NY State Senate Bill 2019-S5485A

Senate Bill S5485A

Vetoed By Governor

2019-2020 Legislative Session

Relates to automatic enrollment and recertification simplification for Medicaid eligible recipients

download bill text pdf

Archive: Last Bill Status - Vetoed by Governor

Introduced
- In Committee Assembly
- In Committee Senate
- On Floor Calendar Assembly
- On Floor Calendar Senate
- Passed Assembly
- Passed Senate
Vetoed By Governor
Signed By Governor

Please enter your contact information

First Name

Last Name

Email Address

A valid email address is required.

Home address is used to determine the senate district in which you reside. Your support or opposition to this bill is then shared immediately with the senator who represents you.

Optional services from the NY State Senate:

Create an account. An account allows you to officially support or oppose key legislation, sign petitions with a single click, and follow issues, committees, and bills that matter to you. When you create an account, you agree to this platform's terms of participation.

Include a custom message for your Senator? (Optional)

Enter a message to your senator. Many New Yorkers use this to share the reasoning behind their support or opposition to the bill. Others might share a personal anecdote about how the bill would affect them or people they care about.

Actions

View Actions

	Assembly Actions - Lowercase Senate Actions - UPPERCASE
Dec 06, 2019	vetoed memo.183
Nov 26, 2019	delivered to governor
Jun 20, 2019	returned to senate passed assembly ordered to third reading rules cal.552 substituted for a7578a
Jun 14, 2019	referred to ways and means delivered to assembly passed senate
Jun 11, 2019	amended on third reading 5485a
Jun 04, 2019	advanced to third reading
Jun 03, 2019	2nd report cal.
May 30, 2019	1st report cal.1107
May 02, 2019	referred to health

Votes

- Jun 14, 2019 - Floor Vote
  S5485A
  
  62
  
  Aye
  
  0
  
  Nay
  
  0
  
  Absent
  
  0
  
  Excused
  
  0
  
  Abstained
  - - Floor Vote: Jun 14, 2019
      
      aye (62)
      
      Addabbo Jr.
      
      Akshar
      
      Amedore
      
      Antonacci
      
      Bailey
      
      Benjamin
      
      Biaggi
      
      Boyle
      
      Breslin
      
      Brooks
      
      Carlucci
      
      Comrie
      
      Felder
      
      Flanagan
      
      Funke
      
      Gallivan
      
      Gaughran
      
      Gianaris
      
      Gounardes
      
      Griffo
      
      Harckham
      
      Helming
      
      Hoylman-Sigal
      
      Jackson
      
      Jacobs
      
      Jordan
      
      Kaminsky
      
      Kaplan
      
      Kavanagh
      
      Kennedy
      
      Krueger
      
      LaValle
      
      Lanza
      
      Little
      
      Liu
      
      Martinez
      
      May
      
      Mayer
      
      Metzger
      
      Montgomery
      
      Myrie
      
      O'Mara
      
      Ortt
      
      Parker
      
      Persaud
      
      Ramos
      
      Ranzenhofer
      
      Ritchie
      
      Rivera
      
      Robach
      
      Salazar
      
      Sanders Jr.
      
      Savino
      
      Sepúlveda
      
      Serino
      
      Serrano
      
      Seward
      
      Skoufis
      
      Stavisky
      
      Stewart-Cousins
      
      Tedisco
      
      Thomas
  May 30, 2019 - Health Committee Vote
  S5485A
  
  14
  
  Aye
  
  0
  
  Nay
  
  1
  
  Aye with Reservations
  
  0
  
  Absent
  
  0
  
  Excused
  
  0
  
  Abstained
  - - Health Committee Vote: May 30, 2019
      
      aye (14)
      
      Benjamin
      
      Biaggi
      
      Carlucci
      
      Gallivan
      
      Hoylman-Sigal
      
      Jacobs
      
      Kaminsky
      
      Little
      
      Metzger
      
      Montgomery
      
      Ritchie
      
      Rivera
      
      Salazar
      
      Stavisky
      
      aye wr (1)
      
      Antonacci

Bill Amendments

Original

A (Active)

2019-S5485 - Details

See Assembly Version of this Bill:: A7578
Law Section:: Public Health Law
Laws Affected:: Amd §4403-f, Pub Health L; amd §366-a, Soc Serv L

2019-S5485 - Summary

Provides for automatic enrollment and recertification simplification for Medicaid managed care plans and long term care plans.

2019-S5485 - Sponsor Memo

                                
 
BILL NUMBER: S5485

SPONSOR: RIVERA
 
TITLE OF BILL:  An act to amend the public health law and the social
services law, in relation to automatic enrollment and recertification
simplification for Medicaid eligible recipients

 
PURPOSE OR GENERAL IDEA OF BILL:

to shorten and simplify Medicaid long term care eligibility processes.

 
SUMMARY OF SPECIFIC PROVISIONS:

Section 1 amends Public Health Law § 4403-f to enable auto-assignment in
a managed long term care plan when a person determined to be eligible
has not chosen a plan within the first 75 days of eligibility, and
extends that eligibility if auto-assignment is not completed within 75th
days.

Sections 2 and 3 amend Social Services Law § 366-a to make the Medicaid
recertification process less burdensome and error-prone by allowing

attestation of resources that are unchanged or have diminished, and
providing automatic recertification for Managed Long Term Care (MLTC)
enrollees, mainstream managed care members receiving personal care
services, enrollees in the Aged, Blind, and Disabled Category without
excess income and Medicare Savings Program recipients.

 
JUSTIFICATION:

People who have successfully applied for Medicaid in order to enroll in
a MLTC plan face many hurdles and delays before they are effectively
enrolled. First, an in-home eligibility assessment by a nurse can take
several weeks to schedule and this assessment is valid for only 75 days.
After that assessment is completed, the Medicaid recipient will schedule
in-home assessments with prospective MLTC plans to determine the level
of care each will provide. It can take several weeks to schedule and
complete those visits. Once the recipient agrees to a plan, the plan
will process enrollment, which is effective either the first of the
following month, or, if it is already after the 18th, effective the
first of the month after the following month. If 75 days have lapsed at
this point, the process restarts at the beginning, resulting in care
delays.

Currently, Medicaid recipients complete a mail renewal form, attesting
to their income, once a year in order to continue to receive health care
coverage. This is true even if the recipient is on a fixed income. The
recertification process is so prone to errors that it frequently results
in a discontinuance of eligibility. The recipient may not receive the
discontinuance notice on time or at all, or may not be able to request a
fair hearing within 10 days, which automatically triggers dis-enroll-
ment. In 2011, the Medicaid program recognized the problems and initi-
ated a demonstration program to automate renewals for Aged, Blind and
Disabled Medicaid recipients with fixed incomes. This bill extends the
benefits of that demonstration to the rest of the program.

 
PRIOR LEGISLATIVE HISTORY:

New bill

 
FISCAL IMPLICATIONS:

None

 
EFFECTIVE DATE:
180 days after enactment.

2019-S5485 - Bill Text download pdf

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   5485
 
                        2019-2020 Regular Sessions
 
                             I N  S E N A T E
 
                                May 2, 2019
                                ___________
 
 Introduced  by  Sen.  RIVERA -- read twice and ordered printed, and when
   printed to be committed to the Committee on Health
 
 AN ACT to amend the public health law and the social  services  law,  in
   relation  to  automatic  enrollment and recertification simplification
   for Medicaid eligible recipients

   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1.  Paragraph  (b)  of subdivision 7 of section 4403-f of the
 public health law is amended by adding a new subparagraph (iii) to  read
 as follows:
   (III)  WHERE  A  PERSON  DETERMINED  ELIGIBLE  FOR MEDICAID ("MEDICAID
 RECIPIENT") HAS BEEN DETERMINED BY THE COMMISSIONER OR HIS OR HER DESIG-
 NEE TO REQUIRE COMMUNITY-BASED LONG TERM CARE SERVICES FOR MORE THAN ONE
 HUNDRED TWENTY DAYS, AND THE MEDICAID RECIPIENT  HAS  NOT  SELECTED  AND
 ENROLLED  IN  A MANAGED LONG TERM CARE PLAN PRIOR TO ANY EXPIRATION DATE
 OF SUCH DETERMINATION OF NEED FOR LONG TERM CARE, AFTER  BEING  PROVIDED
 WITH  INFORMATION  TO  MAKE  AN  INFORMED CHOICE, THE COMMISSIONER SHALL
 ASSIGN THE RECIPIENT TO A MANAGED  LONG  TERM  CARE  PLAN,  TAKING  INTO
 ACCOUNT  CONSISTENCY  WITH ANY PRIOR COMMUNITY-BASED DIRECT CARE WORKERS
 HAVING RECENTLY SERVED  THE  RECIPIENT,  QUALITY  PERFORMANCE  CRITERIA,
 CAPACITY,  AND  GEOGRAPHIC  ACCESSIBILITY.   THE COMMISSIONER MAY ASSIGN
 PARTICIPANTS PURSUANT TO SUCH CRITERIA ON A WEIGHTED BASIS.  A RECIPIENT
 ASSIGNED TO A MANAGED LONG TERM CARE PLAN UNDER THIS SUBPARAGRAPH  SHALL
 BE  DEEMED  TO  HAVE  BEEN  DETERMINED  TO BE IN NEED FOR LONG TERM CARE
 SERVICES FOR MORE THAN ONE  HUNDRED  TWENTY  DAYS  AND  ELIGIBLE  TO  BE
 ENROLLED IN A MANAGED LONG TERM CARE PLAN.
   §  2.  Paragraph  (b)  of subdivision 2 of section 366-a of the social
 services law, as added by section 51 of part A of chapter 1 of the  laws
 of 2002, is amended to read as follows:
   (b)  Notwithstanding  the provisions of paragraph (a) of this subdivi-
 sion, an applicant or recipient may attest to the amount of his  or  her
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.

                                                            LBD11182-02-9

 S. 5485                             2
 
 accumulated  resources,  unless  such  applicant or recipient is seeking
 medical assistance payment for long term care  services  FOR  THE  FIRST
 TIME.  A  RECIPIENT  WHO HAS ALREADY PROVIDED DOCUMENTATION OF RESOURCES
 MAY ATTEST TO THE AMOUNT OF ACCUMULATED RESOURCES IF IT HAS REMAINED THE
 SAME  OR IS LESS THAN THE AMOUNT ORIGINALLY DOCUMENTED.  For purposes of
 this paragraph, long term care  services  shall  mean  care,  treatment,
 maintenance,  and services described in paragraph (b) of subdivision [1]
 ONE of section three hundred  sixty-seven-f  of  this  title,  with  the
 exception  of  short term rehabilitation, as defined by the commissioner
 of health.
   § 3. Paragraph (d) of subdivision 5 of section  366-a  of  the  social
 services  law,  as  amended by section 12 of part D of chapter 56 of the
 laws of 2013, is relettered paragraph (e) and three new paragraphs  (f),
 (g) and (h) are added to read as follows:
   (F)  NOTWITHSTANDING  PARAGRAPH (B) OF SUBDIVISION TWO OF THIS SECTION
 AND PARAGRAPHS (A), (B), (C) AND (D) OF THIS SUBDIVISION, THE  FOLLOWING
 RECIPIENTS  WILL  BE  RECERTIFIED AUTOMATICALLY, UNLESS THERE HAS BEEN A
 FINDING OF LACK OF ELIGIBILITY FOR MEDICAID:
   (I) ENROLLEES IN MEDICAID MANAGED LONG TERM CARE PLANS AS  DEFINED  IN
 SECTION FORTY-FOUR HUNDRED THREE-F OF THE PUBLIC HEALTH LAW;
   (II)  ENROLLEES  IN  MEDICAID MANAGED CARE PLANS AS DEFINED IN SECTION
 THREE HUNDRED SIXTY-FOUR-J OF  THIS  TITLE  WHO  RECEIVE  PERSONAL  CARE
 SERVICES  PURSUANT  TO PARAGRAPH (E) OF SUBDIVISION TWO OF SECTION THREE
 HUNDRED SIXTY-FIVE-A OF THIS TITLE OR CONSUMER DIRECTED PERSONAL ASSIST-
 ANCE SERVICES PURSUANT TO SECTION THREE  HUNDRED  SIXTY-FIVE-F  OF  THIS
 TITLE;
   (III)  ENROLLEES  RECEIVING  MEDICAID  IN THE AGED, BLIND AND DISABLED
 CATEGORY WHO RECEIVE FIXED INCOME  FROM  THE  SOCIAL  SECURITY  ADMINIS-
 TRATION (SSA); AND
   (IV) MEDICARE SAVINGS PROGRAM (MSP) RECIPIENTS WHO HAVE A FIXED INCOME
 FROM THE SOCIAL SECURITY ADMINISTRATION (SSA).
   (G)  NOTHING  IN PARAGRAPH (E) OF THIS SUBDIVISION SHOULD BE CONSTRUED
 TO ALTER A MEDICAID RECIPIENT'S OBLIGATION TO INFORM THE PUBLIC  WELFARE
 DISTRICT  OF CHANGES IN INCOME OR OTHER FACTORS THAT MIGHT IMPACT ELIGI-
 BILITY PURSUANT TO SUBDIVISION FOUR OF THIS SECTION.
   (H) UPON A FINDING OF LACK OF ELIGIBILITY,  RECIPIENTS  IDENTIFIED  IN
 PARAGRAPH (E) OF THIS SUBDIVISION WILL BE ENTITLED TO NOTICE AND HEARING
 RIGHTS AS PROVIDED IN SECTION TWENTY-TWO OF THIS CHAPTER.
   § 4. This act shall take effect on the one hundred eightieth day after
 it  shall  have  become a law; provided that the amendments to paragraph
 (b) of subdivision 7 of section 4403-f of the public health law made  by
 section one of this act shall be subject to the expiration and reversion
 of  such paragraph and shall expire and be deemed repealed therewith and
 provided further that such amendments shall not  affect  the  repeal  of
 such  section  and shall expire and be deemed repealed therewith. Effec-
 tive immediately, the commissioner of health shall make regulations  and
 take  other  actions  reasonably necessary to implement this act on that
 date.

2019-S5485A (ACTIVE) - Details

See Assembly Version of this Bill:: A7578
Law Section:: Public Health Law
Laws Affected:: Amd §4403-f, Pub Health L; amd §366-a, Soc Serv L

2019-S5485A (ACTIVE) - Summary

Provides for automatic enrollment and recertification simplification for Medicaid managed care plans and long term care plans.

2019-S5485A (ACTIVE) - Sponsor Memo

                                
 
BILL NUMBER: S5485A

SPONSOR: RIVERA
 
TITLE OF BILL:  An act to amend the public health law and the social
services law, in relation to automatic enrollment and recertification
simplification for Medicaid eligible recipients

 
PURPOSE OR GENERAL IDEA OF BILL:

to shorten and simplify Medicaid long term care eligibility processes.

 
SUMMARY OF SPECIFIC PROVISIONS:

Section 1 amends Public Health Law § 4403-f to enable auto-assignment in
a managed long term care plan when a person determined to be eligible
has not chosen a plan within the first 75 days of eligibility, and
extends that eligibility if auto-assignment is not completed within 75th
days.

Sections 2 and 3 amend Social Services Law § 366-a to make the Medicaid
recertification process less burdensome and error-prone by allowing

attestation of resources that are unchanged or have diminished, and
providing automatic recertification for Managed Long Term Care (MLTC)
enrollees, mainstream managed care members receiving personal care
services, enrollees in the Aged, Blind, and Disabled Category without
excess income and Medicare Savings Program recipients.

 
JUSTIFICATION:

People who have successfully applied for Medicaid in order to enroll in
a MLTC plan face many hurdles and delays before they are effectively
enrolled. First, an in-home eligibility assessment by a nurse can take
several weeks to schedule and this assessment is valid for only 75 days.
After that assessment is completed, the Medicaid recipient will schedule
in-home assessments with prospective MLTC plans to determine the level
of care each will provide. It can take several weeks to schedule and
complete those visits. Once the recipient agrees to a plan, the plan
will process enrollment, which is effective either the first of the
following month, or, if it is already after the 18th, effective the
first of the month after the following month. If 75 days have lapsed at
this point, the process restarts at the beginning, resulting in care
delays.

Currently, Medicaid recipients complete a mail renewal form, attesting
to their income, once a year in order to continue to receive health care
coverage. This is true even if the recipient is on a fixed income. The
recertification process is so prone to errors that it frequently results
in a discontinuance of eligibility. The recipient may not receive the
discontinuance notice on time or at all, or may not be able to request a
fair hearing within 10 days, which automatically triggers dis-enroll-
ment. In 2011, the Medicaid program recognized the problems and initi-
ated a demonstration program to automate renewals for Aged, Blind and
Disabled Medicaid recipients with fixed incomes. This bill extends the
benefits of that demonstration to the rest of the program.

 
PRIOR LEGISLATIVE HISTORY:

New bill

 
FISCAL IMPLICATIONS:

None

 
EFFECTIVE DATE:
180 days after enactment.

2019-S5485A (ACTIVE) - Bill Text download pdf

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  5485--A
     Cal. No. 1107
 
                        2019-2020 Regular Sessions
 
                             I N  S E N A T E
 
                                May 2, 2019
                                ___________
 
 Introduced  by  Sen.  RIVERA -- read twice and ordered printed, and when
   printed to be committed to the Committee on Health -- reported favora-
   bly from said committee, ordered to first and second  report,  ordered
   to a third reading, amended and ordered reprinted, retaining its place
   in the order of third reading

 AN  ACT  to  amend the public health law and the social services law, in
   relation to automatic enrollment  and  recertification  simplification
   for Medicaid eligible recipients
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Paragraph (b) of subdivision 7 of  section  4403-f  of  the
 public  health law is amended by adding a new subparagraph (iii) to read
 as follows:
   (III) WHERE A  PERSON  DETERMINED  ELIGIBLE  FOR  MEDICAID  ("MEDICAID
 RECIPIENT") HAS BEEN DETERMINED BY THE COMMISSIONER OR HIS OR HER DESIG-
 NEE  TO  REQUIRE COMMUNITY-BASED LONG TERM CARE SERVICES FOR MORE THAN A
 CONTINUOUS PERIOD OF ONE HUNDRED TWENTY DAYS, AND THE MEDICAID RECIPIENT
 HAS NOT SELECTED AND ENROLLED IN A MANAGED LONG TERM CARE PLAN PRIOR  TO
 ANY  EXPIRATION  DATE  OF SUCH DETERMINATION OF NEED FOR LONG TERM CARE,
 AFTER BEING PROVIDED WITH INFORMATION TO MAKE AN  INFORMED  CHOICE,  THE
 COMMISSIONER  SHALL  ASSIGN  THE  RECIPIENT  TO A MANAGED LONG TERM CARE
 PLAN, TAKING INTO ACCOUNT CONSISTENCY  WITH  ANY  PRIOR  COMMUNITY-BASED
 DIRECT  CARE  WORKERS  HAVING  RECENTLY  SERVED  THE  RECIPIENT, QUALITY
 PERFORMANCE CRITERIA,  CAPACITY,  AND  GEOGRAPHIC  ACCESSIBILITY.    THE
 COMMISSIONER  MAY  ASSIGN  PARTICIPANTS  PURSUANT  TO SUCH CRITERIA ON A
 WEIGHTED BASIS.  A RECIPIENT ASSIGNED TO A MANAGED LONG TERM  CARE  PLAN
 UNDER THIS SUBPARAGRAPH SHALL BE DEEMED TO HAVE BEEN DETERMINED TO BE IN
 NEED OF LONG TERM CARE SERVICES FOR MORE THAN A CONTINUOUS PERIOD OF ONE
 HUNDRED  TWENTY  DAYS AND ELIGIBLE TO BE ENROLLED IN A MANAGED LONG TERM
 CARE PLAN.
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.

                                                            LBD11182-04-9

 S. 5485--A                          2
 
   § 2. Paragraph (b) of subdivision 2 of section  366-a  of  the  social
 services  law, as added by section 51 of part A of chapter 1 of the laws
 of 2002, is amended to read as follows:
   (b)  Notwithstanding  the provisions of paragraph (a) of this subdivi-
 sion, an applicant or recipient may attest to the amount of his  or  her
 accumulated  resources,  unless  such  applicant or recipient is seeking
 medical assistance payment for long term care  services  FOR  THE  FIRST
 TIME.  A  RECIPIENT  WHO HAS ALREADY PROVIDED DOCUMENTATION OF RESOURCES
 MAY ATTEST TO THE AMOUNT OF ACCUMULATED RESOURCES IF IT HAS REMAINED THE
 SAME OR IS LESS THAN THE AMOUNT ORIGINALLY DOCUMENTED.  For purposes  of
 this  paragraph,  long  term  care  services shall mean care, treatment,
 maintenance, and services described in paragraph (b) of subdivision  [1]
 ONE  of  section  three  hundred  sixty-seven-f  of this title, with the
 exception of short term rehabilitation, as defined by  the  commissioner
 of health.
   §  3.  Paragraph  (d)  of subdivision 5 of section 366-a of the social
 services law, as amended by section 12 of part D of chapter  56  of  the
 laws  of 2013, is relettered paragraph (e) and three new paragraphs (f),
 (g) and (h) are added to read as follows:
   (F) NOTWITHSTANDING PARAGRAPH (B) OF SUBDIVISION TWO OF  THIS  SECTION
 AND  PARAGRAPHS (A), (B), (C) AND (D) OF THIS SUBDIVISION, THE FOLLOWING
 RECIPIENTS WILL BE RECERTIFIED AUTOMATICALLY, UNLESS THERE  HAS  BEEN  A
 FINDING OF LACK OF ELIGIBILITY FOR MEDICAID:
   (I)  ENROLLEES  IN MEDICAID MANAGED LONG TERM CARE PLANS AS DEFINED IN
 SECTION FORTY-FOUR HUNDRED THREE-F OF THE PUBLIC HEALTH LAW;
   (II) ENROLLEES IN MEDICAID MANAGED CARE PLANS AS  DEFINED  IN  SECTION
 THREE  HUNDRED  SIXTY-FOUR-J  OF  THIS  TITLE  WHO RECEIVE PERSONAL CARE
 SERVICES PURSUANT TO PARAGRAPH (E) OF SUBDIVISION TWO OF  SECTION  THREE
 HUNDRED SIXTY-FIVE-A OF THIS TITLE OR CONSUMER DIRECTED PERSONAL ASSIST-
 ANCE  SERVICES  PURSUANT  TO  SECTION THREE HUNDRED SIXTY-FIVE-F OF THIS
 TITLE;
   (III) ENROLLEES RECEIVING MEDICAID IN THE  AGED,  BLIND  AND  DISABLED
 CATEGORY  WHO  RECEIVE  FIXED  INCOME  FROM THE SOCIAL SECURITY ADMINIS-
 TRATION (SSA); AND
   (IV) MEDICARE SAVINGS PROGRAM (MSP) RECIPIENTS WHO HAVE A FIXED INCOME
 FROM THE SOCIAL SECURITY ADMINISTRATION (SSA).
   (G) NOTHING IN PARAGRAPH (E) OF THIS SUBDIVISION SHOULD  BE  CONSTRUED
 TO  ALTER A MEDICAID RECIPIENT'S OBLIGATION TO INFORM THE PUBLIC WELFARE
 DISTRICT OF CHANGES IN INCOME OR OTHER FACTORS THAT MIGHT IMPACT  ELIGI-
 BILITY PURSUANT TO SUBDIVISION FOUR OF THIS SECTION.
   (H)  UPON  A  FINDING OF LACK OF ELIGIBILITY, RECIPIENTS IDENTIFIED IN
 PARAGRAPH (E) OF THIS SUBDIVISION WILL BE ENTITLED TO NOTICE AND HEARING
 RIGHTS AS PROVIDED IN SECTION TWENTY-TWO OF THIS CHAPTER.
   § 4. This act shall take effect on the one hundred eightieth day after
 it shall have become a law; provided that the  amendments  to  paragraph
 (b)  of subdivision 7 of section 4403-f of the public health law made by
 section one of this act shall be subject to the expiration and reversion
 of such paragraph and shall expire and be deemed repealed therewith  and
 provided  further  that  such  amendments shall not affect the repeal of
 such section and shall expire and be deemed repealed  therewith.  Effec-
 tive  immediately, the commissioner of health shall make regulations and
 take other actions reasonably necessary to implement this  act  on  that
 date.

Comments

Open Legislation is a forum for New York State legislation. All comments are subject to review and community moderation is encouraged.

Comments deemed off-topic, commercial, campaign-related, self-promotional; or that contain profanity, hate or toxic speech; or that link to sites outside of the nysenate.gov domain are not permitted, and will not be published. Attempts to intimidate and silence contributors or deliberately deceive the public, including excessive or extraneous posting/posts, or coordinated activity, are prohibited and may result in the temporary or permanent banning of the user. Comment moderation is generally performed Monday through Friday. By contributing or voting you agree to the Terms of Participation and verify you are over 13.

Create an account. An account allows you to sign petitions with a single click, officially support or oppose key legislation, and follow issues, committees, and bills that matter to you. When you create an account, you agree to this platform's terms of participation.