Assembly Bill A7636

Signed By Governor
2013-2014 Legislative Session

Directs the department of health to provide oversight of the transitioning of individuals to managed long term care operated by health maintenance organizations

download bill text pdf

Sponsored By

Archive: Last Bill Status Via S3912 - Signed by Governor

  • Introduced
    • In Committee Assembly
    • In Committee Senate
    • On Floor Calendar Assembly
    • On Floor Calendar Senate
    • Passed Assembly
    • Passed Senate
  • Delivered to Governor
  • Signed By Governor

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2013-A7636 (ACTIVE) - Details

See Senate Version of this Bill:
S3912
Law Section:
Public Health Law
Laws Affected:
Amd §4403-f, Pub Health L
Versions Introduced in 2011-2012 Legislative Session:
S7773

2013-A7636 (ACTIVE) - Summary

Directs the department of health to provide oversight of the transitioning of individuals to managed long term care plans operated by health maintenance organizations.

2013-A7636 (ACTIVE) - Bill Text download pdf 

                            
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                  7636

                       2013-2014 Regular Sessions

                          I N  A S S E M B L Y

                              May 29, 2013
                               ___________

Introduced  by  M.  of  A.  GOTTFRIED  --  read once and referred to the
  Committee on Health

AN ACT to amend the public health law, in relation to managed long  term
  care plans operated by health maintenance organizations

  THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:

  Section 1. Section 4403-f of the  public  health  law  is  amended  by
adding a new subdivision 11-a to read as follows:
  11-A.  IN  TRANSITIONING  INDIVIDUALS  TO  MANAGED LONG TERM CARE, THE
DEPARTMENT SHALL PROVIDE OVERSIGHT OF LONG TERM MANAGED CARE  BY  ENSUR-
ING:
  (A) PARTICIPANTS ARE APPROPRIATELY NOTIFIED OF THE UPCOMING CHANGES TO
THEIR HEALTH CARE, AND THEIR RIGHTS AND OPTIONS;
  (B)  ACCESS  TO APPROPRIATE ENROLLMENT ASSISTANCE, CONSUMER ASSISTANCE
AND COMPLAINT MECHANISMS;
  (C) ACCESS TO QUALITY  CARE  BY  REQUIRING  NETWORK  TRANSPARENCY  AND
CHOICE  OF  LONG  TERM  CARE PLANS, ALLOWING PATIENTS TO CHOOSE THE PLAN
THAT BEST FITS THEIR NEEDS;
  (D)  TRANSPARENCY  AND  ACCOUNTABILITY  FROM  PROVIDERS,  WHICH  SHALL
INCLUDE  A MECHANISM BY WHICH STAFF, PARTICIPANTS AND FAMILY MEMBERS CAN
CONFIDENTIALLY REPORT CONCERNS RELATING TO QUALITY TO THE PLAN  AND  THE
STATE;
  (E)  PLANS  AND  PROVIDERS  ARE  ASSESSED  PERIODICALLY  AND  DATA  IS
PUBLISHED REGARDING  ENROLLMENT  IN  INTEGRATED  CARE  DESIGNS,  NETWORK
ADEQUACY, NEW SERVICE DESIGNS, OUTCOME MEASURES, INCLUDING THE EXTENT TO
WHICH  CARE  PLANS ARE CONTINUED OR ALTERED BASED UPON NEW COMPREHENSIVE
ASSESSMENTS, AND THE TYPES AND AMOUNTS OF  SERVICES  HEALTH  PLANS  HAVE
AUTHORIZED;
  (F)  MECHANISMS  ARE  IN  PLACE  TO  STATE OVERSIGHT OF ENROLLMENT AND
SERVICES TO PREVENT WASTE AND  ABUSE  IN  THE  MANAGED  LONG  TERM  CARE
SYSTEM; AND

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD09297-04-3

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