S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                         7773
                                   I N  S E N A T E
                                     June 18, 2012
                                      ___________
       Introduced  by  Sen.  HANNON -- read twice and ordered printed, and when
         printed to be committed to the Committee on Rules
       AN ACT to amend the public health law, in relation to managed long  term
         care plans operated by health maintenance organizations
         THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section 1. Section 4403-f of the  public  health  law  is  amended  by
    2  adding a new subdivision 12 to read as follows:
    3    12.  IN  TRANSITIONING  INDIVIDUALS  TO  MANAGED  LONG  TERM CARE, THE
    4  DEPARTMENT SHALL PROVIDE OVERSIGHT OF LONG TERM MANAGED CARE  BY  ENSUR-
    5  ING:
    6    (A) ACCESS TO QUALITY CARE BY REQUIRING NETWORK TRANSPARENCY AT CHOICE
    7  AMONGST  LONG TERM CARE PLANS, ALLOWING PATIENTS TO CHOOSE THE PLAN THAT
    8  BEST FITS THEIR NEEDS;
    9    (B)  TRANSPARENCY  AND  ACCOUNTABILITY  FROM  PROVIDERS,  WHICH  SHALL
   10  INCLUDE  A  MECHANISM  BY  WHICH STAFF, RESIDENTS AND FAMILY MEMBERS CAN
   11  SAFELY AND ANONYMOUSLY REPORT CONCERNS RELATING TO QUALITY AND WASTE;
   12    (C) LOW STAFF TURNOVER IN NURSING HOMES BY PROMOTING  AND  ENCOURAGING
   13  FAIR PAY; AND
   14    (D) PLANS AND PROVIDERS ARE ASSESSED PERIODICALLY FOR EFFICIENCY, WITH
   15  INCENTIVES  PROVIDED  FOR  A  VARIETY  OF  INDICATORS, INCLUDING BUT NOT
   16  LIMITED TO, SMOOTH PATIENT TRANSITIONS, HIGH STAFF RETENTION  AND  POSI-
   17  TIVE HEALTH CARE OUTCOMES ACHIEVED AT A LOW COST.
   18    S  2. This act shall take effect immediately; provided that the amend-
   19  ments to section 4403-f of the public health law made by section one  of
   20  this act shall not affect the expiration and repeal of such section, and
   21  shall expire and be deemed repealed therewith.
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD16337-01-2