Assembly Bill A8922

2023-2024 Legislative Session

Establishes a quality incentive program for managed care providers

download bill text pdf

Sponsored By

Current Bill Status - In Assembly Committee


  • 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

Do you support this bill?

Please enter your contact information

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

co-Sponsors

2023-A8922 (ACTIVE) - Details

See Senate Version of this Bill:
S7992
Current Committee:
Assembly Health
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-A8922 (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-A8922 (ACTIVE) - Bill Text download pdf

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   8922
 
                           I N  A S S E M B L Y
 
                             January 26, 2024
                                ___________
 
 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
 would  be incurred by such program if enrollees were to receive compara-
 ble health and long term care services on a fee-for-service basis in the
 geographic region in which such services are proposed  to  be  provided.
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
              

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.