senate Bill S6407C

Signed By Governor
2015-2016 Legislative Session

Enacts into law major components of legislation necessary to implement the state health and mental hygiene budget for the 2016-2017 state fiscal year

download bill text pdf

Sponsored By

Archive: Last Bill Status Via A9007 -


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

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Actions

view actions (16)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Apr 13, 2016 signed chap.59
Apr 01, 2016 delivered to governor
Mar 31, 2016 returned to assembly
passed senate
message of necessity - 3 day message
3rd reading cal.515
substituted for s6407c
Mar 31, 2016 substituted by a9007c
ordered to third reading cal.515
Mar 30, 2016 print number 6407c
amend (t) and recommit to finance
Mar 12, 2016 print number 6407b
amend (t) and recommit to finance
Feb 16, 2016 print number 6407a
amend (t) and recommit to finance
Jan 14, 2016 referred to finance

S6407 - Details

See Assembly Version of this Bill:
A9007C
Law Section:
Budget Bills
Laws Affected:
Amd Various Laws, generally

S6407 - Summary

Enacts into law major components of legislation necessary to implement the state health and mental hygiene budget for the 2016-2017 state fiscal year; intentionally omitted (Part A); amends the social services law, in relation to facilitating supplemental rebates for fee-for-service pharmaceuticals, and ambulance medical transportation rate adequacy review; amends the social services law, in relation to authorizing the commissioner of health to apply federally established consumer price index penalties for generic drugs, and authorizing the commissioner of health to impose penalties on managed care plans for reporting late or incorrect encounter data (view more) relates to cost-sharing limits on Medicare part C; amends part H of chapter 59 of the laws of 2011, amending the public health law and other laws relating to known and projected department of health state fund medicaid expenditures, in relation to reporting requirements for the Medicaid global cap; amends the public health law and the social services law, in relation to the provision of services to certain persons suffering from traumatic brain injuries or qualifying for nursing home diversion and transition services; amends the public health law, in relation to rates of payment for certain managed long term care plans; amends the social services law, in relation to medical assistance for certain inmates and authorizing funding for criminal justice pilot program within health home rates; amends part H of chapter 59 of the laws of 2011, amending the public health law and other laws relating to known and projected department of health state fund medicaid expenditures, in relation to extending the expiration of certain provisions relating to rates of payment to residential health care facilities based on the historical costs to the owner, and certain payments to the Citadel Rehab and Nursing Center at Kingsbridge; amends the public health law, in relation to case payment rates for pediatric ventilator services; directs the commissioner of health to implement a restorative care unit demonstration program; directs the civil service department to create a title for a medicaid redesign team analyst as a competitive class position; amends the social services law and part C of chapter 60 of the laws of 2014 authorizing the commissioner of health to negotiate an extension of the terms of the contract executed by the department of health for actuarial and consulting services, in relation to the extension of certain contracts; amends part A of chapter 56 of the laws of 2013 amending chapter 59 of the laws of 2011 amending the public health law and other laws relating to general hospital reimbursement for annual rates relating to the cap on local Medicaid expenditures; amends chapter 111 of the laws of 2010 relating to increasing Medicaid payments to providers through managed care organizations and providing equivalent fees through an ambulatory patient group methodology, in relation to rate protections for certain behavioral health providers; provides for the repeal of certain provisions upon expiration thereof (Part B); amends chapter 266 of the laws of 1986, amending the civil practice law and rules and other laws relating to malpractice and professional medical conduct, in relation to apportioning premium for certain policies; amends part J of chapter 63 of the laws of 2001 amending chapter 266 of the laws of 1986, amending the civil practice law and rules and other laws relating to malpractice and professional medical conduct, in relation to extending certain provisions concerning the hospital excess liability pool (Part C); amends chapter 474 of the laws of 1996, amending the education law and other laws relating to rates for residential healthcare facilities, in relation to extending the authority of the department of health to make disproportionate share payments to public hospitals outside of New York City; amends chapter 649 of the laws of 1996, amending the public health law, the mental hygiene law and the social services law relating to authorizing the establishment of special needs plans, in relation to the effectiveness thereof; amends chapter 58 of the laws of 2009, amending the public health law relating to payment by governmental agencies for general hospital inpatient services, relating to the effectiveness thereof; amends the public health law, in relation to temporary operator notification; amends chapter 56 of the laws of 2013, amending the public health law relating to the general public health work program, relating to the effectiveness thereof; amends the environmental conservation law, in relation to cancer incidence and environmental facility maps project; amends the public health law, in relation to cancer mapping; amends chapter 77 of the laws of 2010, amending the environmental conservation law and the public health law relating to an environmental facility and cancer incidence map, relating to the effectiveness thereof; amends chapter 60 of the laws of 2014 amending the social services law relating to eliminating prescriber prevails for brand name drugs with generic equivalents, in relation to the effectiveness thereof; repeals subdivision 8 of section 84 of part A of chapter 56 of the laws of 2013, amending the public health law and other laws relating to general hospital reimbursement for annual rates, relating thereto (Part D); intentionally omitted (Part E); relates to grants and loans authorized pursuant to eligible health care capital programs; amends the public health law, in relation to the health care facility transformation program (Part F); intentionally omitted (Part G); amends part D of chapter 111 of the laws of 2010 relating to the recovery of exempt income by the office of mental health for community residences and family-based treatment programs, in relation to the effectiveness thereof (Part H); amends chapter 723 of the laws of 1989 amending the mental hygiene law and other laws relating to comprehensive psychiatric emergency programs, in relation to the effectiveness of certain provisions thereof (Part I); amends chapter 420 of the laws of 2002 amending the education law relating to the profession of social work, in relation to extending the expiration of certain provisions thereof; amends chapter 676 of the laws of 2002 amending the education law relating to the practice of psychology, in relation to extending the expiration of certain provisions; amends chapter 130 of the laws of 2010 amending the education law and other laws relating to registration of entities providing certain professional services and licensure of certain professions, in relation to extending certain provisions thereof (Part J); intentionally omitted (Part K); amends the mental hygiene law, in relation to the appointment of temporary operators for the continued operation of programs and the provision of services for persons with serious mental illness and/or developmental disabilities and/or chemical dependence; provides for the repeal of certain provisions upon expiration thereof (Part L); amends the mental hygiene law, in relation to sharing clinical records with managed care organizations (Part M); amends the facilities development corporation act, in relation to the definition of mental hygiene facility (Part N); relates to reports by the office for people with developmental disabilities relating to housing needs; provides for the repeal of such provisions upon expiration thereof (Part O); amends the mental hygiene law, in relation to services for people with developmental disabilities (Part P); amends the mental hygiene law, in relation to the closure or transfer of a state-operated individualized residential alternative; provides for the repeal of such provisions upon expiration thereof (Part Q); amends the public health law and the education law, in relation to electronic prescriptions; amends the public health law, in relation to loan forgiveness and practice support for physicians; amends the social services law, in relation to the use of EQUAL program funds for adult care facilities; amends the public health law, in relation to policy changes relating to state aid; amends the public health law in relation to the relocation of residential health care facility long-term ventilator beds; amends part H of chapter 60 of the laws of 2014, amending the insurance law, the public health law and the financial services law relating to establishing protections to prevent surprise medical bills including network adequacy requirements, claim submission requirements, access to out-of-network care and prohibition of excessive emergency charges, in relation to the date the report shall be submitted; provides for the repeal of certain provisions upon expiration thereof (Part R); amends the elder law, in relation to the supportive service program for classic and neighborhood naturally occurring retirement communities; provides for the repeal of certain provisions upon expiration thereof (Part S).

S6407 - Sponsor Memo

S6407 - Bill Text download pdf

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

    S. 6407                                                  A. 9007

                      S E N A T E - A S S E M B L Y

                            January 14, 2016
                               ___________

IN  SENATE -- A BUDGET BILL, submitted by the Governor pursuant to arti-
  cle seven of the Constitution -- read twice and ordered  printed,  and
  when printed to be committed to the Committee on Finance

IN  ASSEMBLY  --  A  BUDGET  BILL, submitted by the Governor pursuant to
  article seven of the Constitution -- read once  and  referred  to  the
  Committee on Ways and Means

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 the  expenditure  cap  for  the
  medical  assistance  program  for needy persons (Part A); to amend the
  social services law, in relation to provisions relating to transporta-
  tion in the managed long term care program; to amend the public health
  law, in relation to restricting the managed long term care benefit  to
  those who are nursing home eligible; to amend the social services law,
  in  relation  to  conforming  with  federal law provisions relating to
  spousal contributions, community spouse resource budgeting;  to  amend
  the  social services law, in relation to authorizing price ceilings on
  blockbuster drugs  and  reducing  reimbursement  rates  for  specialty
  drugs;  to amend the public health law, in relation to expanding prior
  authorization for the clinical drug  review  program  and  eliminating
  prescriber  prevails; to amend the social services law, in relation to
  authorizing the commissioner of health to apply federally  established
  consumer  price  index  penalties  for  generic  drugs,  to facilitate
  supplemental rebates for  fee-for-service  pharmaceuticals,  to  apply
  prior authorization requirements for opioid drugs, to impose penalties
  on  managed care plans for reporting late or incorrect encounter data,
  to apply cost sharing limits to medicare Part C claims and to  author-
  ize  funding for the criminal justice pilot program within health home
  rates; to amend chapter 59 of the laws of 2011,  amending  the  public
  health  law  and other laws relating to known and projected department
  of health state fund Medicaid expenditures, in relation  to  extending
  the  expiration  of  certain provisions thereof; and to repeal certain
  provisions of the social services law relating to the authorization of
  prescriber prevails in the managed care program  (Part  B);  to  amend
  chapter  266  of the laws of 1986, amending the civil practice law and

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets

S6407A - Details

See Assembly Version of this Bill:
A9007C
Law Section:
Budget Bills
Laws Affected:
Amd Various Laws, generally

S6407A - Summary

Enacts into law major components of legislation necessary to implement the state health and mental hygiene budget for the 2016-2017 state fiscal year; intentionally omitted (Part A); amends the social services law, in relation to facilitating supplemental rebates for fee-for-service pharmaceuticals, and ambulance medical transportation rate adequacy review; amends the social services law, in relation to authorizing the commissioner of health to apply federally established consumer price index penalties for generic drugs, and authorizing the commissioner of health to impose penalties on managed care plans for reporting late or incorrect encounter data (view more) relates to cost-sharing limits on Medicare part C; amends part H of chapter 59 of the laws of 2011, amending the public health law and other laws relating to known and projected department of health state fund medicaid expenditures, in relation to reporting requirements for the Medicaid global cap; amends the public health law and the social services law, in relation to the provision of services to certain persons suffering from traumatic brain injuries or qualifying for nursing home diversion and transition services; amends the public health law, in relation to rates of payment for certain managed long term care plans; amends the social services law, in relation to medical assistance for certain inmates and authorizing funding for criminal justice pilot program within health home rates; amends part H of chapter 59 of the laws of 2011, amending the public health law and other laws relating to known and projected department of health state fund medicaid expenditures, in relation to extending the expiration of certain provisions relating to rates of payment to residential health care facilities based on the historical costs to the owner, and certain payments to the Citadel Rehab and Nursing Center at Kingsbridge; amends the public health law, in relation to case payment rates for pediatric ventilator services; directs the commissioner of health to implement a restorative care unit demonstration program; directs the civil service department to create a title for a medicaid redesign team analyst as a competitive class position; amends the social services law and part C of chapter 60 of the laws of 2014 authorizing the commissioner of health to negotiate an extension of the terms of the contract executed by the department of health for actuarial and consulting services, in relation to the extension of certain contracts; amends part A of chapter 56 of the laws of 2013 amending chapter 59 of the laws of 2011 amending the public health law and other laws relating to general hospital reimbursement for annual rates relating to the cap on local Medicaid expenditures; amends chapter 111 of the laws of 2010 relating to increasing Medicaid payments to providers through managed care organizations and providing equivalent fees through an ambulatory patient group methodology, in relation to rate protections for certain behavioral health providers; provides for the repeal of certain provisions upon expiration thereof (Part B); amends chapter 266 of the laws of 1986, amending the civil practice law and rules and other laws relating to malpractice and professional medical conduct, in relation to apportioning premium for certain policies; amends part J of chapter 63 of the laws of 2001 amending chapter 266 of the laws of 1986, amending the civil practice law and rules and other laws relating to malpractice and professional medical conduct, in relation to extending certain provisions concerning the hospital excess liability pool (Part C); amends chapter 474 of the laws of 1996, amending the education law and other laws relating to rates for residential healthcare facilities, in relation to extending the authority of the department of health to make disproportionate share payments to public hospitals outside of New York City; amends chapter 649 of the laws of 1996, amending the public health law, the mental hygiene law and the social services law relating to authorizing the establishment of special needs plans, in relation to the effectiveness thereof; amends chapter 58 of the laws of 2009, amending the public health law relating to payment by governmental agencies for general hospital inpatient services, relating to the effectiveness thereof; amends the public health law, in relation to temporary operator notification; amends chapter 56 of the laws of 2013, amending the public health law relating to the general public health work program, relating to the effectiveness thereof; amends the environmental conservation law, in relation to cancer incidence and environmental facility maps project; amends the public health law, in relation to cancer mapping; amends chapter 77 of the laws of 2010, amending the environmental conservation law and the public health law relating to an environmental facility and cancer incidence map, relating to the effectiveness thereof; amends chapter 60 of the laws of 2014 amending the social services law relating to eliminating prescriber prevails for brand name drugs with generic equivalents, in relation to the effectiveness thereof; repeals subdivision 8 of section 84 of part A of chapter 56 of the laws of 2013, amending the public health law and other laws relating to general hospital reimbursement for annual rates, relating thereto (Part D); intentionally omitted (Part E); relates to grants and loans authorized pursuant to eligible health care capital programs; amends the public health law, in relation to the health care facility transformation program (Part F); intentionally omitted (Part G); amends part D of chapter 111 of the laws of 2010 relating to the recovery of exempt income by the office of mental health for community residences and family-based treatment programs, in relation to the effectiveness thereof (Part H); amends chapter 723 of the laws of 1989 amending the mental hygiene law and other laws relating to comprehensive psychiatric emergency programs, in relation to the effectiveness of certain provisions thereof (Part I); amends chapter 420 of the laws of 2002 amending the education law relating to the profession of social work, in relation to extending the expiration of certain provisions thereof; amends chapter 676 of the laws of 2002 amending the education law relating to the practice of psychology, in relation to extending the expiration of certain provisions; amends chapter 130 of the laws of 2010 amending the education law and other laws relating to registration of entities providing certain professional services and licensure of certain professions, in relation to extending certain provisions thereof (Part J); intentionally omitted (Part K); amends the mental hygiene law, in relation to the appointment of temporary operators for the continued operation of programs and the provision of services for persons with serious mental illness and/or developmental disabilities and/or chemical dependence; provides for the repeal of certain provisions upon expiration thereof (Part L); amends the mental hygiene law, in relation to sharing clinical records with managed care organizations (Part M); amends the facilities development corporation act, in relation to the definition of mental hygiene facility (Part N); relates to reports by the office for people with developmental disabilities relating to housing needs; provides for the repeal of such provisions upon expiration thereof (Part O); amends the mental hygiene law, in relation to services for people with developmental disabilities (Part P); amends the mental hygiene law, in relation to the closure or transfer of a state-operated individualized residential alternative; provides for the repeal of such provisions upon expiration thereof (Part Q); amends the public health law and the education law, in relation to electronic prescriptions; amends the public health law, in relation to loan forgiveness and practice support for physicians; amends the social services law, in relation to the use of EQUAL program funds for adult care facilities; amends the public health law, in relation to policy changes relating to state aid; amends the public health law in relation to the relocation of residential health care facility long-term ventilator beds; amends part H of chapter 60 of the laws of 2014, amending the insurance law, the public health law and the financial services law relating to establishing protections to prevent surprise medical bills including network adequacy requirements, claim submission requirements, access to out-of-network care and prohibition of excessive emergency charges, in relation to the date the report shall be submitted; provides for the repeal of certain provisions upon expiration thereof (Part R); amends the elder law, in relation to the supportive service program for classic and neighborhood naturally occurring retirement communities; provides for the repeal of certain provisions upon expiration thereof (Part S).

S6407A - Bill Text download pdf

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

    S. 6407--A                                            A. 9007--A

                      S E N A T E - A S S E M B L Y

                            January 14, 2016
                               ___________

IN  SENATE -- A BUDGET BILL, submitted by the Governor pursuant to arti-
  cle seven of the Constitution -- read twice and ordered  printed,  and
  when  printed to be committed to the Committee on Finance -- committee
  discharged, bill amended, ordered reprinted as amended and recommitted
  to said committee

IN ASSEMBLY -- A BUDGET BILL, submitted  by  the  Governor  pursuant  to
  article  seven  of  the  Constitution -- read once and referred to the
  Committee on Ways and Means --  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 the  expenditure  cap  for  the
  medical  assistance  program  for needy persons (Part A); to amend the
  social services law, in relation to provisions relating to transporta-
  tion in the managed long term care program; to amend the public health
  law, in relation to restricting the managed long term care benefit  to
  those who are nursing home eligible; to amend the social services law,
  in  relation  to  conforming  with  federal law provisions relating to
  spousal contributions, community spouse resource budgeting;  to  amend
  the  social services law, in relation to authorizing price ceilings on
  blockbuster drugs  and  reducing  reimbursement  rates  for  specialty
  drugs;  to amend the public health law, in relation to expanding prior
  authorization for the clinical drug  review  program  and  eliminating
  prescriber  prevails; to amend the social services law, in relation to
  authorizing the commissioner of health to apply federally  established
  consumer  price  index  penalties  for  generic  drugs,  to facilitate
  supplemental rebates for  fee-for-service  pharmaceuticals,  to  apply
  prior authorization requirements for opioid drugs, to impose penalties
  on  managed care plans for reporting late or incorrect encounter data,
  to apply cost sharing limits to medicare Part C claims and to  author-
  ize  funding for the criminal justice pilot program within health home
  rates; to amend chapter 59 of the laws of 2011,  amending  the  public
  health  law  and other laws relating to known and projected department
  of health state fund Medicaid expenditures, in relation  to  extending
  the  expiration  of  certain provisions thereof; and to repeal certain

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets

S6407B - Details

See Assembly Version of this Bill:
A9007C
Law Section:
Budget Bills
Laws Affected:
Amd Various Laws, generally

S6407B - Summary

Enacts into law major components of legislation necessary to implement the state health and mental hygiene budget for the 2016-2017 state fiscal year; intentionally omitted (Part A); amends the social services law, in relation to facilitating supplemental rebates for fee-for-service pharmaceuticals, and ambulance medical transportation rate adequacy review; amends the social services law, in relation to authorizing the commissioner of health to apply federally established consumer price index penalties for generic drugs, and authorizing the commissioner of health to impose penalties on managed care plans for reporting late or incorrect encounter data (view more) relates to cost-sharing limits on Medicare part C; amends part H of chapter 59 of the laws of 2011, amending the public health law and other laws relating to known and projected department of health state fund medicaid expenditures, in relation to reporting requirements for the Medicaid global cap; amends the public health law and the social services law, in relation to the provision of services to certain persons suffering from traumatic brain injuries or qualifying for nursing home diversion and transition services; amends the public health law, in relation to rates of payment for certain managed long term care plans; amends the social services law, in relation to medical assistance for certain inmates and authorizing funding for criminal justice pilot program within health home rates; amends part H of chapter 59 of the laws of 2011, amending the public health law and other laws relating to known and projected department of health state fund medicaid expenditures, in relation to extending the expiration of certain provisions relating to rates of payment to residential health care facilities based on the historical costs to the owner, and certain payments to the Citadel Rehab and Nursing Center at Kingsbridge; amends the public health law, in relation to case payment rates for pediatric ventilator services; directs the commissioner of health to implement a restorative care unit demonstration program; directs the civil service department to create a title for a medicaid redesign team analyst as a competitive class position; amends the social services law and part C of chapter 60 of the laws of 2014 authorizing the commissioner of health to negotiate an extension of the terms of the contract executed by the department of health for actuarial and consulting services, in relation to the extension of certain contracts; amends part A of chapter 56 of the laws of 2013 amending chapter 59 of the laws of 2011 amending the public health law and other laws relating to general hospital reimbursement for annual rates relating to the cap on local Medicaid expenditures; amends chapter 111 of the laws of 2010 relating to increasing Medicaid payments to providers through managed care organizations and providing equivalent fees through an ambulatory patient group methodology, in relation to rate protections for certain behavioral health providers; provides for the repeal of certain provisions upon expiration thereof (Part B); amends chapter 266 of the laws of 1986, amending the civil practice law and rules and other laws relating to malpractice and professional medical conduct, in relation to apportioning premium for certain policies; amends part J of chapter 63 of the laws of 2001 amending chapter 266 of the laws of 1986, amending the civil practice law and rules and other laws relating to malpractice and professional medical conduct, in relation to extending certain provisions concerning the hospital excess liability pool (Part C); amends chapter 474 of the laws of 1996, amending the education law and other laws relating to rates for residential healthcare facilities, in relation to extending the authority of the department of health to make disproportionate share payments to public hospitals outside of New York City; amends chapter 649 of the laws of 1996, amending the public health law, the mental hygiene law and the social services law relating to authorizing the establishment of special needs plans, in relation to the effectiveness thereof; amends chapter 58 of the laws of 2009, amending the public health law relating to payment by governmental agencies for general hospital inpatient services, relating to the effectiveness thereof; amends the public health law, in relation to temporary operator notification; amends chapter 56 of the laws of 2013, amending the public health law relating to the general public health work program, relating to the effectiveness thereof; amends the environmental conservation law, in relation to cancer incidence and environmental facility maps project; amends the public health law, in relation to cancer mapping; amends chapter 77 of the laws of 2010, amending the environmental conservation law and the public health law relating to an environmental facility and cancer incidence map, relating to the effectiveness thereof; amends chapter 60 of the laws of 2014 amending the social services law relating to eliminating prescriber prevails for brand name drugs with generic equivalents, in relation to the effectiveness thereof; repeals subdivision 8 of section 84 of part A of chapter 56 of the laws of 2013, amending the public health law and other laws relating to general hospital reimbursement for annual rates, relating thereto (Part D); intentionally omitted (Part E); relates to grants and loans authorized pursuant to eligible health care capital programs; amends the public health law, in relation to the health care facility transformation program (Part F); intentionally omitted (Part G); amends part D of chapter 111 of the laws of 2010 relating to the recovery of exempt income by the office of mental health for community residences and family-based treatment programs, in relation to the effectiveness thereof (Part H); amends chapter 723 of the laws of 1989 amending the mental hygiene law and other laws relating to comprehensive psychiatric emergency programs, in relation to the effectiveness of certain provisions thereof (Part I); amends chapter 420 of the laws of 2002 amending the education law relating to the profession of social work, in relation to extending the expiration of certain provisions thereof; amends chapter 676 of the laws of 2002 amending the education law relating to the practice of psychology, in relation to extending the expiration of certain provisions; amends chapter 130 of the laws of 2010 amending the education law and other laws relating to registration of entities providing certain professional services and licensure of certain professions, in relation to extending certain provisions thereof (Part J); intentionally omitted (Part K); amends the mental hygiene law, in relation to the appointment of temporary operators for the continued operation of programs and the provision of services for persons with serious mental illness and/or developmental disabilities and/or chemical dependence; provides for the repeal of certain provisions upon expiration thereof (Part L); amends the mental hygiene law, in relation to sharing clinical records with managed care organizations (Part M); amends the facilities development corporation act, in relation to the definition of mental hygiene facility (Part N); relates to reports by the office for people with developmental disabilities relating to housing needs; provides for the repeal of such provisions upon expiration thereof (Part O); amends the mental hygiene law, in relation to services for people with developmental disabilities (Part P); amends the mental hygiene law, in relation to the closure or transfer of a state-operated individualized residential alternative; provides for the repeal of such provisions upon expiration thereof (Part Q); amends the public health law and the education law, in relation to electronic prescriptions; amends the public health law, in relation to loan forgiveness and practice support for physicians; amends the social services law, in relation to the use of EQUAL program funds for adult care facilities; amends the public health law, in relation to policy changes relating to state aid; amends the public health law in relation to the relocation of residential health care facility long-term ventilator beds; amends part H of chapter 60 of the laws of 2014, amending the insurance law, the public health law and the financial services law relating to establishing protections to prevent surprise medical bills including network adequacy requirements, claim submission requirements, access to out-of-network care and prohibition of excessive emergency charges, in relation to the date the report shall be submitted; provides for the repeal of certain provisions upon expiration thereof (Part R); amends the elder law, in relation to the supportive service program for classic and neighborhood naturally occurring retirement communities; provides for the repeal of certain provisions upon expiration thereof (Part S).

S6407B - Bill Text download pdf

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

                                 6407--B

                            I N  S E N A T E

                            January 14, 2016
                               ___________

A  BUDGET  BILL,  submitted by the Governor pursuant to article seven of
  the Constitution -- read twice and ordered printed, and  when  printed
  to  be  committed to the Committee on Finance -- committee discharged,
  bill amended, ordered reprinted as amended  and  recommitted  to  said
  committee  -- 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 the expenditure cap for the
  medical assistance program for needy persons (Part A);  to  amend  the
  social  services  law, in relation to reimbursement for transportation
  costs; in relation to ambulance non-emergency  medical  transportation
  rate  adequacy review; authorizing the commissioner of health to apply
  federally established  consumer  price  index  penalties  for  generic
  drugs,  to apply prior authorization requirements for opioid drugs, to
  impose penalties on managed care plans for reporting late or incorrect
  encounter data, to authorize funding for the  criminal  justice  pilot
  program within health home rates; to amend part H of chapter 59 of the
  laws of 2011, amending the social services law and other laws relating
  to  covered  part  D  drugs,  in  relation  to the medicaid allocation
  savings plan; to amend part O of  chapter  56  of  the  laws  of  2013
  authorizing the actions necessary to manage the loss of federal reven-
  ue  and  create  the Mental Hygiene Stabilization Fund, in relation to
  the effectiveness thereof;  to  amend  the  social  services  law,  in
  relation  to  establishing a medicaid redesign accountability process;
  to amend the social services law, in  relation  to  the  provision  of
  services to certain persons suffering from traumatic brain injuries or
  qualifying  for  nursing  home  diversion  and transition services; to
  amend the social services law,  in  relation  to  school-based  health
  centers;  to  amend  the  public  health  law, in relation to rates of
  payment to residential health care facilities based on the  historical
  costs  to  the  owner;  to amend the public health law, in relation to
  case payment rates for pediatric ventilator  services;  to  amend  the
  public  health  law, in relation to payments to rural hospitals desig-
  nated as critical access hospitals; to amend the public health law, in
  relation to rates of payments at residential health  care  facilities;

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets

S6407C (ACTIVE) - Details

See Assembly Version of this Bill:
A9007C
Law Section:
Budget Bills
Laws Affected:
Amd Various Laws, generally

S6407C (ACTIVE) - Summary

Enacts into law major components of legislation necessary to implement the state health and mental hygiene budget for the 2016-2017 state fiscal year; intentionally omitted (Part A); amends the social services law, in relation to facilitating supplemental rebates for fee-for-service pharmaceuticals, and ambulance medical transportation rate adequacy review; amends the social services law, in relation to authorizing the commissioner of health to apply federally established consumer price index penalties for generic drugs, and authorizing the commissioner of health to impose penalties on managed care plans for reporting late or incorrect encounter data (view more) relates to cost-sharing limits on Medicare part C; amends part H of chapter 59 of the laws of 2011, amending the public health law and other laws relating to known and projected department of health state fund medicaid expenditures, in relation to reporting requirements for the Medicaid global cap; amends the public health law and the social services law, in relation to the provision of services to certain persons suffering from traumatic brain injuries or qualifying for nursing home diversion and transition services; amends the public health law, in relation to rates of payment for certain managed long term care plans; amends the social services law, in relation to medical assistance for certain inmates and authorizing funding for criminal justice pilot program within health home rates; amends part H of chapter 59 of the laws of 2011, amending the public health law and other laws relating to known and projected department of health state fund medicaid expenditures, in relation to extending the expiration of certain provisions relating to rates of payment to residential health care facilities based on the historical costs to the owner, and certain payments to the Citadel Rehab and Nursing Center at Kingsbridge; amends the public health law, in relation to case payment rates for pediatric ventilator services; directs the commissioner of health to implement a restorative care unit demonstration program; directs the civil service department to create a title for a medicaid redesign team analyst as a competitive class position; amends the social services law and part C of chapter 60 of the laws of 2014 authorizing the commissioner of health to negotiate an extension of the terms of the contract executed by the department of health for actuarial and consulting services, in relation to the extension of certain contracts; amends part A of chapter 56 of the laws of 2013 amending chapter 59 of the laws of 2011 amending the public health law and other laws relating to general hospital reimbursement for annual rates relating to the cap on local Medicaid expenditures; amends chapter 111 of the laws of 2010 relating to increasing Medicaid payments to providers through managed care organizations and providing equivalent fees through an ambulatory patient group methodology, in relation to rate protections for certain behavioral health providers; provides for the repeal of certain provisions upon expiration thereof (Part B); amends chapter 266 of the laws of 1986, amending the civil practice law and rules and other laws relating to malpractice and professional medical conduct, in relation to apportioning premium for certain policies; amends part J of chapter 63 of the laws of 2001 amending chapter 266 of the laws of 1986, amending the civil practice law and rules and other laws relating to malpractice and professional medical conduct, in relation to extending certain provisions concerning the hospital excess liability pool (Part C); amends chapter 474 of the laws of 1996, amending the education law and other laws relating to rates for residential healthcare facilities, in relation to extending the authority of the department of health to make disproportionate share payments to public hospitals outside of New York City; amends chapter 649 of the laws of 1996, amending the public health law, the mental hygiene law and the social services law relating to authorizing the establishment of special needs plans, in relation to the effectiveness thereof; amends chapter 58 of the laws of 2009, amending the public health law relating to payment by governmental agencies for general hospital inpatient services, relating to the effectiveness thereof; amends the public health law, in relation to temporary operator notification; amends chapter 56 of the laws of 2013, amending the public health law relating to the general public health work program, relating to the effectiveness thereof; amends the environmental conservation law, in relation to cancer incidence and environmental facility maps project; amends the public health law, in relation to cancer mapping; amends chapter 77 of the laws of 2010, amending the environmental conservation law and the public health law relating to an environmental facility and cancer incidence map, relating to the effectiveness thereof; amends chapter 60 of the laws of 2014 amending the social services law relating to eliminating prescriber prevails for brand name drugs with generic equivalents, in relation to the effectiveness thereof; repeals subdivision 8 of section 84 of part A of chapter 56 of the laws of 2013, amending the public health law and other laws relating to general hospital reimbursement for annual rates, relating thereto (Part D); intentionally omitted (Part E); relates to grants and loans authorized pursuant to eligible health care capital programs; amends the public health law, in relation to the health care facility transformation program (Part F); intentionally omitted (Part G); amends part D of chapter 111 of the laws of 2010 relating to the recovery of exempt income by the office of mental health for community residences and family-based treatment programs, in relation to the effectiveness thereof (Part H); amends chapter 723 of the laws of 1989 amending the mental hygiene law and other laws relating to comprehensive psychiatric emergency programs, in relation to the effectiveness of certain provisions thereof (Part I); amends chapter 420 of the laws of 2002 amending the education law relating to the profession of social work, in relation to extending the expiration of certain provisions thereof; amends chapter 676 of the laws of 2002 amending the education law relating to the practice of psychology, in relation to extending the expiration of certain provisions; amends chapter 130 of the laws of 2010 amending the education law and other laws relating to registration of entities providing certain professional services and licensure of certain professions, in relation to extending certain provisions thereof (Part J); intentionally omitted (Part K); amends the mental hygiene law, in relation to the appointment of temporary operators for the continued operation of programs and the provision of services for persons with serious mental illness and/or developmental disabilities and/or chemical dependence; provides for the repeal of certain provisions upon expiration thereof (Part L); amends the mental hygiene law, in relation to sharing clinical records with managed care organizations (Part M); amends the facilities development corporation act, in relation to the definition of mental hygiene facility (Part N); relates to reports by the office for people with developmental disabilities relating to housing needs; provides for the repeal of such provisions upon expiration thereof (Part O); amends the mental hygiene law, in relation to services for people with developmental disabilities (Part P); amends the mental hygiene law, in relation to the closure or transfer of a state-operated individualized residential alternative; provides for the repeal of such provisions upon expiration thereof (Part Q); amends the public health law and the education law, in relation to electronic prescriptions; amends the public health law, in relation to loan forgiveness and practice support for physicians; amends the social services law, in relation to the use of EQUAL program funds for adult care facilities; amends the public health law, in relation to policy changes relating to state aid; amends the public health law in relation to the relocation of residential health care facility long-term ventilator beds; amends part H of chapter 60 of the laws of 2014, amending the insurance law, the public health law and the financial services law relating to establishing protections to prevent surprise medical bills including network adequacy requirements, claim submission requirements, access to out-of-network care and prohibition of excessive emergency charges, in relation to the date the report shall be submitted; provides for the repeal of certain provisions upon expiration thereof (Part R); amends the elder law, in relation to the supportive service program for classic and neighborhood naturally occurring retirement communities; provides for the repeal of certain provisions upon expiration thereof (Part S).

S6407C (ACTIVE) - Bill Text download pdf

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

    S. 6407--C                                            A. 9007--C

                      S E N A T E - A S S E M B L Y

                            January 14, 2016
                               ___________

IN  SENATE -- A BUDGET BILL, submitted by the Governor pursuant to arti-
  cle seven of the Constitution -- read twice and ordered  printed,  and
  when  printed to be committed to the Committee on Finance -- committee
  discharged, bill amended, ordered reprinted as amended and recommitted
  to said committee  --  committee  discharged,  bill  amended,  ordered
  reprinted  as  amended  and recommitted to said committee -- committee
  discharged, bill amended, ordered reprinted as amended and recommitted
  to said committee

IN ASSEMBLY -- A BUDGET BILL, submitted  by  the  Governor  pursuant  to
  article  seven  of  the  Constitution -- read once and referred to the
  Committee on Ways and Means --  committee  discharged,  bill  amended,
  ordered  reprinted  as  amended  and  recommitted to said committee --
  again reported from said committee with amendments, ordered  reprinted
  as  amended  and  recommitted to said committee -- again reported from
  said committee with  amendments,  ordered  reprinted  as  amended  and
  recommitted to said committee

AN ACT intentionally omitted (Part A); to amend the social services law,
  in  relation  to facilitating supplemental rebates for fee-for-service
  pharmaceuticals, and ambulance medical  transportation  rate  adequacy
  review;  to  amend the social services law, in relation to authorizing
  the commissioner of health to  apply  federally  established  consumer
  price  index  penalties for generic drugs, and authorizing the commis-
  sioner of health to impose penalties on managed care plans for report-
  ing late or incorrect encounter data; relating to cost-sharing  limits
  on Medicare part C; to amend part H of chapter 59 of the laws of 2011,
  amending  the  public  health law and other laws relating to known and
  projected department of health state fund  medicaid  expenditures,  in
  relation  to  reporting  requirements  for the Medicaid global cap; to
  amend the public health law and the social services law,  in  relation
  to  the  provision of services to certain persons suffering from trau-
  matic brain injuries or qualifying  for  nursing  home  diversion  and
  transition  services;  to  amend the public health law, in relation to
  rates of payment for certain managed long term care  plans;  to  amend
  the social services law, in relation to medical assistance for certain
  inmates  and  authorizing  funding  for criminal justice pilot program
  within health home rates; to amend part H of chapter 59 of the laws of

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets