STATE OF NEW YORK ________________________________________________________________________ 6598 2023-2024 Regular Sessions IN ASSEMBLY April 24, 2023 ___________ 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: 1 Section 1. The social services law is amended by adding two new 2 sections 365-l-1 and 365-l-2 to read as follows: 3 § 365-l-1. Standards for provision of health home services to Medicaid 4 enrollees with chronic conditions. Consistent with federal law to ensure 5 federal financial participation, a health care professional providing a 6 patient's health home shall: 7 1. provide comprehensive prevention and disease screening for his or 8 her patients and managing his or her patients' chronic conditions by 9 coordinating care; 10 2. enable patients to have access to personal health information 11 through a secure medium, such as through the internet, consistent with 12 federal health information technology standards; 13 3. collaborate with the community health teams, including by develop- 14 ing and implementing a comprehensive plan for participating patients; 15 4. utilize the adverse childhood experience questionnaire in assessing 16 a patent's health and health risks; 17 5. ensure access to a patient's medical records by the community 18 health team members in a manner compliant with the Health Insurance 19 Portability and Accountability Act, 12 V.S.A. § 1612, and 21 V.S.A. § 20 516; and EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD07124-01-3A. 6598 2 1 6. meet regularly with the community health team to ensure integration 2 of a participating patient's care. 3 § 365-l-2. Adverse childhood experience questionnaire. Reimbursement 4 for primary care provided to a Medicaid patient shall be contingent upon 5 the provider's use of the adverse childhood experience questionnaire 6 (ACE-IQ) for the purpose of assessing the patient's health risks. As 7 used in this section, "primary care" means health services provided by 8 health care professionals to identify and treat asymptomatic individuals 9 who have risk factors or preclinical disease, but in whom the disease is 10 not clinically apparent, including immunizations and screening, coun- 11 seling, treatment, and medication determined by scientific evidence to 12 be effective in preventing or detecting a condition. 13 § 2. On or before December 15, 2023, the commissioner of health shall 14 submit a report to the senate and assembly health committees containing 15 recommendations on the following: 16 (a) whether and how trauma-informed care could be more widely incorpo- 17 rated into the practice of medicine throughout New York state; and 18 (b) whether and how the use of the advance childhood experience ques- 19 tionnaire and other preventive medical services could be expanded 20 throughout New York state. 21 § 3. This act shall take effect on the first of July next succeeding 22 the date upon which it shall have become a law.