senate Bill S3196A

2011-2012 Legislative Session

Authorizing the commissioner of health to apply for a medicaid reform demonstration waiver

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Archive: Last Bill Status - In Committee


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

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Actions

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Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jan 17, 2012 print number 3196a
amend and recommit to health
Jan 04, 2012 referred to health
Feb 11, 2011 referred to health

Bill Amendments

Original
A (Active)
Original
A (Active)

Co-Sponsors

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S3196 - Details

See Assembly Version of this Bill:
A2280A
Current Committee:
Law Section:
Social Services Law
Laws Affected:
Amd §366, Soc Serv L
Versions Introduced in 2009-2010 Legislative Session:
S2639, A6676

S3196 - Summary

Authorizes the commissioner of health to apply for a medicaid reform demonstration waiver; creates an initiative to provide for a more efficient and effective medicaid services delivery system; sets forth a managed care pilot program and requires reporting to the governor, temporary president of the senate and speaker of the assembly by December 31, 2015.

S3196 - Sponsor Memo

S3196 - Bill Text download pdf

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

                                  3196

                       2011-2012 Regular Sessions

                            I N  S E N A T E

                            February 11, 2011
                               ___________

Introduced  by  Sens. RANZENHOFER, DeFRANCISCO, GOLDEN, LARKIN, MAZIARZ,
  O'MARA, SALAND -- read twice and ordered printed, and when printed  to
  be committed to the Committee on Health

AN  ACT to amend the social services law, in relation to authorizing the
  commissioner of health to apply for a  medicaid  reform  demonstration
  waiver

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

  Section 1. Section 366 of the social services law is amended by adding
a new subdivision 6-b to read as follows:
  6-B. A. THE COMMISSIONER OF HEALTH SHALL APPLY FOR A  MEDICAID  REFORM
DEMONSTRATION  WAIVER  PURSUANT TO SECTION ELEVEN HUNDRED FIFTEEN OF THE
FEDERAL SOCIAL SECURITY ACT IN ORDER TO CREATE AN INITIATIVE TO  PROVIDE
FOR  A MORE EFFICIENT AND EFFECTIVE MEDICAID SERVICES DELIVERY SYSTEM IN
NEW YORK THAT EMPOWERS MEDICAID PATIENTS,  BRIDGES  PUBLIC  AND  PRIVATE
COVERAGE, IMPROVES PATIENT OUTCOMES AND STABILIZES PROGRAM COSTS.
  B.  THE  DEMONSTRATION  WAIVER SHALL INCLUDE, BUT SHALL NOT BE LIMITED
TO, THE FOLLOWING COMPONENTS:
  (I) A RISK ADJUSTED CAPITATED MANAGED CARE PILOT PROGRAM  FOR  RECIPI-
ENTS  CURRENTLY  SERVED  IN MEDICAID-FEE-FOR SERVICE OR MEDICAID MANAGED
CARE THAT PROVIDES BENEFIT PLANS  THAT  MORE  CLOSELY  RESEMBLE  PRIVATE
PLANS  YET  ARE  ACTUARIALLY  EQUIVALENT TO THE CURRENT MEDICAID BENEFIT
PACKAGE. RISK ADJUSTED CAPITATION RATES SHALL BE  SEPARATED  INTO  THREE
COMPONENTS  TO  COVER COMPREHENSIVE CARE, CATASTROPHIC CARE AND ENHANCED
SERVICES AND MAY PHASE-IN FINANCIAL RISK FOR APPROVED PROVIDERS.  HEALTH
PLANS SHALL PROVIDE COMPREHENSIVE CARE WHICH SHALL  COVER  ALL  EXPENSES
UNTIL A PREDETERMINED THRESHOLD OF EXPENSES IS REACHED AT WHICH TIME THE
CATASTROPHIC  COMPONENT  SHALL  TAKE  OVER.  HEALTH  PLANS MAY CHOOSE TO
ASSUME THE CATASTROPHIC RISK FOR  TARGET  POPULATIONS  THEY  SERVE.  THE
CATASTROPHIC  COMPONENT  SHALL  ENCOURAGE  PROVIDER NETWORKS TO IDENTIFY
RECIPIENTS WITH UNDIAGNOSED CHRONIC ILLNESS AND  ENSURE  PROPER  DISEASE

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD02332-01-1

Co-Sponsors

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S3196A (ACTIVE) - Details

See Assembly Version of this Bill:
A2280A
Current Committee:
Law Section:
Social Services Law
Laws Affected:
Amd §366, Soc Serv L
Versions Introduced in 2009-2010 Legislative Session:
S2639, A6676

S3196A (ACTIVE) - Summary

Authorizes the commissioner of health to apply for a medicaid reform demonstration waiver; creates an initiative to provide for a more efficient and effective medicaid services delivery system; sets forth a managed care pilot program and requires reporting to the governor, temporary president of the senate and speaker of the assembly by December 31, 2015.

S3196A (ACTIVE) - Sponsor Memo

S3196A (ACTIVE) - Bill Text download pdf

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

                                 3196--A

                       2011-2012 Regular Sessions

                            I N  S E N A T E

                            February 11, 2011
                               ___________

Introduced  by  Sens. RANZENHOFER, DeFRANCISCO, GOLDEN, LARKIN, MAZIARZ,
  O'MARA, SALAND -- read twice and ordered printed, and when printed  to
  be  committed to the Committee on Health -- recommitted to the Commit-
  tee 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 authorizing the
  commissioner of health to apply for a  medicaid  reform  demonstration
  waiver

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

  Section 1. Section 366 of the social services law is amended by adding
a new subdivision 6-b to read as follows:
  6-B. A. THE COMMISSIONER OF HEALTH SHALL APPLY FOR A  MEDICAID  REFORM
DEMONSTRATION  WAIVER  PURSUANT TO SECTION ELEVEN HUNDRED FIFTEEN OF THE
FEDERAL SOCIAL SECURITY ACT IN ORDER TO CREATE AN INITIATIVE TO  PROVIDE
FOR  A MORE EFFICIENT AND EFFECTIVE MEDICAID SERVICES DELIVERY SYSTEM IN
NEW YORK THAT EMPOWERS MEDICAID PATIENTS,  BRIDGES  PUBLIC  AND  PRIVATE
COVERAGE, IMPROVES PATIENT OUTCOMES AND STABILIZES PROGRAM COSTS.
  B.  THE  DEMONSTRATION  WAIVER SHALL INCLUDE, BUT SHALL NOT BE LIMITED
TO, THE FOLLOWING COMPONENTS:
  (I) A RISK ADJUSTED CAPITATED MANAGED CARE PILOT PROGRAM  FOR  RECIPI-
ENTS  CURRENTLY  SERVED  IN MEDICAID-FEE-FOR SERVICE OR MEDICAID MANAGED
CARE THAT PROVIDES BENEFIT PLANS  THAT  MORE  CLOSELY  RESEMBLE  PRIVATE
PLANS  YET  ARE  ACTUARIALLY  EQUIVALENT TO THE CURRENT MEDICAID BENEFIT
PACKAGE. RISK ADJUSTED CAPITATION RATES SHALL BE  SEPARATED  INTO  THREE
COMPONENTS  TO  COVER COMPREHENSIVE CARE, CATASTROPHIC CARE AND ENHANCED
SERVICES AND MAY PHASE-IN FINANCIAL RISK FOR APPROVED PROVIDERS.  HEALTH
PLANS SHALL PROVIDE COMPREHENSIVE CARE WHICH SHALL  COVER  ALL  EXPENSES
UNTIL A PREDETERMINED THRESHOLD OF EXPENSES IS REACHED AT WHICH TIME THE
CATASTROPHIC  COMPONENT  SHALL  TAKE  OVER.  HEALTH  PLANS MAY CHOOSE TO

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD02332-02-2

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