S T A T E O F N E W Y O R K
________________________________________________________________________
2289
2015-2016 Regular Sessions
I N A S S E M B L Y
January 15, 2015
___________
Introduced by M. of A. GOTTFRIED -- read once and referred to the
Committee on Health
AN ACT to amend the public health law, in relation to the regulation of
managed long term care plans
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.
NOTWITHSTANDING ANY INCONSISTENT PROVISIONS OF THIS CHAPTER, WITH
RESPECT TO HOME CARE AND PERSONAL CARE SERVICES RENDERED TO ENROLLEES OF
MANAGED LONG TERM CARE PLANS PURSUANT TO CONTRACTS BETWEEN MANAGED LONG
TERM CARE PLANS AND PROVIDERS OF HOME CARE AND PERSONAL CARE SERVICES,
THE COMMISSIONER MAY ALSO WAIVE RULES AND REGULATIONS OF THE DEPARTMENT
PERTAINING TO THE FORM OR FREQUENCY OF ASSESSMENT, STAFF SUPERVISION,
CARE PLAN REVIEW, REPORTING OR OTHER PROCEDURES FOR MANAGED LONG TERM
CARE PLAN COVERED SERVICES REGULATED UNDER ARTICLE THIRTY-SIX OF THIS
CHAPTER, INCLUDING THOSE PERTAINING TO SUCH ARTICLE'S REQUIREMENT THAT
SERVICES MEET THE HOME HEALTH AGENCY PROVISIONS UNDER TITLES XVIII OR
XIX OF THE FEDERAL SOCIAL SECURITY ACT. 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
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD02736-01-5
A. 2289 2
commissioner may establish a single coordinated surveillance process,
allow for a comprehensive quality improvement 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 qual-
ity 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.
S 2. This act shall take effect immediately; provided, that the amend-
ments to subparagraph (i) of paragraph (a) of subdivision 7 of section
4403-f of the public health law made by section one of this act shall
not affect the repeal of such section and shall be deemed repealed ther-
ewith.