Assembly Bill A6676

2009-2010 Legislative Session

Authorizing the commissioner of health to apply for a medicaid reform demonstration waiver

download bill text pdf

Sponsored By

Archive: Last Bill Status - In Assembly 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

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2009-A6676 (ACTIVE) - Details

See Senate Version of this Bill:
S2639
Current Committee:
Assembly Health
Law Section:
Social Services Law
Laws Affected:
Amd §366, Soc Serv L
Versions Introduced in Other Legislative Sessions:
2011-2012: A2280, S3196
2013-2014: A5545, S1438
2015-2016: A5986, S3973

2009-A6676 (ACTIVE) - Summary

Authorizes the commissioner of health to apply for a medicaid reform demonstration waiver; creates an initiative to provide for a more efficient and effective medicaid services delivery system; sets forth a managed care pilot program and requires reporting to the governor, temporary president of the senate and speaker of the assembly by December 31, 2012.

2009-A6676 (ACTIVE) - Bill Text download pdf

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

                                  6676

                       2009-2010 Regular Sessions

                          I N  A S S E M B L Y

                             March 11, 2009
                               ___________

Introduced  by M. of A. SCHIMMINGER, CHRISTENSEN, SCHROEDER, DelMONTE --
  Multi-Sponsored by -- M. of A. LAVINE, MAGEE, REILLY -- read once  and
  referred to the Committee on Health

AN  ACT to amend the social services law, in relation to authorizing the
  commissioner of health to apply for a  medicaid  reform  demonstration
  waiver

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

  Section 1. Section 366 of the social services law is amended by adding
a new subdivision 6-b to read as follows:
  6-B. A. THE COMMISSIONER OF HEALTH SHALL APPLY FOR A  MEDICAID  REFORM
DEMONSTRATION  WAIVER  PURSUANT TO SECTION ELEVEN HUNDRED FIFTEEN OF THE
FEDERAL SOCIAL SECURITY ACT IN ORDER TO CREATE AN INITIATIVE TO  PROVIDE
FOR  A MORE EFFICIENT AND EFFECTIVE MEDICAID SERVICES DELIVERY SYSTEM IN
NEW YORK THAT EMPOWERS MEDICAID PATIENTS,  BRIDGES  PUBLIC  AND  PRIVATE
COVERAGE, IMPROVES PATIENT OUTCOMES AND STABILIZES PROGRAM COSTS.
  B.  THE  DEMONSTRATION  WAIVER SHALL INCLUDE, BUT SHALL NOT BE LIMITED
TO, THE FOLLOWING COMPONENTS:
  (I) A RISK ADJUSTED CAPITATED MANAGED CARE PILOT PROGRAM  FOR  RECIPI-
ENTS  CURRENTLY  SERVED  IN MEDICAID-FEE-FOR SERVICE OR MEDICAID MANAGED
CARE THAT PROVIDES BENEFIT PLANS  THAT  MORE  CLOSELY  RESEMBLE  PRIVATE
PLANS  YET  ARE  ACTUARIALLY  EQUIVALENT TO THE CURRENT MEDICAID BENEFIT
PACKAGE. RISK ADJUSTED CAPITATION RATES SHALL BE  SEPARATED  INTO  THREE
COMPONENTS  TO  COVER COMPREHENSIVE CARE, CATASTROPHIC CARE AND ENHANCED
SERVICES AND MAY PHASE-IN FINANCIAL RISK FOR APPROVED PROVIDERS.  HEALTH
PLANS SHALL PROVIDE COMPREHENSIVE CARE WHICH SHALL  COVER  ALL  EXPENSES
UNTIL A PREDETERMINED THRESHOLD OF EXPENSES IS REACHED AT WHICH TIME THE
CATASTROPHIC  COMPONENT  SHALL  TAKE  OVER.  HEALTH  PLANS MAY CHOOSE TO
ASSUME THE CATASTROPHIC RISK FOR  TARGET  POPULATIONS  THEY  SERVE.  THE
CATASTROPHIC  COMPONENT  SHALL  ENCOURAGE  PROVIDER NETWORKS TO IDENTIFY
RECIPIENTS WITH UNDIAGNOSED CHRONIC ILLNESS AND  ENSURE  PROPER  DISEASE

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD03966-01-9
              

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