Government mandating health care

Twelve (7.4%) laboratories did not meet eligibility requirements and were excluded from the evaluation.In addition to the laboratory survey, New York Medicaid data were used to assess trends in HCV testing before and after implementation of the law.Deidentified Medicaid claims and encounter data were used to create monthly denominators for the entire Medicaid population over a 3-year period (January 2012 through December 2014).Only Medicaid recipients born between 19 (aged 50–70 years in 2015) receiving paid services during a given month during the study period (active Medicaid clients) were included in this analysis.To assess the number of persons screened for HCV infection before and after implementation of the HCV testing law in 2014, a survey of clinical laboratories was conducted.Monthly counts of specimens collected from January 2013 through December 2014 for HCV testing from persons born during 1945–1965 were requested from 163 laboratories holding NYSDOH Clinical Laboratory Evaluation Program permits for HCV testing.

These findings highlight the potential for state laws to promote HCV testing and the utility of HCV surveillance and Medicaid claims data to monitor the quality of HCV testing and linkage to care for HCV-infected persons.Smaller increases were noted in the number of persons who accessed HCV care following a positive HCV screening test.What are the implications for public health practice?The rationale for excluding reflex testing is that a reflex RNA test is automatic and does not necessarily indicate an engagement in care.These laboratory data were made available through the Electronic Clinical Laboratory Reporting System.

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