Revision: March 12, 2018, 10:17 a.m.
SB 548-FN - AS AMENDED BY THE SENATE
03/08/2018 0987s
2018 SESSION
18-2972
01/05
SENATE BILL 548-FN
SPONSORS: Sen. Hennessey, Dist 5; Sen. Lasky, Dist 13; Rep. P. Gordon, Rock. 29; Rep. M. MacKay, Hills. 30; Rep. LeBrun, Hills. 32
COMMITTEE: Health and Human Services
─────────────────────────────────────────────────────────────────
AMENDED ANALYSIS
This bill requires the commissioner of the department of health and human services to establish a 3-year pilot program that provides therapeutic intervention to infants diagnosed with neonatal abstinence syndrome.
This bill makes an appropriation for the purposes of the bill.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Explanation: Matter added to current law appears in bold italics.
Matter removed from current law appears [in brackets and struckthrough.]
Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
03/08/2018 0987s 18-2972
01/05
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Eighteen
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 Pilot Program.
I. The commissioner of the department of health and human services shall establish a 3-year pilot program in 4 geographically dispersed areas in New Hampshire that provides therapeutic intervention to infants diagnosed with neonatal abstinence syndrome (NAS) and their families and caregivers. The program shall:
(a) Include infants discharged from an inpatient hospital with a diagnosis of NAS and provide best practice intervention from the onset of discharge to the time where an early support program (ESS) may begin early intervention services.
(b) Provide best practice interventions, including infant evaluation and treatment, to address the self-regulation needs of a developing NAS infant between the ages of birth through 12 months, with the focus of service between birth and 3 months.
(c) Provide therapeutic intervention for both infants and families and caregivers, including education relative to understanding infant cues and signals, infant massage and other calming or self-soothing techniques that promote typical self-regulation development of the infant, such as normal sleep cycles, typical movement patterns, and decreased stress responses.
(d) Provide opportunities for parents and caregivers of NAS infants to learn and practice techniques for the carry-over of intervention in the home.
(e) Make clear that a parent may bring a therapeutic summary of intervention to the ESS intake evaluation to reduce duplication of services and to ensure generalization of strategies and interventions.
(f) Use an assessment tool that will successfully identify the infant's progress. This tool shall consist of a sensory processing assessment and stress response questionnaire.
(g) Coordinate summary reports that can be shared with an area ESS program case manager.
II. The commissioner shall contract with providers to effectuate the work of the pilot program. At a minimum, the contract shall include the following:
(a) That when an infant is discharged from a hospital with a diagnosis of NAS, an immediate referral to the program shall be made and services shall begin within 3-5 days. Services shall continue through the time an area ESS program is able to begin its initial intake evaluation.
(b) That when progress is made toward appropriate self-regulation development, as measured by one of the therapeutic assessments under paragraph I, the successful calming strategies shall be taught to parents and included in a therapeutic summary. The summary shall be available to area ESS programs under HIPPA guidelines.
(c) If a NAS infant does not demonstrate progress in self-regulation skills, as measured by one of the therapeutic assessments under paragraph I, explain in detail the reasons why the child is not meeting developmental milestones or progressing towards them, and shall recommend specific strategies, services, and programs that shall be provided to assist the child's success.
III. The pilot program shall only apply to children from birth to 6 months of age but may be extended to 12 months in certain cases.
IV. The commissioner shall adopt rules, pursuant to RSA 541-A, relative to the proper administration of the pilot program.
V. The commissioner shall make an interim report relative to the progression of the program on or before November 1, 2019 and a final report on or before November 1, 2020, together with any recommendations for legislation, to the president of the senate, the speaker of the house of representatives, and the governor.
2 Repeal. Section 1 of this act is repealed.
3 Appropriation. The sum of $589,000 for the fiscal year ending June 30, 2019 is hereby appropriated to the department of health and human services for the purposes of this act. This appropriation shall be in addition to any other moneys appropriated to the department of health and human services. The governor is authorized to draw a warrant for said sum out of any money in the treasury not otherwise appropriated.
I. Section 2 of this act shall take effect November 1, 2020.
II. The remainder of this act shall take effect upon its passage.
18-2972
Amended 3/12/18
SB 548-FN- FISCAL NOTE
AS AMENDED BY THE SENATE (AMENDMENT #2018-0987s)
FISCAL IMPACT: [ X ] State [ ] County [ ] Local [ ] None
|
| |||
| Estimated Increase / (Decrease) | |||
STATE: | FY 2019 | FY 2020 | FY 2021 | FY 2022 |
Appropriation | $589,000 | $0 | $0 | $0 |
Revenue | $0 | $0 | $0 | $0 |
Expenditures | $589,000 | $589,000 | $589,000 | $0 |
Funding Source: | [ X ] General [ ] Education [ ] Highway [ ] Other | |||
METHODOLOGY:
This bill requires the Department of Health and Human Services to establish a three-year pilot program providing therapeutic intervention to infants diagnosed with neonatal abstinence syndrome (NAS). The program is to be administered by contracted providers. The Department notes that for the three-year period from 2013 through 2015, there were 829 NAS diagnoses, a number not expected to fluctuate significantly in future years. The Department estimates program costs of $589,000 annually, broken out as follows:
Total per site $147,250
Total of $147,250 per site * four sites: $589,000
This bill contains a general fund appropriation of $589,000 in FY 2019.
AGENCIES CONTACTED:
Department of Health and Human Services