S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  6234--A
 
                        2017-2018 Regular Sessions
 
                           I N  A S S E M B L Y
 
                               March 1, 2017
                                ___________
 
 Introduced by M. of A. SKARTADOS, GIGLIO, PALMESANO, MONTESANO, WOERNER,
   BLANKENBUSH,  FITZPATRICK,  JENNE,  JONES -- read once and referred to
   the Committee on Health -- recommitted to the Committee on  Health  in
   accordance  with Assembly Rule 3, sec. 2 -- committee discharged, bill
   amended, ordered reprinted as amended and recommitted to said  commit-
   tee
 
 AN  ACT to amend the public health law, in relation to payments to rural
   hospitals designated as critical access hospitals
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Subdivision 2-a of section 2807 of the public health law is
 amended by adding a new paragraph (j) to read as follows:
   (J)  NOTWITHSTANDING  ANY  OTHER  PROVISION OF THIS SUBDIVISION OR ANY
 OTHER PROVISION OF LAW TO THE CONTRARY AND, SUBJECT TO AN  APPROPRIATION
 THEREFOR,  ON  AND  AFTER  APRIL  FIRST, TWO THOUSAND NINETEEN, RATES OF
 PAYMENT  FOR  DIAGNOSTIC  AND  TREATMENT  CENTER   SERVICES,   EMERGENCY
 SERVICES, GENERAL HOSPITAL INPATIENT AND OUTPATIENT SERVICES, AMBULATORY
 SURGICAL  SERVICES AND REFERRED AMBULATORY SERVICES, PROVIDED BY A RURAL
 HOSPITAL DESIGNATED AS A CRITICAL ACCESS  HOSPITAL  IN  ACCORDANCE  WITH
 TITLE  XVIII  OF  THE  FEDERAL SOCIAL SECURITY ACT SHALL BE EQUAL TO ONE
 HUNDRED ONE PERCENT OF THE REASONABLE COSTS OF A FACILITY  IN  PROVIDING
 SUCH  SERVICES TO PATIENTS ELIGIBLE FOR PAYMENTS MADE IN ACCORDANCE WITH
 THIS SUBDIVISION. REASONABLE COSTS  SHALL  BE  DETERMINED  IN  A  MANNER
 CONSISTENT  WITH  THAT USED TO DETERMINE PAYMENT FOR OUTPATIENT CRITICAL
 ACCESS HOSPITAL SERVICES PROVIDED TO BENEFICIARIES OF TITLE XVIII OF THE
 FEDERAL SOCIAL SECURITY ACT. FOR FACILITIES WITHOUT ADEQUATE COST  EXPE-
 RIENCE,  SUCH  RATES  SHALL  BE  BASED  ON  BUDGETED  COSTS SUBSEQUENTLY
 ADJUSTED TO ONE HUNDRED ONE PERCENT OF REASONABLE ACTUAL COSTS.
   § 2. This act shall take effect immediately; provided,  however,  that
 the implementation of the provisions of this act shall be subject to the
 appropriation of moneys specifically for the purposes thereof.
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
              

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