What's happening
This bill creates a demonstration program to increase primary care medical personnel in high-need New York communities using expanded eligibility for limited physician permits.
Why it matters
Expands the pool of eligible medical personnel. By allowing medical graduates who have not completed all parts of the licensing exam, and certain foreign-trained physicians, to receive limited permits, the bill addresses physician shortages in underserved areas and offers new career pathways for these individuals.
Targets geographically diverse, high-need communities. The program specifically designates demonstration sites across rural and urban areas, ensuring that both small towns and large cities with significant gaps in primary care receive additional resources.
Requires data collection and outcomes reporting. The mandated report to state leaders includes statistical analysis on patient health outcomes, hospitalization rates, and chronic illness statistics, providing critical feedback on the effectiveness of using limited-permit physicians in high-need settings.
Limits practice to supervised settings. Permit holders can only practice under the supervision of fully licensed physicians and only at designated demonstration sites, aiming to maintain quality of care while expanding access.
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Expand Primary Care Staffing
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History
- Referred to health
- Referred to health
Full text
2 pagesUnderlined is new[Struck] is removedOfficial text on nysenate.gov ↗
STATE OF NEW YORK
6059
2017-2018 Regular Sessions
IN ASSEMBLY
February 23, 2017
Introduced by M. of A. PICHARDO -- read once and referred to the Committee on Health
AN ACT to amend the public health law and the education law, in relation to establishing the high need primary care medical personnel demonstration program; and providing for the repeal of such provisions upon expiration thereof
The People of the State of New York, represented in Senate and Assembly, do enact as follows:
Section 1. Short title. This act shall be known and may be cited as the "high need primary care medical personnel demonstration program act".
§ 2. Article 2 of the public health law is amended by adding a new title 7 to read as follows:
TITLE VII
HIGH NEED PRIMARY CARE MEDICAL
PERSONNEL DEMONSTRATION
PROGRAM Section 267. High need primary care medical personnel demonstration
program.
§ 267. High need primary care medical personnel demonstration program. 1. The department shall establish a high need primary care medical personnel demonstration program. The commissioner shall designate six locations at which such program shall be conducted.
(a) The locations of the demonstration program shall be selected based upon the following:
(1) the amount of primary care medical services provided at the location applying for designation;
(2) the percentage of patients receiving care through medical assistance;
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD00864-01-7
A. 6059 2
(3) the capacity of the applicant location to host physicians licensed pursuant to section sixty-five hundred twenty-five of the education law; and
(4) the benefit to the appropriate high need community in the provision of primary care medical personnel.
(b) The locations of the demonstration program shall be as follows:
(1) two shall be in rural areas, as defined in subdivision one of section twenty-nine hundred fifty-one of this chapter;
(2) two shall be in cities having a population of between one hundred fifty thousand and one million; and
(3) two shall be in cities having a population of one million or more.
2. On or before April first, two thousand nineteen, the commissioner shall submit a report to the governor, the temporary president of the senate, the speaker of the assembly, the minority leader of the senate and the minority leader of the assembly. Such report shall include, but not be limited to, a statistical analysis of the changes in health results for patients at demonstration program locations, and the hospitalization rates, chronic illnesses and vital statistics thereof.
3. All demonstration program locations shall utilize physicians licensed pursuant to section sixty-five hundred twenty-five of the education law.
§ 3. Subdivisions 1 and 2 of section 6525 of the education law, as added by chapter 987 of the laws of 1971, paragraph 1 of subdivision 1 as amended by chapter 133 of the laws of 1982, are amended to read as follows:
1. Eligibility: The following persons shall be eligible for a limited permit:
(1) A person who fulfills all requirements for a license as a physician except those relating to the examination and citizenship or permanent residence in the United States;
(2) A foreign physician who holds a standard certificate from the educational council for foreign medical graduates or who has passed an examination satisfactory to the state board for medicine and in accordance with the commissioner's regulations; [or]
(3) A foreign physician or a foreign intern who is in this country on a non-immigration visa for the continuation of medical study, pursuant to the exchange student program of the United States department of state[.]; or
(4) A person who graduates from a regents, Liaison Committee on Medical Education or American Osteopathic Association accredited medical program, or a person who graduates from any other medical program who has passed two requisite steps or parts of the United States Medical Licensing Examination or National Board of Osteopathic Medical Examiners examination, where such a person practices at a medical facility or practice designated by the department of health pursuant to section two hundred sixty-seven of the public health law.
2. Limit of practice. A permittee shall be authorized to practice medicine only under the supervision of a licensed physician and only in a public, voluntary[,] or proprietary hospital, or pursuant to section two hundred sixty-seven of the public health law.
§ 4. This act shall take effect on the ninetieth day after it shall have become a law, and shall expire and be deemed repealed July 1, 2019.
Reflowed for reading: line numbers and page breaks removed. Cite the official text.
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