senate Bill S2117

2021-2022 Legislative Session

Relates to rates of payment for certified home health agencies

download bill text pdf

Sponsored By

Current Bill Status - In Senate Committee Health Committee


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

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Actions

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Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jan 19, 2021 referred to health

Co-Sponsors

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S2117 (ACTIVE) - Details

See Assembly Version of this Bill:
A293
Current Committee:
Senate Health
Law Section:
Public Health Law
Laws Affected:
Amd §3614, add §3614-f, Pub Health L
Versions Introduced in 2019-2020 Legislative Session:
S5915, A7798

S2117 (ACTIVE) - Summary

Provides increases in the rates of payment for certified home health agencies, directs the commissioner of health to establish minimum standards and a minimum benchmark for home care service payments by any Medicaid payor.

S2117 (ACTIVE) - Sponsor Memo

S2117 (ACTIVE) - Bill Text download pdf

 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   2117
 
                        2021-2022 Regular Sessions
 
                             I N  S E N A T E
 
                             January 19, 2021
                                ___________
 
 Introduced by Sens. RIVERA, HOYLMAN, SAVINO, SEPULVEDA, STAVISKY -- 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-ONE, 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  TWENTY-ONE  AND  AFTER, THE COMMISSIONER IS AUTHORIZED TO INCREASE
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.

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