Directs the commissioner of health to establish an opioid addiction treatment and hospital diversion demonstration program.
Ayes (61): Adams, Addabbo, Avella, Ball, Bonacic, Boyle, Breslin, Carlucci, DeFrancisco, Diaz, Dilan, Espaillat, Farley, Felder, Flanagan, Fuschillo, Gallivan, Gianaris, Gipson, Golden, Griffo, Grisanti, Hannon, Hassell-Thomps, Hoylman, Kennedy, Klein, Krueger, Lanza, Larkin, Latimer, LaValle, Libous, Little, Marcellino, Marchione, Martins, Maziarz, Montgomery, Nozzolio, O'Brien, O'Mara, Parker, Peralta, Ritchie, Rivera, Robach, Sampson, Sanders, Savino, Serrano, Seward, Skelos, Smith, Squadron, Stavisky, Stewart-Cousin, Tkaczyk, Valesky, Young, Zeldin
Excused (2): Perkins, Ranzenhofer
TITLE OF BILL: An act to amend the public health law, in relation to establishing an opioid addiction treatment and hospital diversion demonstration program
PURPOSE: Directs the commissioner of health to establish an opioid addiction treatment and hospital diversion demonstration program
SUMMARY OF PROVISIONS:
Section 1 adds a new Public Health Law 3309-b to establish the Opioid Addiction Treatment and Hospital Diversion Demonstration Program. Under the program the commissioner in consultation with the Office of Alcoholism and Substance Abuse Services, is authorized to established up to six demonstrations with, at minimum, one located in each of the following locations; Western New York, Central New York, State Island, Brooklyn, and Long Island. Additionally, this section requires the commissioner to report within 2 years on the effectiveness of the demonstration program and recommendations regarding the expansion of the program.
Section 2 provides the act take effect immediately.
JUSTIFICATION: The Centers for Disease Control and Prevention (CDC) recently reported that in one year, 27,000 Americans died of unintentional drug overdoses - that is one death every 19 minutes. Further, the CDC reported that for every unintentional overdose death related to opioids, nine persons are admitted for substance abuse treatment and 35 individuals visit emergency departments. According to a study in the journal Psychiatric Services, substance abuse disorders are costing states millions of dollars in Medicaid expenses. This study found that in six states, the Medicaid programs spent over $200 million more on beneficiaries with substance abuse disorders than those without.
Presumably, in an effort to cut these costs, both the state and national government have been supportive of the concept of making detox an outpatient, rather than inpatient service. Withdrawal from opioid drugs is generally not life threatening and can be readily managed in less intensive and costly environments. However, despite the support of more efficient, cost saving alternatives, there is a shortage of community options for individuals seeking assistance with opioid addiction. The lack of available treatment facilities was raised several times at the recent roundtables on the prescription drug abuse crisis held by the Senate Standing Committee on Health and the Senate Standing, Committee on Alcoholism and Drug Abuse.
This demonstration program aims to address these issues by providing alternative outpatient short term treatment, avoiding the unnecessary emergency room costs, and studying the effectiveness of this treatment model. The demonstration program established herein is modeled after programs such as the Rose House Hospital Diversion Program, located in
Poughkeepsie, Voices of the Health,serving Washington and Warren County, and the Essex County Crisis Alternatives Program - which are all deemed to be successful programs providing, mental health respite services. While there will be costs to the state associated with the creation of this demonstration, such costs are expected to be offset by Medicaid savings resulting from the decrease in emergency room services.
LEGISLATIVE HISTORY: S.7326 of 2012 Passed Senate
FISCAL IMPLICATIONS: The costs of the program are expected to be offset by Medicaid savings.
EFFECTIVE DATE: Immediately.
STATE OF NEW YORK ________________________________________________________________________ 2948 2013-2014 Regular Sessions IN SENATE January 25, 2013 ___________Introduced by Sens. HANNON, RANZENHOFER -- read twice and ordered print- ed, and when printed to be committed to the Committee on Health AN ACT to amend the public health law, in relation to establishing an opioid addiction treatment and hospital diversion demonstration program THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. The public health law is amended by adding a new section 3309-b to read as follows: S 3309-B. OPIOID ADDICTION TREATMENT AND HOSPITAL DIVERSION DEMON- STRATION PROGRAM. 1. THE COMMISSIONER, IN CONSULTATION WITH THE OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES, SHALL, WITHIN THE AMOUNTS APPROPRIATED THEREFOR, ESTABLISH AN OPIOID ADDICTION TREATMENT AND HOSPITAL DIVERSION DEMONSTRATION PROGRAM. THIS PROGRAM SHALL PROVIDE A NEW MODEL OF DETOXIFICATION AND TRANSITIONAL SERVICES FOR INDIVIDUALS SEEKING TO RECOVER FROM OPIOID ADDICTION, THEREBY REDUCING RELIANCE ON EMERGENCY ROOM SERVICES. THE PROGRAM SHALL PROVIDE FOR THE TREATMENT OF PRESCRIPTION PAIN MEDICATION ADDICTION ON AN OUTPATIENT OR NON-MEDICAL RESIDENTIAL SHORT-TERM STAY BASIS. THE COMMISSIONER SHALL ESTABLISH UP TO SIX DEMONSTRATIONS THROUGHOUT THE STATE, AND AT MINIMUM A DEMON- STRATION SHALL BE ESTABLISHED IN EACH OF THE FOLLOWING AREAS: WESTERN NEW YORK, CENTRAL NEW YORK, STATEN ISLAND, BROOKLYN AND LONG ISLAND. 2. NOT LATER THAN TWO YEARS AFTER THE EFFECTIVE DATE OF THIS SECTION, THE COMMISSIONER SHALL PROVIDE THE GOVERNOR, THE TEMPORARY PRESIDENT OF THE SENATE, THE SPEAKER OF THE ASSEMBLY, THE CHAIR OF THE SENATE STAND- ING COMMITTEE ON HEALTH AND THE CHAIR OF THE ASSEMBLY HEALTH COMMITTEE WITH A WRITTEN EVALUATION OF THE DEMONSTRATION PROGRAM. SUCH EVALUATION SHALL ADDRESS THE OVERALL EFFECTIVENESS OF THIS TREATMENT MODEL AS IT RELATES TO PATIENTS, THE SURROUNDING COMMUNITY, HEALTH CARE PROVIDERS AND HEALTH CARE PAYORS, AND SHALL INCLUDE, BUT NOT BE LIMITED TO, THE EFFECTIVENESS OF THE PROGRAM IN PROVIDING ACCESS TO SERVICES, THE IMPACT OF THESE SERVICES, THE ASSOCIATED COSTS SAVINGS, AND WHETHER THE EXPAN- SION OF THIS OR SIMILAR MODELS ARE RECOMMENDED. S 2. This act shall take effect immediately.EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD02651-01-3