What's happening
This bill increases Medicaid reimbursement rates for private duty nursing services in New York, starting July 1, 2020.
Why it matters
Addresses workforce shortages. By raising Medicaid reimbursement rates for private duty nursing, the bill aims to help address ongoing shortages of nurses willing to provide in-home care, which can lead to better access to needed services for medically fragile individuals.
Supports medically complex patients living at home. Higher reimbursement may make it financially viable for more nurses to serve patients outside of hospitals or institutions, supporting individuals who require continuous skilled nursing to remain in their homes and communities.
Potentially reduces institutional care costs. Improving access to private duty nursing can help prevent unnecessary hospitalizations or long-term stays in more expensive care facilities, which could contain Medicaid costs over time despite the initial rate increase.
Provides predictable funding increases. The bill establishes clear, set annual increases ($15 million for the first partial year, $20 million each year thereafter), allowing for better planning by providers and state agencies involved in Medicaid budgeting and service delivery.
Albany, before your first meeting.
Every bill that moved yesterday, summarized in a sentence and ranked by impact. The Albany Scorecard follows on Sundays.
Free. Unsubscribe in one click. Want alerts on specific bills? Create an account.
Who cares
Private duty nurses
The bill would increase Medicaid payment rates for qualifying care and services they furnish.
Medicaid patients receiving private duty nursing care
The bill would raise reimbursement for their qualifying nursing services, without specifying changes to eligibility or covered care.
New York State Medicaid administrators
The bill would require aggregate payment increases capped at $15 million for July 1, 2020, through March 31, 2021, and $20 million annually for each April-to-March period thereafter.
Headline styles
Increase Medicaid Nurse Payments
Plain English, a few words. Used as the page title.
Sponsors
1 Co-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.
Increase Nurse Medicaid Payments
In Senate Committee · Health · Sponsor Jamaal Bailey
Full text
1 pageUnderlined is new[Struck] is removedOfficial text on nysenate.gov ↗
STATE OF NEW YORK
6774
2019-2020 Regular Sessions
IN ASSEMBLY
March 19, 2019
Introduced by M. of A. MAGNARELLI -- read once and referred to the Committee on Health
AN ACT to amend the social services law, in relation to medicaid reimbursement of private duty nursing services and care
The People of the State of New York, represented in Senate and Assembly, do enact as follows:
Section 1. The social services law is amended by adding a new section 365-o to read as follows:
§ 365-o. Reimbursement of private duty nursing services and care. Notwithstanding any provision of law to the contrary, rates of payment for care and services furnished by a private duty nurse that would otherwise qualify for reimbursement pursuant to this title shall be increased by an amount not to exceed fifteen million dollars in the aggregate for the period July first, two thousand twenty to March thirty-first, two thousand twenty-one, and twenty million dollars annually thereafter for each period of April first to March thirty-first.
§ 2. This act shall take effect July 1, 2020.
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD05454-01-9
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.