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Assembly Bill A7309

2013-2014 Legislative Session

Relates to quality measurement, assurance and reporting under the state's mandatory enrollment policy

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Archive: Last Bill Status - In Assembly Committee

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2013-A7309 (ACTIVE) - Details

See Senate Version of this Bill:
S5217
Current Committee:
Assembly Health
Law Section:
Public Health Law
Laws Affected:
Amd ยง4403-f, Pub Health L

2013-A7309 (ACTIVE) - Summary

Relates to quality measurement, assurance and reporting under the state's mandatory enrollment policy.

2013-A7309 (ACTIVE) - Bill Text download pdf 

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

                                  7309

                       2013-2014 Regular Sessions

                          I N  A S S E M B L Y

                              May 10, 2013
                               ___________

Introduced by M. of A. HEVESI -- read once and referred to the Committee
  on Health

AN  ACT  to amend the public health law, in relation to quality measure-
  ment, assurance and reporting under the state's  mandatory  enrollment
  policy;  and  providing for the repeal of such provisions upon expira-
  tion thereof

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

  Section  1.  Subparagraph  (i)  of  paragraph  (a) of subdivision 7 of
section 4403-f of the public health law, as amended by section  41-b  of
part H of chapter 59 of the laws of 2011, is amended to read as follows:
  (i)  The  commissioner  shall promulgate regulations to implement this
section and to ensure the quality, appropriateness  and  cost-effective-
ness  of  the  services  provided  by  managed long term care plans. The
commissioner may waive rules and regulations of the department,  includ-
ing  but  not  limited  to, those pertaining to duplicative requirements
concerning record keeping, boards of directors, staffing and  reporting,
when  such  waiver  will  promote the efficient delivery of appropriate,
quality, cost-effective services and when the health, safety and general
welfare of enrollees will not be impaired as a result of such waiver. In
order to achieve managed long term care  plan  system  efficiencies  and
coordination  and  to promote the objectives of high quality, integrated
and cost effective care, the commissioner may establish a single coordi-
nated surveillance process, allow for a comprehensive  quality  improve-
ment  and  review  process  to  meet component quality requirements, and
require a uniform cost report. The commissioner  shall  require  managed
long  term  care plans to utilize quality improvement measures, based on
health outcomes data, for internal quality assessment processes and  may
utilize  such  measures  as  part of the single coordinated surveillance
process. IN ADDITION, IN FURTHERANCE OF  QUALITY  MEASUREMENT  AND  CARE
FOLLOWING  APPROVAL  OF  THE  WAIVER  AUTHORITY FOR MANDATORY ENROLLMENT

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD10868-01-3

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