Bill Text: NY A05986 | 2015-2016 | General Assembly | Amended
Bill Title: Authorizes the commissioner of health to apply for a medicaid reform demonstration waiver; creates an initiative to provide for a more efficient and effective medicaid services delivery system; sets forth a managed care pilot program and requires reporting to the governor, temporary president of the senate and speaker of the assembly by December 31, 2019.
Spectrum: Slight Partisan Bill (Democrat 3-1)
Status: (Introduced - Dead) 2016-01-25 - print number 5986a [A05986 Detail]
Download: New_York-2015-A05986-Amended.html
STATE OF NEW YORK ________________________________________________________________________ 5986--A 2015-2016 Regular Sessions IN ASSEMBLY March 9, 2015 ___________ Introduced by M. of A. SCHIMMINGER, LAVINE, MAGEE, GIGLIO -- read once and referred to the Committee on Health -- recommitted to the Commit- tee on Health in accordance with Assembly Rule 3, sec. 2 -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee AN ACT to amend the social services law, in relation to authorizing the commissioner of health to apply for a medicaid reform demonstration waiver The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Section 366 of the social services law is amended by adding 2 a new subdivision 6-b to read as follows: 3 6-b. a. The commissioner of health shall apply for a medicaid reform 4 demonstration waiver pursuant to section eleven hundred fifteen of the 5 federal social security act in order to create an initiative to provide 6 for a more efficient and effective medicaid services delivery system in 7 New York that empowers medicaid patients, bridges public and private 8 coverage, improves patient outcomes and stabilizes program costs. 9 b. The demonstration waiver shall include, but shall not be limited 10 to, the following components: 11 (i) A risk adjusted capitated managed care pilot program for recipi- 12 ents currently served in medicaid-fee-for service or medicaid managed 13 care that provides benefit plans that more closely resemble private 14 plans yet are actuarially equivalent to the current medicaid benefit 15 package. Risk adjusted capitation rates shall be separated into three 16 components to cover comprehensive care, catastrophic care and enhanced 17 services and may phase in financial risk for approved providers. Health 18 plans shall provide comprehensive care which shall cover all expenses 19 until a predetermined threshold of expenses is reached at which time the 20 catastrophic component shall take over. Health plans may choose to 21 assume the catastrophic risk for target populations they serve. The EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD09434-03-6
