What's happening
This bill adds physician-home care agency collaborations to support primary care, public health, and medical management in New York.
Why it matters
Expands collaboration models. By adding “physician-home care agency collaboratives” to the list of allowable integration initiatives, the bill encourages closer cooperation between doctors and home care agencies, aiming to improve both primary care and public health outcomes for patients at home.
Improves care coordination. These collaborations can help ensure patients receive better-managed care after hospital discharge, potentially reducing miscommunication, care gaps, and preventable complications, especially for those with chronic or complex health needs.
Supports at-home patient management. Facilitating physician involvement with home care agencies could enable more proactive health management, timely interventions, and tailored support for homebound or vulnerable patients, reducing unnecessary hospital visits and improving quality of life.
Promotes system-wide innovation. By formally recognizing these collaboratives, the legislation paves the way for new models of integrated care and medical management, which could serve as pilots for broader health system reforms in New York.
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Who cares
Headline styles
Support Doctor-Home Care Teams
Plain English, a few words. Used as the page title.
Sponsors
No co-sponsors yet.
History
- Referred to health
- Referred to health
Full text
2 pagesUnderlined is new[Struck] is removedOfficial text on nysenate.gov ↗
STATE OF NEW YORK
6345
2017-2018 Regular Sessions
IN SENATE
May 11, 2017
Introduced by Sen. HANNON -- 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 physician-home care collaboratives supporting primary care, public health and medical management
The People of the State of New York, represented in Senate and Assembly, do enact as follows:
Section 1. Paragraph (a) of subdivision 4 of section 2805-x of the public health law, as added by section 48 of part B of chapter 57 of the laws of 2015, is amended to read as follows:
(a) Hospital-home care-physician integration initiatives, including but not limited to:
(i) transitions in care initiatives to help effectively transition patients to post-acute care at home, coordinate follow-up care and address issues critical to care plan success and readmission avoidance;
(ii) clinical pathways for specified conditions, guiding patients' progress and outcome goals, as well as effective health services use;
(iii) application of telehealth/telemedicine services in monitoring and managing patient conditions, and promoting self-care/management, improved outcomes and effective services use;
(iv) physician-home care agency collaboratives supporting primary care, public health and medical management;
(v) facilitation of physician house calls to homebound patients and/or to patients for whom such home visits are determined necessary and effective for patient care management;
[(v)] (vi) additional models for prevention of avoidable hospital readmissions and emergency room visits;
[(vi)] (vii) health home development;
[(vii)] (viii) development and demonstration of new models of integrated or collaborative care and care management not otherwise achievable through existing models; and
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD11738-01-7
S. 6345 2
[(viii)] (ix) bundled payment demonstrations for hospital-to-post-acute-care for specified conditions or categories of conditions, in particular, conditions predisposed to high prevalence of readmission, including those currently subject to federal/state penalty, and other discharges with extensive post-acute needs;
§ 2. This act shall take effect immediately.
Reflowed for reading: line numbers and page breaks removed. Cite the official text.
Sponsor's memo
Title of bill
An act to amend the public health law, in relation to physician-home care collaboratives supporting primary care, public health and medical management
Purpose
This legislation promotes coordinated, cost-effective, primary and preventive priority, health care through close physician-homecare agency partnerships.
Summary of provisions
Section one of the bill amends section 2805-x of the public health law to add "Physicianhomecare agency collaboratives supporting primary care, public health and medical management" to the program options under the Hospital-Homecare-Physician Collaboration program. Prime examples of services under such physician-homecare partnerships that could yield major health support to patients as well as opportunities for cost-effective care, and avoidance of preventable hospitalizations and other high risk events, are: (i) assistance with effective care transitions, (ii) in-home follow-ups to physician visits to check status/progress of the condition or medical intervention, (iii) in-home evaluation of a homebound or clinically frail patient in lieu of transport to the physician's office or other out-of-home medical setting, or for a prompt evaluation to avert deterioration or injury, and/or (iv) a home environmental assessment to evaluate for and/or mitigate medical risks associated with asthma, falls, or other patient health factors, (v) provision of population health services including but not limited to immunization, public health screening or medication review.
Section 2805-x provides authority for regulatory flexibility and streamlining for collaboratives, upon request to and approval of the state commissioner of health, in order to facilitate the goals of the collaborative - in this case, the provision of primary care, public health and medical management - and the public health of the state's citizens.
Section two of the bill provides an effective date.
Justification
This legislation would promote coordinated, cost-effective, primary and preventive priority health care through close physician-homecare agency partnerships, and through these models increase access to care and patient-centered capability of the system. This legislation is consistent with the major trends and directions in the health system as well as the trends in demographics and overwhelming consumer-preferences.
Prior legislative history
New bill
Fiscal implications
Anticipated cost savings to state and third-party payors.
Effective date
Immediately .
Summaries, headlines and scores are AI-generated from the official bill text. How we score bills. Source: NYS Open Legislation.