What's happening
This bill changes how social services district medical assistance expenditure amounts are calculated, potentially lowering county costs starting after 2018.
Why it matters
Potential Cost Reductions for Counties. By allowing the medical assistance expenditure amount to be reduced by up to 5% of the 2018 base year amount, counties could see a meaningful decrease in their required spending, freeing up local resources for other uses or reducing pressure on local taxes.
Protection Against Negative Balances. The amendment ensures the expenditure amount cannot go below zero, preventing counties from being required to contribute negative sums and avoiding potential confusion in budgeting or reimbursement processes.
Direct Impact on Property Tax Caps. The bill changes how the state calculates county spending under property tax cap laws, allowing counties to subtract any decrease in their medical assistance costs from their tax cap calculation. This could give counties more flexibility to stay within state-imposed tax caps or even lower property taxes.
Stabilization of Future Increases. By specifying no increase in the medical assistance expenditure amount for 2019, the bill effectively halts automatic annual increases, helping counties better predict and control future budget commitments related to Medicaid and social services.
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Who cares
Headline styles
Change Medicaid Spending Formula
Plain English, a few words. Used as the page title.
Sponsors
20 Co-sponsors
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.
Change Medicaid Spending Formulas
In Senate Committee · Local Government · Sponsor Patrick M. Gallivan
Full text
2 pagesUnderlined is new[Struck] is removedOfficial text on nysenate.gov ↗
STATE OF NEW YORK
2879
2019-2020 Regular Sessions
IN ASSEMBLY
January 28, 2019
Introduced by M. of A. PAULIN, LUPARDO, LIFTON, MAGNARELLI, SCHIMMINGER, ABINANTI, GALEF, THIELE, GUNTHER, JAFFEE, ZEBROWSKI, GIGLIO, OTIS, BUCHWALD, SANTABARBARA, STIRPE, WOERNER, BRONSON, LAVINE, RAMOS, BARRETT -- Multi-Sponsored by -- M. of A. BARCLAY, BLANKENBUSH, CROUCH, FINCH, FITZPATRICK, FRIEND, GOODELL, HAWLEY, JOHNS, KOLB, McDONOUGH, MONTESANO, PALMESANO, RA, RAIA -- read once and referred to the Committee on Health
AN ACT to amend part C of chapter 58 of the laws of 2005, relating to authorizing reimbursements for expenditures made by or on behalf of social services districts for medical assistance for needy persons and the administration thereof, and to amend the general municipal law, in relation to calculating social services district medical assistance expenditure amounts
The People of the State of New York, represented in Senate and Assembly, do enact as follows:
Section 1. Subdivision (c-1) of section 1 of part C of chapter 58 of the laws of 2005, relating to authorizing reimbursements for expenditures made by or on behalf of social services districts for medical assistance for needy persons and the administration thereof, as added by section 1 of part F of chapter 56 of the laws of 2012, is amended to read as follows:
(c-1) Notwithstanding any provisions of subdivision (c) of this section to the contrary, effective April 1, 2013, for the period January 1, 2013 through December 31, 2013 and for each calendar year thereafter, the medical assistance expenditure amount for the social services district for such period shall be [equal to] the greater of (i) zero; or (ii) the previous calendar year's medical assistance expenditure amount minus five percent of the medical assistance expenditure amount for the period January 1, 2018 through December 31, 2018, except that:
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD05699-01-9
A. 2879 2
(1) for the period January 1, 2013 through December 31, 2013, the previous calendar year medical assistance expenditure amount will be increased by 2%;
(2) for the period January 1, 2014 through December 31, 2014, the previous calendar year medical assistance expenditure amount will be increased by 1%; and
(3) for the period January 1, 2019 through December 31, 2019, the previous calendar year medical assistance expenditure amount will be unchanged.
§ 2. Paragraph (c) of subdivision 3 of section 3-c of the general municipal law is amended by adding a new subparagraph (viii) to read as follows:
(viii) Subtract the amount that the prior fiscal year's medical assistance expenditure amount exceeds the current fiscal year's medical assistance expenditure amount, provided that this shall only apply to counties and shall only apply to fiscal years that begin after two thousand eighteen.
§ 3. This act shall take effect immediately, provided, however, that the amendments to section 3-c of the general municipal law made by section two of this act shall not affect the repeal of such section and shall be deemed repealed therewith.
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.