reach of intervention.

Sepsis can be prevented with timely infection control practices by indi-
viduals and caregivers; when it develops, it can be mitigated with early

recognition of symptoms and swift intervention by all partners working
closely and in sync.

Recognizing the magnitude of this medical emergency on individuals, and
indeed on the entire health system, the Home Care Association. of New
York (HCA) has undertaken efforts over the past four years to develop
and implement a first-of-its-kind, and national-first, statewide home
care screening and intervention tool for sepsis.  Partnering with HCA
has been the state-federal Quality Improvement Organization contractor
IPRO, state and national sepsis advocacy organizations (the Rory Staun-
ton Foundation and the national Sepsis Alliance), state and national
sepsis experts, government officials, and representatives from statewide
and regional health care associations across the continuum.

This legislation will further assist both home care and continuum part-
ners in mutual work to address this devastating problem by providing key
support in principal areas of technical need required for the adoption
and implementation of this sepsis innovation.  Lastly, this will further
synchronize home care with clinical partners across the continuum of
care (hospitals, physicians, EMS, health plans, and others) in a coordi-
nated response to sepsis.

 
LEGISLATIVE HISTORY:

New bill.

 
FISCAL IMPLICATIONS:

Anticipate savings to the state from the intervention and support
accorded by this bill.

 
EFFECTIVE DATE:
This act shall take effect immediately.

2019-S1817 (ACTIVE) - Bill Text download pdf

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   1817
 
                        2019-2020 Regular Sessions
 
                             I N  S E N A T E
 
                             January 16, 2019
                                ___________
 
 Introduced  by  Sen.  RIVERA -- read twice and ordered printed, and when
   printed to be committed to the Committee on Health
 
 AN ACT to amend the public health law, in  relation  to  home  care  and
   community  based sepsis prevention, screening, intervention and educa-
   tion

   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. SEPSIS. 1.  THE  DEPARTMENT  MAY  PROVIDE  SUPPORT  FOR  THE
 FOLLOWING  OBJECTIVES  AND  ACTIVITIES TO PROMOTE COMMUNITY BASED SEPSIS
 PREVENTION, SCREENING, INTERVENTION AND EDUCATION IN  THE  STATE,  WHICH
 MAY  INCLUDE,  WITHIN AVAILABLE FUNDS AND UPON THE APPROVAL OF THE STATE
 DIRECTOR OF THE BUDGET, GRANTS OR SUPPLEMENTATION OF REIMBURSEMENT RATES
 TO PROVIDERS. SUCH SUPPORTED OBJECTIVES AND ACTIVITIES MAY INCLUDE,  BUT
 ARE NOT LIMITED TO, ON A VOLUNTARY HOME CARE AGENCY BASIS:
   (A)  HOME  CARE  AGENCY  INTEGRATION  INTO  ELECTRONIC  HEALTH RECORDS
 SYSTEMS OF A STANDARDIZED SEPSIS SCREENING  AND  INTERVENTION  TOOL  FOR
 HOME  CARE  THAT  MEETS  ADOPTED  INDUSTRY STANDARDS AND SYNCHRONIZES TO
 SEPSIS CRITERIA UTILIZED IN HOSPITALS ACCORDING TO DEPARTMENTAL PROTOCOL
 REQUIREMENTS FOR HOSPITALS;
   (B) TIMELY AND SYNCHRONIZED EXCHANGE OF HEALTH INFORMATION  ON  BEHALF
 OF  PATIENTS  MEETING  OR  SUSPECTED  TO MEET SEPSIS CRITERIA, WITH SUCH
 EXCHANGE BETWEEN HOME CARE AGENCIES INTEGRATING THE STANDARDIZED  SEPSIS
 TOOL,  AND  EMERGENCY  MEDICAL  SERVICES PROVIDERS, HOSPITALS, PATIENTS'
 PRIMARY CARE PRACTITIONERS, AND OTHER CLINICAL PARTNERS, AS APPLICABLE;
   (C) ESTABLISHMENT AND IMPLEMENTATION OF  SEPSIS  COLLABORATIVES  UNDER
 THE  HOSPITAL-HOME  CARE-PHYSICIAN  COLLABORATION  PROGRAM UNDER SECTION
 TWENTY-EIGHT HUNDRED FIVE-X OF THIS CHAPTER, THE PURPOSE OF WHICH  SHALL
 BE  TO  PILOT  TEST THE EFFECTIVENESS OF COLLABORATIVES IN PROMOTING THE
 GOALS OF THIS SECTION, AS WELL AS TO PILOT THE DEVELOPMENT  OF  CLINICAL
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.

                                                            LBD00721-01-9

 S. 1817                             2
 
 PATHWAYS AND INTERDISCIPLINARY CARE PLANS FOR EFFECTIVE CARE TRANSITION,
 POST-HOSPITAL DISCHARGE CARE, AND SUBSEQUENT SEPSIS PREVENTION AND READ-
 MISSION AVOIDANCE FOR SEPSIS SURVIVORS;
   (D)  HOME  CARE  AGENCY  SEPSIS  EDUCATION AND TRAINING OF HOME HEALTH
 AIDES, PERSONAL CARE AIDES, AND FAMILY CAREGIVERS;
   (E) COMMUNITY OUTREACH AND PUBLIC AND PROVIDER EDUCATION CONDUCTED  BY
 HOME CARE AGENCIES, AND BY HOME CARE IN CONJUNCTION WITH CONTINUUM PART-
 NERS,  INCLUDING  HOSPITALS,  PHYSICIANS,  EMERGENCY  MEDICAL  SERVICES,
 HEALTH PLANS, NURSING HOMES AND  OTHERS,  AS  WELL  AS  WITH  STATE  AND
 NATIONAL  SEPSIS  PUBLIC  EDUCATION  ORGANIZATIONS,  INCLUDING  THE RORY
 STAUNTON FOUNDATION FOR  SEPSIS  PREVENTION  AND  SEPSIS  ALLIANCE.  THE
 PURPOSE  OF  SUCH EDUCATION SHALL BE TO FOSTER DIRECTLY, AND IN PARTNER-
 SHIP WITH PROVIDERS, AN EFFECTIVE SEPSIS RESPONSE ACROSS  THE  CONTINUUM
 OF  CARE,  AS  WELL  AS  INCREASED  PUBLIC AWARENESS AND EDUCATION ABOUT
 SEPSIS AND SEPSIS PREVENTION.
   2. THE DEPARTMENT SHALL ISSUE GUIDANCE TO HOME CARE AND OTHER APPLICA-
 BLE PROVIDERS ON THE IMPLEMENTATION OF THIS SECTION.
   § 2. The commissioner of health shall, within eighteen months  of  the
 effective  date  of this act, provide information to the legislature and
 governor on the activities supported by and outcomes  achieved  by  this
 act  in relation to sepsis awareness, prevention, intervention and miti-
 gation.
   § 3. This act shall take effect immediately. Effective immediately the
 addition, amendment and/or repeal of any rule  or  regulation  necessary
 for  the implementation of this act on its effective date are authorized
 to be made on or before such date.

Comments

Open Legislation is a forum for New York State legislation. All comments are subject to review and community moderation is encouraged.

Comments deemed off-topic, commercial, campaign-related, self-promotional; or that contain profanity, hate or toxic speech; or that link to sites outside of the nysenate.gov domain are not permitted, and will not be published. Attempts to intimidate and silence contributors or deliberately deceive the public, including excessive or extraneous posting/posts, or coordinated activity, are prohibited and may result in the temporary or permanent banning of the user. Comment moderation is generally performed Monday through Friday. By contributing or voting you agree to the Terms of Participation and verify you are over 13.

Create an account. An account allows you to sign petitions with a single click, officially support or oppose key legislation, and follow issues, committees, and bills that matter to you. When you create an account, you agree to this platform's terms of participation.

Senate Bill S1817

Share this bill

Sponsored By

Gustavo Rivera