Assembly Actions -
Senate Actions - UPPERCASE
|Jan 03, 2024
referred to health
|May 19, 2023
referred to health
Senate Bill S7293
2023-2024 Legislative Session
Current Bill Status - In Senate Committee Health Committee
- In Committee Assembly
- On Floor Calendar Assembly
- Passed Assembly
- Delivered to Governor
- Signed By Governor
2023-S7293 (ACTIVE) - Details
2023-S7293 (ACTIVE) - Summary
Relates to the performance standards that must be met by managed long term care plans; enables managed long term care plans operated by organizations that also operate an Institutional Special Needs Plan (ISNP) or a PACE program, but not a Medicare Dual Eligible Special Needs Plan, to continue to meet managed long term care plans performance standards.
2023-S7293 (ACTIVE) - Sponsor Memo
BILL NUMBER: S7293 SPONSOR: RYAN TITLE OF BILL: An act to amend the public health law, in relation to the performance standards that must be met by managed long term care plans PURPOSE: The purpose of this bill is to enable managed long term care (MLTC) plans that operate a Medicare Advantage Institutional Special Needs Plan (ISNP)or a Program of All-Inclusive Care for the Elderly (PACE) program, but not a Medicare Advantage Dual Eligible Special Needs (DSNP), to continue to meet performance standards. The bill also removes from performance standards the offering of Child Health Plus and Basic Health Program products because those ò products are irrelevant to the delivery of integrated care for dual eligibles. SUMMARY OF PROVISIONS: Section one of the bill amends subdivision 6-a of section 4403-f of the
2023-S7293 (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 7293 2023-2024 Regular Sessions I N S E N A T E May 19, 2023 ___________ Introduced by Sen. RYAN -- 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 the performance standards that must be met by managed long term care plans THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Paragraph (a) of subdivision 6-a of section 4403-f of the public health law, as added by section 4 of part I of chapter 57 of the laws of 2023, is amended to read as follows: (a) On or before January first, two thousand twenty-four, each managed long term care plan that has been issued a certificate of authority pursuant to this section shall have an active INSTITUTIONAL SPECIAL NEEDS PLAN OR A Medicare Dual Eligible Special Needs Plan in operation whose H-contract either has a current quality star rating from the Centers for Medicare and Medicaid Services of three stars or higher, or has not been issued a quality star rating from the Centers for Medicare and Medicaid Services, OR A PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDER- LY (PACE). In addition, the managed long term care plan shall suffi- ciently demonstrate success in the following performance categories: (i) in addition to meeting the requirements of paragraph (j) of subdi- vision seven of this section, in order to ensure network adequacy a commitment to contracting with an adequate number of licensed home care service agencies needed to provide necessary personal care services to the greatest practicable number of enrollees, and with an adequate number of fiscal intermediaries needed to provide necessary consumer directed personal assistance services to the greatest practicable number of enrollees in accordance with section three hundred sixty-five-f of the social services law; (ii) readiness to timely implement and adhere to maximum wait time criteria for key categories of service in accordance with laws, rules EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD11574-01-3 S. 7293 2
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