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Senate Bill S7628

2017-2018 Legislative Session

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

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Archive: Last Bill Status - In Senate Committee Finance Committee

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2017-S7628 (ACTIVE) - Details

Current Committee:
Senate Finance
Law Section:
Public Health Law
Laws Affected:
Amd §4012, Pub Health L

2017-S7628 (ACTIVE) - Summary

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

2017-S7628 (ACTIVE) - Sponsor Memo

2017-S7628 (ACTIVE) - Bill Text download pdf 

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   7628
 
                             I N  S E N A T E
 
                             February 1, 2018
                                ___________
 
 Introduced  by  Sen. VALESKY -- read twice and ordered printed, and when
   printed to be committed to the Committee on Health
 
 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 April 1, 2018.
 
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD11121-04-8

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