Assembly Bill A6408A

Vetoed By Governor
2017-2018 Legislative Session

Establishes the rate of medical assistance payments for care to recipients in hospice residences

download bill text pdf

Sponsored By

Archive: Last Bill Status Via S5662 - Vetoed by Governor

  • Introduced
    • In Committee Assembly
    • In Committee Senate
    • On Floor Calendar Assembly
    • On Floor Calendar Senate
    • Passed Assembly
    • Passed Senate
  • Vetoed By Governor
  • Signed By Governor

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Bill Amendments

2017-A6408 - Details

See Senate Version of this Bill:
S5662
Law Section:
Public Health Law
Laws Affected:
Amd §4012, Pub Health L

2017-A6408 - Summary

Establishes the rate of medical assistance payments for care to recipients in hospice residences.

2017-A6408 - Bill Text download pdf 

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   6408
 
                        2017-2018 Regular Sessions
 
                           I N  A S S E M B L Y
 
                               March 7, 2017
                                ___________
 
 Introduced by M. of A. DINOWITZ -- read once and referred to the Commit-
   tee on Health
 
 AN  ACT  to  amend the public health law, in relation to determining the
   Medicaid payments to hospice residents
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:

   Section  1. Section 4012 of the public health law is amended by adding
 a new subdivision 5 to read as follows:
   5. (A) MEDICAID PAYMENTS TO HOSPICE RESIDENCES SHALL BE IN  AN  AMOUNT
 EQUAL  TO  NINETY-FOUR  PERCENT OF THE WEIGHTED AVERAGE MEDICAID FEE FOR
 SERVICE RATE REIMBURSED TO RESIDENTIAL HEALTH CARE FACILITIES LOCATED IN
 THE MANAGED LONG TERM CARE REGION THAT THE HOSPICE RESIDENCE IS LOCATED.
 SUCH AVERAGE MEDICAID RATE SHALL BE INCLUSIVE OF  SPECIALTY  UNITS,  THE
 ROOM AND BOARD FURNISHED BY THE HOSPICE RESIDENCE, CASH RECEIPTS ASSESS-
 MENTS AND THE CASE MIX OF THE RESIDENTIAL HEALTH CARE FACILITIES LOCATED
 IN  THE MANAGED LONG TERM CARE REGION THAT SUCH HOSPICE IS LOCATED. SUCH
 AVERAGE MEDICAID RATE SHALL ALSO BE INCLUSIVE OF AN EFFICIENCY FACTOR OF
 ONE AND ONE-TENTH MULTIPLIED BY SUCH WEIGHTED AVERAGE RATE;  RECRUITMENT
 AND RETENTION MONIES; AND ANY ADJUSTMENTS MADE FOR MINIMUM WAGE, AS SUCH
 ADJUSTMENTS  ARE  APPLIED  TO  THE  RESIDENTIAL  HEALTH  CARE FACILITIES
 LOCATED IN THE MANAGED LONG TERM CARE REGION IN WHICH THE HOSPICE  RESI-
 DENCE IS LOCATED.
   (B)  UNDER  NO  CIRCUMSTANCES  SHALL THE RATES ESTABLISHED PURSUANT TO
 THIS SUBDIVISION BE LESS THAN THE RATES ESTABLISHED  FOR  HOSPICE  RESI-
 DENCES  IN  EFFECT  AS OF THE EFFECTIVE DATE OF THE ACT AND MANAGED CARE
 ORGANIZATIONS SHALL REIMBURSE HOSPICE RESIDENCES  THE  RATE  ESTABLISHED
 PURSUANT  TO  THIS  SUBDIVISION FOR A PERIOD OF AT LEAST FIVE YEARS FROM
 THE DATE HOSPICE  RESIDENTS  ARE  TRANSITIONED  TO  MANAGED  CARE.  SUCH
 REIMBURSEMENT SHALL BE KNOWN AS THE HOSPICE RESIDENCE BENCHMARK RATE.
   § 2. This act shall take effect immediately.
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD10244-01-7

co-Sponsors

2017-A6408A (ACTIVE) - Details

See Senate Version of this Bill:
S5662
Law Section:
Public Health Law
Laws Affected:
Amd §4012, Pub Health L

2017-A6408A (ACTIVE) - Summary

Establishes the rate of medical assistance payments for care to recipients in hospice residences.

2017-A6408A (ACTIVE) - Bill Text download pdf 

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  6408--A
 
                        2017-2018 Regular Sessions
 
                           I N  A S S E M B L Y
 
                               March 7, 2017
                                ___________
 
 Introduced by M. of A. DINOWITZ -- read once and referred to the Commit-
   tee on Health -- committee discharged, bill amended, ordered reprinted
   as amended and recommitted to said committee
 
 AN ACT to amend the public health law, in relation to medical assistance
   payments for care in hospice residences

   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Section 4012 of the public health law is amended by  adding
 a new subdivision 5 to read as follows:
   5.  (A)  MEDICAID PAYMENTS TO HOSPICE RESIDENCES SHALL BE IN AN AMOUNT
 EQUAL TO NINETY-FOUR PERCENT OF THE WEIGHTED AVERAGE MEDICAL  ASSISTANCE
 FEE  FOR  SERVICE  RATE REIMBURSED TO RESIDENTIAL HEALTH CARE FACILITIES
 LOCATED IN THE MANAGED LONG TERM CARE REGION THAT THE HOSPICE  RESIDENCE
 IS  LOCATED.  SUCH AVERAGE MEDICAL ASSISTANCE RATE SHALL BE INCLUSIVE OF
 SPECIALTY UNITS, THE ROOM AND BOARD FURNISHED BY THE HOSPICE  RESIDENCE,
 CASH  RECEIPTS  ASSESSMENTS  AND  THE CASE MIX OF THE RESIDENTIAL HEALTH
 CARE FACILITIES LOCATED IN THE MANAGED LONG TERM CARE REGION  THAT  SUCH
 HOSPICE  IS  LOCATED. SUCH AVERAGE MEDICAL ASSISTANCE RATE SHALL ALSO BE
 INCLUSIVE OF AN EFFICIENCY FACTOR OF 1.1  MULTIPLIED  BY  SUCH  WEIGHTED
 AVERAGE RATE; RECRUITMENT AND RETENTION MONIES; AND ANY ADJUSTMENTS MADE
 FOR  MINIMUM  WAGE,  AS  SUCH ADJUSTMENTS ARE APPLIED TO THE RESIDENTIAL
 HEALTH CARE FACILITIES LOCATED IN THE MANAGED LONG TERM CARE  REGION  IN
 WHICH THE HOSPICE RESIDENCE IS LOCATED.
   (B)  UNDER  NO  CIRCUMSTANCES  SHALL THE RATES ESTABLISHED PURSUANT TO
 THIS SUBDIVISION BE LESS THAN THE RATES ESTABLISHED  FOR  HOSPICE  RESI-
 DENCES  IN  EFFECT ON THE EFFECTIVE DATE OF THIS SUBDIVISION AND MANAGED
 CARE ORGANIZATIONS SHALL REIMBURSE HOSPICE RESIDENCES  THE  RATE  ESTAB-
 LISHED  PURSUANT TO THIS SUBDIVISION FOR A PERIOD OF AT LEAST FIVE YEARS
 FROM THE DATE HOSPICE RESIDENTS ARE TRANSITIONED TO MANAGED  CARE.  SUCH
 REIMBURSEMENT SHALL BE KNOWN AS THE HOSPICE RESIDENCE BENCHMARK RATE.
   § 2. This act shall take effect January 1, 2018.
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.

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