S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  1374--A
     Cal. No. 112
 
                        2021-2022 Regular Sessions
 
                             I N  S E N A T E
 
                             January 11, 2021
                                ___________
 
 Introduced  by  Sens.  SANDERS,  HOYLMAN,  MAY -- read twice and ordered
   printed, and when printed to be committed to the Committee  on  Health
   --  recommitted  to  the Committee on Health in accordance with Senate
   Rule 6, sec. 8 -- reported favorably from said committee,  ordered  to
   first  and  second  report,  ordered  to  a third reading, amended and
   ordered reprinted, retaining its place in the order of third reading
 
 AN ACT to amend the public health  law,  in  relation  to  collaborative
   models for addressing health care disparities
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Subdivision 4 of section 2805-x of the public health law is
 amended by adding a new paragraph (d) to read as follows:
   (D) COLLABORATIVE PROGRAMS  TO  ADDRESS  DISPARITIES  IN  HEALTH  CARE
 ACCESS  OR TREATMENT, AND/OR CONDITIONS OF HIGHER PREVALENCE, IN CERTAIN
 POPULATIONS, WHERE SUCH COLLABORATIVE PROGRAMS COULD PROVIDE AND  MANAGE
 SERVICES  IN A MORE EFFECTIVE, PERSON-CENTERED AND COST-EFFICIENT MANNER
 FOR REDUCTION OR ELIMINATION OF SUCH DISPARITIES.
   (I) SUCH PROGRAMS MAY TARGET ONE  OR  MORE  DISPARATE  CONDITIONS,  OR
 AREAS  OF UNDER-SERVICE, EVIDENCED IN DEFINED POPULATIONS, INCLUDING BUT
 NOT BE LIMITED TO:
   (A) CARDIOVASCULAR DISEASE;
   (B) HYPERTENSION;
   (C) DIABETES;
   (D) CHRONIC KIDNEY DISEASE;
   (E) OBESITY;
   (F) ASTHMA;
   (G) SICKLE CELL DISEASE;
   (H) SEPSIS;
   (I) LUPUS;
   (J) BREAST, LUNG, PROSTATE AND COLORECTAL CANCERS;
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD02419-03-2
              

 S. 1374--A                          2
 
   (K) GEOGRAPHIC SHORTAGE  OF  PRIMARY  CARE,  PRENATAL/OBSTETRIC  CARE,
 SPECIALTY  MEDICAL  CARE,  HOME  HEALTH CARE, OR CULTURALLY AND LINGUIS-
 TICALLY COMPATIBLE CARE;
   (L) ALCOHOL, TOBACCO, OR SUBSTANCE ABUSE;
   (M) POST-TRAUMATIC STRESS DISORDER AND OTHER CONDITIONS MORE PREVALENT
 AMONG VETERANS OF THE UNITED STATES MILITARY SERVICES;
   (N)  ATTRACTING MEMBERS OF MINORITY POPULATIONS TO THE FIELD AND PRAC-
 TICE OF MEDICINE; AND
   (O) SUCH OTHER AREAS APPROVED BY THE COMMISSIONER.
   (II) COLLABORATIVE HOSPITAL-HOME  CARE-PHYSICIAN,  AND  AS  APPLICABLE
 ADDITIONAL PARTNER, MODELS MAY INCLUDE UNDER SUCH DISPARITIES PROGRAMS:
   (A) SERVICE PLANNING AND DESIGN;
   (B)  RECRUITMENT  OF  SPECIALTY PERSONNEL AND/OR SPECIALTY TRAINING OF
 PROFESSIONALS OR OTHER DIRECT CARE PERSONNEL (INCLUDING PHYSICIANS, HOME
 CARE AND HOSPITAL STAFFS), PATIENTS AND INFORMAL CAREGIVERS;
   (C) CONTINUING MEDICAL EDUCATION AND CLINICAL TRAINING FOR PHYSICIANS,
 FOLLOW-UP EVALUATIONS, AND SUPPORTING EDUCATIONAL MATERIALS;
   (D) USE OF EVIDENCED-BASED APPROACHES AND/OR BEST PRACTICES TO  TREAT-
 MENT;
   (E) REIMBURSEMENT OF UNCOVERED SERVICES;
   (F)  BUNDLED OR OTHER INTEGRATED PAYMENT METHODS TO SUPPORT THE NECES-
 SARY, COORDINATED AND COST-EFFECTIVE SERVICES;
   (G) REGULATORY WAIVERS TO FACILITATE FLEXIBILITY IN  PROVIDER  COLLAB-
 ORATION AND PERSON-CENTERED CARE;
   (H) PATIENT/FAMILY PEER SUPPORT AND EDUCATION;
   (I) DATA COLLECTION, RESEARCH AND EVALUATION OF EFFICACY; AND/OR
   (J) OTHER COMPONENTS OR INNOVATIONS SATISFACTORY TO THE COMMISSIONER.
   (III)  NOTHING  CONTAINED IN THIS PARAGRAPH SHALL PREVENT A PHYSICIAN,
 PHYSICIANS GROUP, HOME CARE AGENCY, OR HOSPITAL FROM INDIVIDUALLY APPLY-
 ING FOR SAID GRANT.
   (IV) THE COMMISSIONER SHALL CONSULT WITH PHYSICIANS, HOME  CARE  AGEN-
 CIES,  HOSPITALS,  CONSUMERS,  STATEWIDE  ASSOCIATIONS REPRESENTATIVE OF
 SUCH PARTICIPANTS, AND OTHER EXPERTS  IN  HEALTH  CARE  DISPARITIES,  IN
 DEVELOPING  AN APPLICATION PROCESS FOR GRANT FUNDING OR RATE ADJUSTMENT,
 AND FOR REQUEST OF STATE REGULATORY WAIVERS, TO  FACILITATE  IMPLEMENTA-
 TION OF DISPARITIES PROGRAMS UNDER THIS PARAGRAPH.
   § 2. This act shall take effect immediately.