senate Bill S4296A

Amends chapter 58 of the laws of 2005 in relation 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

  • 20 / Mar / 2013
    • REFERRED TO HEALTH
  • 08 / Jan / 2014
    • REFERRED TO HEALTH
  • 27 / Jan / 2014
    • AMEND AND RECOMMIT TO HEALTH
  • 27 / Jan / 2014
    • PRINT NUMBER 4296A

Summary

Relates to calculating social services district medical assistance expenditure amounts.

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Bill Details

See Assembly Version of this Bill:
A4776A
Versions:
S4296
S4296A
Legislative Cycle:
2013-2014
Current Committee:
Senate Health
Law Section:
Social Services
Laws Affected:
Amd Part C ยง1, Chap 58 of 2005
Versions Introduced in 2011-2012 Legislative Cycle:
S5787, A8453

Sponsor Memo

BILL NUMBER:S4296A

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, in relation to calculating social services
district medical assistance expenditure amounts

PURPOSE OF BILL:

To freeze the municipal share of local Medicaid costs at the current
level.

SUMMARY OF SPECIFIC PROVISIONS:

Section 1 caps the municipal share of Medicaid cost at the 2011 trend
factor of 18.75% of the 2005 base rate.

Section 2 contains the effective date.

JUSTIFICATION:

By far, New York's largest unfunded mandate on county governments each
year is Medicaid spending. The Municipal share of Medicaid spending for
the 2010-2011 fiscal year was 7.5 billion. In order to provide counties
financial stability the state imposed a cap on county Medicaid expendi-
tures of 3.5% for 2006, 3.25% for 2007, and 3% for the 2008 and every
year thereafter. Although this was an improvement over past practice,
these mandated costs are still increasing at a rate that is a burden to
the local property taxpayer. Although this will result in a shift in
costs to the state, the state is in a much better position to deal
directly with this issue since it has direct authority over the program
and can implement the needed reforms to continue reconstructing the
Medicaid Program. By the state taking over the future growth increases,
this will provide significant and needed mandate relief to county
governments and the City of New York.

PRIOR LEGISLATIVE HISTORY:

S 4296, 2013

FISCAL IMPLICATIONS:

This bill would save municipalities $165 million annually. The state
would assume the local cost of future Medicaid growth, providing an
incentive to implement cost saving reforms.

EFFECTIVE DATE:

This bill shall take effect January 1, 2015, provided, however, if this
act shall become law after such date it shall take effect immediately

and shall be deemed to have been in full force and effect on and after
January 1, 2015.

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

                                 4296--A

                       2013-2014 Regular Sessions

                            I N  S E N A T E

                             March 20, 2013
                               ___________

Introduced  by  Sens.  O'MARA,  GRIFFO,  RANZENHOFER  --  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 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, 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) of section 1 of part C of 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, is amended to read as
follows:
  (c) Commencing with the  calendar  year  beginning  January  1,  2006,
calendar  year  social  services district medical assistance expenditure
amounts for each social services district shall be calculated by  multi-
plying  the  results of the calculations performed pursuant to paragraph
(b) of this section by a non-compounded trend factor, as follows:
  (i) 2006 (January 1, 2006 through December 31, 2006):  3.5%;
  (ii) 2007 (January 1, 2007 through December 31, 2007):   6.75%  (3.25%
plus the prior year's 3.5%);
  (iii)  2008  (January  1,  2008 through December 31, 2008):  9.75% (3%
plus the prior year's 6.75%);
  (iv) 2009 (January 1, 2009 through December 31, 2009): 12.75% (3% PLUS
THE PRIOR YEAR'S 9.75%);
  (V) 2010 (JANUARY 1, 2010 THROUGH DECEMBER 31, 2010): 15.75% (3%  PLUS
THE PRIOR YEAR'S 12.75%);

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD01273-02-4

S. 4296--A                          2

  (VI) 2011 (JANUARY 1, 2011 THROUGH DECEMBER 31, 2011): 18.75% (3% PLUS
THE PRIOR YEAR'S 15.75%);
  (VII)  2012  (JANUARY  1, 2012 THROUGH DECEMBER 31, 2012):  21.75% (3%
PLUS THE PRIOR YEAR'S 18.75%);
  (VIII) 2013 (JANUARY 1, 2013 THROUGH DECEMBER 31,  2013):  24.75%  (3%
PLUS THE PRIOR YEAR'S 21.75%);
  (IX) 2014 (JANUARY 1, 2014 THROUGH DECEMBER 31, 2014), 27.75% (3% PLUS
THE PRIOR YEAR'S 24.75%);
  (X)  2015  (JANUARY  1,  2015  THROUGH  DECEMBER  31,  2015), and each
succeeding calendar year: prior year's  trend  factor  percentage  [plus
3%].
  S 2. This act shall take effect January 1, 2015; provided, however, if
this  act  shall become a law after such date it shall take effect imme-
diately and shall be deemed to have been in full force and effect on and
after January 1, 2015.

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