Bill S4296A-2013

Amends chapter 58 of the laws of 2005 in relation to calculating social services district medical assistance expenditure amounts

Relates to calculating social services district medical assistance expenditure amounts.

Details

Actions

  • Jan 27, 2014: PRINT NUMBER 4296A
  • Jan 27, 2014: AMEND AND RECOMMIT TO HEALTH
  • Jan 8, 2014: REFERRED TO HEALTH
  • Mar 20, 2013: REFERRED TO HEALTH

Memo

BILL NUMBER:S4296A

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 calculating social services district medical assistance expenditure amounts

PURPOSE OF BILL:

To freeze the municipal share of local Medicaid costs at the current level.

SUMMARY OF SPECIFIC PROVISIONS:

Section 1 caps the municipal share of Medicaid cost at the 2011 trend factor of 18.75% of the 2005 base rate.

Section 2 contains the effective date.

JUSTIFICATION:

By far, New York's largest unfunded mandate on county governments each year is Medicaid spending. The Municipal share of Medicaid spending for the 2010-2011 fiscal year was 7.5 billion. In order to provide counties financial stability the state imposed a cap on county Medicaid expenditures of 3.5% for 2006, 3.25% for 2007, and 3% for the 2008 and every year thereafter. Although this was an improvement over past practice, these mandated costs are still increasing at a rate that is a burden to the local property taxpayer. Although this will result in a shift in costs to the state, the state is in a much better position to deal directly with this issue since it has direct authority over the program and can implement the needed reforms to continue reconstructing the Medicaid Program. By the state taking over the future growth increases, this will provide significant and needed mandate relief to county governments and the City of New York.

PRIOR LEGISLATIVE HISTORY:

S 4296, 2013

FISCAL IMPLICATIONS:

This bill would save municipalities $165 million annually. The state would assume the local cost of future Medicaid growth, providing an incentive to implement cost saving reforms.

EFFECTIVE DATE:

This bill shall take effect January 1, 2015, provided, however, if this act shall become law after such date it shall take effect immediately

and shall be deemed to have been in full force and effect on and after January 1, 2015.


Text

STATE OF NEW YORK ________________________________________________________________________ 4296--A 2013-2014 Regular Sessions IN SENATE March 20, 2013 ___________
Introduced by Sens. O'MARA, GRIFFO, 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 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 calculating social services district medical assistance expenditure amounts THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. 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 and the administration thereof, is amended to read as follows: (c) Commencing with the calendar year beginning January 1, 2006, calendar year social services district medical assistance expenditure amounts for each social services district shall be calculated by multi- plying the results of the calculations performed pursuant to paragraph (b) of this section by a non-compounded trend factor, as follows: (i) 2006 (January 1, 2006 through December 31, 2006): 3.5%; (ii) 2007 (January 1, 2007 through December 31, 2007): 6.75% (3.25% plus the prior year's 3.5%); (iii) 2008 (January 1, 2008 through December 31, 2008): 9.75% (3% plus the prior year's 6.75%); (iv) 2009 (January 1, 2009 through December 31, 2009): 12.75% (3% PLUS THE PRIOR YEAR'S 9.75%); (V) 2010 (JANUARY 1, 2010 THROUGH DECEMBER 31, 2010): 15.75% (3% PLUS THE PRIOR YEAR'S 12.75%);
(VI) 2011 (JANUARY 1, 2011 THROUGH DECEMBER 31, 2011): 18.75% (3% PLUS THE PRIOR YEAR'S 15.75%); (VII) 2012 (JANUARY 1, 2012 THROUGH DECEMBER 31, 2012): 21.75% (3% PLUS THE PRIOR YEAR'S 18.75%); (VIII) 2013 (JANUARY 1, 2013 THROUGH DECEMBER 31, 2013): 24.75% (3% PLUS THE PRIOR YEAR'S 21.75%); (IX) 2014 (JANUARY 1, 2014 THROUGH DECEMBER 31, 2014), 27.75% (3% PLUS THE PRIOR YEAR'S 24.75%); (X) 2015 (JANUARY 1, 2015 THROUGH DECEMBER 31, 2015), and each succeeding calendar year: prior year's trend factor percentage [plus 3%]. S 2. This act shall take effect January 1, 2015; provided, however, if this act shall become a law after such date it shall take effect imme- diately and shall be deemed to have been in full force and effect on and after January 1, 2015.

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