Bill Text: NY S01997 | 2011-2012 | General Assembly | Introduced


Bill Title: Relates to procedures for amendments to county plans for improving the availability of community services to the elderly; requires approval of director for amendments; requires opportunity for input from stakeholders, service providers and the elderly.

Spectrum: Partisan Bill (Republican 2-0)

Status: (Introduced - Dead) 2012-01-04 - REFERRED TO AGING [S01997 Detail]

Download: New_York-2011-S01997-Introduced.html
                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                         1997
                              2011-2012 Regular Sessions
                                   I N  S E N A T E
                                   January 14, 2011
                                      ___________
       Introduced  by  Sens.  GOLDEN, HANNON -- read twice and ordered printed,
         and when printed to be committed to the Committee on Aging
       AN ACT to amend the elder law, in relation to county plans for improving
         the availability of community services to the elderly
         THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section 1. Subdivision 2 of section 214 of the elder law is amended to
    2  read as follows:
    3    2.  County  plans for improving the availability of community services
    4  to the elderly. (a) Counties with a designated agency  are  required  to
    5  submit  a county plan for a two-, three-, or four-year period determined
    6  by the director, with an annual update containing a budget  request  for
    7  the  forthcoming  program  year  and  such other information as shall be
    8  required by the  director,  for  improving  the  delivery  of  community
    9  services  for  elderly persons in the format prescribed by the director.
   10  The plan for the city of New York shall specifically address  the  needs
   11  of  each  county  within  such  city. Such plan shall be a comprehensive
   12  description of the manner in which the county  intends  to  address  the
   13  needs  of  elderly persons living in the county through improved coordi-
   14  nation of existing community services and by the development of any  new
   15  or  expanded  community service projects which will improve the delivery
   16  of services to the elderly.  ANY CHANGE IN A PLAN AFTER APPROVAL,  WHICH
   17  SHALL INCLUDE ANY PROPOSED CHANGE IN SERVICE DELIVERY, SHALL REQUIRE THE
   18  FILING  OF  A  PROPOSED  PLAN  AMENDMENT TO THE DIRECTOR FOR APPROVAL OR
   19  DISAPPROVAL, AS REQUIRED IN THIS SECTION. NO  PLAN  AMENDMENT  SHALL  BE
   20  EFFECTIVE  UNTIL APPROVED BY THE DIRECTOR. THE DIRECTOR SHALL HAVE SIXTY
   21  DAYS TO APPROVE A PLAN AMENDMENT, AFTER RECEIPT OF COMPLETED  DOCUMENTA-
   22  TION  AS  REQUIRED BY THIS SECTION. Such plan OR PROPOSED PLAN AMENDMENT
   23  shall contain:
   24    (1) a statement of goals and objectives for addressing  the  needs  of
   25  elderly  persons  in  the  county, an assessment of the needs of elderly
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD04645-01-1
       S. 1997                             2
    1  persons residing in the county, a  description  of  public  and  private
    2  resources  that  currently provide community services to elderly persons
    3  within the county, a description of intended actions to consolidate  and
    4  coordinate  existing  community  services administered by county govern-
    5  ment, a description of the intended  actions  to  coordinate  congregate
    6  services programs for the elderly operated within the county pursuant to
    7  section  two  hundred  seventeen  of  this  title  with  other community
    8  services for the elderly, a description of the means to coordinate other
    9  community services for elderly persons in the county with those adminis-
   10  tered by county government, and a statement of the  priorities  for  the
   11  provision  of  community  services  during the program period covered by
   12  such plan OR PLAN AMENDMENT;
   13    (2) an identification of community service projects to be developed to
   14  improve the delivery of services, a budget request for approval for  the
   15  forthcoming  year  which  individually identifies each community service
   16  project to be funded pursuant to paragraph (b) of  subdivision  four  of
   17  this  section, letters of comment from the appropriate local agencies on
   18  the relationship and expected impact of the proposed  community  service
   19  projects,  assurances  that  community  service  projects  will  provide
   20  services to those most in need, an indication of fee schedules by  which
   21  elderly persons participating in community service projects may contrib-
   22  ute  to  the costs of such projects, and an indication of how the effec-
   23  tiveness of such community service projects will be evaluated;
   24    (3) an identification of planning,  coordination,  and  administrative
   25  activities  necessary to achieve the goals and objectives of the plan OR
   26  PLAN AMENDMENT, together with a budget request for such  activities  for
   27  approval for the forthcoming year to be funded pursuant to paragraph (a)
   28  of  subdivision  four of this section, and assurances by the county that
   29  it will comply with the requirements of state and federal law; and
   30    (4) such other components as may be required pursuant  to  regulations
   31  promulgated  by  the  director INCLUDING, WITH RESPECT TO ANY NEW INITI-
   32  ATIVE OR ANY INITIATIVE CHANGED FROM A PRECEDING YEAR OR ANY PLAN AMEND-
   33  MENT: A DESCRIPTION AND ANALYSIS AT A LEVEL OF DETAIL PRESCRIBED BY  THE
   34  DIRECTOR SHOWING THE NUMBER OF SENIORS WHO WOULD BE AFFECTED BY EACH NEW
   35  OR CHANGED INITIATIVE; THE DEMOGRAPHICS AND ANNUAL AND LONG TERM PROJEC-
   36  TIONS  OF  THE  NUMBERS  OF SENIORS PROPOSED TO BE SERVED BY EACH INITI-
   37  ATIVE; THE FINANCIAL SUSTAINABILITY OF SUCH INITIATIVES;  WHETHER  THERE
   38  WILL  BE ANY DIMINISHMENT OF SERVICES AS A RESULT OF THIS NEW OR CHANGED
   39  INITIATIVE, HOW SUCH CHANGE WOULD BE MEASURED, AND EFFORTS THAT WILL  BE
   40  MADE  TO  COUNTERACT ANY NEGATIVE IMPACT; AND COMPARISONS OF THE COST OF
   41  CURRENT AND CHANGED INITIATIVES, WHERE APPROPRIATE, TO BE BORNE  BY  THE
   42  DESIGNATED AGENCY AND PROVIDERS OF SERVICES.
   43    (b)  Such county plan for community services or annual update shall be
   44  prepared by the designated agency and approved by  the  chief  executive
   45  officer of the county, if there be one, or otherwise the governing board
   46  of  the  county,  or  the  chief  executive  of the city of New York and
   47  submitted to the director no later than ninety days prior to the  begin-
   48  ning of the program period covered by such plan or annual update.  Prior
   49  to  a  submission  of a county plan or annual update to the director for
   50  approval, the designated agency shall conduct such  public  hearings  as
   51  may  be  required  by  regulations  of the director, provided that there
   52  shall be at least one such hearing, and one  in  each  county  contained
   53  within the city of New York.
   54    (c)  The  director  shall  review  such county plan and may approve or
   55  disapprove such plan, or any part, program, or project within such plan,
   56  OR AMENDMENT THERETO, and shall propose such  modifications  and  condi-
       S. 1997                             3
    1  tions  as are deemed appropriate and necessary.  [Compliance] THE DIREC-
    2  TOR SHALL ESTABLISH APPROPRIATE TIMELINES  TO  PROVIDE  OPPORTUNITY  FOR
    3  COMMUNITY  INPUT  BY  STAKEHOLDERS, SERVICES PROVIDERS, AND SENIORS, AND
    4  SHALL TAKE ANY COMMENTS AND REPORTS PROVIDED BY SUCH PERSONS OR ENTITIES
    5  INTO  ACCOUNT,  IN ADDITION TO COMPLIANCE with paragraphs (a) and (b) of
    6  this subdivision [shall be] AS the basis for approval of a county  plan,
    7  OR  AMENDMENT  THERETO.  The  director shall establish by regulation the
    8  dates for notifying the designated agency of approval or disapproval  of
    9  a  county  plan,  OR  AMENDMENT THERETO. In the event the director shall
   10  disapprove the proposed county plan OR AMENDMENT, the county  submitting
   11  such  application  shall  be afforded an opportunity for an adjudicatory
   12  hearing, as prescribed by article  three  of  the  state  administrative
   13  procedure  act.  DESIGNATED AGENCIES SHALL COMPLY WITH THE PROVISIONS OF
   14  APPROVED PLANS, AND WITH THE  RESULTS  OF  STATE  HEARINGS  OR  REVIEWS,
   15  UNLESS  AND  UNTIL  AN  AMENDED  PLAN  OR APPLICATION IS APPROVED BY THE
   16  OFFICE. THE OFFICE MAY ISSUE PROGRAM INSTRUCTIONS WHICH SHALL BE BINDING
   17  ON AREA AGENCIES AND SERVICE PROVIDERS WITH RESPECT  TO  SUCH  PLANS  OR
   18  AMENDED PLANS.
   19    (d)  Notwithstanding  any provision of this section, nothing contained
   20  in this section shall give the  director  or  a  designated  agency  any
   21  administrative,  fiscal, supervisory, or other authority whatsoever over
   22  any plans, programs or expenditures authorized pursuant to titles  eigh-
   23  teen,  nineteen  and  twenty of the federal social security act, or over
   24  any unit of state or local government.
   25    (e) Counties with a designated agency may submit  to  the  director  a
   26  letter of intent, in the form and by the date prescribed by the director
   27  with  the approval of the director of the budget, evidencing the commit-
   28  ment of the county to develop a county home care plan  for  functionally
   29  impaired elderly.
   30    (f)  Within  the amounts appropriated therefor, counties submitting an
   31  approved letter of intent pursuant to paragraph (e) of this  subdivision
   32  shall  be  eligible  for  reimbursement  of  one  hundred percent of the
   33  approved expenditures for preparing a county home care  plan  for  func-
   34  tionally  impaired  elderly. Such a grant-in-aid shall be available to a
   35  county only once and shall be limited to one-half the  amount  available
   36  to such county pursuant to subparagraph one of paragraph (a) of subdivi-
   37  sion  four  of  this section; provided however that in either of the two
   38  years immediately following its first submission of a home care plan for
   39  functionally impaired elderly, a county which does not receive state aid
   40  during such year for expanded non-medical in-home services, non-institu-
   41  tional  respite  services,  case  management  services,  and   ancillary
   42  services  pursuant to paragraph (j) of subdivision four of this section,
   43  may apply for reimbursement of  one  hundred  percent  of  the  approved
   44  expenditures  for  revising  such home care plan, limited to one-quarter
   45  the amount available to such county  pursuant  to  subparagraph  one  of
   46  paragraph (a) of subdivision four of this section.
   47    (g)  County home care plans for functionally impaired elderly prepared
   48  pursuant to this subdivision shall include a  comprehensive  description
   49  of all aspects of home care, non-institutional respite, case management,
   50  and  ancillary  services  available  to elderly persons in the county; a
   51  description of intended actions to coordinate such home care, non-insti-
   52  tutional respite, case  management,  and  ancillary  services  to  func-
   53  tionally  impaired  elderly  persons in their county provided under this
   54  section with other services to elderly persons; a proposal for  expanded
   55  non-medical  in-home  services, non-institutional respite services, case
   56  management services, and ancillary services  for  functionally  impaired
       S. 1997                             4
    1  elderly  persons  with  unmet  needs  to support such persons' continued
    2  residence in their homes; and such other components as may  be  required
    3  pursuant  to  regulations promulgated by the director, including how the
    4  proposed   expanded   non-medical  in-home  services,  non-institutional
    5  respite services, case management services, and ancillary services  will
    6  be delivered to unserved or underserved populations.
    7    (h) Such county home care plan for functionally impaired elderly shall
    8  be  prepared by the designated agency after consultation with the social
    9  services district and the local  public  health  agency,  and  shall  be
   10  approved  by the chief executive officer of the county, if there be one,
   11  or otherwise the governing board of the county, or the  chief  executive
   12  of  the  city of New York, and submitted to the director for approval by
   13  such date as may be specified by  regulation.  The  director  shall  not
   14  approve  such  county  home  care plan for functionally impaired elderly
   15  unless it complies with the standards and regulations issued pursuant to
   16  this section.
   17    S 2. Severability clause. If any clause, sentence, paragraph, subdivi-
   18  sion, section or part of this act shall be  adjudged  by  any  court  of
   19  competent  jurisdiction  to  be invalid, such judgment shall not affect,
   20  impair, or invalidate the remainder thereof, but shall  be  confined  in
   21  its  operation  to the clause, sentence, paragraph, subdivision, section
   22  or part thereof directly involved in the controversy in which such judg-
   23  ment shall have been rendered. It is hereby declared to be the intent of
   24  the legislature that this act would  have  been  enacted  even  if  such
   25  invalid provisions had not been included herein.
   26    S 3. This act shall take effect immediately.
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