assembly Bill A7798A

2019-2020 Legislative Session

Relates to rates of payment for certified home health agencies

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Archive: Last Bill Status - In Assembly Committee


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

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Actions

view actions (5)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jan 22, 2020 reported referred to ways and means
Jan 14, 2020 print number 7798a
Jan 14, 2020 amend and recommit to health
Jan 08, 2020 referred to health
May 23, 2019 referred to health

Co-Sponsors

view additional co-sponsors

A7798 - Details

See Senate Version of this Bill:
S5915
Law Section:
Public Health Law
Laws Affected:
Amd §3614, add §3614-f, Pub Health L
Versions Introduced in 2021-2022 Legislative Session:
A293, S2117

A7798 - Summary

Relates to rates of payment for certified home health agencies.

A7798 - Bill Text download pdf


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

                                  7798

                       2019-2020 Regular Sessions

                          I N  A S S E M B L Y

                              May 23, 2019
                               ___________

Introduced  by  M.  of  A.  GOTTFRIED  --  read once and referred to the
  Committee on Health

AN ACT to amend the public health law, in relation to rates  of  payment
  for certified home health agencies

  THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:

  Section 1. Paragraph (b) of subdivision 13  of  section  3614  of  the
public  health law, as added by section 4 of part H of chapter 59 of the
laws of 2011, is amended to read as follows:
  (b) Initial base year episodic payments shall  be  based  on  Medicaid
paid  claims,  as determined and adjusted by the commissioner to achieve
savings comparable to the prior state fiscal year, for services provided
by all certified home health agencies in  the  base  year  two  thousand
nine.  Subsequent  base  year episodic payments may be based on Medicaid
paid claims for services provided by all certified home health  agencies
in  a  base  year  subsequent to two thousand nine, as determined by the
commissioner, provided, however, that such base year adjustment shall be
made not less frequently than every three  years.  In  determining  case
mix,  each  patient shall be classified using a system based on measures
which may include, but not limited to, clinical and functional measures,
as reported on  the  federal  Outcome  and  Assessment  Information  Set
(OASIS),  as  may be amended. NOTWITHSTANDING ANY INCONSISTENT PROVISION
OF LAW OR REGULATION, IN ADDITION TO THE BASE YEAR  ADJUSTMENT  PROVIDED
FOR  IN  THIS  PARAGRAPH,  FOR THE RATE YEAR COMMENCING APRIL FIRST, TWO
THOUSAND TWENTY, THE  COMMISSIONER  SHALL  PROVIDE  FOR  A  TEN  PERCENT
INCREASE  IN  THE BASE EPISODIC PAYMENT, AND IN THE INDIVIDUAL RATES FOR
SERVICES EXEMPT FROM EPISODIC  PAYMENTS  UNDER  PARAGRAPH  (A)  OF  THIS
SUBDIVISION,  FROM  FUNDS  AVAILABLE FOR THE MEDICAL ASSISTANCE PROGRAM.
PROVIDED, FURTHER, THAT FOR RATE YEARS BEGINNING APRIL FIRST, TWO  THOU-
SAND  NINETEEN AND AFTER, THE COMMISSIONER IS AUTHORIZED TO INCREASE THE
EPISODIC PAYMENT LEVEL FOR COSTS NOT REFLECTED IN  THE  STATEWIDE  BASE,

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

Co-Sponsors

view additional co-sponsors

A7798A (ACTIVE) - Details

See Senate Version of this Bill:
S5915
Law Section:
Public Health Law
Laws Affected:
Amd §3614, add §3614-f, Pub Health L
Versions Introduced in 2021-2022 Legislative Session:
A293, S2117

A7798A (ACTIVE) - Summary

Relates to rates of payment for certified home health agencies.

A7798A (ACTIVE) - Bill Text download pdf


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

                                 7798--A

                       2019-2020 Regular Sessions

                          I N  A S S E M B L Y

                              May 23, 2019
                               ___________

Introduced by M. of A. GOTTFRIED, McDONALD, REYES, PERRY, CRUZ, DICKENS,
  NIOU,  BENEDETTO,  SIMON,  ABINANTI,  LUPARDO,  STIRPE,  L. ROSENTHAL,
  COLTON, BARRON, CYMBROWITZ, ZEBROWSKI, SEAWRIGHT,  BUTTENSCHON,  SIMO-
  TAS,  McDONOUGH, MONTESANO, FRONTUS, CRESPO, HEVESI, JACOBSON, THIELE,
  BURKE, DINOWITZ, MOSLEY, ORTIZ, BRONSON,  RODRIGUEZ,  GRIFFIN,  TAGUE,
  LENTOL  -- read once and referred to the Committee on Health -- recom-
  mitted to the Committee on Health in accordance with Assembly Rule  3,
  sec.  2  --  committee  discharged, bill amended, ordered reprinted as
  amended and recommitted to said committee

AN ACT to amend the public health law, in relation to rates  of  payment
  for certified home health agencies

  THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:

  Section 1. Paragraph (b) of subdivision 13  of  section  3614  of  the
public  health law, as added by section 4 of part H of chapter 59 of the
laws of 2011, is amended to read as follows:
  (b) Initial base year episodic payments shall  be  based  on  Medicaid
paid  claims,  as determined and adjusted by the commissioner to achieve
savings comparable to the prior state fiscal year, for services provided
by all certified home health agencies in  the  base  year  two  thousand
nine.  Subsequent  base  year episodic payments may be based on Medicaid
paid claims for services provided by all certified home health  agencies
in  a  base  year  subsequent to two thousand nine, as determined by the
commissioner, provided, however, that such base year adjustment shall be
made not less frequently than every three  years.  In  determining  case
mix,  each  patient shall be classified using a system based on measures
which may include, but not limited to, clinical and functional measures,
as reported on  the  federal  Outcome  and  Assessment  Information  Set
(OASIS),  as  may be amended. NOTWITHSTANDING ANY INCONSISTENT PROVISION
OF LAW OR REGULATION, IN ADDITION TO THE BASE YEAR  ADJUSTMENT  PROVIDED
FOR  IN  THIS  PARAGRAPH,  FOR THE RATE YEAR COMMENCING APRIL FIRST, TWO

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