senate Bill S153

Amended

Relates to calculating social services district medical assistance expenditure amounts

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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

  • 09 / Jan / 2013
    • REFERRED TO FINANCE
  • 08 / Jan / 2014
    • REFERRED TO FINANCE
  • 28 / Jan / 2014
    • AMEND AND RECOMMIT TO FINANCE
  • 28 / Jan / 2014
    • PRINT NUMBER 153A

Summary

Relates to calculating social services district medical assistance expenditure amounts.

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Bill Details

See Assembly Version of this Bill:
A4196
Versions:
S153
S153A
Legislative Cycle:
2013-2014
Current Committee:
Senate Finance
Law Section:
General Municipal Law
Laws Affected:
Amd Part C §1, Chap 58 of 2005; amd §3-c, Gen Muni L
Versions Introduced in 2011-2012 Legislative Cycle:
S5889D

Sponsor Memo

BILL NUMBER:S153

TITLE OF BILL:
An act
to amend chapter 58 of the laws of 2005, relating to authorizing
reimbursements for expenditures made by or on behalf of social services
districts for medical assistance for needy persons and the
administration thereof, and to amend the general municipal law,
in relation to calculating social services
district medical assistance expenditure amounts

PURPOSE:
This bill provides for a takeover of the local share of Medicaid over
a twenty year period beginning in 2016. This bill also provides that
all savings from this takeover are passed along to property tax
payers by reducing the allowable levy under the property tax cap.

SUMMARY OF PROVISIONS:
Section 1: Subdivision c-1 of section 1 of chapter 58 of the laws of
2005 is amended to provide a for a twenty year takeover of the local
share of Medicaid costs.

Section 2: Subsection 3 of section 3-c of the General Municipal Law is
amended to provide for a reduction in the allowable tax levy limit
for counties equal to the amount of the reduction in each counties
local share of Medicaid costs.

JUSTIFICATION:
Since the enactment of the Medicaid program in 1965 local social
service districts (counties and the City of New York) have been
required to share in both the cost and administrative operation of
the program.
Over the years, the cost of the program has grown exponentially while
responsibility for program design and administration has been
gradually shifted to the state.

Despite this shift of responsibility, county and New York City
governments continue to be required to contribute a significant share
of the total program cost. Currently, counties and New York City pay
approximately $7.3 billion per year.

The FY 2012-2013 budget began to address this unfunded mandate by
phasing Out the 3% increase in county Medicaid costs each year. This
will allow counties to work within the recently enacted cap on
property taxes without slashing essential local services such as
senior services, veteran's services, law enforcement, parks, and road
maintenance.

However, even after this freeze on local Medicaid costs being fully
implemented in 2015, over $7.5 billion of Medicaid costs will still
fall on local governments and thus property taxpayers. This bill
would address these remaining costs by having the state government
assume responsibility of 5% of the costs each year for twenty years.

Furthermore, this bill ensures that these local savings are passed
along to property tax payers by reducing the allowable property tax


levy for counties by the amount they will save from reduced Medicaid
costs. In many counties this will mean year-to-year reductions in the
property tax levy from 2016 until 2035, reversing a long trend of
year to year increases that were caused, in part, by Medicaid cost
sharing.

LEGISLATIVE HISTORY:
2011-12: S.5889D

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
________________________________________________________________________

                                   153

                       2013-2014 Regular Sessions

                            I N  S E N A T E

                               (PREFILED)

                             January 9, 2013
                               ___________

Introduced  by Sen. GALLIVAN -- read twice and ordered printed, and when
  printed to be committed to the Committee on Finance

AN ACT to amend chapter 58 of the laws of 2005, relating to  authorizing
  reimbursements  for  expenditures  made  by  or  on  behalf  of social
  services districts for medical assistance for needy  persons  and  the
  administration  thereof,  and  to  amend the general municipal law, in
  relation to calculating social services  district  medical  assistance
  expenditure amounts

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

  Section 1. Subdivision (c-1) of section 1 of part C of chapter  58  of
the  laws  of  2005, relating to authorizing reimbursements for expendi-
tures made by or on behalf of  social  services  districts  for  medical
assistance for needy persons and the administration thereof, as added by
section  1  of  part  F of chapter 56 of the laws of 2012, is amended to
read as follows:
  (c-1) Notwithstanding  any  provisions  of  subdivision  (c)  of  this
section to the contrary, effective April 1, 2013, for the period January
1, 2013 through December 31, 2013 and for each calendar year thereafter,
the  medical  assistance  expenditure  amount  for  the  social services
district for such period shall be [equal to] the GREATER OF (I) ZERO; OR
(II) THE previous calendar year's medical assistance expenditure  amount
MINUS  FIVE PERCENT OF THE MEDICAL ASSISTANCE EXPENDITURE AMOUNT FOR THE
PERIOD JANUARY 1, 2016 THROUGH DECEMBER 31, 2016, except that:
  (1) for the period January 1, 2013  through  December  31,  2013,  the
previous  calendar  year  medical  assistance expenditure amount will be
increased by 2%;
  (2) for the period January 1, 2014  through  December  31,  2014,  the
previous  calendar  year  medical  assistance expenditure amount will be
increased by 1%; AND

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD01976-01-3

S. 153                              2

  (3) FOR THE PERIOD JANUARY 1, 2016  THROUGH  DECEMBER  31,  2016,  THE
PREVIOUS  CALENDAR  YEAR  MEDICAL  ASSISTANCE EXPENDITURE AMOUNT WILL BE
UNCHANGED.
  S  2.  Paragraph  (c)  of  subdivision 3 of section 3-c of the general
municipal law is amended by adding a new subparagraph (viii) to read  as
follows:
  (VIII)  SUBTRACT  THE  AMOUNT  THAT  THE  PRIOR  FISCAL YEAR'S MEDICAL
ASSISTANCE EXPENDITURE AMOUNT EXCEEDS THE CURRENT FISCAL YEAR'S  MEDICAL
ASSISTANCE  EXPENDITURE  AMOUNT,  PROVIDED THAT THIS SHALL ONLY APPLY TO
COUNTIES AND SHALL ONLY APPLY TO FISCAL YEARS THAT BEGIN AFTER TWO THOU-
SAND SIXTEEN.
  S 3. This act shall take effect immediately, provided,  however,  that
section  one  of  this act shall take effect on the same date and in the
same manner as section 1 of part F of chapter 56 of the  laws  of  2012,
takes  effect;  and  provided  further,  however, that the amendments to
section 3-c of the general municipal law made by section two of this act
shall not affect the repeal of such section and shall be deemed repealed
therewith.

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