Establishes a state managed medical assistance demonstration project; selected local district shall transfer all intake, management and related services for persons in need of such care to the department of health; three local districts for program; report on costs and savings of the demonstration project with recommendations for establishing a permanent statewide central managed medical assistance program.
TITLE OF BILL: An act to amend the social services law, in relation to a state managed medical assistance demonstration project
PURPOSE: This bill would create a new demonstration project with up to three counties in which the Department of Health will completely take over the management and funding of medical assistance in the counties which participate in the project.
SUMMARY OF SPECIFIC PROVISIONS: Section 1 - adds a new section 364-n of the Social Services Law to create a managed medical assistance demonstration project. Under the project, up to three county social services departments interested in participating will be chosen by the Department of Health. The Department of Health will assume all of the duties of intake, management and related services for persons in need of such care. In return, the Department shall receive all of the funds that otherwise would have been paid to the local district to provide such duties by the state or federal government, and shall pay one hundred percent of the non-federal share of any payments made for such services.
The project shall begin April 1, 2012, or as soon thereafter as a local district shall have applied and been approved by the Department of Health, and shall end March 31, 2015.
On or before December 31, 2014, the Commissioner of Health shall submit a report to the Governor, the Temporary President of the Senate and the Speaker of the Assembly describing the costs and savings of the demonstration project with recommendations for establishing a permanent statewide central managed medical assistance program.
Section 2 - Effective date.
CURRENT LAW: Currently, Medicaid services and managed by local social service districts, with funding for the services coming from federal state and local sources.
JUSTIFICATION: The current Medicaid program in New York to provide medical assistance to persons in need of such assistance cannot be sustained. Even though the burden to local governments has been reduced by legislation over the last several years, property owners across New York continue to face spiraling taxes. These Medicaid costs, when added to the rising expenses of local governments to provide basic local services, are beyond the means of of property owners. Property tax rates are among the highest in the country, and even though property values have stagnated across the state, and particularly across upstate, property taxes are often the largest tax that a property owner pays. Even when a homeowner has
no income, or an owner of commercial property is receiving no rent from a vacant building, the school, village, town and county tax bills, amounting to thousands and thousands of dollars, continue to arrive. This bill offers an opportunity to explore, through a pilot program, the possibility that there is a better way to provide and fund medical assistance in New York State.
FISCAL IMPLICATIONS: To be determined.
LEGISLATIVE HISTORY: 2010 - S.3523/A.10042 -- HEALTH/Health 2011 - S.3774 -- HEALTH
EFFECTIVE DATE: This act shall take effect immediately.
STATE OF NEW YORK ________________________________________________________________________ 3774--A 2011-2012 Regular Sessions IN SENATE March 3, 2011 ___________Introduced by Sens. RANZENHOFER, GOLDEN, JOHNSON, LARKIN -- 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 a state managed medical assistance demonstration project THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. The social services law is amended by adding a new section 364-n to read as follows: S 364-N. MANAGED MEDICAL ASSISTANCE DEMONSTRATION PROJECT. 1. NOTWITHSTANDING ANY PROVISION OF LAW TO THE CONTRARY, THERE IS HEREBY CREATED A DEMONSTRATION PROJECT WITHIN THE DEPARTMENT OF HEALTH TO ASSESS MEDICAL ASSISTANCE METHODOLOGIES AND DELIVERY METHODS IN CONJUNC- TION WITH THE PROVISION OF MEDICAL ASSISTANCE. AS PART OF THE DEMON- STRATION PROJECT, A SELECTED LOCAL DISTRICT SHALL TRANSFER ALL INTAKE, MANAGEMENT AND RELATED SERVICES FOR PERSONS IN NEED OF SUCH CARE TO THE DEPARTMENT OF HEALTH. 2. THE DEPARTMENT OF HEALTH MAY APPROVE UP TO THREE LOCAL DISTRICTS AS A PART OF THE DEMONSTRATION PROJECT. 3. THE DEPARTMENT OF HEALTH SHALL RECEIVE ALL FUNDS THAT OTHERWISE WOULD HAVE BEEN PAID TO THE LOCAL DISTRICT FROM THE STATE FOR SERVICING AND MANAGEMENT FUNCTIONS TO REIMBURSE THE DEPARTMENT'S COSTS IN PROVID- ING SUCH SERVICES, AS WELL AS ALL FUNDS PROVIDED BY THE FEDERAL GOVERN- MENT FOR SUCH MANAGEMENT AND SERVICES AND SHALL PAY ONE HUNDRED PER CENTUM OF THE NON-FEDERAL SHARE OF ANY PAYMENTS MADE FOR THOSE SERVICES. 4. THE DEMONSTRATION PROJECT SHALL BEGIN APRIL FIRST, TWO THOUSAND THIRTEEN, OR AS SOON THEREAFTER AS A LOCAL DISTRICT SHALL HAVE APPLIED AND BEEN APPROVED AND END MARCH THIRTY-FIRST, TWO THOUSAND SIXTEEN.EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD02583-02-2 S. 3774--A 2
5. ON OR BEFORE DECEMBER THIRTY-FIRST, TWO THOUSAND FIFTEEN, THE COMMISSIONER OF HEALTH SHALL SUBMIT TO THE GOVERNOR, THE TEMPORARY PRES- IDENT OF THE SENATE AND THE SPEAKER OF THE ASSEMBLY, A REPORT AS TO THE COSTS AND SAVINGS OF THE DEMONSTRATION PROJECT WITH RECOMMENDATIONS FOR ESTABLISHING A PERMANENT STATEWIDE CENTRAL MANAGED MEDICAL ASSISTANCE PROGRAM. S 2. This act shall take effect immediately.