Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Feb 27, 2018 |
reported and committed to finance |
Feb 01, 2018 |
referred to health |
Senate Bill S7628
2017-2018 Legislative Session
Sponsored By
(D, IP) Senate District
Archive: Last Bill Status - In Senate Committee Finance Committee
- Introduced
-
- In Committee Assembly
- In Committee Senate
-
- On Floor Calendar Assembly
- On Floor Calendar Senate
-
- Passed Assembly
- Passed Senate
- Delivered to Governor
- Signed By Governor
Actions
Votes
2017-S7628 (ACTIVE) - Details
- Current Committee:
- Senate Finance
- Law Section:
- Public Health Law
- Laws Affected:
- Amd §4012, Pub Health L
2017-S7628 (ACTIVE) - Sponsor Memo
BILL NUMBER: S7628 SPONSOR: VALESKY TITLE OF BILL: An act to amend the public health law, in relation to medical assistance payments for care in hospice residences PURPOSE: To codify hospice reimbursement and update hospice residence rates SUMMARY OF PROVISIONS: Section 1 of the bill amends section 4012 of the public health law, codifying hospice residence reimbursement that is currently found in 10 NYCRR 86-6.2. The new subdivisions added to section 4012 also updates hospice residence reimbursement to include an efficiency factor that adjusts hospice rates to reflect nursing home rates for the managed long term care nursing home reimbursement region in which the hospice is located. The efficiency factor adjusts nursing home rates to reflect the maximum 16 beds allowed in a hospice residence.
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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