What's happening
This bill requires the New York Department of Health to make additional payments to certain public hospitals for inpatient services, covering 100% of their medical assistance and uninsured patient losses.
Why it matters
Mandates full compensation for public hospitals. The bill changes the Department of Health’s duty from being “authorized” to “required” to pay certain public hospitals for 100% of their losses related to treating Medicaid and uninsured patients, ensuring these hospitals are not financially penalized for serving vulnerable populations.
Targets safety-net hospitals outside NYC. The provision specifically benefits public hospitals operated by the state, SUNY, counties (excluding New York City), and select large county hospitals, which often serve communities with higher rates of poverty and uninsurance, potentially stabilizing these crucial institutions.
Strengthens hospital financial sustainability. By guaranteeing these payments, the bill could help prevent service cuts, layoffs, or closures in public hospitals that rely heavily on Medicaid and uninsured patient care, improving access to essential healthcare in underserved regions.
Potential budget and policy implications. This requirement could increase state financial obligations, possibly affecting New York’s Medicaid budget and negotiations with federal authorities regarding matching funds and hospital payment structures.
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Who cares
Headline styles
Fund Public Hospital Care
Plain English, a few words. Used as the page title.
Sponsors
22 Co-sponsors
- Charles Lavine
- Joseph Lentol
- Steven Englebright
- Charles Barron
- Tremaine Wright
- Felix Ortiz
- Albert A. Stirpe
- Peter Abbate
- Jo Anne Simon
- William Magnarelli
- Robert C. Carroll
- Diana Richardson
- N. Nick Perry
- Monica P. Wallace
- Anthony D'Urso
- Thomas Abinanti
- Barbara Lifton
- Andrew Raia
- Donna Lupardo
- Nader Sayegh
- Phil Steck
- John T. McDonald III
1 Multi-sponsor
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.
Boost Payments to Public Hospitals
In Senate Committee · Health · Sponsor Gustavo Rivera
Full text
2 pagesUnderlined is new[Struck] is removedOfficial text on nysenate.gov ↗
STATE OF NEW YORK
1146
2019-2020 Regular Sessions
IN ASSEMBLY
January 14, 2019
Introduced by M. of A. GOTTFRIED, LAVINE, LENTOL, ENGLEBRIGHT, BARRON, WRIGHT, ORTIZ, STIRPE, ABBATE, SIMON, MAGNARELLI, CARROLL, RICHARDSON, PERRY, WALLACE, D'URSO, ABINANTI, LIFTON, RAIA, LUPARDO -- read once and referred to the Committee on Health
AN ACT to amend chapter 474 of the laws of 1996, amending the education law and other laws relating to rates for residential healthcare facilities, in relation to directing the department of health to make additional payments for inpatient services to certain public general hospitals
The People of the State of New York, represented in Senate and Assembly, do enact as follows:
Section 1. Paragraph (a) of subdivision 1 of section 212 of chapter 474 of the laws of 1996, amending the education law and other laws relating to rates for residential healthcare facilities, as amended by section 1 of part D of chapter 59 of the laws of 2016, is amended to read as follows:
(a) Notwithstanding any inconsistent provision of law or regulation to the contrary, effective beginning August 1, 1996, for the period April 1, 1997 through March 31, 1998, April 1, 1998 for the period April 1, 1998 through March 31, 1999, August 1, 1999, for the period April 1, 1999 through March 31, 2000, April 1, 2000, for the period April 1, 2000 through March 31, 2001, April 1, 2001, for the period April 1, 2001 through March 31, 2002, April 1, 2002, for the period April 1, 2002 through March 31, 2003, and for the state fiscal year beginning April 1, 2005 through March 31, 2006, and for the state fiscal year beginning April 1, 2006 through March 31, 2007, and for the state fiscal year beginning April 1, 2007 through March 31, 2008, and for the state fiscal year beginning April 1, 2008 through March 31, 2009, and for the state fiscal year beginning April 1, 2009 through March 31, 2010, and for the state fiscal year beginning April 1, 2010 through March 31, 2016, and for the state fiscal year beginning April 1, 2016 through March 31,
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD03442-01-9
A. 1146 2
2019, the department of health is [authorized] required to pay public general hospitals, as defined in subdivision 10 of section 2801 of the public health law, operated by the state of New York or by the state university of New York or by a county, which shall not include a city with a population of over one million, of the state of New York, and those public general hospitals located in the county of Westchester, the county of Erie or the county of Nassau, additional payments for inpatient hospital services as medical assistance payments pursuant to title 11 of article 5 of the social services law for patients eligible for federal financial participation under title XIX of the federal social security act in medical assistance pursuant to the federal laws and regulations governing disproportionate share payments to hospitals [up to] of one hundred percent of each such public general hospital's medical assistance and uninsured patient losses after all other medical assistance, including disproportionate share payments to such public general hospital for 1996, 1997, 1998, and 1999, based initially for 1996 on reported 1994 reconciled data as further reconciled to actual reported 1996 reconciled data, and for 1997 based initially on reported 1995 reconciled data as further reconciled to actual reported 1997 reconciled data, for 1998 based initially on reported 1995 reconciled data as further reconciled to actual reported 1998 reconciled data, for 1999 based initially on reported 1995 reconciled data as further reconciled to actual reported 1999 reconciled data, for 2000 based initially on reported 1995 reconciled data as further reconciled to actual reported 2000 data, for 2001 based initially on reported 1995 reconciled data as further reconciled to actual reported 2001 data, for 2002 based initially on reported 2000 reconciled data as further reconciled to actual reported 2002 data, and for state fiscal years beginning on April 1, 2005, based initially on reported 2000 reconciled data as further reconciled to actual reported data for 2005, and for state fiscal years beginning on April 1, 2006, based initially on reported 2000 reconciled data as further reconciled to actual reported data for 2006, for state fiscal years beginning on and after April 1, 2007 through March 31, 2009, based initially on reported 2000 reconciled data as further reconciled to actual reported data for 2007 and 2008, respectively, for state fiscal years beginning on and after April 1, 2009, based initially on reported 2007 reconciled data, adjusted for authorized Medicaid rate changes applicable to the state fiscal year, and as further reconciled to actual reported data for 2009, for state fiscal years beginning on and after April 1, 2010, based initially on reported reconciled data from the base year two years prior to the payment year, adjusted for authorized Medicaid rate changes applicable to the state fiscal year, and further reconciled to actual reported data from such payment year, and to actual reported data for each respective succeeding year. The payments may be added to rates of payment or made as aggregate payments to an eligible public general hospital.
§ 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.