senate Bill S7371B

2011-2012 Legislative Session

Relates to payments to rural critical access hospitals

download bill text pdf

Sponsored By

Archive: Last Bill Status - In Committee


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

do you support this bill?

Actions

view actions (6)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jun 13, 2012 print number 7371b
amend and recommit to finance
May 15, 2012 print number 7371a
amend and recommit to finance
May 15, 2012 reported and committed to finance
May 02, 2012 referred to health

Votes

view votes

Jun 21, 2012 - Rules committee Vote

S7371B
23
0
committee
23
Aye
0
Nay
1
Aye with Reservations
0
Absent
1
Excused
0
Abstained
show Rules committee vote details

May 15, 2012 - Health committee Vote

S7371
12
0
committee
12
Aye
0
Nay
5
Aye with Reservations
0
Absent
0
Excused
0
Abstained
show committee vote details

Bill Amendments

Original
A
B (Active)
Original
A
B (Active)

Co-Sponsors

view additional co-sponsors

S7371 - Bill Details

See Assembly Version of this Bill:
A10094B
Current Committee:
Senate Finance
Law Section:
Public Health Law
Laws Affected:
Amd §2807, Pub Health L

S7371 - Bill Texts

view summary

Relates to payments to rural hospitals that are critical access hospitals.

view sponsor memo
BILL NUMBER:S7371

TITLE OF BILL:

An act
to amend the public health law, in relation to payments to rural
hospitals designated as critical access hospitals

PURPOSE:

To allow that on and after April 1, 2013, rural hospitals designated
as critical access hospitals are paid by Medicaid in the same manner
that Medicare pays critical access hospitals, which is on the basis
of reasonable costs.

SUMMARY OF PROVISIONS:

Amends Subdivision 2-a of section 2807 of the Public Health Law by
adding a new paragraph (j) that on and after April 1, 2013, a rural
hospital designated as a critical access hospital shall have Medicaid
payments for emergency services, and all outpatient services equal to
one hundred and one percent of the reasonable costs of such facility
in providing these services.

JUSTIFICATION:

Critical access hospitals serve medically underserved geographically
isolated communities. They provide limited stay special care, acute
care and swing bed services, as well as 24 hour emergency service
capability. The maintenance of critical access. hospitals is critical
for preserving access to basic health care services for rural New
Yorkers.

Cost based Medicaid reimbursement would help ensure the long range
financial viability of primary care hospitals. New York State
Medicaid reimbursement rates are presently capped at lower than
operational costs.
The problem is exacerbated for critical access hospitals because of
the need to spread substantial fixed costs over a small number of
visits and admissions. Medicare reimburses such hospitals (called
critical access hospitals under Medicare) on the basis of reasonable
costs. This line helped stabilize such hospitals and ensure that
isolated communities continue to have access to needed health care
services. Having Medicaid payments also equal reasonable costs will
further ensure the financial viability of such hospitals.

LEGISLATIVE HISTORY:

2007-2008: S.7232 Passed Senate/A.8783A Health Committee
2009-2010: S.4108A Health Committee/A.5347A Health Committee
2011: S.5431A Passed Senate/A.5366B Passed Assembly;
Veto Memo. 80

FISCAL IMPLICATIONS:


This legislation is expected to cost the state $1. 24 million and will
ensure the financial viability of its thirteen critical access
hospitals.

EFFECTIVE DATE:

This act shall take effect immediately.

view full text
download pdf
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                  7371

                            I N  S E N A T E

                               May 2, 2012
                               ___________

Introduced by Sens. YOUNG, BONACIC, BRESLIN, O'MARA, RITCHIE, VALESKY --
  (at  request of the Legislative Commission on Rural Resources) -- 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 payments to rural
  hospitals designated as critical access hospitals

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

  Section 1. Subdivision 2-a of section 2807 of the public health law is
amended by adding a new paragraph (j) to read as follows:
  (J)  NOTWITHSTANDING  ANY  OTHER  PROVISION OF THIS SUBDIVISION OR ANY
OTHER PROVISION OF LAW TO THE CONTRARY, ON AND AFTER  APRIL  FIRST,  TWO
THOUSAND  THIRTEEN, RATES OF PAYMENT FOR DIAGNOSTIC AND TREATMENT CENTER
SERVICES, EMERGENCY  SERVICES,  GENERAL  HOSPITAL  OUTPATIENT  SERVICES,
AMBULATORY  SURGICAL SERVICES AND REFERRED AMBULATORY SERVICES, PROVIDED
BY A RURAL HOSPITAL DESIGNATED AS A CRITICAL ACCESS HOSPITAL IN  ACCORD-
ANCE  WITH TITLE XVIII OF THE FEDERAL SOCIAL SECURITY ACT SHALL BE EQUAL
TO ONE HUNDRED ONE PERCENT OF THE REASONABLE  COSTS  OF  A  FACILITY  IN
PROVIDING  SUCH  SERVICES  TO  PATIENTS  ELIGIBLE  FOR  PAYMENTS MADE IN
ACCORDANCE WITH THIS SUBDIVISION. REASONABLE COSTS SHALL  BE  DETERMINED
IN  A  MANNER  CONSISTENT WITH THAT USED TO DETERMINE PAYMENT FOR OUTPA-
TIENT CRITICAL ACCESS HOSPITAL SERVICES  PROVIDED  TO  BENEFICIARIES  OF
TITLE  XVIII  OF THE FEDERAL SOCIAL SECURITY ACT. FOR FACILITIES WITHOUT
ADEQUATE COST EXPERIENCE, SUCH RATES SHALL BE BASED  ON  BUDGETED  COSTS
SUBSEQUENTLY  ADJUSTED  TO  ONE HUNDRED ONE PERCENT OF REASONABLE ACTUAL
COSTS.
  S 2. This act shall take effect immediately.



 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD08758-06-2

Co-Sponsors

view additional co-sponsors

S7371A - Bill Details

See Assembly Version of this Bill:
A10094B
Current Committee:
Senate Finance
Law Section:
Public Health Law
Laws Affected:
Amd §2807, Pub Health L

S7371A - Bill Texts

view summary

Relates to payments to rural hospitals that are critical access hospitals.

view sponsor memo
BILL NUMBER:S7371A

TITLE OF BILL:

An act to amend the public health law, in relation to payments to
rural hospitals designated as critical access hospitals

PURPOSE:

To allow that on and after April 1, 2013, rural hospitals designated
as critical access hospitals are paid by Medicaid in the same manner
that Medicare pays critical access hospitals, which is on the basis of
reasonable costs.

SUMMARY OF PROVISIONS:

Amends Subdivision 2-a of section 2807 of the Public Health Law by
adding a new paragraph (j) that on and after April 1, 2013, subject to
funds being appropriated therefore, a rural hospital designated as a
critical access hospital shall have Medicaid payments for emergency
services, and all outpatient services equal to one hundred and one
percent of the reasonable costs of such facility in providing these
services.

JUSTIFICATION:

Critical access hospitals serve medically underserved geographically
isolated communities. They provide limited stay special care, acute
care and swing bed services, as well as 24 hour emergency service
capability. The maintenance of critical access hospitals is critical
for preserving access to basic health care services for rural New
Yorkers.

Cost based Medicaid reimbursement would help ensure the long range
financial viability of primary care hospitals. New York State Medicaid
reimbursement rates are presently capped at lower than operational
costs. The problem is exacerbated for critical access hospitals
because of the need to spread substantial fixed costs over a small
number of visits and admissions. Medicare reimburses such hospitals
(called critical access hospitals under Medicare) on the basis of
reasonable costs. This line helped stabilize such hospitals and ensure
that isolated communities continue to have access to needed health
care services. Having Medicaid payments also equal reasonable costs
will further ensure the financial viability of such hospitals.

LEGISLATIVE HISTORY:

2007-2008: S.7232 PASSED SENATE/A.8783A Health committee
2009-2010: S.4108A HEALTH COMMITTEE/A.5347A Health Committee
2011: S.5431A PASSED SENATE/A.5366B Passed Assembly;
Veto Memo. 80

FISCAL IMPLICATIONS:


This legislation is expected to cost the state $1.24 million and will
ensure the financial viability of its thirteen critical access
hospitals.

EFFECTIVE DATE:

This act shall take effect immediately.

view full text
download pdf
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                 7371--A

                            I N  S E N A T E

                               May 2, 2012
                               ___________

Introduced by Sens. YOUNG, BONACIC, BRESLIN, O'MARA, RITCHIE, VALESKY --
  (at  request of the Legislative Commission on Rural Resources) -- read
  twice and ordered printed, and when printed to  be  committed  to  the
  Committee  on  Health  --  reported  favorably from said committee and
  committed to the Committee on Finance --  committee  discharged,  bill
  amended,  ordered reprinted as amended and recommitted to said commit-
  tee

AN ACT to amend the public health law, in relation to payments to  rural
  hospitals designated as critical access hospitals

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

  Section 1. Subdivision 2-a of section 2807 of the public health law is
amended by adding a new paragraph (j) to read as follows:
  (J) NOTWITHSTANDING ANY OTHER PROVISION OF  THIS  SUBDIVISION  OR  ANY
OTHER  PROVISION OF LAW TO THE CONTRARY AND, SUBJECT TO AN APPROPRIATION
THEREFOR, ON AND AFTER APRIL FIRST,  TWO  THOUSAND  THIRTEEN,  RATES  OF
PAYMENT   FOR   DIAGNOSTIC  AND  TREATMENT  CENTER  SERVICES,  EMERGENCY
SERVICES, GENERAL  HOSPITAL  OUTPATIENT  SERVICES,  AMBULATORY  SURGICAL
SERVICES  AND REFERRED AMBULATORY SERVICES, PROVIDED BY A RURAL HOSPITAL
DESIGNATED AS A CRITICAL ACCESS HOSPITAL IN ACCORDANCE WITH TITLE  XVIII
OF  THE  FEDERAL  SOCIAL  SECURITY ACT SHALL BE EQUAL TO ONE HUNDRED ONE
PERCENT OF THE REASONABLE COSTS OF A FACILITY IN PROVIDING SUCH SERVICES
TO PATIENTS ELIGIBLE FOR PAYMENTS MADE IN ACCORDANCE WITH THIS  SUBDIVI-
SION.  REASONABLE  COSTS SHALL BE DETERMINED IN A MANNER CONSISTENT WITH
THAT USED TO DETERMINE PAYMENT FOR OUTPATIENT CRITICAL  ACCESS  HOSPITAL
SERVICES  PROVIDED TO BENEFICIARIES OF TITLE XVIII OF THE FEDERAL SOCIAL
SECURITY ACT. FOR FACILITIES  WITHOUT  ADEQUATE  COST  EXPERIENCE,  SUCH
RATES  SHALL  BE  BASED  ON  BUDGETED COSTS SUBSEQUENTLY ADJUSTED TO ONE
HUNDRED ONE PERCENT OF REASONABLE ACTUAL COSTS.
  S 2. This act shall take effect immediately.


 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD08758-07-2

Co-Sponsors

view additional co-sponsors

S7371B (ACTIVE) - Bill Details

See Assembly Version of this Bill:
A10094B
Current Committee:
Senate Finance
Law Section:
Public Health Law
Laws Affected:
Amd §2807, Pub Health L

S7371B (ACTIVE) - Bill Texts

view summary

Relates to payments to rural hospitals that are critical access hospitals.

view sponsor memo
BILL NUMBER:S7371B

TITLE OF BILL:

An act
to amend the public health law, in relation to payments to rural
hospitals designated as critical access hospitals

PURPOSE:

To allow that on and after April 1, 2013, rural hospitals designated
as critical access hospitals are paid by Medicaid in the same manner
that Medicare pays critical access hospitals, which is on the basis
of reasonable costs.

SUMMARY OF PROVISIONS:

Amends Subdivision 2-a of section 2807 of the Public Health Law by
adding a new paragraph (j) that on and after April 1, 2013, subject
to funds being appropriated therefore, a rural hospital designated as
a critical access hospital shall have Medicaid payments for emergency
services, and all outpatient services equal to one hundred and one
percent of the reasonable costs of such facility in providing these
services.

Section two states the enactment date and requires that the
implementations of the provisions of the act be contingent upon
moneys being specifically appropriated for that purpose.

JUSTIFICATION:

Critical access hospitals serve medically underserved geographically
isolated communities. They provide limited stay special care, acute
care and swing bed services, as well as 24 hour emergency service
capability. The maintenance of critical access hospitals is critical
for preserving access to basic health care services for rural New
Yorkers.

Cost based Medicaid reimbursement would help ensure the long range
financial viability of primary care hospitals. New York State
Medicaid reimbursement rates are presently capped at lower than
operational costs.
The problem is exacerbated for critical access hospitals because of
the need to spread substantial fixed costs over a small number of
visits and admissions. Medicare reimburses such hospitals (called
critical access hospitals under Medicare) on the basis of reasonable
costs. This line helped stabilize such hospitals and ensure that
isolated communities continue to have access to needed health care
services. Having Medicaid payments also equal reasonable costs will
further ensure the financial viability of such hospitals.

The provisions of the act cannot be implemented unless moneys are
specifically appropriated for that purpose.

LEGISLATIVE HISTORY:


2007-2008: S.7232 PASSED SENATE/A.8783-A Health Committee
2009-2010: S.4108-A HEALTH COMMITTEE/A.5347-A Health Committee
2011: S.5431-A PASSED SENATE/A.5366-B Passed Assembly;
Veto Memo. 80

FISCAL IMPLICATIONS:

This legislation is expected to cost the state $1.24 million and will
ensure the financial viability of its thirteen critical access
hospitals.

EFFECTIVE DATE:

This act shall take effect immediately; provided however, that the
implementation of the provisions of this act shall be subject to the
appropriation of moneys specifically for the purposes thereof.

view full text
download pdf
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                 7371--B

                            I N  S E N A T E

                               May 2, 2012
                               ___________

Introduced by Sens. YOUNG, BONACIC, BRESLIN, O'MARA, RITCHIE, VALESKY --
  (at  request of the Legislative Commission on Rural Resources) -- read
  twice and ordered printed, and when printed to  be  committed  to  the
  Committee  on  Health  --  reported  favorably from said committee and
  committed to the Committee on Finance --  committee  discharged,  bill
  amended,  ordered reprinted as amended and recommitted to said commit-
  tee --  committee  discharged,  bill  amended,  ordered  reprinted  as
  amended and recommitted to said committee

AN  ACT to amend the public health law, in relation to payments to rural
  hospitals designated as critical access hospitals

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

  Section 1. Subdivision 2-a of section 2807 of the public health law is
amended by adding a new paragraph (j) to read as follows:
  (J)  NOTWITHSTANDING  ANY  OTHER  PROVISION OF THIS SUBDIVISION OR ANY
OTHER PROVISION OF LAW TO THE CONTRARY AND, SUBJECT TO AN  APPROPRIATION
THEREFOR,  ON  AND  AFTER  APRIL  FIRST, TWO THOUSAND THIRTEEN, RATES OF
PAYMENT  FOR  DIAGNOSTIC  AND  TREATMENT  CENTER   SERVICES,   EMERGENCY
SERVICES,  GENERAL  HOSPITAL  OUTPATIENT  SERVICES,  AMBULATORY SURGICAL
SERVICES AND REFERRED AMBULATORY SERVICES, PROVIDED BY A RURAL  HOSPITAL
DESIGNATED  AS A CRITICAL ACCESS HOSPITAL IN ACCORDANCE WITH TITLE XVIII
OF THE FEDERAL SOCIAL SECURITY ACT SHALL BE EQUAL  TO  ONE  HUNDRED  ONE
PERCENT OF THE REASONABLE COSTS OF A FACILITY IN PROVIDING SUCH SERVICES
TO  PATIENTS ELIGIBLE FOR PAYMENTS MADE IN ACCORDANCE WITH THIS SUBDIVI-
SION. REASONABLE COSTS SHALL BE DETERMINED IN A MANNER  CONSISTENT  WITH
THAT  USED  TO DETERMINE PAYMENT FOR OUTPATIENT CRITICAL ACCESS HOSPITAL
SERVICES PROVIDED TO BENEFICIARIES OF TITLE XVIII OF THE FEDERAL  SOCIAL
SECURITY  ACT.  FOR  FACILITIES  WITHOUT  ADEQUATE COST EXPERIENCE, SUCH
RATES SHALL BE BASED ON BUDGETED  COSTS  SUBSEQUENTLY  ADJUSTED  TO  ONE
HUNDRED ONE PERCENT OF REASONABLE ACTUAL COSTS.
  S  2.  This act shall take effect immediately; provided, however, that
the implementation of the provisions of this act shall be subject to the
appropriation of moneys specifically for the purposes thereof.

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD08758-09-2

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.