Enacts provisions to provide for vision care by managed care providers through school based health centers; creates a pilot program.
TITLE OF BILL: An act to amend the social services law, in relation to vision care in school based health centers
PURPOSE OF THE BILL:
To enhance the availability of vision care services in a school-based health center setting.
SUMMARY OF SPECIFIC PROVISIONS:
Section 1 amends section 364-j(4)(a)(iii) of the Social Services Law by adding a new clause (E-1) adding certain vision care services at a school-based health center to the list of services which need not be provided by a managed care program. Such services, subject to approval by the Commissioner of Health (limited to up to five pilot programs), would be in partnership with a charitable foundation that agrees to provide free of charge eye glass frames and lenses at the center pursuant to a memorandum of agreement approved by the Commissioner The Commissioner is further authorized to approve payment rates for vision services at rates comparable to when such services are provided at a federally qualified health center (FQHC) or an entity licensed under Article 28 of the Public Health Law eligible for an ambulatory patient group (APG) rate.
Section 2 sets forth the effective date,
The FY2013-14 adopted budget included support for an innovative program designed to transform schools into community hubs. Community schools will integrate social, health and other services, as well as after-school programming to support students and their families. Each community "hub" could potentially include a wide array of programs and services, including health, vision care and dental clinics, youth development activities, tutoring, counseling programs, health education programs and social services, to name a few. Because every school community is different, each "hub" design would be unique. This bill deals exclusively with vision care services.
Successful precedent exists for a vision care program in a community school setting. The acclaimed Oyler School vision program in Cincinnati has proven sustainable and expandable. Implementation of this model in New York is crucial.. Eighty percent of what children learn is visual. Yet one in four students in North America has an undetected vision problem. For too many children, poor vision results in poor academic performance, low self-esteem and unrealized potential. Bridging this vision care gap is critical to our children's success.
PRIOR LEGISLATIVE HISTORY:
In the first year there would be no cost to the State or political subdivisions. All services and lenses and frames will be funded by a private foundation with the approval of the Commissioner of Health and subject to regulation and termination at the discretion of DOH. In subsequent years Medicaid would fund the vision care services provided by doctors, optometrists, and opticians under current NYS scope of practice law and rules and the lenses and frames would continue to be paid for by the foundation. Therefore, there would be some increased Medicaid cost of greater utilization of child vision care services but the State would continue to save on Medicaid expenditures it now make for lenses and frames.
Immediately, application to withholding of payment in effect on or commencing after the effective date.
STATE OF NEW YORK ________________________________________________________________________ 5117--A 2013-2014 Regular Sessions IN SENATE May 10, 2013 ___________Introduced by Sen. SAVINO -- read twice and ordered printed, and when printed to be committed to the Committee on Health -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee AN ACT to amend the social services law, in relation to vision care in school based health centers THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Subparagraph (iii) of paragraph (a) of subdivision 4 of section 364-j of the social services law is amended by adding a new clause (E-1) to read as follows: (E-1) THE SERVICES ARE VISION CARE SERVICES RENDERED TO A STUDENT AT A SCHOOL BASED HEALTH CENTER APPROVED BY THE COMMISSIONER PURSUANT TO THIS CLAUSE. THE COMMISSIONER MAY APPROVE UP TO FIVE PILOT PROGRAMS AT SCHOOL BASED HEALTH CENTERS IN PARTNERSHIP WITH A CHARITABLE FOUNDATION THAT AGREES TO PROVIDE FREE OF CHARGE EYEGLASS FRAMES AND LENSES AT THE CENTERS PURSUANT TO A MEMORANDUM OF AGREEMENT APPROVED BY THE COMMIS- SIONER. THE COMMISSIONER MAY APPROVE THE RATE FOR SUCH VISION CARE SERVICES AT THE RATE FOR SUCH SERVICES WHEN PROVIDED BY A FEDERALLY QUALIFIED HEALTH CENTER OR WHEN PROVIDED BY ANOTHER ENTITY LICENSED PURSUANT TO ARTICLE TWENTY-EIGHT OF THE PUBLIC HEALTH LAW AND ELIGIBLE FOR THE AMBULATORY PATIENT GROUP RATE APPROVED FOR VISION CARE SERVICES BY THE COMMISSIONER; OR S 2. This act shall take effect immediately; provided, however, that the amendments to section 364-j of the social services law made by section one of this act shall not affect the repeal of such section and shall expire and be deemed repealed therewith.EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD10611-03-3