STATE OF NEW YORK ________________________________________________________________________ 4942 2019-2020 Regular Sessions IN SENATE April 2, 2019 ___________ Introduced by Sen. SANDERS -- 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 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: 1 Section 1. Subdivision 4 of section 2805-x of the public health law is 2 amended by adding a new paragraph (d) to read as follows: 3 (d) Collaborative programs to address disparities in health care 4 access or treatment, and/or conditions of higher prevalence, in certain 5 populations, where such collaborative programs could provide and manage 6 services in a more effective, person-centered and cost-efficient manner 7 for reduction or elimination of such disparities. 8 (i) Such programs may target one or more disparate conditions, or 9 areas of under-service, evidenced in defined populations, including but 10 not be limited to: 11 (A) cardiovascular disease; 12 (B) hypertension; 13 (C) diabetes; 14 (D) obesity; 15 (E) asthma; 16 (F) sickle cell disease; 17 (G) sepsis; 18 (H) lupus; 19 (I) breast, lung, prostate and colorectal cancers; 20 (J) geographic shortage of primary care, prenatal/obstetric care, 21 specialty medical care, home health care, or culturally and linguis- 22 tically compatible care; 23 (K) alcohol, tobacco, or substance abuse; 24 (L) post-traumatic stress disorder and other conditions more prevalent 25 among veterans of the United States military services; EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD04741-02-9S. 4942 2 1 (M) attracting members of minority populations to the field and prac- 2 tice of medicine; and 3 (N) such other areas approved by the commissioner. 4 (ii) Collaborative hospital-home care-physician, and as applicable 5 additional partner, models may include under such disparities programs: 6 (A) service planning and design; 7 (B) recruitment of specialty personnel and/or specialty training of 8 professionals or other direct care personnel (including physicians, home 9 care and hospital staffs), patients and informal caregivers; 10 (C) continuing medical education and clinical training for physicians, 11 follow-up evaluations, and supporting educational materials; 12 (D) use of evidenced-based approaches and/or best practices to treat- 13 ment; 14 (E) reimbursement of uncovered services; 15 (F) bundled or other integrated payment methods to support the neces- 16 sary, coordinated and cost-effective services; 17 (G) regulatory waivers to facilitate flexibility in provider collab- 18 oration and person-centered care; 19 (H) patient/family peer support and education; 20 (I) data collection, research and evaluation of efficacy; and/or 21 (J) other components or innovations satisfactory to the commissioner. 22 (iii) Nothing contained in this paragraph shall prevent a physician, 23 physicians group, home care agency, or hospital from individually apply- 24 ing for said grant. 25 (iv) The commissioner shall consult with physicians, home care agen- 26 cies, hospitals, consumers, statewide associations representative of 27 such participants, and other experts in health care disparities, in 28 developing an application process for grant funding or rate adjustment, 29 and for request of state regulatory waivers, to facilitate implementa- 30 tion of disparities programs under this paragraph. 31 § 2. This act shall take effect immediately.