What's happening
This bill authorizes a demonstration program allowing qualified providers, including for-profits, to deliver and receive Medicaid reimbursement for care to people with developmental or physical disabilities, aiming to identify more efficient service delivery methods.
Why it matters
Expands provider eligibility. By allowing any "qualified provider," including for-profit entities, to deliver and be reimbursed for Medicaid services, the bill could increase the number and diversity of organizations serving people with developmental or physical disabilities—potentially increasing access and competition.
Targets efficiency and innovation. The demonstration program is specifically tasked with finding more effective, efficient, and economical ways to provide care, which could lead to significant changes in how services are delivered and paid for, possibly influencing future statewide policy.
Includes oversight and accountability. The requirement for annual reports to the governor and legislature means the program's outcomes will be closely monitored, providing a mechanism for transparency and ongoing evaluation of whether the new approaches actually improve care.
Potential to reshape service landscape. By authorizing for-profit providers to participate—if they meet certification standards—the bill could shift the balance between nonprofit and for-profit service provision in the disability care sector, with implications for quality, cost, and workforce dynamics.
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Who cares
Headline styles
Expand Disability Care Access
Plain English, a few words. Used as the page title.
Sponsors
1 Co-sponsor
History
- Referred to health
- Referred to health
Full text
2 pagesUnderlined is new[Struck] is removedOfficial text on nysenate.gov ↗
STATE OF NEW YORK
4184
2017-2018 Regular Sessions
IN ASSEMBLY
February 1, 2017
Introduced by M. of A. ORTIZ, SANTABARBARA -- read once and referred to the Committee on Health
AN ACT to amend the mental hygiene law, in relation to the provision of care and services to persons with developmental or physical disabilities and to directing the commissioner of developmental disabilities to conduct a demonstration program to identify ways to more efficiently provide such care
The People of the State of New York, represented in Senate and Assembly, do enact as follows:
Section 1. The mental hygiene law is amended by adding a new section 13.43 to read as follows: § 13.43 Medicaid reimbursement; demonstration program.
(a) Notwithstanding any other provision of law or regulation to the contrary, any qualified provider shall be authorized to provide care and services, and to receive Medicaid reimbursement for such care and services, to persons with developmental or physical disabilities, including:
(1) persons with developmental or physical disabilities who receive home and community-based services or care-at-home services through existing waivers under section 1915(c) of the federal social security act or who have characteristics and needs similar to such persons; and
(2) persons receiving services provided by an intermediate care facility for the developmentally disabled or who have characteristics and needs similar to such persons; provided such qualified provider applies for and obtains the requisite certification and approval from the commissioner to provide such care and services.
(b) The commissioner shall conduct a demonstration program with one or more qualified for-profit providers that provide care and services to persons with developmental or physical disabilities in order to identify ways to more effectively, efficiently and economically provide such care and services to persons with developmental or physical disabilities;
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD08881-01-7
A. 4184 2
provided such qualified provider applies for and obtains the requisite certification and approval from the commissioner to provide such care and services. The commissioner shall select a provider or providers with demonstrated experience and expertise in:
(1) providing such care and services; and
(2) partnering with states to improve the delivery of such care and services.
The commissioner may, in the commissioner's discretion, conduct such demonstration program as part of a pilot program in accordance with an application made under section 1115 or section 1915 of the federal social security act. The commissioner shall annually report to the governor and legislature on the operation of the demonstration program and its effectiveness in identifying ways to more effectively, efficiently and economically provide care and services to persons with developmental or physical disabilities.
§ 2. This act shall take effect immediately.
Reflowed for reading: line numbers and page breaks removed. Cite the official text.
Summaries, headlines and scores are AI-generated from the official bill text. How we score bills. Source: NYS Open Legislation.