Bill Text: NY S05662 | 2017-2018 | General Assembly | Amended


Bill Title: Establishes the rate of medical assistance payments for care to recipients in hospice residences.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Vetoed) 2017-12-18 - VETOED MEMO.230 [S05662 Detail]

Download: New_York-2017-S05662-Amended.html


                STATE OF NEW YORK
        ________________________________________________________________________
                                         5662--A
                               2017-2018 Regular Sessions
                    IN SENATE
                                     April 24, 2017
                                       ___________
        Introduced  by  Sen. VALESKY -- read twice and ordered printed, and when
          printed to be committed to the Committee on Health -- reported favora-
          bly from said committee and committed to the Committee on  Finance  --
          committee  discharged,  bill amended, ordered reprinted as amended and
          recommitted to said committee
        AN ACT to amend the public health law, in relation to medical assistance
          payments for care in hospice residences
          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:
     1    Section  1. Section 4012 of the public health law is amended by adding
     2  a new subdivision 5 to read as follows:
     3    5. (a) Medicaid payments to hospice residences shall be in  an  amount
     4  equal  to ninety-four percent of the weighted average medical assistance
     5  fee for service rate reimbursed to residential  health  care  facilities
     6  located  in the managed long term care region that the hospice residence
     7  is located. Such average medical assistance rate shall be  inclusive  of
     8  specialty  units, the room and board furnished by the hospice residence,
     9  cash receipts assessments and the case mix  of  the  residential  health
    10  care  facilities  located in the managed long term care region that such
    11  hospice is located. Such average medical assistance rate shall  also  be
    12  inclusive  of  an  efficiency  factor of 1.1 multiplied by such weighted
    13  average rate; recruitment and retention monies; and any adjustments made
    14  for minimum wage, as such adjustments are  applied  to  the  residential
    15  health  care  facilities located in the managed long term care region in
    16  which the hospice residence is located.
    17    (b) Under no circumstances shall the  rates  established  pursuant  to
    18  this  subdivision  be  less than the rates established for hospice resi-
    19  dences in effect on the effective date of this subdivision  and  managed
    20  care  organizations  shall  reimburse hospice residences the rate estab-
    21  lished pursuant to this subdivision for a period of at least five  years
    22  from  the  date hospice residents are transitioned to managed care. Such
    23  reimbursement shall be known as the hospice residence benchmark rate.
    24    § 2. This act shall take effect January 1, 2018.
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD11121-02-7
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