Section 217-A. Long term care insurance education and outreach program  


Latest version.
  • 1.
      For  the  purposes  of  this section, the term "long term care insurance
      resource center" shall mean a project within an  area  agency  on  aging
      funded  pursuant  to this section that provides direct assistance to the
      general public in choosing and obtaining long term care insurance.
        2. The commissioner of health, in consultation with  the  director  of
      the  office for the aging and the superintendent of insurance, is hereby
      authorized and directed, within amounts allocated therefor  pursuant  to
      paragraph  (qq)  of  subdivision  one  of  section  twenty-eight hundred
      seven-v of the  public  health  law,  to  establish  a  long  term  care
      insurance education and outreach program within the department of health
      for the purpose of informing and educating the general public about long
      term care insurance, including those policies that are available through
      the partnership for long term care program.
        3. The commissioner of health, the superintendent of insurance and the
      director  of  the  office  for  the  aging shall appoint a state program
      coordinator to implement, administer and supervise the  long  term  care
      insurance education and outreach program, and coordinate the development
      of  the  educational  and  informational  materials.  The  state program
      coordinator shall be an employee of the office for the aging  who  shall
      be  selected from among individuals with expertise and experience in the
      fields of long  term  care  insurance,  and  with  other  qualifications
      determined   by  the  commissioner  of  health,  the  superintendent  of
      insurance and the director of the office for the aging to be appropriate
      for the position. The state program coordinator  shall,  within  amounts
      available,   personally   or   through  authorized  representatives,  be
      responsible for training staff persons of the program,  including  staff
      persons  of  the  long  term  care insurance resource centers, and shall
      provide for the collection and dissemination of timely and accurate long
      term care insurance information to said staff persons.
        4. The long term care insurance education and outreach program  shall,
      within  amounts available, consist of the following elements which shall
      be provided by the office for the aging:
        (a) educational and informational materials in print,  audio,  visual,
      electronic or other media;
        (b)  public  service  announcements,  advertisements, media campaigns,
      workshops, mass mailings, conferences or presentations;
        (c) establishment of a  toll-free  telephone  hotline  and  electronic
      services to provide information; and
        (d)  establishment of long term care insurance resource centers within
      each area agency on aging.
        5. Long term care insurance resource  centers  shall,  within  amounts
      available,  provide  the  general  public  with  the  following items or
      services:
        (a) educational and informational materials in print,  audio,  visual,
      electronic or other media;
        (b)  public  service  announcements,  advertisements, media campaigns,
      workshops, mass mailings, conferences or presentations; and
        (c) counseling, information, referral services, and direct  assistance
      in  choosing  and  obtaining long term care insurance. Direct assistance
      shall,  within  amounts  available,  include  but  not  be  limited   to
      assistance with the following:
        (i) planning for the financing of long term care;
        (ii) understanding policy options, benefits and appeal rights;
        (iii) obtaining the coverage needed and the appropriate benefits; and
        (iv)  avoiding  or  reporting illegal billing, fraudulent practices or
      scams.
    
        Each long term care insurance resource center  shall  be  responsible,
      within  amounts  available,  for  providing a sufficient number of staff
      positions (including volunteers) necessary to provide and carry out  the
      services of the long term care insurance education and outreach program,
      provided that at least one position shall be filled by an individual who
      is  employed  full  time  and paid by the area agency on aging. The long
      term care insurance resource center shall be  responsible  for  ensuring
      that  its  staff  persons  have no conflict of interest in providing the
      services described in subdivision four of this section.
        6. Annually, in order to receive funding, each area  agency  on  aging
      shall  submit  a service plan and proposed budget for the operation of a
      long  term  care  insurance  resource  center  to  the   state   program
      coordinator  for  approval. An area agency on aging shall be eligible to
      receive funds in an amount of up to fifty thousand dollars, except  that
      an  area  agency  on  aging located within a city of one million or more
      shall be eligible to receive funds in an amount of  up  to  one  hundred
      thousand dollars.
        7.  The  department of health shall produce, post on its website, make
      available to others for reproduction, or contract with others to develop
      such materials required by this section. The material produced  pursuant
      to  this  section shall be culturally and linguistically appropriate for
      the communities served by the long term care insurance resource centers.
      These materials shall be made available to the public free of charge.
        8.  In  exercising  any  of  their  powers  under  this  section,  the
      commissioner  of  health and/or the director of the office for the aging
      may consult with appropriate agencies, organizations, and consumers  and
      providers  of  long  term  care  insurance or organizations representing
      them.
        9. In addition to  state  funds  allocated  for  programs  under  this
      section,  the  commissioner  of health and/or the director of the office
      for the aging may accept funding from public sources for these programs,
      and may undertake  joint  or  cooperative  programs  with  other  public
      entities  or  a  private  not-for-profit  corporation which is neither a
      provider or regulator of long term care insurance, or  an  affiliate  or
      unit of such agency or corporation.
        10.  The  commissioner  of  health, the director of the office for the
      aging and the superintendent of insurance shall issue an  annual  report
      to  the  governor,  the  speaker  of  the  assembly,  and  the temporary
      president of the senate. Such report shall contain, at  a  minimum,  the
      following  information:  the  number  of  individuals  who have received
      counseling and assistance by the long term care insurance education  and
      outreach  program,  their  ages  and  their  occupations;  whether these
      individuals have purchased a long term care insurance policy, and if so,
      the policy that was purchased; a description of  all  of  the  services,
      including counseling, education and outreach services, being provided by
      the  long  term  care  education  and  outreach  program, broken down by
      county; the activities used to promote the  partnership  for  long  term
      care  program;  and  a  description  of the long term care education and
      outreach program's funding sources and whether they  are  adequate.  The
      report  shall  also  contain  recommendations for targeting specific age
      groups to  buy  long  term  care  insurance,  creating  new  methods  of
      promoting  the  purchase of long term care insurance, and improving long
      term care insurance products.
        11. An area agency on aging may use up to five percent of the total of
      any funds provided to an area agency on aging pursuant to  this  section
      for administration.
        * NB  Added  Ch.  58/2004  Part  B  §23,  language  juxtaposed per Ch.
      642/2004 §12
        * NB  Section  number  supplied  by  the  Legislative  Bill   Drafting
      Commission