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 Assembly
    • In Committee Senate
    • On Floor Calendar Assembly
    • On Floor Calendar Senate
    • Passed Assembly
    • Passed Senate
  • Delivered to Governor
  • Signed By Governor

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Bill Amendments

co-Sponsors

2019-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 Other Legislative Sessions:
2021-2022: S2117, A293
2023-2024: S4791, A7460

2019-S5915 - Summary

Relates to rates of payment for certified home health agencies.

2019-S5915 - Sponsor Memo

2019-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

2019-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 Other Legislative Sessions:
2021-2022: S2117, A293
2023-2024: S4791, A7460

2019-S5915A (ACTIVE) - Summary

Relates to rates of payment for certified home health agencies.

2019-S5915A (ACTIVE) - Sponsor Memo

2019-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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