Senate Bill S5485A

Vetoed By Governor
2019-2020 Legislative Session

Relates to automatic enrollment and recertification simplification for Medicaid eligible recipients

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Archive: Last Bill Status - Vetoed by Governor


  • Introduced
    • In Committee Assembly
    • In Committee Senate
    • On Floor Calendar Assembly
    • On Floor Calendar Senate
    • Passed Assembly
    • Passed Senate
  • Vetoed By Governor
  • Signed By Governor

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Bill Amendments

2019-S5485 - Details

See Assembly Version of this Bill:
A7578
Law Section:
Public Health Law
Laws Affected:
Amd §4403-f, Pub Health L; amd §366-a, Soc Serv L

2019-S5485 - Summary

Provides for automatic enrollment and recertification simplification for Medicaid managed care plans and long term care plans.

2019-S5485 - Sponsor Memo

2019-S5485 - Bill Text download pdf

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   5485
 
                        2019-2020 Regular Sessions
 
                             I N  S E N A T E
 
                                May 2, 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 and the social  services  law,  in
   relation  to  automatic  enrollment and recertification simplification
   for Medicaid eligible recipients

   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1.  Paragraph  (b)  of subdivision 7 of section 4403-f of the
 public health law is amended by adding a new subparagraph (iii) to  read
 as follows:
   (III)  WHERE  A  PERSON  DETERMINED  ELIGIBLE  FOR MEDICAID ("MEDICAID
 RECIPIENT") HAS BEEN DETERMINED BY THE COMMISSIONER OR HIS OR HER DESIG-
 NEE TO REQUIRE COMMUNITY-BASED LONG TERM CARE SERVICES FOR MORE THAN ONE
 HUNDRED TWENTY DAYS, AND THE MEDICAID RECIPIENT  HAS  NOT  SELECTED  AND
 ENROLLED  IN  A MANAGED LONG TERM CARE PLAN PRIOR TO ANY EXPIRATION DATE
 OF SUCH DETERMINATION OF NEED FOR LONG TERM CARE, AFTER  BEING  PROVIDED
 WITH  INFORMATION  TO  MAKE  AN  INFORMED CHOICE, THE COMMISSIONER SHALL
 ASSIGN THE RECIPIENT TO A MANAGED  LONG  TERM  CARE  PLAN,  TAKING  INTO
 ACCOUNT  CONSISTENCY  WITH ANY PRIOR COMMUNITY-BASED DIRECT CARE WORKERS
 HAVING RECENTLY SERVED  THE  RECIPIENT,  QUALITY  PERFORMANCE  CRITERIA,
 CAPACITY,  AND  GEOGRAPHIC  ACCESSIBILITY.   THE COMMISSIONER MAY ASSIGN
 PARTICIPANTS PURSUANT TO SUCH CRITERIA ON A WEIGHTED BASIS.  A RECIPIENT
 ASSIGNED TO A MANAGED LONG TERM CARE PLAN UNDER THIS SUBPARAGRAPH  SHALL
 BE  DEEMED  TO  HAVE  BEEN  DETERMINED  TO BE IN NEED FOR LONG TERM CARE
 SERVICES FOR MORE THAN ONE  HUNDRED  TWENTY  DAYS  AND  ELIGIBLE  TO  BE
 ENROLLED IN A MANAGED LONG TERM CARE PLAN.
   §  2.  Paragraph  (b)  of subdivision 2 of section 366-a of the social
 services law, as added by section 51 of part A of chapter 1 of the  laws
 of 2002, is amended to read as follows:
   (b)  Notwithstanding  the provisions of paragraph (a) of this subdivi-
 sion, an applicant or recipient may attest to the amount of his  or  her
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
              

2019-S5485A (ACTIVE) - Details

See Assembly Version of this Bill:
A7578
Law Section:
Public Health Law
Laws Affected:
Amd §4403-f, Pub Health L; amd §366-a, Soc Serv L

2019-S5485A (ACTIVE) - Summary

Provides for automatic enrollment and recertification simplification for Medicaid managed care plans and long term care plans.

2019-S5485A (ACTIVE) - Sponsor Memo

2019-S5485A (ACTIVE) - Bill Text download pdf

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  5485--A
     Cal. No. 1107
 
                        2019-2020 Regular Sessions
 
                             I N  S E N A T E
 
                                May 2, 2019
                                ___________
 
 Introduced  by  Sen.  RIVERA -- read twice and ordered printed, and when
   printed to be committed to the Committee on Health -- reported favora-
   bly from said committee, ordered to first and second  report,  ordered
   to a third reading, amended and ordered reprinted, retaining its place
   in the order of third reading

 AN  ACT  to  amend the public health law and the social services law, in
   relation to automatic enrollment  and  recertification  simplification
   for Medicaid eligible recipients
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Paragraph (b) of subdivision 7 of  section  4403-f  of  the
 public  health law is amended by adding a new subparagraph (iii) to read
 as follows:
   (III) WHERE A  PERSON  DETERMINED  ELIGIBLE  FOR  MEDICAID  ("MEDICAID
 RECIPIENT") HAS BEEN DETERMINED BY THE COMMISSIONER OR HIS OR HER DESIG-
 NEE  TO  REQUIRE COMMUNITY-BASED LONG TERM CARE SERVICES FOR MORE THAN A
 CONTINUOUS PERIOD OF ONE HUNDRED TWENTY DAYS, AND THE MEDICAID RECIPIENT
 HAS NOT SELECTED AND ENROLLED IN A MANAGED LONG TERM CARE PLAN PRIOR  TO
 ANY  EXPIRATION  DATE  OF SUCH DETERMINATION OF NEED FOR LONG TERM CARE,
 AFTER BEING PROVIDED WITH INFORMATION TO MAKE AN  INFORMED  CHOICE,  THE
 COMMISSIONER  SHALL  ASSIGN  THE  RECIPIENT  TO A MANAGED LONG TERM CARE
 PLAN, TAKING INTO ACCOUNT CONSISTENCY  WITH  ANY  PRIOR  COMMUNITY-BASED
 DIRECT  CARE  WORKERS  HAVING  RECENTLY  SERVED  THE  RECIPIENT, QUALITY
 PERFORMANCE CRITERIA,  CAPACITY,  AND  GEOGRAPHIC  ACCESSIBILITY.    THE
 COMMISSIONER  MAY  ASSIGN  PARTICIPANTS  PURSUANT  TO SUCH CRITERIA ON A
 WEIGHTED BASIS.  A RECIPIENT ASSIGNED TO A MANAGED LONG TERM  CARE  PLAN
 UNDER THIS SUBPARAGRAPH SHALL BE DEEMED TO HAVE BEEN DETERMINED TO BE IN
 NEED OF LONG TERM CARE SERVICES FOR MORE THAN A CONTINUOUS PERIOD OF ONE
 HUNDRED  TWENTY  DAYS AND ELIGIBLE TO BE ENROLLED IN A MANAGED LONG TERM
 CARE PLAN.
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
              

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