Senate Bill S2737A

2013-2014 Legislative Session

Requires additional medicaid recipients throughout the state to participate in managed care plans

download bill text pdf

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Archive: Last Bill Status - In Senate Committee Health Committee


  • Introduced
    • In Committee Assembly
    • In Committee Senate
    • On Floor Calendar Assembly
    • On Floor Calendar Senate
    • Passed Assembly
    • Passed Senate
  • Delivered to Governor
  • Signed By Governor

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Bill Amendments

2013-S2737 - Details

Current Committee:
Senate Health
Law Section:
Social Services Law
Laws Affected:
Amd §364-j, Soc Serv L
Versions Introduced in Other Legislative Sessions:
2009-2010: S7264
2011-2012: S4182

2013-S2737 - Summary

Requires additional medicaid recipients throughout the state to participate in managed care plans; directs the commissioner of health to submit all appropriate waivers, state plan amendments, and federal applications to secure federal financial support.

2013-S2737 - Sponsor Memo

2013-S2737 - Bill Text download pdf

                            
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                  2737

                       2013-2014 Regular Sessions

                            I N  S E N A T E

                            January 23, 2013
                               ___________

Introduced  by  Sen.  RANZENHOFER -- read twice and ordered printed, and
  when printed to be committed to the Committee on Health

AN ACT to amend the  social  services  law,  in  relation  to  mandatory
  managed care for certain recipients of medical assistance

  THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:

  Section 1. Paragraph (b) of subdivision 1  of  section  364-j  of  the
social  services  law,  as  amended  by chapter 649 of the laws of 1996,
subparagraphs (i) and (ii) as amended by chapter  433  of  the  laws  of
1997, is amended to read as follows:
  (b)  "Managed  care provider". An entity that provides or arranges for
the provision of medical assistance services  and  supplies  to  partic-
ipants  directly  or  indirectly (including by referral), including case
management; and:
  (i) is authorized to operate under article forty-four  of  the  public
health  law  or article forty-three of the insurance law and provides or
arranges, directly or indirectly (including  by  referral)  for  covered
comprehensive health services on a full capitation basis; [or]
  (ii)  is  authorized  as  a  partially  capitated  program pursuant to
section three hundred sixty-four-f of this title or  section  forty-four
hundred  three-e of the public health law or section 1915b of the social
security act;
  (III) IS A RURAL HEALTH NETWORK  AS  DEFINED  IN  SUBDIVISION  TWO  OF
SECTION TWENTY-NINE HUNDRED FIFTY-ONE OF THE PUBLIC HEALTH LAW; OR
  (IV)  HOLDS  A  COMPREHENSIVE  HIV  SPECIAL  NEEDS PLAN CERTIFICATE OF
AUTHORITY PURSUANT TO SECTION FORTY-FOUR HUNDRED THREE-C OF  THE  PUBLIC
HEALTH LAW.
  S  2.  Paragraph  (e)  of subdivision 3 of section 364-j of the social
services law, as amended by section 77-a of part H of chapter 59 of  the
laws of 2011, is amended to read as follows:

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD05160-01-3

              

2013-S2737A (ACTIVE) - Details

Current Committee:
Senate Health
Law Section:
Social Services Law
Laws Affected:
Amd §364-j, Soc Serv L
Versions Introduced in Other Legislative Sessions:
2009-2010: S7264
2011-2012: S4182

2013-S2737A (ACTIVE) - Summary

Requires additional medicaid recipients throughout the state to participate in managed care plans; directs the commissioner of health to submit all appropriate waivers, state plan amendments, and federal applications to secure federal financial support.

2013-S2737A (ACTIVE) - Sponsor Memo

2013-S2737A (ACTIVE) - Bill Text download pdf

                            
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                 2737--A

                       2013-2014 Regular Sessions

                            I N  S E N A T E

                            January 23, 2013
                               ___________

Introduced  by  Sen.  RANZENHOFER -- read twice and ordered printed, and
  when printed to be committed to the Committee on Health -- recommitted
  to the Committee on Health in accordance with Senate Rule 6, sec. 8 --
  committee discharged, bill amended, ordered reprinted as  amended  and
  recommitted to said committee

AN  ACT  to  amend  the  social  services  law, in relation to mandatory
  managed care for certain recipients of medical assistance

  THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
BLY, DO ENACT AS FOLLOWS:

  Section  1.    Paragraph  (b) of subdivision 1 of section 364-j of the
social services law, as amended by chapter 649  of  the  laws  of  1996,
subparagraph  (i)  as  amended  by section 35-a and subparagraph (ii) as
amended and subparagraph (iii) as added by section 77 of part A of chap-
ter 56 of the laws of 2013, is amended to read as follows:
  (b) "Managed care provider". An entity that provides or  arranges  for
the  provision  of  medical  assistance services and supplies to partic-
ipants directly or indirectly (including by  referral),  including  case
management; and:
  (i)  is  authorized  to operate under article forty-four of the public
health law or article forty-three of the insurance law and  provides  or
arranges,  directly  or  indirectly  (including by referral) for covered
comprehensive health services on a full capitation  basis,  including  a
special  needs managed care plan or comprehensive HIV special needs plan
CERTIFICATE OF AUTHORITY PURSUANT TO SECTION FORTY-FOUR HUNDRED  THREE-C
OF THE PUBLIC HEALTH LAW; [or]
  (ii)  is  authorized  as  a  partially  capitated  program pursuant to
section three hundred sixty-four-f of this title or  section  forty-four
hundred  three-e of the public health law or section 1915b of the social
security act; [or]
  (iii) is  authorized  to  operate  under  section  forty-four  hundred
three-g of the public health law[.]; OR

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD05160-03-4
              

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