Provides managed care enrollees access to the services of the foot center of New York.
TITLE OF BILL: An act to amend the social services law, in relation to providing managed care enrollees access to the services of the foot center of New York
Amending the social service law to designate an academic podiatry center as a State Specialty Care Center for its podiatry services and to identify the treatment of diabetes as a specialty care practice.
SUMMARY OF PROVISIONS:
Section 1. Amends the following: Reletters paragraph (f) of subparagraph (iii) of paragraph (a) of subdivision 4 of section 364-j to (G) and adds a new clause (F) to mandate the reporting of services provided at an academic podiatry center.
Section 2. This act shall take effect immediately, provided however, that the amendment to section 364-j of the social services law made by sections one and two of this act shall not affect the repeal of such section and shall be deemed to repealed therewith.
The affordability and accessibility of podiatric services such as those provided by an academic podiatry center is a lifeline for residents in low-income communities like Harlem where the vast majority of the population is grappling with diabetes and on some form of public assistance. Diabetes, however, is a citywide epidemic that that has more than doubled over the past-according to the NYC Department of Health and Mental Hygiene Diabetes. More than half a million adult New Yorkers have been diagnosed with diabetes and additional 200,000 have diabetes but do not yet know it. Diabetes and diabetes-associated cardiovascular disease are leading causes of death in NYC. These figures are worse in East Harlem where residents have up to 5 times the mortality rates of diabetes as compared with NYC residents overall-with the vast majority of individuals on Medicaid or Medicare, or uninsured. Given these atrocious statistics, preserving affordable and accessible care at podiatry clinics such as Foot Care Center of Mew York, the only podiatric clinic in upper Manhattan is a citywide imperative. Under the Managed Long Term Care reform enrollees will no longer have free access to the podiatry clinic and will be forced to get these services outside of their community or in emergency rooms as cases go undetected or untreated. "Free access" means that managed care plan enrollees are free to access these clinics, regardless of whether the clinic is in their plans network and without the plans prior approval. Currently, the State allows free access to managed care enrollees at the SUNY College of Optometry as well as academic dental centers-but not for academic podiatry centers. According to the State Department of Health Commissioner "free access requirements are pursuant to statute and are not under the purview of the Department.
This legislation seeks to amend the Social Service Law statute for the sole purpose of preserving the accessibility and affordability of the
specialty services which combat diabetes provided at the limited number of podiatric clinics, like an academic podiatry center.
None to the State.
STATE OF NEW YORK ________________________________________________________________________ 6142--A IN SENATE (PREFILED) January 8, 2014 ___________Introduced by Sen. GOLDEN -- 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 providing managed care enrollees access to the services of the foot center of New York THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Clause (F) of subparagraph (iii) of paragraph (a) of subdivision 4 of section 364-j of the social services law, as relettered by chapter 37 of the laws of 2010, is relettered clause (G) and a new clause (F) is added to read as follows: (F) THE SERVICES ARE PODIATRIC SERVICES AND ARE PROVIDED BY A DIAGNOS- TIC AND TREATMENT CENTER LICENSED BY ARTICLE TWENTY-EIGHT OF THE PUBLIC HEALTH LAW WHICH IS AFFILIATED WITH AN ACADEMIC PODIATRIC CENTER WHICH HAS BEEN GRANTED AN OPERATING CERTIFICATE PURSUANT TO ARTICLE TWENTY-EIGHT OF THE PUBLIC HEALTH LAW TO PROVIDE SUCH PODIATRIC SERVICES. ANY DIAGNOSTIC AND TREATMENT CENTER PROVIDING PODIATRIC SERVICES PURSUANT TO THIS CLAUSE SHALL PRIOR TO JUNE FIRST OF EACH YEAR REPORT TO THE GOVERNOR, TEMPORARY PRESIDENT OF THE SENATE AND SPEAKER OF THE ASSEMBLY ON THE FOLLOWING: THE TOTAL NUMBER OF VISITS MADE BY MEDICAL ASSISTANCE RECIPIENTS DURING THE IMMEDIATELY PRECEDING CALENDAR YEAR; THE NUMBER OF VISITS MADE BY MEDICAL ASSISTANCE RECIPIENTS DURING THE IMMEDIATELY PRECEDING CALENDAR YEAR BY RECIPIENTS WHO WERE ENROLLED IN MANAGED CARE PROGRAMS; THE NUMBER OF VISITS MADE BY MEDICAL ASSIST- ANCE RECIPIENTS DURING THE IMMEDIATELY PRECEDING CALENDAR YEAR BY RECIP- IENTS WHO WERE ENROLLED IN MANAGED CARE PROGRAMS THAT PROVIDE PODIATRIC BENEFITS AS A COVERED SERVICE; AND THE NUMBER OF VISITS MADE BY THE UNINSURED DURING THE IMMEDIATELY PRECEDING CALENDAR YEAR; 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 be deemed to be repealed therewith.EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD02971-07-4