Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Dec 22, 2023 |
vetoed memo.142 |
Dec 12, 2023 |
delivered to governor |
Jun 08, 2023 |
returned to senate passed assembly ordered to third reading rules cal.699 substituted for a5381 |
Jun 08, 2023 |
substituted by s6075 rules report cal.699 reported |
Jun 07, 2023 |
reported referred to rules |
Mar 21, 2023 |
reported referred to ways and means |
Mar 09, 2023 |
referred to health |
Assembly Bill A5381
Vetoed By Governor2023-2024 Legislative Session
Sponsored By
PAULIN
Current Bill Status Via S6075 - Vetoed by Governor
- Introduced
-
- In Committee Assembly
- In Committee Senate
-
- On Floor Calendar Assembly
- On Floor Calendar Senate
-
- Passed Assembly
- Passed Senate
- Vetoed By Governor
- Signed By Governor
Actions
Votes
co-Sponsors
Nader Sayegh
Juan Ardila
Manny De Los Santos
2023-A5381 (ACTIVE) - Details
2023-A5381 (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 5381 2023-2024 Regular Sessions I N A S S E M B L Y March 9, 2023 ___________ Introduced by M. of A. PAULIN, SAYEGH -- read once and referred to the Committee on Health AN ACT to amend the social services law, in relation to determination and approval of reimbursement rates for managed care providers under medicaid THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Paragraph (c) of subdivision 18 of section 364-j of the social services law, as added by section 55 of part B of chapter 57 of the laws of 2015, is amended to read as follows: (c) The department [of health] shall require the independent actuary selected pursuant to paragraph (b) of this subdivision to provide a complete actuarial memorandum, along with all actuarial assumptions made and all other data, materials and methodologies used in the development of rates, to managed care providers thirty days prior to submission of such rates to the centers for medicare and medicaid services for approval. THE ACTUARIAL MEMORANDUM SHALL INCLUDE (I) ANY ADDITIONAL MATERIALS SUBMITTED TO THE CENTERS FOR MEDICARE AND MEDICAID SERVICES INCLUDING ACTUARIAL CERTIFICATION LETTERS, (II) ANY CORRESPONDENCE BETWEEN THE STATE AND THE CENTERS FOR MEDICARE AND MEDICAID SERVICES RELATED TO THE RATES, (III) OTHER DATA, MATERIALS AND METHODOLOGIES CONSIDERED BUT NOT USED BY THE DEPARTMENT IN THE DEVELOPMENT OF THE RATES, AND (IV) ANY INFORMATION REQUIRED TO BE DISCLOSED TO MANAGED CARE PROVIDERS OR THE PUBLIC UNDER FEDERAL RULES. THE DEPARTMENT SHALL REQUIRE THE INDEPENDENT ACTUARY TO SEPARATELY IDENTIFY AND PRESENT IN A COLLECTIVE GROUP THE REQUIRED MATERIAL UNDER EACH APPLICABLE SUBPARA- GRAPH (I) THROUGH (IV) OF THIS PARAGRAPH. Managed care providers may request THAT THE DEPARTMENT AND ITS INDEPENDENT ACTUARY CONDUCT addi- tional review of the actuarial soundness of the rate setting process and/or methodology. PRIOR TO SUBMISSION OF RATES TO THE CENTERS FOR MEDICARE AND MEDICAID SERVICES FOR APPROVAL, THE DEPARTMENT SHALL EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD09075-01-3
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