Bill Text: NY A10184 | 2019-2020 | General Assembly | Introduced
Bill Title: Includes accountable care organizations within the definition of a managed care provider.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Introduced - Dead) 2020-03-24 - referred to health [A10184 Detail]
Download: New_York-2019-A10184-Introduced.html
STATE OF NEW YORK ________________________________________________________________________ 10184 IN ASSEMBLY March 24, 2020 ___________ Introduced by M. of A. GOTTFRIED -- read once and referred to the Committee on Health AN ACT to amend the social services law, in relation to including accountable care organizations within the definition of a managed care provider 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 364-j of the 2 social services law, as amended by chapter 649 of the laws of 1996, 3 subparagraph (i) as amended by section 35-a, subparagraph (ii) as 4 amended and subparagraph (iii) as added by section 77 of part A of chap- 5 ter 56 of the laws of 2013, is amended to read as follows: 6 (b) "Managed care provider". An entity that provides or arranges for 7 the provision of medical assistance services and supplies to partic- 8 ipants directly or indirectly (including by referral), including case 9 management; and: 10 (i) is authorized to operate under article forty-four of the public 11 health law or article forty-three of the insurance law and provides or 12 arranges, directly or indirectly (including by referral) for covered 13 comprehensive health services on a full capitation basis, including a 14 special needs managed care plan or comprehensive HIV special needs plan; 15 or 16 (ii) is authorized as a partially capitated program pursuant to 17 section three hundred sixty-four-f of this title or section forty-four 18 hundred three-e of the public health law or section 1915b of the social 19 security act; or 20 (iii) is authorized to operate under section forty-four hundred 21 three-g of the public health law[.]; or 22 (iv) is an accountable care organization under article twenty-nine-E 23 of the public health law. 24 § 2. Paragraph (b) of subdivision 1 of section 364-j of the social 25 services law, as amended by chapter 649 of the laws of 1996, subpara- 26 graph (i) as amended by section 35-a of part A of chapter 56 of the laws EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD15756-01-0A. 10184 2 1 of 2013, subparagraph (ii) as amended by chapter 433 of the laws of 2 1997, is amended to read as follows: 3 (b) "Managed care provider". An entity that provides or arranges for 4 the provision of medical assistance services and supplies to partic- 5 ipants directly or indirectly (including by referral), including case 6 management; and: 7 (i) is authorized to operate under article forty-four of the public 8 health law or article forty-three of the insurance law and provides or 9 arranges, directly or indirectly (including by referral) for covered 10 comprehensive health services on a full capitation basis, including a 11 special needs managed care plan or comprehensive HIV special needs plan; 12 or 13 (ii) is authorized as a partially capitated program pursuant to 14 section three hundred sixty-four-f of this title or section forty-four 15 hundred three-e of the public health law or section 1915b of the social 16 security act[.]; or 17 (iii) is an accountable care organization under article twenty-nine-E 18 of the public health law. 19 § 3. This act shall take effect one hundred eighty days after it shall 20 have become a law; provided, that the amendments to subparagraphs (ii) 21 and (iii) of paragraph (b) of section 364-j of the social services law 22 made by section one of this act shall be subject to the expiration and 23 reversion and repeal of such subparagraphs when upon such date the 24 provisions of section two of this act shall take effect; and provided 25 further that the amendments to section 364-j of the social services law 26 made by this act shall be subject to the expiration and repeal of such 27 section and shall expire and be deemed repealed therewith. Effective 28 immediately, the commissioner of health shall make regulations and take 29 other actions reasonably necessary to implement this act on that date.