senate Bill S4296A

2013-2014 Legislative Session

Amends chapter 58 of the laws of 2005 in relation to calculating social services district medical assistance expenditure amounts

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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 27, 2014 print number 4296a
amend and recommit to health
Jan 08, 2014 referred to health
Mar 20, 2013 referred to health

Bill Amendments

Original
A (Active)
Original
A (Active)

Co-Sponsors

S4296 - Bill Details

See Assembly Version of this Bill:
A4776A
Current Committee:
Senate Health
Law Section:
Social Services
Laws Affected:
Amd Part C §1, Chap 58 of 2005
Versions Introduced in 2011-2012 Legislative Session:
S5787, A8453

S4296 - Bill Texts

view summary

Relates to calculating social services district medical assistance expenditure amounts.

view sponsor memo
BILL NUMBER:S4296

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 OR GENERAL IDEA 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 2010-11 fiscal year was $7.5 billion. In order to provide
counties financial stability the state imposed a cap on county
Medicaid expenditures of 3.5 percent for 2006, 3.25 percent for 2007,
and 3 percent for 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 restructuring 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:

2011-2012 S.5787

FISCAL IMPLICATIONS:

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

EFFECTIVE DATE:

This act shall take effect January 1, 2014; provided, however, if this
act shall become a 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, 2014.

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

                                  4296

                       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

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%);
  (VI) 2011 (JANUARY 1, 2011 THROUGH DECEMBER 31, 2011): 18.75% (3% PLUS
THE PRIOR YEAR'S 15.75%);

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD01273-01-3

S. 4296                             2

  (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),  and  each
succeeding  calendar  year:  prior  year's trend factor percentage [plus
3%].
  S 2. This act shall take effect January 1, 2014; 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, 2014.

Co-Sponsors

S4296A (ACTIVE) - Bill Details

See Assembly Version of this Bill:
A4776A
Current Committee:
Senate Health
Law Section:
Social Services
Laws Affected:
Amd Part C §1, Chap 58 of 2005
Versions Introduced in 2011-2012 Legislative Session:
S5787, A8453

S4296A (ACTIVE) - Bill Texts

view summary

Relates to calculating social services district medical assistance expenditure amounts.

view 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 full text
download pdf
                    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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