Directs local government units providing services to individuals with mental illness or developmental disabilities to create a single point of access system.
TITLE OF BILL: An act to amend the mental hygiene law, in relation to directing local government units providing services to individuals with mental illness or developmental disabilities to create a single point of access system
PURPOSE OR GENERAL IDEA OF BILL:
Single Point of Access (SPOA) was a part of the NYS Office of Mental Health's program initiatives 2000-2001. It was designed to expand the existing community based mental health system to enable people with the most serious service needs to access needed housing and care management on a priority basis. The result is a more cohesive and better coordinated system which is responsive to individual needs. No specific statutory basis was ever enacted for the SPOA. During this time of redesign and reform of the behavioral health delivery system in New York, there is a real danger that the substantial benefits which the SPOA provides to real people will be lost or severely diminished causing a substantial reduction in the ability of the community based system to ensure access to care. This bill would recognize SPOAs as a statutorily required part of the community behavioral health system and would preserve its valuable role in the overall service delivery system.
SUMMARY OF SPECIFIC PROVISIONS:
Adds a new section 17 to section 41.13 of the Mental Hygiene Law to require that a local governmental unit create, direct and supervise a single point of access system to coordinate the care the provision of ancillary services for high need adults and children with mental disabilities.
SPOA (Single Point of Access) is a process, generally led by a SPOA Coordinator, which helps Local Governmental Units achieve community based behavioral health systems that are cohesive and wellcoordinated. The SPOA process provides for the identification of adults and children most in need of services, and manages service access and utilization, including, but not limited to, care management, housing, access to social, services, vocational services, family supports, community resources, and transforming from the criminal justice system.
Since their creation, OMH, the counties and New York City have made significant progress in establishing SPOA processes for adults and children. These intensive referral and care coordination mechanisms enable people with the most serious services needs to access appropriate services on a priority basis. SPOA systems also help to manage referrals to Assertive Community Treatment (ACT) teams which provide highly individualized treatments and supports in the community to people with serious mental illness. LGUs through their SPOAs routinely work to monitor access to services and services outcomes for individuals with intensive service needs regardless of the ability to pay, insurance coverage or the existence of co-occurring disorders.
The use of LGU-level mechanisms for ensuring access represents an important milestone in the development of statewide accountability for successful service system outcomes, particularly as they affect to critical community support services. The SPOA process addresses the need for individuals and their families, providers, and county and NYC governments to successfully manage the access issue.
As State and Federal funding is reduced and the Medicaid behavioral health system move into managed care, the SPOA process becomes more important to ensure timely access to services for those most-in need. It is critical that the function and role of SPOA be preserved in the managed care world. This legislation recognizes the critical role that the SPOA plays in ensuring the efficient use of sometimes scarce resources needed to manage capacity and improve the appropriate utilization of existing services.
Experience has demonstrated the ability of the community behavioral health system to better meet and manage the service needs of its clients. This bill will help insure the continuation of that ability by preserving this important part of the system and allowing the community itself to determine its own needs and allocate its existing services.
None to the state.
STATE OF NEW YORK ________________________________________________________________________ 7377 IN SENATE May 14, 2014 ___________Introduced by Sen. CARLUCCI -- read twice and ordered printed, and when printed to be committed to the Committee on Mental Health and Develop- mental Disabilities AN ACT to amend the mental hygiene law, in relation to directing local government units providing services to individuals with mental illness or developmental disabilities to create a single point of access system THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Subdivision (a) of section 41.13 of the mental hygiene law is amended by adding a new paragraph 17 to read as follows: 17. CREATE, DIRECT AND EXERCISE SUPERVISORY AUTHORITY OVER A SINGLE POINT OF ACCESS SYSTEM TO FACILITATE ENTRY TO CARE COORDINATION SERVICES, RESIDENTIAL PLACEMENT, REHABILITATIVE SERVICES, AND OTHER SERVICES FOR HIGH NEED ADULTS AND CHILDREN. THE SINGLE POINT OF ACCESS SYSTEM MAY BE OPERATED EITHER INDIVIDUALLY BY THE LOCAL GOVERNMENTAL UNIT OR COLLECTIVELY IN COOPERATION WITH ONE OR MORE OTHER LOCAL GOVERN- MENTAL UNITS. SEPARATE SINGLE POINT OF ACCESS SYSTEMS MAY BE ESTABLISHED IN ORDER TO ADDRESS THE NEEDS OF A TARGETED POPULATION BASED ON CRITERIA INCLUDING, BUT NOT LIMITED TO, AGE, DISABILITY, VETERAN STATUS OR SPECIFIC SERVICE NEED SUCH AS HOUSING OR CARE COORDINATION. SINGLE POINT OF ACCESS SYSTEMS SHALL HAVE THE POWER TO: (I) RECEIVE REFERRALS OF ALL PERSONS WITH A MENTAL DISABILITY AS DEFINED IN SECTION 1.03 OF THIS CHAPTER WHO ARE IDENTIFIED AS A HIGH NEED PERSON BY THE COMMISSIONER; (II) RECEIVE REFERRALS REGARDLESS OF AGE, ABILITY TO PAY, OR HEALTH INSURANCE STATUS; (III) REQUIRE THE COOPERATION OF PROVIDERS OF CARE COORDINATION, HOUS- ING, HEALTH CARE, AND MANAGED CARE OPERATING WITHIN THE JURISDICTION OF THE LOCAL GOVERNMENTAL UNIT TO DETERMINE THE APPROPRIATE LEVEL OF CARE AND SERVICE DELIVERY FOR DESIGNATED HIGH NEED PERSONS. S 2. This act shall take effect immediately.EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD09515-01-3