Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
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Jan 03, 2018 |
referred to health returned to senate died in assembly |
Jun 20, 2017 |
referred to health delivered to assembly passed senate ordered to third reading cal.2048 committee discharged and committed to rules |
May 09, 2017 |
reported and committed to finance |
May 02, 2017 |
referred to health |
Senate Bill S5841
2017-2018 Legislative Session
Sponsored By
(R, C, IP) Senate District
Archive: Last Bill Status - In Senate Committee Health Committee
- Introduced
-
- In Committee Assembly
- In Committee Senate
-
- On Floor Calendar Assembly
- On Floor Calendar Senate
-
- Passed Assembly
- Passed Senate
- Delivered to Governor
- Signed By Governor
Actions
Votes
2017-S5841 (ACTIVE) - Details
- Current Committee:
- Senate Health
- Law Section:
- Social Services Law
- Laws Affected:
- Amd §364-j, Soc Serv L
- Versions Introduced in 2015-2016 Legislative Session:
-
S5459
2017-S5841 (ACTIVE) - Sponsor Memo
BILL NUMBER: S5841 TITLE OF BILL : An act to amend the social services law, in relation to the review of reimbursement methodologies under contracts or agreements with insurers under the medical assistance program for home and community-based long term care services PURPOSE : Directs the Department of Health to provide for the study and review of adequate reimbursement methodologies under managed care contracts and fee-for-service Medicaid rates to ensure such are sufficient to support compensation for persons providing home care aide services and consumer directed personal assistance services. SUMMARY OF PROVISIONS : Section one adds a new paragraph (e) to section 364-j of the Social Services Law requiring the Department of Health to select and contract with an independent actuary to study and review adequate reimbursement methodologies for home and community based long term care providers. In addition, it provides that the Department shall report to the Governor, the Temporary President of the Senate, the Speaker of the Assembly, the Health Chairs on or before January 15, 2018 on the findings of such study and review.
2017-S5841 (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 5841 2017-2018 Regular Sessions I N S E N A T E May 2, 2017 ___________ 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 social services law, in relation to the review of reimbursement methodologies under contracts or agreements with insur- ers under the medical assistance program for home and community-based long term care services THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Subdivision 18 of section 364-j of the social services law, as amended by chapter 649 of the laws of 1996, paragraph (b) as amended by chapter 433 of the laws of 1997, paragraph (c) as added by section 40-c of part B of chapter 57 of the laws of 2015, paragraphs (c) and (d) as added by section 55 of part B of chapter 57 of the laws of 2015, is amended to read as follows: 18. (a) The department of health may, where not inconsistent with the rate setting authority of other state agencies and subject to approval of the director of the division of the budget, develop reimbursement methodologies and fee schedules for determining the amount of payment to be made to managed care providers under the managed care program. Such reimbursement methodologies and fee schedules may include provisions for payment of managed care fees and capitation arrangements. (b) The department of health in consultation with organizations representing managed care providers shall select an independent actuary to review any such reimbursement rates. Such independent actuary shall review and make recommendations concerning appropriate actuarial assump- tions relevant to the establishment of rates including but not limited to the adequacy of the rates in relation to the population to be served adjusted for case mix, the scope of services the plans must provide, the utilization of services and the network of providers necessary to meet state standards. The independent actuary shall issue a report no later than December thirty-first, nineteen hundred ninety-eight and annually EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted.
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