S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   7763
 
                        2017-2018 Regular Sessions
 
                           I N  A S S E M B L Y
 
                               May 15, 2017
                                ___________
 
 Introduced  by  M. of A. GOTTFRIED, JONES, COLTON, LIFTON, STECK, MOSLEY
   -- Multi-Sponsored by -- M. of A. WEINSTEIN -- read once and  referred
   to the Committee on Health
 
 AN  ACT  to amend the public health law, in relation to establishing the
   enhanced safety net hospital program

   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. ENHANCED SAFETY NET HOSPITAL PROGRAM. (A) FOR THE PURPOSES OF THIS
 SUBDIVISION, "ENHANCED SAFETY NET HOSPITAL" MEANS A HOSPITAL WHICH:
   (I) IN ANY OF THE PREVIOUS THREE CALENDAR YEARS, HAS MET THE FOLLOWING
 CRITERIA:
   (A) NOT LESS THAN FIFTY PERCENT OF  THE  PATIENTS  IT  TREATS  RECEIVE
 MEDICAID OR ARE MEDICALLY UNINSURED;
   (B)  NOT  LESS  THAN  FORTY  PERCENT  OF  ITS INPATIENT DISCHARGES ARE
 COVERED BY MEDICAID;
   (C) TWENTY-FIVE PERCENT OR LESS OF ITS DISCHARGED PATIENTS ARE COMMER-
 CIALLY INSURED;
   (D) NOT LESS THAN THREE PERCENT OF THE PATIENTS IT  PROVIDES  SERVICES
 TO ARE ATTRIBUTED TO THE CARE OF UNINSURED PATIENTS; AND
   (E)  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;
   (II)  IS  A PUBLIC HOSPITAL OPERATED BY A COUNTY, MUNICIPALITY, PUBLIC
 BENEFIT CORPORATION OR THE STATE UNIVERSITY OF NEW YORK; OR
   (III) IS FEDERALLY DESIGNATED AS A CRITICAL ACCESS OR  SOLE  COMMUNITY
 HOSPITAL.
   (B) THE COMMISSIONER SHALL ADJUST MEDICAL ASSISTANCE RATES TO ENHANCED
 SAFETY  NET  HOSPITALS  FOR THE PURPOSES OF SUPPORTING CRITICALLY NEEDED

  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD11742-01-7
              

 A. 7763                             2
 
 HEALTH CARE SERVICES AND TO ENSURE THE CONTINUED MAINTENANCE AND  OPERA-
 TION 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
 TO  THIS  SUBDIVISION MAY BE ADDED TO RATES OF PAYMENT OR MADE AS AGGRE-
 GATE PAYMENTS TO ELIGIBLE GENERAL HOSPITALS.
   § 2. This act shall take effect April 1, 2018.