S T A T E O F N E W Y O R K
________________________________________________________________________
7480
2013-2014 Regular Sessions
I N A S S E M B L Y
May 22, 2013
___________
Introduced by M. of A. CAMARA -- read once and referred to the Committee
on Health
AN ACT to amend the public health law, in relation to establishing a
hospital supplemental reimbursement rate adjustment for super
disproportionate share hospitals
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Section 2807-c of the public health law is amended by
adding a new subdivision 34 to read as follows:
34. SUPER DISPROPORTIONATE SHARE HOSPITAL SUPPLEMENTAL RATE ADJUST-
MENT. (A) FOR THE PURPOSES OF THIS SUBDIVISION, "SUPER DISPROPORTIONATE
SHARE HOSPITAL" MEANS A HOSPITAL WHICH:
(I) NOT LESS THAN FIFTY PERCENT OF THE PATIENTS IT TREATS RECEIVE
MEDICAID, ARE MEDICARE BENEFICIARIES WHO ARE ELIGIBLE FOR MEDICAID OR
ARE UNINSURED;
(II) NOT LESS THAN FORTY PERCENT OF ITS INPATIENT TREATMENT IS COVERED
BY MEDICAID;
(III) TWENTY-FIVE PERCENT OR LESS OF ITS DISCHARGED PATIENTS ARE
COMMERCIALLY INSURED;
(IV) NOT LESS THAN THREE PERCENT OF THE COSTS IT INCURRS ARE ATTRI-
BUTED TO THE CARE OF UNINSURED PATIENTS; AND
(V) PROVIDES CARE TO UNINSURED PATIENTS IN ITS EMERGENCY ROOM, HOSPI-
TAL BASED CLINICS AND COMMUNITY BASED CLINICS, INCLUDING THE PROVISION
OF IMPORTANT COMMUNITY SERVICES, SUCH AS DENTAL CARE AND PRENATAL CARE.
(B) THE COMMISSIONER SHALL ADJUST MEDICAL ASSISTANCE RATES TO SUPER
DISPROPORTIONATE SHARE HOSPITALS FOR THE PURPOSES OF SUPPORTING CRIT-
ICALLY NEEDED HEALTH CARE SERVICES IN URBAN AREAS AND TO ENSURE THE
CONTINUED MAINTENANCE AND OPERATION OF SUCH HOSPITALS.
(C) PAYMENT OF THE NON-FEDERAL SHARE OF THE MEDICAL ASSISTANCE
PAYMENTS MADE PURSUANT TO THIS SUBDIVISION SHALL BE THE RESPONSIBILITY
OF THE STATE AND SHALL NOT INCLUDE A LOCAL SHARE. PAYMENTS MADE PURSUANT
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD10858-01-3
A. 7480 2
TO THIS SUBDIVISION MAY BE ADDED TO RATES OF PAYMENT OR MADE AS AGGRE-
GATE PAYMENTS TO ELIGIBLE GENERAL HOSPITALS.
S 2. This act shall take effect on the first of April next succeeding
the date on which it shall have become a law.