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Sponsors
Senator · Senate District 61
No co-sponsors yet.
History
- Referred to health
- Referred to health
Companion bill
The same bill in the other chamber. A bill becomes law when one version passes both houses and the governor signs it, so either number can carry it.
Requires additional medicaid recipients throughout the state to participate in managed care plans
In Assembly Committee · Health · Sponsor Robin Schimminger
Full text
The text isn't available here yet. Check nysenate.gov.
Sponsor's memo
BILL NUMBER:S4182
Title of bill
An act to amend the social services law, in relation to mandatory managed care for certain recipients of medical assistance
Purpose of the bill
This bill would require additional Medicaid recipients, throughout the State, to participate in managed care plans.
Summary of specific provisions
§ 1- Amends Paragraph (b) of subdivision 1 of § 364-j of the Social Services Law to include rural health networks and those providers who hold a comprehensive HIV special needs plan certificate of authority as managed care providers.
§ 2- Amends paragraph (g) of subdivision 3 of § 364-j of the Social Services Law to expand the categories of individuals who are required to enroll with a managed care program. Specifically, this bill would require that the following categories of individuals be enrolled in managed care programs: persons who are dually eligible for Medicaid and Medicare and who are enrolled in a TEFRA plans; persons who are eligible for S.S.I.; persons who are HIV positive; or persons with serious mental illness and children and adolescents with serious emotional disturbances be enrolled in managed care programs.
§ 3- Amends § 364-j of the Social Services Law to authorize the Commissioner of Health to take all necessary measures to cause all social services districts in the state not already doing so to provide Medicaid services and implement the State's managed care program. In addition, this section authorizes the Commissioner of Health to submit all appropriate waivers to implement this plan.
§ 4- Stipulates that § 2 of this act shall not take effect unless and until the Commissioner of Health receives all necessary approvals under federal law.
§ 5- Effective date.
Justification
While implementing cost containment measures, managed care programs incorporate comprehensive consumer protections to ensure that all recipients obtain enrollment assistance and quality care, and understand their rights and responsibilities under the managed care plan. This bill expands the definition of managed care providers, requires that all areas of the State provide Medicaid managed care programs, and expands the categories of individuals who are required to enroll in the programs.
Prior legislative history
2009-2010 - A.7264-A/A.6675-A -- HEALTH/Health 2007-2008 - A.4673/S.3296 2005-2006 - A.5461/S.3541
Fiscal implications
Yet to be determined. Cost savings to both counties and the State are expected.
Effective date
This act shall take effect immediately, with provisions.
Summaries, headlines and scores are AI-generated from the official bill text. How we score bills. Source: NYS Open Legislation.