Tag early intervention

Assembly Health Committee Update, 1/21/16

Assembly Health Committee Update

The Assembly Committee on Health favorably reported 22 bills at its first meeting of the 2016 session on January 21.

The Committee reported the bill to establish safe staffing requirements in hospitals and nursing homes (A8580, Gunther). The evidence is clear that having enough nurses on staff has a direct impact on the quality of patient care. Research published by the American Medical Association estimates five additional deaths per 1,000 patients in hospitals with an 8-to-1 patient-to-nurse ratio compared to those with just a 4-to-1 ratio. More nurses per patient means fewer deaths and improves patient outcomes. It is well documented that hospitals with better staff ratios have lower rates of problems such as pneu­monia, shock, and cardiac arrest.

The ratios in the bill are based on academic and evidence-based studies. The Health Department could also set more demanding and specific ratios. California was the first state to mandate nurse staffing ratios and it has seen significant improvements in outcomes for both patients and staff.

For more information on a particular bill, please contact the sponsor listed after the description. For the text of a bill, supporting memorandum, and information on its status, go to: http://public.leginfo.state.ny.us/menuf.cgi

Genetic Disease Screening and Counseling – Authorizes grants for familial dysautonomia, Canavan’s and Tay-Sachs disease screening and counseling. (A126, Dinowitz)

Adult Home Residents Right to Sue – Lets adult home residents go to court for a court-appointed receiver to operate the adult home when the operator has endangered the health, safety, or welfare of the residents. (A154A, Weinstein) 

Pearl River Patch: New NY Rules Burden Therapists Helping the Very Young

By Lanning Taliaferro, 10.6.15

Assemblymembers Ellen Jaffee and Richard N. Gottfried hosted a roundtable discussion recently on the New York State Early Intervention Program and the new third party “fiscal agent” system.

What once was a model program helping very young children who need physical, cognitive or occupational therapy has crumbled under the weight of a bureaucratic change meant to make sure the state gets reimbursed for the costs, they said.

Here’s the background: In 2013 the NYS Early Intervention Program started using third party “fiscal agents” in the collection of payments for early intervention services (known as EI). EI service providers send claims to a “fiscal agent” who routes them to private insurance and Medicaid payers.

The objective of this new system was to improve the terrible collection rates from private insurers. Previously they contributed only 2-3 percent of the total statewide program cost, Jaffee said.

May Health Committee Update

Assembly Health Committee Update:
Protecting Nursing Home Residents From Abuse of Psychotropic Drugs

The Assembly Committee on Health favorably reported 39 bills at its meetings in May.  The Committee advanced legislation strengthening the “prescriber prevails” rule in Medicaid Managed Care; authorizing community paramedicine; and protecting nursing home residents from overuse of psychotropic drugs.

New York law gives patients in nursing homes the right to be fully informed of their proposed treatment, including the right to refuse treatment and be free from chemical restraint unless consistent with certain requirements.  However, psychotropic drugs are being used not just to treat illness but as a form of behavioral control.  The Assembly Health Committee held a hearing in February in which patients’ families, advocates, and adult care experts testified to the frequency of overuse.  A.7351 (Gottfried) requires that before psychotropic drugs are ordered in a nursing home or adult care facility, the patient or their surrogate must be informed of the potential benefits and side effects; dosage and duration of the prescription; reasonable alternatives (such as therapeutic activities); and their right to refuse consent.  The bill also requires written consent by the patient or surrogate.

For more information on a particular bill, please contact the sponsor listed after the description.  For the text of a bill, supporting memorandum, and information on its status, go to: http://public.leginfo.state.ny.us/menuf.cgi .

Tuesday, May 5

Early Intervention Covered Lives Assessment – Provides funding for Early Intervention services through the “covered lives assessment” paid by health insurance companies.  (A273, Paulin)

Credentialing for Group Practices – Requires insurers to expedite review of applications of health care professionals who are joining a group practice and grant provisional credentials to these professionals (A501, Cusick)

Healthy Teens Act – Establishes a Department of Health grant program for providers of age-appropriate sex education.  (A1616, Gottfried)