Bill S1588A-2013

Relates to a five year elimination of the local share for medicaid

Relates to authorizing reimbursements for expenditures made by or on behalf of social services districts for medical assistance for needy persons and the administration thereof; authorizes a five year elimination of the local share for medicaid.

Details

Actions

  • Apr 29, 2014: REPORTED AND COMMITTED TO FINANCE
  • Jan 8, 2014: REFERRED TO SOCIAL SERVICES
  • Oct 9, 2013: PRINT NUMBER 1588A
  • Oct 9, 2013: AMEND AND RECOMMIT TO SOCIAL SERVICES
  • Jan 9, 2013: REFERRED TO SOCIAL SERVICES

Meetings

Votes

VOTE: COMMITTEE VOTE: - Social Services - Apr 29, 2014
Ayes (3): Avella, Ball, Farley
Ayes W/R (3): Martins, Sanders, Squadron

Memo

BILL NUMBER:S1588A

TITLE OF BILL: An act to amend chapter 58 of the laws of 2005, relating to authorizing reimbursements for expenditures made by or on behalf of social services districts for medical assistance for needy persons and the administration thereof, in relation to a five year elimination of the local share for medicaid

PURPOSE OR GENERAL IDEA OF BILL:

This bill would amend chapter 59 of the laws of 2005, relating to authorizing reimbursements for expenditures made by or on behalf of social services districts for medical assistance for needy persons and the administration thereof in relation to a five year elimination of the local share for Medicaid.

SUMMARY OF SPECIFIC PROVISIONS:

Section 1. Paragraph (iv) of subdivision c of section 1 of part C of chapter 58 of the laws of 2005, relating to authorizing reimbursements for expenditures made by or on behalf of social services districts for medical assistance for needy persons, is amended and seven new subdivisions (c1) thru (c8) are added.

Notwithstanding the Provisions of section 368a of the social services law, or any other provision of law, commencing with the period January 1, 2017 through December 31, 2017, calendar year social services district medical assistance expenditure amounts for each social services district shall be reduced by 20% from the 2016 expenditures. No less than 75% of the savings from this medical assistance reduction shall be used for property tax levy reductions, or property tax rebates, effective in the local governments 2010 fiscal year.

The five year plan is implemented in increments over the course of live years where the medical expenditure reduction amounts for each social services district is increased 20% a year totaling up to 100% from 20% in 2016 to 100% in 2022.

The minimum amount of annual property tax reductions resulting from savings achieved as defined in subdivisions (el) thru (c5) shall be determined by the state comptroller and transmitted to each local government one hundred eighty days in advance of the start of the fiscal year for which the property tax reduction is to be effective.

JUSTIFICATION:

In 2011 a series of resolutions and statements from a cross section of Western New York local governments along with the New York State Association of Counties brought forward the issue that New York's Medicaid program spends in excess of $52 billion dollars a year, almost 20% of state spending, and that the local share of about 7.3 billion will grow over the next five years by 37%. This figure is unsustainable to local governments and they are desperate in need of relief. Increased costs have precipitated a situation in New York where our population of 19.4 million exceeds the combined Medicaid expenditures of California with a population of 37.1 million and Texas with a population of 25 million. In Erie County for example, Medicaid

payments total approximately 200 of the entire Erie County Budget. Increased costs like this illustrate the need for the state to have a greater role in managing Medicaid and reducing this mandates burden on localities.

PRIOR LEGISLATIVE HISTORY:

New Bill.

FISCAL IMPLICATIONS:

None.

EFFECTIVE DATE:

This act shall Lake effect immediately.


Text

STATE OF NEW YORK ________________________________________________________________________ 1588--A 2013-2014 Regular Sessions IN SENATE (PREFILED) January 9, 2013 ___________
Introduced by Sens. GRISANTI, LATIMER, MAZIARZ -- read twice and ordered printed, and when printed to be committed to the Committee on Social Services -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee AN ACT to amend chapter 58 of the laws of 2005, relating to authorizing reimbursements for expenditures made by or on behalf of social services districts for medical assistance for needy persons and the administration thereof, in relation to a five year elimination of the local share for medicaid THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Paragraph (iv) of subdivision (c) of section 1 of part C of chapter 58 of the laws of 2005, relating to authorizing reimbursements for expenditures made by or on behalf of social services districts for medical assistance for needy persons, is amended and seven new subdivi- sions (c-2), (c-3), (c-4), (c-5), (c-6), (c-7) and (c-8) are added to read as follows: (iv) 2009 (January 1, 2009 through December 31, 2009), and each succeeding calendar year THROUGH 2016: prior year's trend factor percentage plus 3%. (C-2) NOTWITHSTANDING THE PROVISIONS OF SECTION 368-A OF THE SOCIAL SERVICES LAW, OR ANY OTHER PROVISION OF LAW, COMMENCING WITH THE PERIOD JANUARY 1, 2017 THROUGH DECEMBER 31, 2017, CALENDAR YEAR SOCIAL SERVICES DISTRICT MEDICAL ASSISTANCE EXPENDITURE AMOUNTS FOR EACH SOCIAL SERVICES DISTRICT SHALL BE REDUCED BY 20% FROM THE 2016 EXPENDITURES. NO LESS THAN 75% OF THE SAVINGS FROM THIS MEDICAL ASSISTANCE EXPENDITURE REDUCTION SHALL BE USED FOR PROPERTY TAX LEVY REDUCTIONS, OR PROPERTY TAX REBATES, EFFECTIVE IN THE LOCAL GOVERNMENT'S 2018 FISCAL YEAR. (C-3) NOTWITHSTANDING THE PROVISIONS OF SECTION 368-A OF THE SOCIAL SERVICES LAW, OR ANY OTHER PROVISION OF LAW, COMMENCING WITH THE PERIOD
JANUARY 1, 2018 THROUGH DECEMBER 31, 2018, CALENDAR YEAR SOCIAL SERVICES DISTRICT MEDICAL ASSISTANCE EXPENDITURE AMOUNTS FOR EACH SOCIAL SERVICES DISTRICT SHALL BE REDUCED BY 40% FROM THE 2016 EXPENDITURES. NO LESS THAN 75% OF THE ANNUAL SAVINGS FROM THIS MEDICAL ASSISTANCE EXPENDITURE REDUCTION, COMPARED TO THE PRIOR YEAR MEDICAL ASSISTANCE EXPENDITURE, SHALL BE USED FOR PROPERTY TAX LEVY REDUCTIONS, OR PROPERTY TAX REBATES, EFFECTIVE IN THE LOCAL GOVERNMENT'S 2019 FISCAL YEAR. (C-4) NOTWITHSTANDING THE PROVISIONS OF SECTION 368-A OF THE SOCIAL SERVICES LAW, OR ANY OTHER PROVISION OF LAW, COMMENCING WITH THE PERIOD JANUARY 1, 2019 THROUGH DECEMBER 31, 2019, CALENDAR YEAR SOCIAL SERVICES DISTRICT MEDICAL ASSISTANCE EXPENDITURE AMOUNTS FOR EACH SOCIAL SERVICES DISTRICT SHALL BE REDUCED BY 60% FROM THE 2016 EXPENDITURES. NO LESS THAN 75% OF THE ANNUAL SAVINGS FROM THIS MEDICAL ASSISTANCE EXPENDITURE REDUCTION, COMPARED TO THE PRIOR YEAR MEDICAL ASSISTANCE EXPENDITURE, SHALL BE USED FOR PROPERTY TAX LEVY REDUCTIONS, OR PROPERTY TAX REBATES, EFFECTIVE IN THE LOCAL GOVERNMENT'S 2020 FISCAL YEAR. (C-5) NOTWITHSTANDING THE PROVISIONS OF SECTION 368-A OF THE SOCIAL SERVICES LAW, OR ANY OTHER PROVISION OF LAW, COMMENCING WITH THE PERIOD JANUARY 1, 2020 THROUGH DECEMBER 31, 2020, CALENDAR YEAR SOCIAL SERVICES DISTRICT MEDICAL ASSISTANCE EXPENDITURE AMOUNTS FOR EACH SOCIAL SERVICES DISTRICT SHALL BE REDUCED BY 80% FROM THE 2016 EXPENDITURES. NO LESS THAN 75% OF THE ANNUAL SAVINGS FROM THIS MEDICAL ASSISTANCE EXPENDITURE REDUCTION, COMPARED TO THE PRIOR YEAR MEDICAL ASSISTANCE EXPENDITURE, SHALL BE USED FOR PROPERTY TAX LEVY REDUCTIONS, OR PROPERTY TAX REBATES, EFFECTIVE IN THE LOCAL GOVERNMENT'S 2021 FISCAL YEAR. (C-6) NOTWITHSTANDING THE PROVISIONS OF SECTION 368-A OF THE SOCIAL SERVICES LAW, OR ANY OTHER PROVISION OF LAW, COMMENCING WITH THE PERIOD JANUARY 1, 2021 THROUGH DECEMBER 31, 2021, CALENDAR YEAR SOCIAL SERVICES DISTRICT MEDICAL ASSISTANCE EXPENDITURE AMOUNTS FOR EACH SOCIAL SERVICES DISTRICT SHALL BE REDUCED BY 100% FROM THE 2016 EXPENDITURES; AND SHALL REMAIN ELIMINATED EACH YEAR THEREAFTER. NO LESS THAN 75% OF THE ANNUAL SAVINGS FROM THIS MEDICAL ASSISTANCE EXPENDITURE REDUCTION, COMPARED TO THE PRIOR YEAR MEDICAL ASSISTANCE EXPENDITURE, SHALL BE USED FOR PROPER- TY TAX LEVY REDUCTIONS, OR PROPERTY TAX REBATES, EFFECTIVE IN THE LOCAL GOVERNMENT'S 2022 FISCAL YEAR. (C-7) NOTWITHSTANDING THE PROVISIONS OF SECTION SEVEN OF THIS ACT, ANY COUNTY THAT OPTED INTO THE LOCAL SALES TAX INTERCEPT METHODOLOGY SHALL RECEIVE A PROPORTIONATE REDUCTION IN THE SALES TAX INTERCEPT AS DESCRIBED IN SUBDIVISIONS (C-2), (C-3), (C-4), (C-5) AND (C-6) OF THIS SECTION AND USE THESE RECAPTURED FUNDS FOR PROPERTY TAX REDUCTIONS IN THE SAME MANNER AS OTHER LOCAL JURISDICTIONS AS DESCRIBED. (C-8) THE MINIMUM AMOUNT OF ANNUAL PROPERTY TAX LEVY REDUCTIONS RESULTING FROM SAVINGS ACHIEVED AS DEFINED IN SUBDIVISIONS (C-2), (C-3), (C-4), (C-5) AND (C-6) OF THIS SECTION, SHALL BE DETERMINED BY THE STATE COMPTROLLER AND TRANSMITTED TO EACH LOCAL GOVERNMENT ONE HUNDRED EIGHTY DAYS IN ADVANCE OF THE START OF THE FISCAL YEAR FOR WHICH THE PROPERTY TAX REDUCTION IS TO BE EFFECTIVE. S 2. This act shall take effect immediately.

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