Assembly Actions - Lowercase Senate Actions - UPPERCASE |
|
---|---|
Apr 29, 2022 | referred to health |
Current Bill Status - In Assembly Committee
- Introduced
- In Committee
- On Floor Calendar
- Passed Senate
- Passed Assembly
- Delivered to Governor
- Signed/Vetoed by Governor
Your Voice
Actions
A10031 (ACTIVE) - Details
- See Senate Version of this Bill:
- S7594
- Current Committee:
- Assembly Health
- Law Section:
- Social Services Law
- Laws Affected:
- Amd §364-j, Soc Serv L; amd §4403-f, Pub Health L
A10031 (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 10031 I N A S S E M B L Y April 29, 2022 ___________ Introduced by M. of A. GOTTFRIED -- read once and referred to the Committee on Health AN ACT to amend the social services law and the public health law, in relation to establishing a quality incentive program for managed care providers THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Subdivision 18 of section 364-j of the social services law is amended by adding a new paragraph (c-1) to read as follows: (C-1) IN SETTING SUCH REIMBURSEMENT, THE COMMISSIONER OF HEALTH SHALL ESTABLISH A QUALITY INCENTIVE PROGRAM FOR MANAGED CARE PROVIDERS THAT IS DISTRIBUTED BASED ON MANAGED CARE PROVIDERS' PERFORMANCE IN MEETING QUALITY OBJECTIVES, WHICH SHALL BE SET BY THE COMMISSIONER IN ADVANCE OF THE PERIOD DURING WHICH QUALITY IS MEASURED. SUCH QUALITY INCENTIVE PROGRAM SHALL BE FUNDED AT A LEVEL OF AT LEAST ONE PERCENT OF THE TOTAL ANNUAL PREMIUM PAID TO MANAGED CARE PROVIDERS, OR THREE HUNDRED MILLION DOLLARS, WHICHEVER IS GREATER. IN ESTABLISHING THE MANNER IN WHICH TO MEASURE QUALITY AND DISTRIBUTE QUALITY INCENTIVE PROGRAM FUNDS, THE COMMISSIONER OF HEALTH SHALL ESTABLISH A METHODOLOGY THAT PROVIDES THE GREATEST LEVEL OF FUNDING TO MANAGED CARE PROVIDERS RECEIVING THE HIGH- EST QUALITY SCORES AND SHALL CONSULT WITH REPRESENTATIVES OF MANAGED CARE PROVIDERS AND OTHER KEY STAKEHOLDERS. § 2. Subdivision 8 of section 4403-f of the public health law, as amended by section 21 of part B of chapter 59 of the laws of 2016, is amended to read as follows: 8. Payment rates for managed long term care plan enrollees eligible for medical assistance. The commissioner shall establish payment rates for services provided to enrollees eligible under title XIX of the federal social security act. Such payment rates shall be subject to approval by the director of the division of the budget and shall reflect savings to both state and local governments when compared to costs which would be incurred by such program if enrollees were to receive compara- ble health and long term care services on a fee-for-service basis in the geographic region in which such services are proposed to be provided. EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted.