This bill has been amended

Bill S2190A-2013

Expands the Doctors Across New York program to include dentists

Expands the Doctors Across New York program to include dentists.

Details

Actions

  • May 13, 2014: 1ST REPORT CAL.718
  • Feb 27, 2014: REPORTED AND COMMITTED TO FINANCE
  • Jan 29, 2014: PRINT NUMBER 2190A
  • Jan 29, 2014: AMEND (T) AND RECOMMIT TO HEALTH
  • Jan 8, 2014: REFERRED TO HEALTH
  • Jan 8, 2014: returned to senate
  • Jan 8, 2014: died in assembly
  • May 7, 2013: referred to health
  • May 7, 2013: DELIVERED TO ASSEMBLY
  • May 7, 2013: PASSED SENATE
  • May 6, 2013: ADVANCED TO THIRD READING
  • May 1, 2013: 2ND REPORT CAL.
  • Apr 30, 2013: 1ST REPORT CAL.475
  • Jan 14, 2013: REFERRED TO HEALTH

Meetings

Calendars

Votes

VOTE: COMMITTEE VOTE: - Health - Feb 27, 2014
Ayes (14): Hannon, Ball, Farley, Felder, Golden, Larkin, Savino, Seward, Young, Montgomery, Hassell-Thompson, Peralta, O'Brien, Serrano
Ayes W/R (2): Rivera, Hoylman

Memo

BILL NUMBER:S2190A

TITLE OF BILL: An act to amend the public health law, in relation to expanding the Doctors Across New York program to include dentists and extending the duration of such program

PURPOSE OR GENERAL IDEA OF BILL: Would allow the Commissioner of Health to include dentists in the Doctors Across New York program to provide dental services to underserved areas of the state.

SUMMARY OF SPECIFIC PROVISIONS: Bill Section 1 would amend Paragraph (d) of Subdivision 5-a of Section 2807-m of the Public Health Law to permit dentists to be included in the distribution of funds for the Doctors Across New York loan repayment program.

Bill Section 2 would amend Paragraph (e) of Subdivision 5-a of Section 2807-m of the Public Health Law to permit dentists to be included in the distribution of funds for the Doctors Across New York practice support program.

Bill Section 3 would amend Subdivision 10 of Section 2807-m of the Public Health Law to require that dentists in the Doctors Across New York program adhere to the same program conditions as physicians.

Bill Section 4 would provide that the law take effect immediately.

JUSTIFICATION: In 2010 the New York State Department of Health issued a report to the Legislature and Governor finding that dentists should be included in the Doctors Across New York program. This bill will allow the Commissioner of Health to include dentists in the Doctors Across New York program without increasing the costs of the program. The bill simply gives the Commissioner of Health the discretionary authority to include dentists in the program as called for by the 2010 Department of Health study. Access to dental care in underserved areas of the state is a serious public health problem and this bill will help to address that issue. The Doctors Across New York program has worked very well for physicians in terms of increasing access to medical care in underserved areas and should work equally well for dentists in terms of increasing access to dental care in underserved areas.

PRIOR LEGISLATIVE HISTORY: 2013: S.2190/A.2719 Passed the Senate 2011,2012: S.5210/A.7179 Passed the Senate

FISCAL IMPLICATIONS: None. The bill does not raise costs, but allows for reallocating existing monies as needed.

EFFECTIVE DATE: The bill takes effect immediately.


Text

STATE OF NEW YORK ________________________________________________________________________ 2190--A 2013-2014 Regular Sessions IN SENATE January 14, 2013 ___________
Introduced by Sens. YOUNG, AVELLA, GOLDEN, MONTGOMERY -- read twice and ordered printed, and when printed to be committed to the Committee on Health -- recommitted to the Committee on Health in accordance with Senate Rule 6, sec. 8 -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee AN ACT to amend the public health law, in relation to expanding the Doctors Across New York program to include dentists and extending the duration of such program THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Paragraph (d) of subdivision 5-a of section 2807-m of the public health law, as amended by section 53 of part D of chapter 56 of the laws of 2012, is amended to read as follows: (d) Physician AND/OR DENTIST loan repayment program. One million nine hundred sixty thousand dollars for the period January first, two thou- sand eight through December thirty-first, two thousand eight, one million nine hundred sixty thousand dollars for the period January first, two thousand nine through December thirty-first, two thousand nine, one million nine hundred sixty thousand dollars for the period January first, two thousand ten through December thirty-first, two thou- sand ten, four hundred ninety thousand dollars for the period January first, two thousand eleven through March thirty-first, two thousand eleven, and one million seven hundred thousand dollars each state fiscal year for the period April first, two thousand eleven through March thir- ty-first, two thousand [fourteen] FIFTEEN, shall be set aside and reserved by the commissioner from the regional pools established pursu- ant to subdivision two of this section and shall be available for purposes of physician AND/OR DENTISTS loan repayment in accordance with subdivision ten of this section. Notwithstanding any contrary provision of this section, sections one hundred twelve and one hundred sixty-three of the state finance law, or any other contrary provision of law, such
funding shall be allocated regionally with one-third of available funds going to New York city and two-thirds of available funds going to the rest of the state and shall be distributed in a manner to be determined by the commissioner without a competitive bid or request for proposal process as follows: (i) Funding shall first be awarded to repay loans of up to twenty-five physicians AND/OR DENTISTS who train in primary care or specialty tracks in teaching general hospitals, and who enter and remain in primary care or specialty practices in underserved communities, as determined by the commissioner. (ii) After distributions in accordance with subparagraph (i) of this paragraph, all remaining funds shall be awarded to repay loans of physi- cians AND/OR DENTISTS who enter and remain in primary care or specialty practices in underserved communities, as determined by the commissioner, including but not limited to physicians AND/OR DENTISTS working in general hospitals, or other health care facilities. (iii) In no case shall less than fifty percent of the funds available pursuant to this paragraph be distributed in accordance with subpara- graphs (i) and (ii) of this paragraph to physicians AND/OR DENTISTS identified by general hospitals. S 2. Paragraph (e) of subdivision 5-a of section 2807-m of the public health law, as amended by section 53 of part D of chapter 56 of the laws of 2012, is amended to read as follows: (e) Physician AND/OR DENTIST practice support. Four million nine hundred thousand dollars for the period January first, two thousand eight through December thirty-first, two thousand eight, four million nine hundred thousand dollars annually for the period January first, two thousand nine through December thirty-first, two thousand ten, one million two hundred twenty-five thousand dollars for the period January first, two thousand eleven through March thirty-first, two thousand eleven, and four million three hundred thousand dollars each state fiscal year for the period April first, two thousand eleven through March thirty-first, two thousand [fourteen] FIFTEEN, shall be set aside and reserved by the commissioner from the regional pools established pursuant to subdivision two of this section and shall be available for purposes of physician AND/OR DENTIST practice support. Notwithstanding any contrary provision of this section, sections one hundred twelve and one hundred sixty-three of the state finance law, or any other contrary provision of law, such funding shall be allocated regionally with one- third of available funds going to New York city and two-thirds of avail- able funds going to the rest of the state and shall be distributed in a manner to be determined by the commissioner without a competitive bid or request for proposal process as follows: (i) Preference in funding shall first be accorded to teaching general hospitals for up to twenty-five awards, to support costs incurred by physicians AND/OR DENTISTS trained in primary or specialty tracks who thereafter establish or join practices in underserved communities, as determined by the commissioner. (ii) After distributions in accordance with subparagraph (i) of this paragraph, all remaining funds shall be awarded to physicians AND/OR DENTISTS to support the cost of establishing or joining practices in underserved communities, as determined by the commissioner, and to hospitals and other health care providers to recruit new physicians AND/OR DENTISTS to provide services in underserved communities, as determined by the commissioner.
(iii) In no case shall less than fifty percent of the funds available pursuant to this paragraph be distributed to general hospitals in accordance with subparagraphs (i) and (ii) of this paragraph. S 3. Subdivision 10 of section 2807-m of the public health law, as added by section 75-e of part C of chapter 58 of the laws of 2008, and paragraphs (a) and (c) as amended by section 13 of part B of chapter 58 of the laws of 2010, is amended to read as follows: 10. Physician AND/OR DENTIST loan repayment program. (a) Beginning January first, two thousand eight, the commissioner is authorized, with- in amounts available pursuant to subdivision five-a of this section, to make loan repayment awards to primary care physicians AND/OR DENTISTS or other physician AND/OR DENTIST specialties determined by the commission- er to be in short supply, licensed to practice medicine AND/OR DENTISTRY in New York state, who agree to practice for at least five years in an underserved area, as determined by the commissioner. Such physician AND/OR DENTIST shall be eligible for a loan repayment award of up to one hundred fifty thousand dollars over a five year period distributed as follows: fifteen percent of total loan debt not to exceed twenty thou- sand dollars for the first year; fifteen percent of total loan debt not to exceed twenty-five thousand dollars for the second year; twenty percent of total loan debt not to exceed thirty-five thousand dollars for the third year; and twenty-five percent of total loan debt not to exceed thirty-five thousand dollars per year for the fourth year; and any unpaid balance of the total loan debt not to exceed the maximum award amount for the fifth year of practice in such area. (b) Loan repayment awards made to a physician AND/OR DENTIST pursuant to paragraph (a) of this subdivision shall not exceed the total qualify- ing outstanding debt of the physician AND/OR DENTIST from student loans to cover tuition and other related educational expenses, made by or guaranteed by the federal or state government, or made by a lending or educational institution approved under title IV of the federal higher education act. Loan repayment awards shall be used solely to repay such outstanding debt. (c) In the event that a five-year commitment pursuant to the agreement referenced in paragraph (a) of this subdivision is not fulfilled, the recipient shall be responsible for repayment in amounts which shall be calculated in accordance with the formula set forth in subdivision (b) of section two hundred fifty-four-o of title forty-two of the United States Code, as amended. (d) The commissioner is authorized to apply any funds available for purposes of paragraph (a) of this subdivision for use as matching funds for federal grants for the purpose of assisting states in operating loan repayment programs pursuant to section three hundred thirty-eight I of the public health service act. (e) The commissioner may postpone, change or waive the service obli- gation and repayment amounts set forth in paragraphs (a) and (c), respectively of this subdivision in individual circumstances where there is compelling need or hardship. (f)(i) When a physician AND/OR DENTIST is not actually practicing in an underserved area, he or she shall be deemed to be practicing in an underserved area if he or she practices in a facility or physician's AND/OR DENTIST'S office that primarily serves an underserved population as determined by the commissioner, without regard to whether the popu- lation or the facility or physician's AND/OR DENTIST'S office is located in an underserved area.
(ii) In making criteria and determinations as to whether an area is an underserved area or whether a facility or physician's AND/OR DENTIST'S office primarily serves an underserved population, the commissioner may make separate criteria and determinations for different specialties. S 4. This act shall take effect immediately.

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