Bill Text: NY S05020 | 2023-2024 | General Assembly | Amended
Bill Title: Directs the commissioner of health to provide authorizations to all fiscal intermediaries that timely submit a request for authorization prior to January 1, 2024; details information required for such authorizations; makes related provisions.
Spectrum: Partisan Bill (Democrat 10-0)
Status: (Introduced) 2024-01-03 - REFERRED TO HEALTH [S05020 Detail]
Download: New_York-2023-S05020-Amended.html
STATE OF NEW YORK ________________________________________________________________________ 5020--A 2023-2024 Regular Sessions IN SENATE February 21, 2023 ___________ Introduced by Sens. COMRIE, ADDABBO, BRESLIN, CLEARE, MARTINEZ, SALAZAR, SANDERS, SCARCELLA-SPANTON, SEPULVEDA -- read twice and ordered print- ed, and when printed to be committed to the Committee on Health -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee AN ACT to amend the social services law, in relation to certain authori- zations to fiscal intermediaries; and to repeal certain provisions of such law relating thereto 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 4-a of section 365-f of the 2 social services law, as amended by section 4 of part G of chapter 57 of 3 the laws of 2019, subparagraph (vi) as amended by section 1 of part LL 4 of chapter 57 of the laws of 2021, is amended to read as follows: 5 (b) [Notwithstanding any inconsistent provision of section one hundred6sixty-three of the state finance law, or section one hundred forty-two7of the economic development law the commissioner shall enter into8contracts under this subdivision with eligible contractors that submit9an offer for a contract, provided, however, that:10(i) the department shall post on its website:11(A) a description of the proposed services to be provided pursuant to12contracts in accordance with this subdivision;13(B) that the selection of contractors shall be based on criteria14reasonably related to the contractors' ability to provide fiscal inter-15mediary services including but not limited to: ability to appropriately16serve individuals participating in the program, geographic distribution17that would ensure access in rural and underserved areas, demonstrated18cultural and language competencies specific to the population of consum-19ers and those of the available workforce, ability to provide timely20consumer assistance, experience serving individuals with disabilities,21the availability of consumer peer support, and demonstrated complianceEXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD09732-02-3S. 5020--A 2 1with all applicable federal and state laws and regulations, including2but not limited to those relating to wages and labor;3(C) the manner by which prospective contractors may seek such4selection, which may include submission by electronic means;5(ii) all reasonable and responsive offers that are received from6prospective contractors in timely fashion shall be reviewed by the7commissioner;8(iii) the commissioner shall award such contracts to the contractors9that best meet the criteria for selection and are best suited to serve10the purposes of this section and the needs of consumers;11(iv) all entities providing fiscal intermediary services on or before12April first, two thousand nineteen, shall submit an offer for a contract13under this section within sixty days after the commissioner publishes14the initial offer on the department's website. Such entities shall be15deemed authorized to provide such services unless: (A) the entity fails16to submit an offer for a contract under this section within the sixty17days; or (B) the entity's offer for a contract under this section is18denied;19(v) all decisions made and approaches taken pursuant to this paragraph20shall be documented in a procurement record as defined in section one21hundred sixty-three of the state finance law; and22(vi) the commissioner is authorized to either reoffer contracts or23utilize the previous offer, to ensure that all provisions of this24section are met.] The commissioner shall provide authorizations under 25 this subdivision to all fiscal intermediaries that timely submit a 26 request for authorization prior to January first, two thousand twenty- 27 four, and meet the requirements of this section. No entity shall 28 provide, directly or through contract, fiscal intermediary services 29 without having received an authorization as a fiscal intermediary issued 30 by the commissioner in accordance with this subdivision, or that has a 31 pending authorization timely submitted and currently in processing, 32 review, appeal, or legal challenge. 33 (i) An application for authorization as a fiscal intermediary shall be 34 filed with the commissioner, together with such other forms and informa- 35 tion as shall be prescribed by, or acceptable to the commissioner. Such 36 information shall consist of the following: 37 (A) the name and employer identification number, of the entity, 38 including any subsidiary corporations, if applicable, and any name 39 under which the entity does business; 40 (B) all addresses at which the organization operates; 41 (C) the names, titles and contact information of all officers and 42 directors in a not-for-profit company or business, or managers in a 43 limited liability company, as well as the name and employment history of 44 the individual ultimately accountable for operation of the fiscal inter- 45 mediary; and for a not-for-profit entity, the number of director posi- 46 tions set by the company's by-laws, and how many are currently filled; 47 (D) a history of the organization, along with an overview of the 48 organization and all services it offers, including any relationships 49 with outside agencies that may influence in any way the ability of the 50 organization to provide fiscal intermediary services consistent with the 51 manner described in its application; 52 (E) all policies and procedures of the fiscal intermediary, including 53 any contracts or other documents used in communications with consumers; 54 (F) plans to solicit and consider input from the fiscal intermediary's 55 consumers, staff, personal assistants and other interested parties which 56 may be charged with roles including, but not limited to, quality assur-S. 5020--A 3 1 ance review, referral, program monitoring or development or establishing 2 and responding to community needs; such input may be in the form of a 3 board of directors, committee, survey, or other mechanism, provided that 4 the majority of input obtained as part of this process must be from 5 individual consumers and consumer advocates of the fiscal intermediary; 6 (G) the organization's plan to address the needs of consumers and 7 their personal assistants in a timely manner, regardless of where they 8 live, including, but not limited to, input from consumers, obtaining 9 physicals and other health information from personal assistants, obtain- 10 ing time records for payroll, and timely processing of payroll; and 11 (H) a written sworn statement by an officer of the entity disclosing 12 any pending litigation, unsatisfied judgments or penalties, convictions 13 for fraud or sanctions imposed by government authorities. 14 (ii) The entity shall reasonably promptly notify the department of any 15 change in the information submitted to the department for authorization 16 under this subdivision. 17 (iii) The commissioner shall not withhold approval of any application 18 for authorization that demonstrates the fiscal intermediary's ability to 19 provide fiscal intermediary services, in accordance with the manner 20 required by this subdivision and the rules and regulations hereunder. 21 All such applications shall be approved by the commissioner. 22 (iv) If the commissioner denies an application for authorization, he 23 or she shall include a narrative explanation of the reason or reasons 24 for its denial and provide the fiscal intermediary with sixty days to 25 submit additional information for reconsideration by the commissioner. 26 (v) The commissioner shall consider and evaluate any response received 27 by the fiscal intermediary before reaching a final determination, which 28 likewise shall be accompanied by a narrative explanation, if the appli- 29 cation is still denied. 30 (vi) All orders or determinations under this subdivision shall be 31 subject to review as provided in article seventy-eight of the civil 32 practice law and rules. 33 § 2. Subparagraphs (i) and (ii) of paragraph (a) of subdivision 4-a of 34 section 365-f of the social services law, as amended by section 3 of 35 part G of chapter 57 of the laws of 2019, the opening paragraph of 36 subparagraph (i) as amended by section 2 of part PP of chapter 57 of the 37 laws of 2022, are amended to read as follows: 38 (i) "Fiscal intermediary" means an entity that provides fiscal inter- 39 mediary services and has a contract for providing such services with 40 [the department of health and is selected through the procurement proc-41ess described in paragraphs (b), (b-1), (b-2) and (b-3) of this subdivi-42sion. Eligible applicants for contracts shall be entities that are capa-43ble of appropriately providing fiscal intermediary services, performing44the responsibilities of a fiscal intermediary, and complying with this45section, including but not limited to entities that]: 46 (A) [are a service center for independent living under section one47thousand one hundred twenty-one of the education law; or48(B) have been established as fiscal intermediaries prior to January49first, two thousand twelve and have been continuously providing such50services for eligible individuals under this section.] a local depart- 51 ment of social services; an organization licensed under article forty- 52 four of the public health law; or 53 (B) an accountable care organization certified under article twenty- 54 nine-E of the public health law or an integrated delivery system 55 composed primarily of health care providers recognized by the departmentS. 5020--A 4 1 as a performing provider system under the delivery system reform incen- 2 tive payment program. 3 (ii) Fiscal intermediary services shall include the following 4 services, performed on behalf of the consumer to facilitate his or her 5 role as the employer: 6 (A) wage and benefit processing for consumer directed personal assist- 7 ants; 8 (B) processing all income tax and other required wage withholdings; 9 (C) complying with workers' compensation, disability and unemployment 10 requirements; 11 (D) maintaining personnel records for each consumer directed personal 12 assistant, including time records and other documentation needed for 13 wages and benefit processing and a copy of the medical documentation 14 required pursuant to regulations established by the commissioner; 15 (E) ensuring that the health status of each consumer directed personal 16 assistant is assessed prior to service delivery pursuant to regulations 17 issued by the commissioner; 18 (F) maintaining records of service authorizations or reauthorizations; 19 (G) monitoring the consumer's or, if applicable, the designated repre- 20 sentative's continuing ability to fulfill the consumer's responsibil- 21 ities under the program and promptly notifying the authorizing entity of 22 any circumstance that may affect the consumer's or, if applicable, the 23 designated representative's ability to fulfill such responsibilities; 24 (H) complying with regulations established by the commissioner speci- 25 fying the responsibilities of fiscal intermediaries providing services 26 under this title; and 27 (I) entering into a department approved memorandum of understanding 28 with the consumer that describes the parties' responsibilities under 29 this program[; and30(J) other related responsibilities which may include, as determined by31the commissioner, assisting consumers to perform the consumers' respon-32sibilities under this section and department regulations in a manner33that does not infringe upon the consumer's responsibilities and self-di-34rection]. 35 § 3. Paragraphs (b-1), (b-2) and (b-3) of subdivision 4-a of section 36 365-f of the social services law are REPEALED. 37 § 4. Subdivision 4-b of section 365-f of the social services law, as 38 amended by section 8 of part G of chapter 57 of the laws of 2019, is 39 amended to read as follows: 40 4-b. Actions involving the authorization of a fiscal intermediary. 41 (a) [The department may terminate a fiscal intermediary's contract42under this section or suspend or limit the fiscal intermediary's rights43and privileges under the contract] A fiscal intermediary's authorization 44 may be revoked, suspended, limited or annulled upon thirty [day's] days' 45 written notice to the fiscal intermediary, if the commissioner finds 46 that the fiscal intermediary has failed to comply with the provisions of 47 this section or regulations promulgated hereunder. The written notice 48 shall include: 49 (i) A description of the conduct and the issues related thereto that 50 have been identified as failure of compliance; and 51 (ii) the time frame of the conduct that fails compliance. 52 (b) Notwithstanding the foregoing, upon determining that the public 53 health or safety would be imminently endangered by the continued opera- 54 tion or actions of the fiscal intermediary, the commissioner may [termi-55nate] revoke, suspend, limit or annul the fiscal intermediary's 56 [contract or suspend or limit the fiscal intermediary's rights and priv-S. 5020--A 5 1ileges under the contract] authorization immediately upon written 2 notice. 3 (c) All orders or determinations under this subdivision shall be 4 subject to review as provided in article seventy-eight of the civil 5 practice law and rules. 6 § 5. Paragraph (c) of subdivision 4-d of section 365-f of the social 7 services law, as added by section 7 of part G of chapter 57 of the laws 8 of 2019, is amended to read as follows: 9 (c) Where a fiscal intermediary is suspending or ceasing operation 10 pursuant to an order under subdivision four-b of this section, [or has11failed to submit an offer for a contract, or has been denied a contract12under this section,] all the provisions of this subdivision shall apply 13 except subparagraph (i) of paragraph (a) of this subdivision, notice of 14 which to all parties shall be provided by the department as appropriate. 15 § 6. Paragraph (d) of subdivision 4-d of section 365-f of the social 16 services law is REPEALED. 17 § 7. This act shall take effect immediately and shall be deemed to 18 have been in full force and effect on and after April 1, 2023.