senate Bill S3774A

Establishes a state managed medical assistance demonstration project

download pdf

Sponsor

Co-Sponsors

Bill Status


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

actions

  • 03 / Mar / 2011
    • REFERRED TO HEALTH
  • 04 / Jan / 2012
    • REFERRED TO HEALTH
  • 18 / Jan / 2012
    • AMEND AND RECOMMIT TO HEALTH
  • 18 / Jan / 2012
    • PRINT NUMBER 3774A

Summary

Establishes a state managed medical assistance demonstration project; selected local district shall transfer all intake, management and related services for persons in need of such care to the department of health; three local districts for program; report on costs and savings of the demonstration project with recommendations for establishing a permanent statewide central managed medical assistance program.

do you support this bill?

Bill Details

Versions:
S3774
S3774A
Legislative Cycle:
2011-2012
Current Committee:
Senate Health
Law Section:
Social Services Law
Laws Affected:
Add ยง364-n, Soc Serv L
Versions Introduced in 2009-2010 Legislative Cycle:
S3523

Sponsor Memo

BILL NUMBER:S3774A

TITLE OF BILL:
An act
to amend the social services law, in relation to a state managed medical
assistance demonstration project

PURPOSE:
This bill would create a new demonstration project with up to
three counties in which the Department of Health will completely take
over the management and funding of medical assistance in the counties
which participate in the project.

SUMMARY OF SPECIFIC PROVISIONS:
Section 1 - adds a new section 364-n
of the Social Services Law to create a managed medical assistance
demonstration project. Under the project, up to three county social
services departments interested in participating will be chosen by
the Department of Health. The Department of Health will assume all of
the duties of intake, management and related services for persons in
need of such care. In return, the Department shall receive all of the
funds that otherwise would have been paid to the local district to
provide such duties by the state or federal government, and shall pay
one hundred percent of the non-federal share of any payments made for
such services.

The project shall begin April 1, 2012, or as soon thereafter as a
local district shall have applied and been approved by the Department
of Health, and shall end March 31, 2015.

On or before December 31, 2014, the Commissioner of Health shall
submit a report to the Governor, the Temporary President of the
Senate and the Speaker of the Assembly describing the costs and
savings of the demonstration project with recommendations for
establishing a permanent statewide central managed medical assistance
program.

Section 2 - Effective date.

CURRENT LAW:
Currently, Medicaid services and managed by local social
service districts, with funding for the services coming from federal
state and local sources.

JUSTIFICATION:
The current Medicaid program in New York to provide
medical assistance to persons in need of such assistance cannot be
sustained. Even though the burden to local
governments has been reduced by legislation over the last several
years, property owners across New York continue to face spiraling
taxes. These Medicaid costs, when added to the rising expenses
of local governments to provide basic local services, are beyond the
means of of property owners. Property tax rates are among the highest
in the country, and even though property values have stagnated across
the state, and particularly across upstate, property taxes are often
the largest tax that a property owner pays. Even when a homeowner has


no income, or an owner of commercial property is receiving no rent
from a vacant building, the school, village, town and county tax
bills, amounting to thousands and thousands of dollars, continue to
arrive.
This bill offers an opportunity to explore, through a pilot program,
the possibility that there is a better way to provide and fund
medical assistance in New York State.

FISCAL IMPLICATIONS:
To be determined.

LEGISLATIVE HISTORY:
2010 - S.3523/A.10042 -- HEALTH/Health
2011 - S.3774 -- HEALTH

EFFECTIVE DATE:
This act shall take effect immediately.

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

                                 3774--A

                       2011-2012 Regular Sessions

                            I N  S E N A T E

                              March 3, 2011
                               ___________

Introduced  by  Sens. RANZENHOFER, GOLDEN, JOHNSON, LARKIN -- 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 a state managed
  medical assistance demonstration project

  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
364-n to read as follows:
  S  364-N.  MANAGED  MEDICAL  ASSISTANCE  DEMONSTRATION   PROJECT.   1.
NOTWITHSTANDING  ANY  PROVISION  OF LAW TO THE CONTRARY, THERE IS HEREBY
CREATED A DEMONSTRATION PROJECT  WITHIN  THE  DEPARTMENT  OF  HEALTH  TO
ASSESS MEDICAL ASSISTANCE METHODOLOGIES AND DELIVERY METHODS IN CONJUNC-
TION  WITH  THE  PROVISION  OF MEDICAL ASSISTANCE. AS PART OF THE DEMON-
STRATION PROJECT, A SELECTED LOCAL DISTRICT SHALL TRANSFER  ALL  INTAKE,
MANAGEMENT  AND RELATED SERVICES FOR PERSONS IN NEED OF SUCH CARE TO THE
DEPARTMENT OF HEALTH.
  2. THE DEPARTMENT OF HEALTH MAY APPROVE UP TO THREE LOCAL DISTRICTS AS
A PART OF THE DEMONSTRATION PROJECT.
  3. THE DEPARTMENT OF HEALTH SHALL RECEIVE  ALL  FUNDS  THAT  OTHERWISE
WOULD  HAVE BEEN PAID TO THE LOCAL DISTRICT FROM THE STATE FOR SERVICING
AND MANAGEMENT FUNCTIONS TO REIMBURSE THE DEPARTMENT'S COSTS IN  PROVID-
ING  SUCH SERVICES, AS WELL AS ALL FUNDS PROVIDED BY THE FEDERAL GOVERN-
MENT FOR SUCH MANAGEMENT AND SERVICES AND  SHALL  PAY  ONE  HUNDRED  PER
CENTUM OF THE NON-FEDERAL SHARE OF ANY PAYMENTS MADE FOR THOSE SERVICES.
  4.  THE  DEMONSTRATION  PROJECT  SHALL BEGIN APRIL FIRST, TWO THOUSAND
THIRTEEN, OR AS SOON THEREAFTER AS A LOCAL DISTRICT SHALL  HAVE  APPLIED
AND BEEN APPROVED AND END MARCH THIRTY-FIRST, TWO THOUSAND SIXTEEN.

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD02583-02-2

S. 3774--A                          2

  5.  ON  OR  BEFORE  DECEMBER  THIRTY-FIRST,  TWO THOUSAND FIFTEEN, THE
COMMISSIONER OF HEALTH SHALL SUBMIT TO THE GOVERNOR, THE TEMPORARY PRES-
IDENT OF THE SENATE AND THE SPEAKER OF THE ASSEMBLY, A REPORT AS TO  THE
COSTS  AND SAVINGS OF THE DEMONSTRATION PROJECT WITH RECOMMENDATIONS FOR
ESTABLISHING  A  PERMANENT  STATEWIDE CENTRAL MANAGED MEDICAL ASSISTANCE
PROGRAM.
  S 2. This act shall take effect immediately.

Comments

Open Legislation comments facilitate discussion of New York State legislation. All comments are subject to moderation. Comments deemed off-topic, commercial, campaign-related, self-promotional; or that contain profanity or hate speech; or that link to sites outside of the nysenate.gov domain are not permitted, and will not be published. Comment moderation is generally performed Monday through Friday.

By contributing or voting you agree to the Terms of Participation and verify you are over 13.