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S6065Senate2011-2012 SessionSame asA7651

Expands the duties of the special advisory review panel on Medicaid managed care to include other managed care programs

Sponsor Kemp HannonSD-6+4 co-sponsorsAffects Health
Status
In Senate Committee
Health
Impact
Pending
Passage
Pending

Bill progress

Step 2 of 7

In committee · Health

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Who cares

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Sponsors

Primary sponsor
Kemp Hannon

Senator · Senate District 6

Chair, Health

History

  1. 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.

A7651Assembly

Relates to the special advisory review panel on Medicaid managed care

In Senate Committee · Health · Sponsor Richard Gottfried

Full text

The text isn't available here yet. Check nysenate.gov.

Sponsor's memo

BILL NUMBER:S6065

Title of bill

An act to amend the social services law, in relation to the special advisory review panel on Medicaid managed care

Purpose

To update the composition and the charge of the Medicaid Managed Care Advisory Review Panel (MMCARP).

Summary of provisions

The bill amends section 364-jj of the Social Services Law to add Child Health Plus, Family Health Plus, Managed Long Term Care and other public managed-health care plans to the charge of the MMCARP and add two public members with expertise in disabilities and pediatrics. The bill would also have MMCARP review issues of the appropriateness and timeliness of services, the integration of federal health care reform, trends in service denials and demographic data as well as review of federal waiver.

Justification

Since the statute's enactment in 1996, the MMCARP has performed an important function collaboratively working with numerous state officials in monitoring mandatory Medicaid managed care.

Provisions in the 2011-2012 budget will result in the expansion of mandatory Medicaid managed care to vulnerable populations who were previously covered by fee-for-service, including physically and developmentally disabled individuals, children in foster care, and homeless families. There will also be a significant increase in home care beneficiaries enrolled by mandate into managed long term care plans, forcing individuals with complex needs to manage their care in a new delivery system. It is increasingly important that the MMCARP provide an opportunity for monitoring of these programs by a diverse group of stakeholders including consumer advocates, consumers, health plans and providers of services.

This bill will charge MMCARP with monitoring the phase-in schedule for the enrollment of new populations in Medicaid managed care as well as the availability of essential services for these populations. In addition, this bill will increase the public's role in providing feedback on the significant changes soon to be implemented in the Medicaid delivery system. Active monitoring by stakeholders is increasingly important as both amendments to state law and federal health reform lead to increased enrollment in managed care and the implementation of new service delivery models for an increasingly diverse beneficiary population.

Legislative history

New bill.

Fiscal implications

None to the state.

Effective date

Immediately.

Summaries, headlines and scores are AI-generated from the official bill text. How we score bills. Source: NYS Open Legislation.