A 5275: Requires home health care professionals to use the adverse childhood experience questionnaire in assessing the patient's health risks; makes Medicaid reimbursement of primary care providers contingent upon such use; requires the department of social services to report to the senate and assembly health committees.

  
  STATE OF NEW YORK ________________________________________________________________________ 5275 2025-2026 Regular Sessions  IN ASSEMBLY February 12, 2025 ___________ Introduced by M. of A. SOLAGES, KIM, TAGUE -- read once and referred to the Committee on Health AN ACT to amend the social services law, in relation to requiring patient's health home to use the adverse childhood experience ques- tionnaire in assessing the patient's health risks and to making Medi- caid reimbursement of primary care providers contingent upon the use of the adverse childhood experience questionnaire; and to require the commissioner of health to submit reports to the senate and assembly health committees The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. The social services law is amended by adding two new 2 sections 365-l-1 and 365-l-2 to read as follows: 3 § 365-l-1. Standards for provision of health home services to Medicaid 4 enrollees with chronic conditions. Consistent with federal law to ensure 5 federal financial participation, a health care professional providing a 6 patient's health home shall: 7 1. provide comprehensive prevention and disease screening for health 8 care professional's patients and managing such patients' chronic condi- 9 tions by coordinating care; 10 2. enable patients to have access to personal health information 11 through a secure medium, such as through the internet, consistent with 12 federal health information technology standards; 13 3. collaborate with the community health teams, including by develop- 14 ing and implementing a comprehensive plan for participating patients; 15 4. utilize the adverse childhood experience questionnaire in assessing 16 a patient's health and health risks; 17 5. ensure access to a patient's medical records by the community 18 health team members in a manner compliant with the Health Insurance 19 Portability and Accountability Act, 12 V.S.A. § 1612, and 21 V.S.A. § 20 516; and EXPLANATION--Matter in italics (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD09158-01-5 
 A. 5275 2 1 6. meet regularly with the community health team to ensure integration 2 of a participating patient's care. 3 § 365-l-2. Adverse childhood experience questionnaire. Reimbursement 4 for primary care provided to a Medicaid patient shall be contingent upon 5 the provider's use of the adverse childhood experience questionnaire 6 (ACE-IQ) for the purpose of assessing the patient's health risks. As 7 used in this section, "primary care" means health services provided by 8 health care professionals to identify and treat asymptomatic individuals 9 who have risk factors or preclinical disease, but in whom the disease is 10 not clinically apparent, including immunizations and screening, coun- 11 seling, treatment, and medication determined by scientific evidence to 12 be effective in preventing or detecting a condition. 13 § 2. On or before December 15, 2025, the commissioner of health shall 14 submit a report to the senate and assembly health committees containing 15 recommendations on the following: 16 (a) whether and how trauma-informed care could be more widely incorpo- 17 rated into the practice of medicine throughout New York state; and 18 (b) whether and how the use of the advance childhood experience ques- 19 tionnaire and other preventive medical services could be expanded 20 throughout New York state. 21 § 3. This act shall take effect on the first of July next succeeding 22 the date upon which it shall have become a law.