Directs the department of health to provide oversight of the transitioning of individuals to managed long term care plans operated by health maintenance organizations.

---

S7773-2011 Actions

• Jun 21, 2012: referred to health
• Jun 21, 2012: DELIVERED TO ASSEMBLY
• Jun 21, 2012: PASSED SENATE
• Jun 20, 2012: ORDERED TO THIRD READING CAL.1448
• Jun 18, 2012: REFERRED TO RULES

S7773-2011 Meetings

Rules: Jun 21, 2012

S7773-2011 Calendars

Active List: Jun 21, 2012 , Floor Calendar: Jun 20, 2012 , Floor Calendar: Jun 21, 2012

S7773-2011 Votes

S7773-2011 Memo

BILL NUMBER:S7773

TITLE OF BILL:
An  act  to  amend  the public health law, in relation to managed long
term care plans operated by health maintenance organizations

PURPOSE:
This bill directs the Department of Health to provide oversight of the
transitioning of individuals receiving or in need of nursing home care
to managed long term care.

SUMMARY OF PROVISIONS:
Section one adds a new Public Health Law �4403-f(12)  to  require  the
Department  of  Health  to  provide  oversight  in  the  transition of
individuals to managed long term care by ensuring: access  to  quality
care by requiring network transparency; accountability from providers;
low  staff  turnover  by  promoting  and  encouraging  fair  pay; and,
periodic assessments of plans and providers.

Section two provides that this act shall take effect  immediately  and
shall expire and be deemed related with the remainder of the section.

JUSTIFICATION:
The  number  of  individuals  that  have  voluntarily opted to move to
managed long term care has increased and with mandatory enrollment  in
managed   long  term  care  approaching  it  is  imperative  that  the
Department of Health be vigilant in  ensuring  individuals  transition
smoothly  into  managed  long  term care. This legislation will enable
individuals to make educated choices and ensure  that  individuals  in
managed  long  term  care,  particularly  those receiving nursing home
care, continue to have access to quality care.

LEGISLATIVE HISTORY:
New bill.

FISCAL IMPLICATIONS:
None.

EFFECTIVE DATE:
Immediately.

S7773-2011 Text

                      S T A T E   O F   N E W   Y O R K
  ________________________________________________________________________

                                    7773

                              I N  SENATE

                                June 18, 2012
                                 ___________

  Introduced  by  Sen.  HANNON -- read twice and ordered printed, and when
    printed to be committed to the Committee on Rules

  AN ACT to amend the public health law, in relation to managed long  term
    care plans operated by health maintenance organizations

    THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
  BLY, DO ENACT AS FOLLOWS:


    Section 1. Section 4403-f of the  public  health  law  is  amended  by
  adding a new subdivision 12 to read as follows:

    12.  IN  TRANSITIONING  INDIVIDUALS  TO  MANAGED  LONG  TERM CARE, THE
  DEPARTMENT SHALL PROVIDE OVERSIGHT OF LONG TERM MANAGED CARE  BY  ENSUR-
  ING:

    (A) ACCESS TO QUALITY CARE BY REQUIRING NETWORK TRANSPARENCY AT CHOICE
  AMONGST  LONG TERM CARE PLANS, ALLOWING PATIENTS TO CHOOSE THE PLAN THAT
  BEST FITS THEIR NEEDS;
    (B)  TRANSPARENCY  AND  ACCOUNTABILITY  FROM  PROVIDERS,  WHICH  SHALL
  INCLUDE  A  MECHANISM  BY  WHICH STAFF, RESIDENTS AND FAMILY MEMBERS CAN
  SAFELY AND ANONYMOUSLY REPORT CONCERNS RELATING TO QUALITY AND WASTE;
    (C) LOW STAFF TURNOVER IN NURSING HOMES BY PROMOTING  AND  ENCOURAGING
  FAIR PAY; AND
    (D) PLANS AND PROVIDERS ARE ASSESSED PERIODICALLY FOR EFFICIENCY, WITH
  INCENTIVES  PROVIDED  FOR  A  VARIETY  OF  INDICATORS, INCLUDING BUT NOT
  LIMITED TO, SMOOTH PATIENT TRANSITIONS, HIGH STAFF RETENTION  AND  POSI-
  TIVE HEALTH CARE OUTCOMES ACHIEVED AT A LOW COST.
    S  2. This act shall take effect immediately; provided that the amend-
  ments 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.
                                                             LBD16337-01-2