Source: http://open.nysenate.gov/legislation/bill/S8090
Timestamp: 2014-10-23 11:02:40
Document Index: 267369834

Matched Legal Cases: ['§2406', 'Art 43', 'Art 27', '§95', '§95', '§242', '§365', '§453', '§6', '§101', '§2', '§45', '§11', '§79', '§529']

S8090-2009 - NY Senate Open Legislation - Enacts into law components of legislation necessary to implement provisions of law relating to the emergency appropriation - New York State Senate
Bill S8090-2009
Enacts into law components of legislation necessary to implement provisions of law relating to the emergency appropriation
Enacts into law components of legislation necessary to implement provisions of law relating to the emergency appropriation; relates to various health programs; EPIC (part A); relates to general hospital indigent health care pools and preferred drug programs; prescription drug coverage for needy persons; authorizes moneys paid in advance for funeral expenses; covering of medically necessary orthodontia; eligibility for medical assistance; general hospital reimbursement rates; medicaid services; participation in federal medical assistance programs; residential health care facilities; hospital reimbursement provisions (part B); authorizes funding for CHIPS and Marchiselli program; establishment of dedicated highway and bridge trust fund (part C); authorized reimbursement rate paid to governmental entities (Part D); reimbursement for expenditures made by the office of children and family services (part E); and school tax relief fund (part F).
A11372-2009
Law: Rpld §§2406 subs 2 & 3, 2409, 2407 sub 3-a, 2799-j, 2799-l & 2745, Art 43-C & Art 27-I, amd Pub Health L, generally; amd §§95-a & 97-rrr, rpld §95-e, St Fin L; amd §§242 & 250, Eld L; amd §§365-a, 209, 141, 365-h, 367-a & 367-w, Soc Serv L; amd §453, Gen Bus L; amd Part C §§6 & 1, Chap 58 of 2005; amd Part A §101, Chap 57 of 2006; amd §2, Chap 33 of 1998; amd Part D §45, Chap 58 of 2009; amd §11, Chap 329 of 1991; amd §79-b, Nav L; amd §529, Exec L
Jun 8, 2010: SIGNED CHAP.109
Jun 7, 2010: DELIVERED TO GOVERNOR
Jun 7, 2010: returned to senate
Jun 7, 2010: passed assembly
Jun 7, 2010: message of necessity - 3 day message
Jun 7, 2010: message of necessity - appropriation
Jun 7, 2010: motion to amend lost
Jun 7, 2010: ordered to third reading rules cal.74
Jun 7, 2010: substituted for a11372
Jun 7, 2010: referred to ways and means
Jun 7, 2010: DELIVERED TO ASSEMBLY
Jun 7, 2010: PASSED SENATE
Jun 7, 2010: ORDERED TO THIRD READING CAL.762
Jun 7, 2010: REPORTED AND COMMITTED TO RULES
Jun 7, 2010: REFERRED TO FINANCE
Nays (27):
Bonacic, DeFrancisco, Farley, Flanagan, Fuschillo, Golden, Griffo, Hannon, Lanza, Larkin, LaValle, Leibell, Libous, Little, Marcellino, Maziarz, McDonald, Nozzolio, Padavan, Ranzenhofer, Robach, Saland, Seward, Skelos, Volker, Winner, Young
Alesi, Johnson O, Morahan
Skelos, Padavan, Volker, Farley, LaValle, Seward, Hannon, Larkin, Saland
BILL NUMBER:S8090TITLE OF BILL:An act to amend the public health law, the state finance law, and the elder law, in relation to various public health programs; to amend the elder law, in relation to the elderly pharmaceutical insurance program; and to repeal certain provisions of the public health law and the state finance law relating thereto (Part A); in relation to general hospital indigent care pools, and preferred drug programs; to amend the public health law, in relation to reimbursements; to amend the social services law and the public health law, in relation to prescription drug coverage for needy persons; to amend the general business law and the social services law, in relation to authorizing moneys paid in advance for funeral merchandise or services for family members; to amend the social services law, in relation to authorizing the commissioner of health to assume responsibility for transportation costs; to amend the public health law, in relation to covering medically necessary orthodontia; to amend the social services law, in relation to eligibility for medical assistance; to amend the public health law, in relation to general hospital reimbursement rate periods; to amend part C of chapter 58 of the laws of 2005 amending the public health law and other laws relating to authorizing reimbursements for expenditures made by social services districts for medical assistance, in relation to medicaid services; to amend part A of chapter 57 of the laws of 2006 amending the social services law relating to medically fragile children, in relation to the effectiveness of provisions; to amend the social services law, in relation to participation in certain federal medical assistance programs; to amend chapter 33 of the laws of 1998 amending the social services law relating to authorizing payment of Medicare part B premiums for certain Medicaid recipients, in relation to making the provisions of such chapter permanent; to amend the public health law, in relation to residential health care facilities; to amend part D of chapter 58 of the laws of 2009 amending the public health law and other laws relating to residential health care facilities, in relation to hospital reimbursement provisions; and providing for the repeal of certain provisions upon expiration thereof (Part B; to authorize funding for the Consolidated Local Street and Highway Improvement Program (CHIPS) and Marchiselli program for state fiscal year 2010-2011; and to amend chapter 329 of the laws of 1991, amending the state finance law and other laws relating to the establishment of the dedicated highway and bridge trust fund, in relation to funding therefor (Part C); to amend the navigation law, in relation to the authorized reimbursement rate paid to governmental entities (Part D); to amend the executive law, in relation to reimbursement for expenditures made by the office of children and family services and providing for the repeal of such provisions upon expiration thereof (Part E); and to amend the state finance law, in relation to the school tax relief fund (Part F)PURPOSE:This  bill  contains  provisions that provide enhanced fiscal management and generate fiscal savings for the 2010-11 State Fiscal Year.SUMMARY OF PROVISIONS:Part  A  -  Modify  coverage  requirements in the Elderly Pharmaceutical Insurance Program (EPIC) beginning October 1, 2010, and  reform  various public health programs beginning April 1, 2010.This bill would:* Consolidate several specific cancer programs and authorize the Commissioner  of  Health (Commissioner) to make grants without consulting with the Breast Cancer Detection and Education Program Advisory Council* Repeal various  public  health  programs,  including  the  Public  and Private  Umbilical  Cord  Blood  Banking  Program,  Shaken Baby Syndrome Public Education Campaign, and the Reflex Sympathetic Dystrophy Program.* Reform various public health program provisions related to the  development of Comprehensive Care Centers for Eating Disorders.*  Modify the Elderly Pharmaceutical Insurance Program (EPIC) to require prescribers to file an intent to appeal a Part D denial of  drugs  while allowing for up to a 90 day emergency supply during the appeals process.Enactment of this bill is necessary to generate $15.0 million in savings in  the  2010-11  State Fiscal Year: $12.7 million in savings from EPIC, and $2.3 million in savings from various other public health programs.Part B - Implement cost savings proposals for Medicaid  and  the  Health Care Reform Act (HCRA).This bill would:*  Discontinue  the  remaining  portion  of the Calendar Year 2010 trend factor adjustment - projected at 1.7 percent -  for  hospitals,  nursing homes (excluding pediatric nursing homes, home and personal care providers.) (2010-11 Savings:  $99M).*  Modify  the distribution of indigent care reimbursement to hospitals. (2010-11 Savings: $72M).* Eliminate funding  for  innovations  in  Graduate  Medical  Education. (2010-11 Savings: $37M).* Limit reimbursement for preventable readmissions to hospitals, nursing home  rate  appeals and drug costs and payments to nursing homes to hold beds vacant. (2010-11 Savings: $36M).* Change pharmaceutical reimbursement  to  improve  rebate  collections. (2010-11 Savings: $2M).*  Allow for a contractor to manage transportation services; establishes prior approval for physical and occupational therapy services;  requires all  pre-need  funeral  accounts  to  be irrevocable for the purposes of establishing Medicaid eligibility, consolidates poison control  centers; reduces  HCRA  funding  for anti-tobacco research at Roswell Park Cancer Institute; and discontinues  HCRA  funding  for  the  infertility  grant program,  disease  management demonstration and long term care education and outreach. (2010-11 Savings: $24M).Enactment of this bill is necessary to achieve $270 million  in  savings in the 2010-11 State Fiscal Year.Part  C - Provide the annual authorization for the CHIPS and Marchiselli programs.This bill would authorize $363,097,000 of funding for  the  Consolidated Local Street and Highway Improvement Program (CHIPS) and $39,700,000 for the  Marchiselli program for state fiscal year 2010-11. Spending is from bond proceeds and is maintained at 2009-10 levels. This bill would  also increase  the statutory cap for bonds issued by the Thruway Authority in order to support the newly authorized funding for these programs.This action is necessary to provide reimbursement to  local  governments for  capital project expenditures on local highways and bridges, including Federal-aid projects.Part D - Reduce the authorized reimbursement rate paid  to  governmental entities that voluntarily enforce the provisions of the Navigation Law.This bill would reduce the authorized reimbursement rate paid to governmental  entities  that voluntarily enforce the provisions of the Navigation Law from 75 percent to 50 percent.Reducing the reimbursement rate for enforcing provisions of the  Navigation Law will generate $1.2 million annual savings.Part E - Clarify the State's authority to withhold payments to districts for past due youth facility reimbursement.This  bill  would  clarify the State's authority to withhold payments to local social services districts for past due youth  facility  reimbursement,  and  authorize  the  transfer of up to $27 million from the Youth Facility Per Diem account to the General Fund.The transfer from the Youth Facility Per Diem  account  to  the  General Fund will generate $27 million in revenue.Part F - Authorize a transfer of monies into Fund 053, School Tax Relief (STAR)This  bill would allow the State Comptroller (OSC) to make deposits into the School Tax Relief Fund for State fiscal year 2010-11.  This  depositauthorization  will  allow  OSC  to  make  the  necessary June 15th STAR payment to New York City.STATEMENT IN SUPPORT:Enactment of these provisions will maintain continuity in State services and financial management in the absence of an enacted 2010-11 Budget.BUDGETARY IMPLICATIONS:Enactment  of  this  bill is necessary to ensure the fiscal stability of the State.EFFECTIVE DATE:Immediately.
S. 8090                                                 A. 11372
to amend the public health law, the state finance law, and  the  elder
law,  in  relation to various public health programs; to amend the elder
law, in relation to the elderly pharmaceutical insurance program; and to
repeal certain provisions of the public health law and the state finance
law relating thereto (Part A); in relation to general hospital  indigent
care pools, and preferred drug programs; to amend the public health law,
in  relation to reimbursements; to amend the social services law and the
public health law, in relation to prescription drug coverage  for  needy
persons;  to amend the general business law and the social services law,
in relation to authorizing moneys paid in advance for  funeral  merchan-
dise  or  services for family members; to amend the social services law,
in relation to authorizing the commissioner of health to assume  respon-
sibility  for  transportation  costs; to amend the public health law, in
relation to covering  medically  necessary  orthodontia;  to  amend  the
social  services law, in relation to eligibility for medical assistance;
to amend  the  public  health  law,  in  relation  to  general  hospital
reimbursement rate periods; to amend part C of chapter 58 of the laws of
2005 amending the public health law and other laws relating to authoriz-
ing  reimbursements  for  expenditures made by social services districts
for medical assistance, in relation to medicaid services; to amend  part
A  of  chapter  57  of the laws of 2006 amending the social services law
relating to medically fragile children, in relation to the effectiveness
of provisions; to amend the social services law, in relation to  partic-
ipation in certain federal medical assistance programs; to amend chapter
33  of  the  laws  of  1998 amending the social services law relating to
authorizing payment of Medicare part B  premiums  for  certain  Medicaid
recipients,  in relation to making the provisions of such chapter perma-
nent; to amend the public health law, in relation to residential  health
care  facilities;  to  amend  part  D  of chapter 58 of the laws of 2009
amending the public health law and other laws  relating  to  residential
LBD12272-04-0
S. 8090                             2                           A. 11372
health   care   facilities,   in   relation  to  hospital  reimbursement
provisions; and providing for the  repeal  of  certain  provisions  upon
expiration  thereof  (Part  B; to authorize funding for the Consolidated
Local  Street  and  Highway  Improvement Program (CHIPS) and Marchiselli
program for state fiscal year 2010-2011; and to amend chapter 329 of the
laws of 1991, amending the state finance law and other laws relating  to
the  establishment  of  the  dedicated highway and bridge trust fund, in
relation to funding therefor (Part C); to amend the navigation  law,  in
relation to the authorized reimbursement rate paid to governmental enti-
ties  (Part D); to amend the executive law, in relation to reimbursement
for expenditures made by the office of children and family services  and
providing  for  the  repeal  of  such provisions upon expiration thereof
(Part E); and to amend the state finance law, in relation to the  school
tax relief fund (Part F)
identified as Parts A through F. The effective date for each  particular
ing  the  effective date of the Part, which makes reference to a section
Section 1.  The title heading of title 1-A of article 24 of the public
health law, as amended by chapter 300 of the laws of 1995, is amended to
[BREAST] CANCER DETECTION AND EDUCATION PROGRAM[; OVARIAN CANCER
INFORMATION PROGRAM]
S 2. Section 2405 of the public health law, as added by chapter 328 of
the laws of 1989, subdivision 1 as amended by chapter 554 of the laws of
2002  and  paragraphs (a) and (d) of subdivision 2 as amended by chapter
515 of the laws of 2003, is amended to read as follows:
S 2405. [Breast cancer] CANCER detection and education program; estab-
lishment.  1. There is hereby created within the department the [breast]
cancer detection and education program, also known as the [healthy women
partnership] CANCER SERVICES PROGRAM.   This program is  established  to
promote  screening  and  detection  of [breast] cancer among unserved or
underserved populations, to educate the public regarding [breast] cancer
and the benefits of early  detection,  and  to  provide  counseling  and
referral  services.  For  purposes  of this section, "unserved or under-
served populations" shall mean  persons  having  inadequate  access  and
financial  resources  to  obtain [breast] cancer screening and detection
services, including persons who lack health insurance  or  whose  health
insurance  coverage  is  inadequate  or who cannot meet their deductible
obligations for purposes of accessing coverage under their health insur-
S. 8090                             3                           A. 11372
(a)  establishment  of  a  statewide  public  education  and  outreach
campaign to publicize  [breast]  EVIDENCE  BASED  cancer  detection  and
education  services,  such  campaign  shall  include:  general community
education, outreach to specific underserved populations, EVIDENCE  BASED
clinical  [breast] cancer screening services [and follow-up care, infor-
mation on the extent of coverage for such services by health  insurance,
the  medical  assistance program and other public and private programs],
and an informational summary that shall include an  explanation  of  the
importance  of clinical [breast] examinations[, breast-self-examinations
and mammography,] AND what to expect during [a] clinical  [breast  exam-
ination]  EXAMINATIONS and [mammography, and how to perform breast-self-
examinations] CANCER SCREENING SERVICES;
(b) provision of grants to approved organizations under section  twen-
ty-four hundred six of this title;
(c)  compilation  of data concerning the [breast] cancer detection and
education program and dissemination of the data to the public; and
(d) development of professional education programs including the bene-
fits of early detection of  [breast]  cancer[,]  AND  clinical  [breast]
examinations  [and  breast-self-examinations], the recommended frequency
of  clinical  [breast]  examinations[,  breast-self-examinations,]   and
[mammography]  CANCER  SCREENING SERVICES, and professionally recognized
best practices guidelines.
S 3. Subdivisions 2 and 3 of section 2406 of the public health law are
S 4. Section 2409 of the public health law, as added by chapter 275 of
the laws of 1995, is REPEALED.
S 5. Subdivisions 2 and 3 of section 95-a of the state finance law, as
added by chapter 275 of the  laws  of  1995,  are  amended  to  read  as
2. Such fund shall consist of all monies appropriated [for the purpose
of]  TO  such  fund  and  any grant, gift or bequest made to the [breast
cancer detection and education program advisory council] FUND.
3. Monies of the  fund  shall  be  available  [to  the  breast  cancer
detection  and  education  program advisory council] for the purposes of
the [New York state innovation in breast] cancer [early]  detection  and
[research  awards]  EDUCATION  program,  pursuant to section twenty-four
hundred [nine] FIVE of the public health law.
S 6. Subdivision 3-a of section 2407  of  the  public  health  law  is
S  7.  Subdivisions 1, 4, 5 and 6 of section 2406 of the public health
law, subdivision 1 as amended by chapter 176 of the laws of 2006, subdi-
vision 4 as amended and subdivision 5 as renumbered by  chapter  334  of
the  laws  of 1990, subdivision 5 as added by chapter 328 of the laws of
1989, and subdivision 6 as added by chapter 323 of the laws of 1995, are
1. The commissioner[, in consultation with the breast cancer detection
and education program advisory council established pursuant  to  section
twenty-four  hundred  seven of this title,] shall make grants within the
amounts appropriated to approved organizations[, as defined in  subdivi-
sion  three  of this section,] for the provision of services relating to
the EVIDENCE BASED screening and detection of [breast] cancer as part of
this program. Such services shall include but not be limited to:
(a) promotion and provision of early  detection  of  [breast]  cancer,
including [mammography,] clinical [examination, and breast self-examina-
tion] EXAMINATIONS AND CANCER SCREENING SERVICES;
S. 8090                             4                           A. 11372
(b)  provision  of counseling and information on treatment options and
referral for appropriate medical treatment;
(c)  dissemination  of  information  to unserved and underserved popu-
lations, to the general public and to health care professionals concern-
ing [breast] cancer, the benefits of early detection and treatment,  and
the availability of [breast] cancer screening services;
(d)  identification of local [breast] cancer screening services within
the approved organization's region;
(e) provision of information,  counseling  and  referral  services  to
individuals diagnosed with [breast] cancer; and
(f)  provision  of  information  regarding the availability of medical
assistance, including medical assistance under paragraph (v) of subdivi-
sion four of section three hundred sixty-six of the social services law,
to an individual who requires treatment for [breast, cervical, colon  or
prostate] cancer.
[4.]  2.  The  commissioner[,  in  consultation with the breast cancer
detection and education program advisory council,] shall give notice and
provide opportunity [for organizations described in subdivision three of
this  section]  to  submit  applications  to  provide  [breast]   cancer
detection  and education programs. In order to be considered for a grant
to provide [breast] cancer detection and education programs,  applicants
(a)  ability  to provide and to ensure consistent and quality [breast]
cancer detection services;
(b) expertise in [breast] cancer detection and treatment;
(c) capacity to coordinate services  with  physicians,  hospitals  and
other appropriate local institutions or agencies;
(d)  ability  to  provide  [breast]  cancer  detection  and  education
services to unserved or underserved populations; and
(e) ability to implement a [breast]  cancer  detection  and  education
program in accordance with the standards specified in subdivision [five]
Applications shall be made on forms provided by the commissioner. [The
breast  cancer  detection  and  education program advisory council shall
review and evaluate applications and make recommendations to the commis-
sioner for approval of grants to organizations to provide breast  cancer
detection and education programs.]
[5.]  3.  The  commissioner[,  in  consultation with the breast cancer
detection and education program advisory council,] shall develop  stand-
ards  for  the implementation of [breast] cancer detection and education
programs by approved organizations which shall ensure the following:
(a) integration of the approved organization with existing health care
(b) maximizing third party reimbursement;
(c) provision of services to unserved or underserved populations.
[6.] 4. Within the amounts of state or federal funds appropriated  for
[cervical]  cancer early detection and diagnosis, approved organizations
may be authorized by the department to provide such services  for  popu-
lations  served  pursuant  to this title. Early detection services shall
include, but not be limited to,  complete  [pelvic]  examinations,  [pap
smears,]   EVIDENCE  BASED  SCREENING,  patient  education,  counseling,
S 8.  Section 2406-a of the public health law, as added by chapter 623
S 2406-a. Grants to community-based organizations. 1. The  commission-
er[,  in  consultation with the breast and cervical cancer detection and
S. 8090                             5                           A. 11372
education program advisory council established pursuant to section twen-
ty-four hundred seven of this title,] shall make grants within any  such
amount as may be appropriated specifically for community-based organiza-
tions  for  the provision of counseling, education and outreach programs
for persons diagnosed with breast cancer.
2. For the purposes of this section,  "community-based  organizations"
shall  mean  grass  roots,  free-standing  organizations in which breast
cancer survivors hold significant  decision-making  responsibility,  and
which  offer  a  broad  range  of  breast  cancer  education and support
3. The commissioner[, in consultations with the  breast  and  cervical
cancer  detection and education program advisory council,] shall provide
notice and  opportunity  for  community-based  organizations  to  submit
applications  to provide post-diagnosis breast cancer counseling, educa-
tion and outreach programs. Such applications shall be on  forms  estab-
lished  by  the  commissioner. [The breast and cervical cancer detection
and education program advisory council shall review and evaluate  appli-
cations  submitted pursuant to this subdivision and shall make recommen-
dations thereon to the commissioner for approval of grants  to  communi-
ty-based organizations for the provision of post-diagnosis breast cancer
counseling, education and outreach programs.]
S 11. Section 2799-f of the public health law, as added by chapter 114
S  2799-f.  Comprehensive  care  centers  for eating disorders; estab-
lished.  [1.] The commissioner shall [facilitate the  development,  and]
provide  for  the public identification[,] of comprehensive care centers
for persons with eating disorders[. The development  and  identification
of such centers shall be] for the purposes of:
[(a)]  1.  Promoting the [development and] operation of a continuum of
comprehensive, coordinated care for persons with eating disorders;
[(b)] 2. Promoting ready access to information, referral and treatment
services  on  eating  disorders  for  consumers,  health  practitioners,
providers and insurers, with access in every region of the state;
[(c)]  3.  Promoting community education, prevention and patient entry
into care; and
[(d)] 4. Promoting and coordinating regional  and  statewide  research
efforts  into  effective methods of education, prevention and treatment,
including research on the various models of care.
[2. In order to identify such comprehensive care centers, the  commis-
sioner  shall issue a request for applications ("hereinafter referred to
in this section as RFA"). The form and content  of  such  RFA  shall  be
prepared  with input from individuals and organizations who at a minimum
are representative of  health  care  practitioners  and  providers  with
expertise  in  the care of persons with eating disorders as well as from
persons and families with experience in the diagnosis and  treatment  of
these  disorders.  Such  RFA  shall be issued not later than one hundred
twenty days following the effective date of this article.]
S 12. Paragraph (d) of subdi