Increases medicaid reimbursement payment aggregate for private duty nursing services and care by 15 million dollars for period 7/1/12 to 3/31/13, and by 20 million dollars annually thereafter for each period from April 1 to March 31.
TITLE OF BILL: An act to amend the social services law, in relation to medicaid reimbursement of private duty nursing services and care
PURPOSE OR GENERAL IDEA OF BILL: To increase Medicaid beneficiaries access to quality health care services by increasing Medicaid fees for private duty nursing services.
SUMMARY OF SPECIFIC PROVISIONS: Section one of this bill would add a new Section 365-o to the Social Services Law governing reimbursement of private duty nursing services. The bill would allocate $15 million in State Fiscal Year (SFY) 2012-2013 to increase reimbursement under the Medicaid program for private duty nursing services for the period July 1, 2012 to March 31, 2013. The bill would allocate $20 million for such reimbursement on annual fiscal year basis thereafter.
JUSTIFICATION: The State is currently experiencing a very serious shortage in private duty nursing. This shortage is due to a variety of factors including the lowest unemployment rate in over a decade, and rates of reimbursement in both the commercial and government sectors that have not kept pace with market demands. In some areas of the State, the Medicaid rates for private duty nursing have not changed in over a decade.
The nursing shortage is making it difficult to recruit and retain qualified nurses, particularly in specialty areas such as nursing care for medically and technologically dependent children and adults. This bill would provide the resources necessary to assist in recruiting and retaining qualified nursing care for the State's most vulnerable population - Medicaid beneficiaries. In addition to easing the workforce shortage in nursing and increasing access to quality care, the bill would provide badly needed respite to family members who are struggling to care for medically complex children and adults. The bill will reduce Medicaid costs over the long term by reducing unnecessary hospitalization that are the result of a lack of access to community care.
PRIOR LEGISLATIVE HISTORY: Senate: 2009-10: S.5040 - Referred to Health 2007-08: S.124A - Referred to Social Services 2005-06: S.175A - Referred to Social Services 2003-04: S.832A - Referred to Social Services 2001-02: S.1732 - Referred to Social Services 1999-00: S.7353 - Referred to Social Services
Assembly: 2009-10: A.692 - (Jacobs) Referred to Social Services 2007-08: A.2290A - Referred to Social Services, Reported to Ways & Means 2005-06: A.1182A - Referred to Social Services
2003-04: A.1558 - Referred to Social Services 2001-02: A.78 - Referred to Social Services 1999-00: A.9932 - Referred to Social Services, Reported to Ways & Means
FISCAL IMPLICATIONS: This bill will increase the Status share of Medicaid costs by an estimated $15 million in SFY 2012-2013. However, the bill will likely decrease Medicaid costs over the long term through the provision of more timely care and a decrease in institutional costs.
EFFECTIVE DATE: July 1, 2012
STATE OF NEW YORK ________________________________________________________________________ 980--A 2011-2012 Regular Sessions IN SENATE (PREFILED) January 5, 2011 ___________Introduced by Sens. HASSELL-THOMPSON, DIAZ, HUNTLEY, MONTGOMERY, PARKER, SERRANO -- read twice and ordered printed, and when printed to be committed to the Committee on Health -- recommitted to the Committee on Health in accordance with Senate Rule 6, sec. 8 -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee AN ACT to amend the social services law, in relation to medicaid reimbursement of private duty nursing services and care THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. The social services law is amended by adding a new section 365-o to read as follows: S 365-O. REIMBURSEMENT OF PRIVATE DUTY NURSING SERVICES AND CARE. NOTWITHSTANDING ANY PROVISION OF LAW TO THE CONTRARY, RATES OF PAYMENT FOR CARE AND SERVICES FURNISHED BY A PRIVATE DUTY NURSE THAT WOULD OTHERWISE QUALIFY FOR REIMBURSEMENT PURSUANT TO THIS TITLE SHALL BE INCREASED BY AN AMOUNT NOT TO EXCEED FIFTEEN MILLION DOLLARS IN THE AGGREGATE FOR THE PERIOD JULY FIRST, TWO THOUSAND TWELVE TO MARCH THIR- TY-FIRST, TWO THOUSAND THIRTEEN, AND TWENTY MILLION DOLLARS ANNUALLY THEREAFTER FOR EACH PERIOD OF APRIL FIRST TO MARCH THIRTY-FIRST. S 2. This act shall take effect July 1, 2012.EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD04245-02-2