Bill S5787-2011

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

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

Details

Actions

  • Jan 4, 2012: REFERRED TO HEALTH
  • Jun 16, 2011: REFERRED TO RULES

Memo

BILL NUMBER:S5787

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 OR GENERAL IDEA 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 2010-11 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 percent for 2006,3.25 percent for 2007, and 3 percent for 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 restructuring 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: New bill.

FISCAL IMPLICATIONS: This would save municipalities approximately $165 million annually. The state would assume the total cost of future Medicaid growth, providing an incentive to implement cost saving reforms.

EFFECTIVE DATE: This act shall take effect January 1, 2012; provided, however, if this act shall become a 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, 2012.


Text

STATE OF NEW YORK ________________________________________________________________________ S. 5787 A. 8453 2011-2012 Regular Sessions S E N A T E - A S S E M B L Y June 16, 2011 ___________
IN SENATE -- Introduced by Sen. O'MARA -- read twice and ordered print- ed, and when printed to be committed to the Committee on Rules IN ASSEMBLY -- Introduced by M. of A. PALMESANO, KOLB, CONTE, P. LOPEZ, GIGLIO, GOODELL, FRIEND, BLANKENBUSH, DUPREY, RAIA, SMARDZ, CALHOUN, TENNEY, MOLINARO, CURRAN, SALADINO, FINCH, BUTLER, AMEDORE, TEDISCO, CROUCH, HAWLEY, BARCLAY -- Multi-Sponsored by -- M. of A. BOYLE, BURLING, CASTELLI, CERETTO, CORWIN, FITZPATRICK, GRAF, HANNA, HAYES, HOYT, JOHNS, JORDAN, KATZ, KIRWAN, LOSQUADRO, MAGEE, MALLIOTAKIS, McDONOUGH, McKEVITT, McLAUGHLIN, D. MILLER, J. MILLER, MONTESANO, MURRAY, OAKS, RA, RABBITT, REILICH, SAYWARD, SPANO, THIELE, TOBACCO -- read once and referred to the Committee on Health 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), and each succeeding calendar year: prior year's trend factor percentage [plus 3%]. S 2. This act shall take effect January 1, 2012; 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, 2012.

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