senate Bill S7149

Expands entities eligible to apply for a certificate of authority to operate a long term care plan as a health maintenance organization

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Bill Status


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

  • 01 / May / 2012
    • REFERRED TO HEALTH
  • 15 / May / 2012
    • 1ST REPORT CAL.821
  • 16 / May / 2012
    • 2ND REPORT CAL.
  • 21 / May / 2012
    • ADVANCED TO THIRD READING
  • 22 / May / 2012
    • PASSED SENATE
  • 22 / May / 2012
    • DELIVERED TO ASSEMBLY
  • 22 / May / 2012
    • REFERRED TO HEALTH

Summary

Expands entities eligible to apply for a certificate of authority to operate a long term care plan as a health maintenance organization; requires all applicants to comply with regulations relating to managed care.

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Bill Details

Versions:
S7149
Legislative Cycle:
2011-2012
Current Committee:
Assembly Health
Law Section:
Public Health Law
Laws Affected:
Amd ยง4403-f, Pub Health L

Sponsor Memo

BILL NUMBER:S7149

TITLE OF BILL:
An act to amend the public health law, in relation to applicants for
certificates of authority to operate managed long term care plans

PURPOSE:
An act to amend the public health law, in relation to applicants for
certificates of authority to operate managed long term care plans.

SUMMARY OF PROVISIONS:
Amends the definition of eligible applicant in Public Health Law
4403-f to clarify that such an applicant may be a new entity applying
for a certificate of authority.

JUSTIFICATION:
The Managed Long Term Care program was initially established as a demon-
stration program in 1997. The program has evolved over the years and,
more recently, as a result of the Medicaid Redesign Team recommendations
and the subsequent budget actions, individuals who require long term
care services are required to enroll in managed long term care plans. In
order to ensure that this population of Medicaid consumers have access
to a sufficient amount of plans and providers, it is necessary to clari-
fy that new entities may apply to become an MLTC. Such entities must
comply with Department of Health regulations related to certification
and programmatic requirements, and the Department has the authority to
approve or disapprove applicants.

LEGISLATIVE HISTORY:
New Bill.

FISCAL IMPLICATIONS:
Medicaid Redesign Team has determined that as a result of managed care
enrollment, savings will accrue to the State.

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
________________________________________________________________________

                                  7149

                            I N  S E N A T E

                               May 1, 2012
                               ___________

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 public health law, in  relation  to  applicants  for
  certificates of authority to operate managed long term care plans

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

  Section 1. Paragraph (b) of subdivision 1 of  section  4403-f  of  the
public  health  law,  as  added  by  chapter 659 of the laws of 1997, is
amended to read as follows:
  (b) "Eligible applicant" means an entity controlled or wholly owned by
one or more of the following: a hospital as defined in  subdivision  one
of  section twenty-eight hundred one of this chapter; a home care agency
licensed or certified pursuant to article thirty-six of this chapter;  A
NEW  APPLICANT  THAT IS APPLYING FOR A CERTIFICATE OF AUTHORITY PURSUANT
TO THIS SECTION, OR an entity that has received a certificate of author-
ity pursuant to sections forty-four hundred  three,  forty-four  hundred
three-a or forty-four hundred eight-a of this article (as added by chap-
ter six hundred thirty-nine of the laws of nineteen hundred ninety-six),
or  a  health  maintenance  organization authorized under article forty-
three of the insurance law; or a not-for-profit organization which has a
history of providing or coordinating health care services and long  term
care  services  to the elderly and disabled; PROVIDED, HOWEVER, THAT ALL
SUCH ENTITIES SHALL ALSO COMPLY WITH THE REGULATIONS OF  THE  DEPARTMENT
RELATING TO MANAGED CARE.
  S  2.  This act shall take effect immediately; provided, however, that
the amendments to section 4403-f of  the  public  health  law,  made  by
section  one  of this act, shall not affect the expiration and repeal of
such section, and shall expire and be deemed repealed therewith.



 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD15425-01-2

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