S T A T E O F N E W Y O R K
________________________________________________________________________
9680
I N A S S E M B L Y
March 28, 2022
___________
Introduced by M. of A. GLICK -- read once and referred to the Committee
on Health
AN ACT to amend the social services law, in relation to authorizing
payments of medical assistance funds for long-term stays in large
residential mental health institutions
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. The social services law is amended by adding a new section
367-w to read as follows:
§ 367-W. PAYMENT FOR LARGE MENTAL HEALTH INSTITUTIONS. 1. FOR THE
PURPOSE OF THIS SECTION, "LARGE RESIDENTIAL MENTAL HEALTH INSTITUTION"
SHALL MEAN AN INSTITUTION FOR MENTAL DISEASES AS DEFINED BY 42 CFR §
435.1010.
2. THE COMMISSIONER MAY AUTHORIZE THE PAYMENT OF MEDICAL ASSISTANCE
FUNDS FOR LONG-TERM STAYS IN LARGE RESIDENTIAL MENTAL HEALTH INSTI-
TUTIONS. THE COMMISSIONER SHALL:
(A) ISSUE GUIDANCE ON THE ADMISSION TO LARGE RESIDENTIAL MENTAL HEALTH
INSTITUTIONS FOR BENEFICIARIES WHO ACCESS MENTAL HEALTH SERVICES UNDER
THE MEDICAL ASSISTANCE PROGRAM; AND
(B) DETERMINE MAXIMUM ALLOWABLE RATES FOR LARGE RESIDENTIAL MENTAL
HEALTH INSTITUTIONS BASED UPON THE MEDICAL ASSISTANCE PROGRAM FEE-FOR-
SERVICE INPATIENT RATES FOR THE SAME OR SIMILAR SERVICES, OR ANY OTHER
DATA DEEMED RELIABLE AND RELEVANT BY THE COMMISSIONER.
3. NOTWITHSTANDING SUBDIVISION TWO OF THIS SECTION, THE COMMISSIONER
SHALL ONLY AUTHORIZE THE PAYMENT OF MEDICAL ASSISTANCE FUNDS FOR LONG-
TERM STAYS IN LARGE RESIDENTIAL MENTAL HEALTH INSTITUTIONS IF FEDERAL
FINANCIAL PARTICIPATION IS AVAILABLE FOR MEDICAL ASSISTANCE EXPENDITURES
MADE PURSUANT TO SUCH SUBDIVISION.
4. WITHIN SIX MONTHS OF THE EFFECTIVE DATE OF THIS SECTION, THE
COMMISSIONER OF HEALTH SHALL PREPARE AND SUBMIT TO THE CENTERS FOR
MEDICARE AND MEDICAID SERVICES AN APPLICATION FOR A WAIVER, PURSUANT TO
SECTION 1115 OF THE SOCIAL SECURITY ACT, 42 USC 1315, TO ALLOW THE
PAYMENT OF MEDICAL ASSISTANCE FUNDS FOR LONG-TERM STAYS IN LARGE MENTAL
HEALTH INSTITUTION.
§ 2. This act shall take effect immediately.
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD14656-02-2