Directs the department of health to provide oversight of the transitioning of individuals to managed long term care plans operated by health maintenance organizations.
Ayes (60): Adams, Addabbo, Alesi, Avella, Ball, Bonacic, Breslin, Carlucci, DeFrancisco, Diaz, Dilan, Duane, Farley, Flanagan, Fuschillo, Gallivan, Gianaris, Golden, Griffo, Grisanti, Hannon, Hassell-Thomps, Johnson, Kennedy, Klein, Krueger, Lanza, Larkin, LaValle, Libous, Little, Marcellino, Martins, Maziarz, McDonald, Montgomery, Nozzolio, O'Mara, Oppenheimer, Parker, Peralta, Perkins, Ranzenhofer, Ritchie, Rivera, Robach, Saland, Sampson, Savino, Serrano, Seward, Skelos, Smith, Squadron, Stavisky, Stewart-Cousin, Storobin, Valesky, Young, Zeldin
Excused (2): Espaillat, Huntley
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.
STATE OF NEW YORK ________________________________________________________________________ 7773 IN 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