S T A T E O F N E W Y O R K
________________________________________________________________________
5833
2011-2012 Regular Sessions
I N S E N A T E
June 20, 2011
___________
Introduced by Sen. HANNON -- read twice and ordered printed, and when
printed to be committed to the Committee on Rules
AN ACT to amend chapter 474 of the laws of 1996, amending the education
law and other laws relating to rates for residential health care
facilities, in relation to utilization of certified public expendi-
tures for certain payments to public general hospitals
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Section 213 of chapter 474 of the laws of 1996, amending
the education law and other laws relating to rates for residential
health care facilities, as amended by a chapter of the laws of 2011
amending chapter 474 of the laws of 1996 amending the education law and
other laws relating to rates for residential health care facilities,
relating to payments by social services districts for public general
hospitals, as proposed in legislative bills numbers S.5644 and A.8306,
is amended and a new section 214-a is added to read as follows:
S 213. Notwithstanding any inconsistent provision of law or regu-
lation to the contrary, the social services district in which an eligi-
ble public general hospital is physically located shall be responsible
for the payments for such public general hospital as determined in
accordance with sections two hundred eleven and two hundred twelve of
this act for all hospital services provided by such public general
hospital in accordance with section 365-a of the social services law,
regardless of whether another social services district or the department
of social services may otherwise be responsible for furnishing medical
assistance to the eligible persons receiving such services. To the
extent permitted by the federal Centers for Medicare and Medicaid
Services, the social services district's responsibility for payments may
be fulfilled through public expenditures certified by the eligible
public general hospital located in the social services district as meet-
ing the requirements for the payments authorized by sections two hundred
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD13210-01-1
S. 5833 2
eleven and two hundred twelve of this act AND AS OTHERWISE PROVIDED IN
ACCORDANCE WITH SECTION TWO HUNDRED FOURTEEN-A OF THIS ACT.
S 214-A. 1. NOTWITHSTANDING ANY CONTRARY PROVISION OF LAW AND SUBJECT
TO THE AVAILABILITY OF FEDERAL FINANCIAL PARTICIPATION, EFFECTIVE FOR
PERIODS ON OR AFTER JULY 1, 2011, THE COMMISSIONER OF HEALTH IS AUTHOR-
IZED TO SEEK ALL NECESSARY FEDERAL APPROVALS TO UTILIZE CERTIFIED PUBLIC
EXPENDITURES (HEREINAFTER REFERRED TO IN THIS SECTION AS "CPE") WITH
REGARD TO PAYMENTS MADE TO GENERAL HOSPITALS PURSUANT TO SECTIONS TWO
HUNDRED ELEVEN AND TWO HUNDRED TWELVE OF THIS ACT, FOR THE PURPOSE OF
RECOGNIZING OTHERWISE UN-REIMBURSED ALLOWABLE MEDICAL ASSISTANCE COSTS
PURSUANT TO TITLE 11 OF ARTICLE 5 OF THE SOCIAL SERVICES LAW FOR
PATIENTS ELIGIBLE FOR FEDERAL FINANCIAL PARTICIPATION UNDER TITLE XIX OF
THE FEDERAL SOCIAL SECURITY ACT. SUCH CPES MAY BE UTILIZED WITH REGARD
TO PAYMENTS MADE PURSUANT TO SECTIONS TWO HUNDRED ELEVEN AND TWO HUNDRED
TWELVE OF THIS ACT TO OR ON BEHALF OF PUBLIC GENERAL HOSPITALS. GENERAL
PUBLIC HOSPITALS SEEKING TO UTILIZE CPES FOR MEDICAID PAYMENT PURPOSES
SHALL PROVIDE SUCH DOCUMENTATION AND SUPPORTING DATA AS THE COMMISSIONER
OF HEALTH DEEMS NECESSARY. THE FEDERAL MATCHING FUNDS RECEIVED FOR
APPROVED CPES PURSUANT TO THIS SECTION SHALL BE REMITTED TO THE GENERAL
PUBLIC HOSPITAL WHOSE EXPENDITURES FORMED THE BASIS FOR SUCH CPE.
FURTHER, THE AMOUNT OF SUCH CPES SHALL BE EXCLUDED FROM ALL CALCULATIONS
MADE PURSUANT TO SECTION 1 OF PART C OF CHAPTER 58 OF THE LAWS OF 2005.
THE COMMISSIONER OF HEALTH MAY PROMULGATE REGULATIONS, INCLUDING EMER-
GENCY REGULATIONS, TO IMPLEMENT THE PROVISIONS OF THIS SECTION.
2. FULFILLMENT OF THE SOCIAL SERVICES DISTRICT RESPONSIBILITY FOR
FUNDING OF THE NON-FEDERAL SHARE OF ANY PAYMENTS PURSUANT TO THIS
SECTION SHALL BE DEEMED TO BE VOLUNTARY FOR PURPOSES OF THE INCREASED
FEDERAL MEDICAL ASSISTANCE PERCENTAGE PROVISIONS OF THE AMERICAN RECOV-
ERY AND REINVESTMENT ACT OF 2009; PROVIDED HOWEVER THAT, IN THE EVENT
THE FEDERAL CENTERS FOR MEDICARE AND MEDICAID SERVICES DETERMINES THAT
SUCH NON-FEDERAL SHARE PAYMENTS ARE NOT VOLUNTARY PAYMENTS FOR PURPOSES
OF SUCH ACT OR OTHERWISE DISALLOWS FEDERAL FINANCIAL PARTICIPATION IN
SUCH PAYMENTS, THE PROVISIONS OF THIS SECTION SHALL BE NULL AND VOID AND
PAYMENTS MADE PURSUANT TO THIS SECTION SHALL BE RECOUPED BY THE COMMIS-
SIONER OF HEALTH.
S 2. This act shall take effect on the same date and in the same
manner as a chapter of the laws of 2011 amending chapter 474 of the laws
of 1996 amending the education law and other laws relating to rates for
residential health care facilities, relating to payments for social
services districts for public general hospitals, as proposed in legisla-
tive bills numbers S.5644 and A.8306, takes effect.