Senate Bill S3146

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 Via A6021 - 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-S3146 - Details

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:
S7594

2023-S3146 - Summary

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

2023-S3146 - Sponsor Memo

2023-S3146 - Bill Text download pdf

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   3146
 
                        2023-2024 Regular Sessions
 
                             I N  S E N A T E
 
                             January 27, 2023
                                ___________
 
 Introduced  by  Sens. MANNION, CLEARE -- read twice and ordered printed,
   and when printed to be committed 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-S3146A (ACTIVE) - Details

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:
S7594

2023-S3146A (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-S3146A (ACTIVE) - Sponsor Memo

2023-S3146A (ACTIVE) - Bill Text download pdf

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  3146--A
     Cal. No. 1366
 
                        2023-2024 Regular Sessions
 
                             I N  S E N A T E
 
                             January 27, 2023
                                ___________
 
 Introduced  by  Sens.  MANNION, CLEARE, FERNANDEZ, HINCHEY -- read twice
   and ordered printed, and when printed to be committed to the Committee
   on Health -- reported favorably from said committee and  committed  to
   the Committee on Finance -- committee discharged and said bill commit-
   ted  to  the Committee on Rules -- ordered to a third reading, amended
   and ordered reprinted, retaining its place in the order of third read-
   ing
 
 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
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
              

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