senate Bill S4965

2021-2022 Legislative Session

Relates to automatic enrollment and recertification simplification for Medicaid eligible recipients

download bill text pdf

Sponsored By

Current Bill Status - Passed Senate


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

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Actions

view actions (7)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jun 07, 2021 referred to ways and means
delivered to assembly
passed senate
May 19, 2021 advanced to third reading
May 12, 2021 2nd report cal.
May 11, 2021 1st report cal.1037
Feb 19, 2021 referred to health

Co-Sponsors

S4965 (ACTIVE) - Details

See Assembly Version of this Bill:
A155
Law Section:
Public Health Law
Laws Affected:
Amd §4403-f, Pub Health L; amd §366-a, Soc Serv L
Versions Introduced in 2019-2020 Legislative Session:
S7523, A9017

S4965 (ACTIVE) - Summary

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

S4965 (ACTIVE) - Sponsor Memo

S4965 (ACTIVE) - Bill Text download pdf

 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   4965
 
                        2021-2022 Regular Sessions
 
                             I N  S E N A T E
 
                             February 19, 2021
                                ___________
 
 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 (iv)  to  read
 as follows:
   (IV) WHERE A PERSON DETERMINED ELIGIBLE FOR MEDICAID ("MEDICAID RECIP-
 IENT") HAS BEEN DETERMINED BY THE COMMISSIONER OR HIS OR HER DESIGNEE TO
 REQUIRE  COMMUNITY-BASED LONG TERM CARE SERVICES FOR MORE THAN A CONTIN-
 UOUS 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 COMMIS-
 SIONER 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 SUBPARA-
 GRAPH 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.
   §  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.

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