Bill Text: NY A00414 | 2015-2016 | General Assembly | Amended


Bill Title: Relates to prohibiting ownership or control of managed long term care plans by health maintenance organizations or insurers.

Spectrum: Partisan Bill (Democrat 12-0)

Status: (Introduced - Dead) 2016-05-23 - amended on third reading 414c [A00414 Detail]

Download: New_York-2015-A00414-Amended.html


                STATE OF NEW YORK
        ________________________________________________________________________
                                         414--C
                                                                Cal. No. 635
                               2015-2016 Regular Sessions
                   IN ASSEMBLY
                                       (Prefiled)
                                     January 7, 2015
                                       ___________
        Introduced  by  M.  of  A. GOTTFRIED, ROSENTHAL, JAFFEE, STECK, SCHIMEL,
          HOOPER -- Multi-Sponsored by -- M.  of  A.  ABINANTI,  BRENNAN,  COOK,
          FARRELL, GUNTHER, TITONE -- read once and referred to the Committee on
          Health  -- reported and referred to the Committee on Ways and Means --
          committee discharged, bill amended, ordered reprinted as  amended  and
          recommitted  to said committee -- reported from committee, advanced to
          a third reading, amended and ordered reprinted, retaining its place on
          the order of third reading -- recommitted to the Committee  on  Health
          in accordance with Assembly Rule 3, sec. 2 -- reported and referred to
          the  Committee  on Ways and Means -- reported from committee, advanced
          to a third reading, amended and ordered reprinted, retaining its place
          on the order of third reading
        AN ACT to amend the public health law, in relation to managed long  term
          care  plans not being controlled or owned by for-profit health mainte-
          nance organizations or insurers
          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:
     1    Section  1.  Paragraph  (b)  of subdivision 1 of section 4403-f of the
     2  public health law, as added by chapter 659  of  the  laws  of  1997,  is
     3  amended to read as follows:
     4    (b) "Eligible applicant" means an entity controlled or wholly owned by
     5  one  or  more of the following: a hospital as defined in subdivision one
     6  of section twenty-eight hundred one of this chapter; a home care  agency
     7  licensed  or  certified  pursuant to article thirty-six of this chapter;
     8  [an] a not-for-profit entity that has received a certificate of authori-
     9  ty pursuant to sections forty-four  hundred  three,  forty-four  hundred
    10  three-a or an integrated delivery system that has received a certificate
    11  of  authority  pursuant  to  section  forty-four hundred eight-a of this
    12  article (as added by chapter six hundred  thirty-nine  of  the  laws  of
    13  nineteen  hundred  ninety-six),  or  a not-for-profit health maintenance
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD02424-08-6

        A. 414--C                           2
     1  organization authorized under article forty-three of the insurance  law;
     2  or  a  not-for-profit  organization  which has a history of providing or
     3  coordinating health care services and long term  care  services  to  the
     4  elderly  and  disabled.    However,  an entity owned or controlled by an
     5  entity that has received a certificate of authority pursuant to  section
     6  forty-four  hundred  three or forty-four hundred three-a of this article
     7  and has received a certificate of authority under this section prior  to
     8  the  effective  date  of  the chapter of law which enacted this sentence
     9  shall be deemed to be an eligible applicant.
    10    § 2. This act shall take effect immediately; provided,  however,  that
    11  the  amendments  to  section  4403-f  of  the  public health law made by
    12  section one of this act shall not affect the repeal of such section  and
    13  shall be deemed repealed therewith.
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