senate Bill S5485A

2019-2020 Legislative Session

Relates to automatic enrollment and recertification simplification for Medicaid eligible recipients

download bill text pdf

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Current Bill Status - Passed Senate & Assembly


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

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Actions

view actions (12)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jun 20, 2019 returned to senate
passed assembly
ordered to third reading rules cal.552
substituted for a7578a
Jun 14, 2019 referred to ways and means
delivered to assembly
passed senate
Jun 11, 2019 amended on third reading 5485a
Jun 04, 2019 advanced to third reading
Jun 03, 2019 2nd report cal.
May 30, 2019 1st report cal.1107
May 02, 2019 referred to health

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

S5485 - Summary

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

S5485 - Sponsor Memo

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.

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

S5485A (ACTIVE) - Summary

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

S5485A (ACTIVE) - Sponsor Memo

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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