New York A 10159: Relates to remedying inconsistent definitions and other technical errors

Bill Text

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A10159 Summary:

BILL NOA10159 

&nbsp

SAME ASSAME AS S09169

&nbsp

SPONSORPaulin

&nbsp

COSPNSRMcDonald, Reyes, Rosenthal, Hevesi, Levenberg, Simone, Tapia, Simon, Shimsky, Colton, Wright,
 Kelles, Raga, Griffin

&nbsp

MLTSPNSR

&nbsp

&nbsp

Establishes the managed long term care high acuity stabilization pool to support managed long term care plans that demonstrate high performance on quality measures established by the department and serve a disproportionately high share of members with complex long term care needs or high service utilization.

Go to top A10159 Actions:

BILL NOA10159 

&nbsp

02/12/2026referred to health

Go to topA10159 Committee&nbspVotes:

Go to topA10159 Floor&nbspVotes:

There are no Assembly votes for this bill in this legislative session.

Go to topA10159 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 10159

 IN ASSEMBLY

 February 12, 2026
 ___________

 Introduced by M. of A. PAULIN -- read once and referred to the Committee
 on Health

 AN ACT to establish the managed long term care high acuity stabilization
 pool; and making an appropriation therefor

 The People of the State of New York, represented in Senate and Assem-
 bly, do enact as follows:

 1 Section 1. Managed Long Term Care High Acuity Stabilization Pool. (a)
 2 Establishment. There is hereby established within amounts appropriated
 3 for the medical assistance program a managed long term care high acuity
 4 stabilization pool in an amount not to exceed fifty million dollars
 5 ($50,000,000) for the state fiscal year commencing April 1, 2026.
 6 (b) Purpose. The managed long term care high acuity stabilization pool
 7 shall be used to support managed long term care plans that:
 8 i. demonstrate high performance on quality measures established by the
 9 department; and
 10 ii. serve a disproportionately high share of members with complex long
 11 term care needs or high service utilization.
 12 (c) Eligibility and Use of Funds. i. Payments from the managed long
 13 term care high acuity stabilization pool may be made only to eligible
 14 managed long-term care plans whose medical loss ratios exceed a thresh-
 15 old established by the commissioner, not to exceed 92 percent, after
 16 application of final premium rates and risk adjustment for the applica-
 17 ble rating period.
 18 ii. Pool payments shall be limited to the amount necessary to offset
 19 costs above such threshold and shall not be used to increase plan
 20 margins beyond such level.
 21 (d) Administration. The commissioner of health may establish criteria,
 22 methodologies, and reporting requirements for distribution of funds from
 23 the managed long term care high acuity stabilization pool, including
 24 specific quality performance standards, acuity or utilization bench-
 25 marks, and safeguards to ensure fiscal accountability.
 26 (e) Limitations. i. Payments under this section shall not be incorpo-
 27 rated into base premium rates.

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD14709-03-6

 A. 10159 2

 1 ii. Nothing in this section shall be construed to create an entitle-
 2 ment to payment.
 3 (f) Relationship to Rate Setting. The managed long term care high
 4 acuity stabilization pool is intended as a supplemental and transitional
 5 mechanism and shall not supplant the commissioner of health's obligation
 6 to establish actuarially sound premium rates.
 7 § 2. The sum of fifty million dollars ($50,000,000), or so much there-
 8 of as may be necessary, is hereby appropriated to the department of
 9 health out of any moneys in the state treasury in the general fund to
 10 the credit of the managed long term care high acuity stabilization pool,
 11 not otherwise appropriated, and made immediately available, for the
 12 purpose of carrying out the provisions of this act. Such moneys shall be
 13 payable on the audit and warrant of the comptroller on vouchers certi-
 14 fied or approved by the commissioner of health in the manner prescribed
 15 by law.
 16 § 3. This act shall take effect immediately.

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