Assembly Bill A6021

Vetoed By Governor
2023-2024 Legislative Session

Establishes a quality incentive program for managed care providers

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Sponsored By

Current 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

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Bill Amendments

co-Sponsors

2023-A6021 - Details

See Senate Version of this Bill:
S3146
Law Section:
Social Services Law
Laws Affected:
Amd §364-j, Soc Serv L; amd §4403-f, Pub Health L
Versions Introduced in 2021-2022 Legislative Session:
A10031, S7594

2023-A6021 - Summary

Establishes a quality incentive program for managed care providers that is distributed based on managed care providers' performance in meeting quality objectives.

2023-A6021 - Bill Text download pdf

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   6021
 
                        2023-2024 Regular Sessions
 
                           I N  A S S E M B L Y
 
                              March 30, 2023
                                ___________
 
 Introduced by M. of A. PAULIN -- read once and referred to the Committee
   on Health
 
 AN  ACT  to  amend the social services law and the public health law, in
   relation to establishing a quality incentive program for managed  care
   providers
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Subdivision 18 of section 364-j of the social services  law
 is amended by adding a new paragraph (c-1) to read as follows:
   (C-1)  IN SETTING SUCH REIMBURSEMENT, THE COMMISSIONER OF HEALTH SHALL
 ESTABLISH A QUALITY INCENTIVE PROGRAM FOR MANAGED CARE PROVIDERS THAT IS
 DISTRIBUTED BASED ON MANAGED  CARE  PROVIDERS'  PERFORMANCE  IN  MEETING
 QUALITY OBJECTIVES, WHICH SHALL BE SET BY THE COMMISSIONER IN ADVANCE OF
 THE  PERIOD  DURING  WHICH  QUALITY  IS MEASURED. SUCH QUALITY INCENTIVE
 PROGRAM SHALL BE FUNDED AT A LEVEL OF AT LEAST ONE PERCENT OF THE  TOTAL
 ANNUAL  PREMIUM PAID TO MANAGED CARE PROVIDERS, OR THREE HUNDRED MILLION
 DOLLARS, WHICHEVER IS GREATER. IN ESTABLISHING THE MANNER  IN  WHICH  TO
 MEASURE  QUALITY  AND  DISTRIBUTE  QUALITY  INCENTIVE PROGRAM FUNDS, THE
 COMMISSIONER OF HEALTH SHALL ESTABLISH A METHODOLOGY THAT  PROVIDES  THE
 GREATEST  LEVEL OF FUNDING TO MANAGED CARE PROVIDERS RECEIVING THE HIGH-
 EST QUALITY SCORES AND SHALL CONSULT  WITH  REPRESENTATIVES  OF  MANAGED
 CARE PROVIDERS AND OTHER KEY STAKEHOLDERS.
   §  2.  Subdivision  8  of  section 4403-f of the public health law, as
 amended by section 21 of part B of chapter 59 of the laws  of  2016,  is
 amended to read as follows:
   8.  Payment  rates  for managed long term care plan enrollees eligible
 for medical assistance. The commissioner shall establish  payment  rates
 for  services  provided  to  enrollees  eligible  under title XIX of the
 federal social security act. Such payment  rates  shall  be  subject  to
 approval by the director of the division of the budget and shall reflect
 savings to both state and local governments when compared to costs which
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD05012-01-3
              

co-Sponsors

2023-A6021A (ACTIVE) - Details

See Senate Version of this Bill:
S3146
Law Section:
Social Services Law
Laws Affected:
Amd §364-j, Soc Serv L; amd §4403-f, Pub Health L
Versions Introduced in 2021-2022 Legislative Session:
A10031, S7594

2023-A6021A (ACTIVE) - Summary

Establishes a quality incentive program for managed care providers that is distributed based on managed care providers' performance in meeting quality objectives.

2023-A6021A (ACTIVE) - Bill Text download pdf

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  6021--A
 
                        2023-2024 Regular Sessions
 
                           I N  A S S E M B L Y
 
                              March 30, 2023
                                ___________
 
 Introduced  by M. of A. PAULIN, GUNTHER -- read once and referred to the
   Committee on Health -- reported and referred to the Committee on  Ways
   and  Means -- committee discharged, bill amended, ordered reprinted as
   amended and recommitted to said committee
 
 AN ACT to amend the social services law and the public  health  law,  in
   relation  to establishing a quality incentive program for managed care
   providers
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1. Subdivision 18 of section 364-j of the social services law
 is amended by adding a new paragraph (c-1) to read as follows:
   (C-1) IN SETTING SUCH REIMBURSEMENT, THE COMMISSIONER OF HEALTH  SHALL
 ESTABLISH A QUALITY INCENTIVE PROGRAM FOR MANAGED CARE PROVIDERS THAT IS
 DISTRIBUTED  BASED  ON  MANAGED  CARE  PROVIDERS' PERFORMANCE IN MEETING
 QUALITY OBJECTIVES, WHICH SHALL BE SET BY THE COMMISSIONER IN ADVANCE OF
 THE PERIOD DURING WHICH QUALITY IS MEASURED. IN ESTABLISHING THE  MANNER
 IN  WHICH  TO  MEASURE  QUALITY AND DISTRIBUTE QUALITY INCENTIVE PROGRAM
 FUNDS, THE COMMISSIONER OF HEALTH SHALL  ESTABLISH  A  METHODOLOGY  THAT
 PROVIDES THE GREATEST LEVEL OF FUNDING TO MANAGED CARE PROVIDERS RECEIV-
 ING THE HIGHEST QUALITY SCORES AND SHALL CONSULT WITH REPRESENTATIVES OF
 MANAGED CARE PROVIDERS AND OTHER KEY STAKEHOLDERS.
   §  2.  Subdivision  8  of  section 4403-f of the public health law, as
 amended by section 21 of part B of chapter 59 of the laws  of  2016,  is
 amended to read as follows:
   8.  Payment  rates  for managed long term care plan enrollees eligible
 for medical assistance. The commissioner shall establish  payment  rates
 for  services  provided  to  enrollees  eligible  under title XIX of the
 federal social security act. Such payment  rates  shall  be  subject  to
 approval by the director of the division of the budget and shall reflect
 savings to both state and local governments when compared to costs which
 would  be incurred by such program if enrollees were to receive compara-
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD05012-02-3
              

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