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

                                  5878

                       2015-2016 Regular Sessions

                            I N  S E N A T E

                              June 10, 2015
                               ___________

Introduced  by  Sen.  HANNON -- read twice and ordered printed, and when
  printed to be committed to the Committee on Rules

AN ACT to amend the public health law, in relation to  rebasing  of  the
  episodic reimbursement methodology for certified home health agencies

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

  Section 1. Paragraph (b) of subdivision 13  of  section  3614  of  the
public  health law, as added by section 4 of part H of chapter 59 of the
laws of 2011, is amended to read as follows:
  (b) Initial base year episodic payments shall  be  based  on  Medicaid
paid  claims,  as determined and adjusted by the commissioner to achieve
savings comparable to the prior state fiscal year, for services provided
by all certified home health agencies in  the  base  year  two  thousand
nine.  Subsequent  base  year episodic payments may be based on Medicaid
paid claims for services provided by all certified home health  agencies
in  a  base  year  subsequent to two thousand nine, as determined by the
commissioner, provided, however, that such base year adjustment shall be
made not less frequently than every three years;  AND  PROVIDED  FURTHER
THAT,  FOR  THE  PERIOD  APRIL FIRST, TWO THOUSAND FIFTEEN THROUGH MARCH
THIRTY-FIRST, TWO THOUSAND SIXTEEN, THE  STATEWIDE  NEGATIVE  IMPACT  ON
TOTAL EPISODIC PAYMENTS RESULTING FROM THE BASE YEAR ADJUSTMENT REQUIRED
UNDER THIS PARAGRAPH SHALL IN NO EVENT EXCEED THIRTY MILLION DOLLARS. In
determining  case  mix,  each patient shall be classified using a system
based on measures which may include, but not limited  to,  clinical  and
functional  measures,  as reported on the federal Outcome and Assessment
Information Set (OASIS), as may be amended.
  S 2. This act shall take effect immediately and  shall  be  deemed  to
have been in full force and effect on and after April 1, 2015.


 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD11587-01-5