senate Bill S5915A

2019-2020 Legislative Session

Relates to rates of payment for certified home health agencies

download bill text pdf

Sponsored By

Archive: Last Bill Status - In Senate Committee Health 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 (4)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jan 14, 2020 print number 5915a
Jan 14, 2020 amend and recommit to health
Jan 08, 2020 referred to health
May 16, 2019 referred to health

Co-Sponsors

S5915 - Details

See Assembly Version of this Bill:
A7798
Current Committee:
Senate Health
Law Section:
Public Health Law
Laws Affected:
Amd §3614, add §3614-f, Pub Health L
Versions Introduced in 2021-2022 Legislative Session:
S2117, A293

S5915 - Summary

Relates to rates of payment for certified home health agencies.

S5915 - Sponsor Memo

S5915 - Bill Text download pdf


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

                                  5915

                       2019-2020 Regular Sessions

                            I N  S E N A T E

                              May 16, 2019
                               ___________

Introduced  by  Sen.  RIVERA -- 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 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

S5915A (ACTIVE) - Details

See Assembly Version of this Bill:
A7798
Current Committee:
Senate Health
Law Section:
Public Health Law
Laws Affected:
Amd §3614, add §3614-f, Pub Health L
Versions Introduced in 2021-2022 Legislative Session:
S2117, A293

S5915A (ACTIVE) - Summary

Relates to rates of payment for certified home health agencies.

S5915A (ACTIVE) - Sponsor Memo

S5915A (ACTIVE) - Bill Text download pdf


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

                                 5915--A

                       2019-2020 Regular Sessions

                            I N  S E N A T E

                              May 16, 2019
                               ___________

Introduced  by  Sens. RIVERA, HOYLMAN, SEPULVEDA, STAVISKY -- read twice
  and ordered printed, and when printed to be committed to the Committee
  on Health -- recommitted to the Committee on Health in accordance with
  Senate Rule 6, sec. 8 -- 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
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.

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

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