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History
- Referred to health
- Referred to health
Full text
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Title of bill
An act authorizing medication and treatment compliance demonstration programs and providing for the repeal of such programs upon the expiration thereof
Summary of specific provisions
Authorizes the Department of Health to design demonstration programs to improve medication and treatment compliance. Services to be provided and chronic health problems to be addressed are described. DOH is made responsible for regulating the quality, appropriateness and the cost effectiveness of the demonstration programs, and is authorized to utilize all potential sources of funding.
Enrollment in programs is made voluntary, and participating individuals are allowed to discontinue at any time without cause.
The Commissioner of Health is authorized to review and approve all enrollment and marketing materials for demonstration programs, and is directed to provide an interim report on or before December 31, 2012 and a final report on or before December 31, 2014.
Justification
Unnecessary medical costs associated with non-compliant behavior of patients have reached staggering proportions in today's health care environment. Health care professionals have been continually frustrated with the inability of many patients to follow through with the medication or treatment regimen that has been prescribed. The expanded use of home care has brought with it new and ever growing complexities regarding compliance.
Non-compliant behavior has resulted in the expenditure of billions of health care dollar's for preventable hospital and nursing home admissions, physician visits, tests, and prescriptions. It has been estimated that up to one third of the hospital and one half of the nursing home admissions among elderly patients can be attributed to patients not taking their medication as directed.
These demonstration programs will target approximately 1-2 percent of the general population or 4-8 percent of the elderly population who are using 5060 percent of all health care dollars. With concerns over controlling health care costs, and the advent of managed care, capitation agreements and other risk sharing arrangements, the need to control needless over utilization has never been more evident.
Prior legislative history
A.11015-A of 2000: Health A.2011 of 2002: Passed Assembly, Senate Rules A.44 of 2003-04: Third Reading A.1262 of 2005-2006: Health
Fiscal implications
The Health Commissioner is authorized to utilize all potential Sources of funding. The demonstration is made eligible for Medicaid reimbursement as long as federal financial participation is available. It is estimated that a $4,200 annual expenditure per person for the monitoring program can save $46,200 by keeping a patient out of a nursing home.
Effective date
This act shall take effect immediately and expires on March 31, 2015.
Summaries, headlines and scores are AI-generated from the official bill text. How we score bills. Source: NYS Open Legislation.