senate Bill S3601A

Relates to certified home health agencies

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Sponsor

Bill Status


  • Introduced
  • In Committee
  • On Floor Calendar
    • Passed Senate
    • Passed Assembly
  • Delivered to Governor
  • Signed/Vetoed by Governor
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actions

  • 28 / Feb / 2011
    • REFERRED TO HEALTH
  • 04 / Jan / 2012
    • REFERRED TO HEALTH
  • 18 / Jan / 2012
    • AMEND AND RECOMMIT TO HEALTH
  • 18 / Jan / 2012
    • PRINT NUMBER 3601A

Summary

Relates to certified home health agencies.

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Bill Details

Versions:
S3601
S3601A
Legislative Cycle:
2011-2012
Current Committee:
Senate Health
Law Section:
Public Health Law
Laws Affected:
Amd ยง3608, Pub Health L
Versions Introduced in 2009-2010 Legislative Cycle:
S8393

Sponsor Memo

BILL NUMBER:S3601A

TITLE OF BILL:
An act
to amend the public health law, in relation to certified home health
agencies

PURPOSE:
To allow special needs certified home health agencies to enroll any
patient determined to require certified home health agency services
under certain circumstances and thereby achieve state Medicaid
savings through market efficiencies.

SUMMARY OF PROVISIONS:
Amends section 3608 of the public health law to provide that a
certified home health agency (CHHA's) which has been issued a
certificate of approval for the purpose of serving individuals
eligible for care in a facility or program licensed by the Office of
Mental Health or the Office of Mental Retardation and Developmental
Disabilities may enroll any patient determined to require certified
home health agency services if such agency:

- possesses demonstrated clinical expertise in the required treatment;
- continues to market, accept and treat members of the special needs
population;
- contracts with the Department of Health to maintain rates at
specified levels.

JUSTIFICATION:
Special-needs CHHAs provide high quality care at lower rates than
CHHAs that serve the general population. Currently by, DOH policy,
special needs CHHAs are restricted in their outreach and marketing
efforts to special-needs individuals, but may service the general
public. The result is a bifurcated, confusing marketplace that has
negatively influenced competition with the effect of a substantial
percentage of the Medicaid population not utilizing the lower-cost
model of care.
Expanding the scope of the population that they serve will result in
significant Medicaid savings.

Special-needs CHHAs were established for the special purpose of
delivering Medicaid covered home care services to individuals who
otherwise would require more costly institutionalized services by the
Office of Mental Health ("OMH") or by the Office .of Mental
Retardation Developmental Disabilities ("OMRDD"). In this legislation,
special needs CHHAs will continue to be required to develop and
maintain special care protocols, training and vendor relationships
tailored to the population that such CHHA was originally established
to service.

Allowing special-needs CHHAs to compete with general-purpose CHHAs
without restriction, will yield millions of dollars in savings to the
State Medicaid budget effective immediately. Special-needs CHHAs have
demonstrated that they have a formula whether measured either from
the prospective of low rates, operational efficiencies or
compassionate care. The State should make this model available to the
general public without restriction or delay.

PRIOR LEGISLATIVE HISTORY:
2010: A/11581/S.8393 Held in Rules

FISCAL IMPLICATIONS:
Fiscal year 2010/2011 state Medicaid savings of $1 million to $3
million; Fiscal year 2001/2012 savings could approach $10 million.

EFFECTIVE DATE:
Immediately.

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

                                 3601--A

                       2011-2012 Regular Sessions

                            I N  S E N A T E

                            February 28, 2011
                               ___________

Introduced  by  Sen.  ADAMS  -- 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 public health law, in relation to certified home
  health agencies

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

  Section  1. Section 3608 of the public health law is amended by adding
a new subdivision 7 to read as follows:
  7. A CERTIFIED HOME HEALTH AGENCY IN OPERATION  AS  OF  THE  EFFECTIVE
DATE  OF  THIS  SUBDIVISION  AND ISSUED A CERTIFICATE OF APPROVAL BY THE
COMMISSIONER FOR THE PURPOSE OF SERVING INDIVIDUALS ELIGIBLE FOR CARE IN
A FACILITY OR PROGRAM LICENSED BY THE OFFICE OF  MENTAL  HEALTH  OR  THE
OFFICE  FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES OR AS A SPECIAL PILOT
PROGRAM HOME HEALTH AGENCY IS AUTHORIZED BY VIRTUE OF  SUCH  CERTIFICATE
TO ENROLL ANY PATIENT DETERMINED TO REQUIRE CERTIFIED HOME HEALTH AGENCY
SERVICES; PROVIDED, HOWEVER, THAT SUCH AGENCY (A) POSSESSES DEMONSTRATED
CLINICAL  EXPERTISE  IN THE TREATMENT OF THE POPULATION SPECIFIED IN ITS
CERTIFICATE OF APPROVAL, (B) CONTINUES TO MARKET, ACCEPT FOR  ENROLLMENT
AND  TREAT  MEMBERS OF SUCH POPULATION, AND (C) ENTERS INTO AN AGREEMENT
WITH THE COMMISSIONER THAT DURING THE PERIOD JANUARY FIRST, TWO THOUSAND
THIRTEEN THROUGH DECEMBER THIRTY-FIRST, TWO THOUSAND  THIRTEEN  AND  FOR
EACH  CALENDAR YEAR PERIOD COMMENCING ON JANUARY FIRST THEREAFTER, RATES
OF PAYMENT BY GOVERNMENTAL AGENCIES ESTABLISHED BY THE  COMMISSIONER  IN
ACCORDANCE WITH THE RATE-SETTING METHODOLOGY THEN IN EFFECT FOR SERVICES
BY SUCH CERTIFIED HOME HEALTH AGENCY TO INDIVIDUALS ELIGIBLE FOR MEDICAL
ASSISTANCE  PURSUANT  TO  TITLE  ELEVEN  OF  ARTICLE  FIVE OF THE SOCIAL
SERVICES LAW SHALL NOT EXCEED THE AVERAGE OF SUCH RATES OF  PAYMENT  FOR
CERTIFIED  HOME  HEALTH  AGENCIES CLASSIFIED IN THE DOWNSTATE REGION, AS
DEFINED  BY  REGULATIONS  PROMULGATED  PURSUANT  TO  SECTION  THIRTY-SIX
HUNDRED TWELVE OF THIS ARTICLE OR SUCCESSOR LEGISLATION.
  S 2. This act shall take effect immediately.

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD07584-02-1

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