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 |
May 31, 2023 |
referred to ways and means delivered to assembly passed senate |
May 15, 2023 |
advanced to third reading |
May 10, 2023 |
2nd report cal. |
May 09, 2023 |
1st report cal.856 |
Mar 28, 2023 |
referred to health |
Senate Bill S6075
Vetoed By Governor2023-2024 Legislative Session
Sponsored By
(D) 42nd Senate District
Current Bill Status - 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
(D, WF) 48th Senate District
(D, WF) 52nd Senate District
2023-S6075 (ACTIVE) - Details
2023-S6075 (ACTIVE) - Sponsor Memo
BILL NUMBER: S6075 SPONSOR: SKOUFIS TITLE OF BILL: An act to amend the social services law, in relation to determination and approval of reimbursement rates for managed care providers under medicaid PURPOSE OR GENERAL IDEA OF BILL: To increase transparency and promptness in the annual capitated rate development process for Medicaid managed care plans and allow the plans to preview and request actuarial review of the rates. SUMMARY OF SPECIFIC PROVISIONS: The bill amends Social Services Law Sections one and two amend § 364- j(18)(c) and (f) to add more detail to the existing disclosure required of the Department of Health (DOH) to plans before submitting rates to the Center for Medicare and Medicaid
2023-S6075 (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 6075 2023-2024 Regular Sessions I N S E N A T E March 28, 2023 ___________ Introduced by Sen. SKOUFIS -- read twice and ordered printed, and when printed to be committed 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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