S7149-2011 - NY Senate Open Legislation - Expands entities eligible to apply for a certificate of authority to operate a long term care plan as a health maintenance organization

Expands entities eligible to apply for a certificate of authority to operate a long term care plan as a health maintenance organization; requires all applicants to comply with regulations relating to managed care.

Sponsor: HANNON / Co-sponsor(s): LARKIN / Committee: HEALTH
Law Section: Public Health Law / Law: Amd S4403-f, Pub Health L

S7149-2011 Actions

May 22, 2012: referred to health
May 22, 2012: DELIVERED TO ASSEMBLY
May 22, 2012: PASSED SENATE
May 21, 2012: ADVANCED TO THIRD READING
May 16, 2012: 2ND REPORT CAL.
May 15, 2012: 1ST REPORT CAL.821
May 1, 2012: REFERRED TO HEALTH

S7149-2011 Meetings

Health: May 15, 2012

S7149-2011 Calendars

Active List: May 22, 2012 , Floor Calendar: May 16, 2012 , Floor Calendar: May 21, 2012 , Floor Calendar: May 22, 2012

S7149-2011 Votes

VOTE: COMMITTEE VOTE: - Health - May 15, 2012

Ayes (13): Hannon, Ball, Farley, Fuschillo, Golden, Larkin, McDonald, Seward, Young, Montgomery, Rivera, Smith, Stewart-Cousins
Ayes W/R (4): Duane, Adams, Gianaris, Peralta

VOTE: FLOOR VOTE: - May 22, 2012

Ayes (59): Adams, Addabbo, Alesi, Avella, Ball, Bonacic, Breslin, Carlucci, DeFrancisco, Diaz, Dilan, Duane, Espaillat, Farley, Flanagan, Fuschillo, Gallivan, Gianaris, Golden, Griffo, Grisanti, Hannon, Hassell-Thomps, Johnson, Kennedy, Klein, Krueger, Lanza, Larkin, LaValle, Libous, Little, Marcellino, Martins, Maziarz, Montgomery, Nozzolio, O'Mara, Oppenheimer, Parker, Peralta, Perkins, Ranzenhofer, Ritchie, Rivera, Robach, Saland, Sampson, Savino, Serrano, Seward, Skelos, Smith, Squadron, Stavisky, Stewart-Cousin, Valesky, Young, Zeldin
Excused (2): Huntley, McDonald

S7149-2011 Memo

BILL NUMBER:S7149

TITLE OF BILL:
An act to amend the public health law, in relation to applicants for
certificates of authority to operate managed long term care plans

PURPOSE:
An act to amend the public health law, in relation to applicants for
certificates of authority to operate managed long term care plans.

SUMMARY OF PROVISIONS:
Amends the definition of eligible applicant in Public Health Law
4403-f to clarify that such an applicant may be a new entity applying
for a certificate of authority.

JUSTIFICATION:
The Managed Long Term Care program was initially established as a demon-
stration program in 1997. The program has evolved over the years and,
more recently, as a result of the Medicaid Redesign Team recommendations
and the subsequent budget actions, individuals who require long term
care services are required to enroll in managed long term care plans. In
order to ensure that this population of Medicaid consumers have access
to a sufficient amount of plans and providers, it is necessary to clari-
fy that new entities may apply to become an MLTC. Such entities must
comply with Department of Health regulations related to certification
and programmatic requirements, and the Department has the authority to
approve or disapprove applicants.

LEGISLATIVE HISTORY:
New Bill.

FISCAL IMPLICATIONS:
Medicaid Redesign Team has determined that as a result of managed care
enrollment, savings will accrue to the State.

EFFECTIVE DATE:
This act shall take effect immediately.

S7149-2011 Text

 S T A T E   O F   N E W   Y O R K
 
                                          7149
 I N  SENATE
 May 1, 2012
 
 Introduced  by  Sen.  HANNON -- read twice and ordered printed, and when
 printed to be committed to the Committee on Health
 

AN ACT to amend the public health law, in  relation  to  applicants  for
 certificates of authority to operate managed long term care plans
 

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  4403-f  of  the
 public  health  law,  as  added  by  chapter 659 of the laws of 1997, is
 amended to read as follows:

 (b) "Eligible applicant" means an entity controlled or wholly owned by
 one or more of the following: a hospital as defined in  subdivision  one
 of  section twenty-eight hundred one of this chapter; a home care agency
 licensed or certified pursuant to article thirty-six of this chapter;  A
 NEW  APPLICANT  THAT IS APPLYING FOR A CERTIFICATE OF AUTHORITY PURSUANT
 TO THIS SECTION, OR an entity that has received a certificate of author
 ity pursuant to sections forty-four hundred  three,  forty-four  hundred
 three-a or forty-four hundred eight-a of this article (as added by chap
 ter six hundred thirty-nine of the laws of nineteen hundred ninety-six),
 or  a  health  maintenance  organization authorized under article forty
 three of the insurance law; or a not-for-profit organization which has a
 history of providing or coordinating health care services and long  term
 care  services  to the elderly and disabled; PROVIDED, HOWEVER, THAT ALL
 SUCH ENTITIES SHALL ALSO COMPLY WITH THE REGULATIONS OF  THE  DEPARTMENT
 RELATING TO MANAGED CARE.
 

S  2.  This act shall take effect immediately; provided, however, that
 the amendments to section 4403-f of  the  public  health  law,  made  by
 section  one  of this act, shall not affect the expiration and repeal of
 such section, and shall expire and be deemed repealed therewith.
 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD15425-01-2

S7149-2011: Expands entities eligible to apply for a certificate of authority to operate a long term care plan as a health maintenance organization