New York A 700: Relates to certain data required in an annual report on the administration of managed long term care plans

Bill Text

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A00700 Summary:

BILL NOA00700 

&nbsp

SAME ASNo Same As

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SPONSORGonzalez-Rojas

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COSPNSRPaulin, Simon, Lupardo, Simone, Weprin, Rosenthal, Kelles, Mamdani, Dinowitz, Sayegh, Shrestha,
 Forrest, Reyes, Gallagher, Alvarez, Glick, Kim, Epstein, Hevesi, Steck, Santabarbara, Griffin,
 Burdick

&nbsp

MLTSPNSR

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Amd §4403-f, Pub Health L

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Requires certain data to be included in reports on the administration of managed long term care plans; changes reporting period to annually.

Go to top A00700 Actions:

BILL NOA00700 

&nbsp

01/08/2025referred to health

02/04/2025reported referred to ways and means

01/07/2026referred to ways and means

Go to topA00700 Committee&nbspVotes:

Committee:HEALTH Chair:Paulin 
DATE:02/04/2025AYE/NAY:23/0 Action: Favorable refer to committee Ways and Means PaulinAyeJensenAye

DinowitzAyeGandolfoAye

RosenthalAyeBlumencranzAye

HevesiExcusedGrayAye

SteckAbsentMaherAye

BraunsteinAyeSlaterAye

SolagesAyeChludzinskiAye

Bichotte HermelExcusedNorberAye

SayeghAye

McDonaldAye

ReyesAye

Gonzalez-RojasAye

RajkumarAye

ForrestAye

KellesAye

LucasAye

MeeksAye

LunsfordAye

Go to topA00700 Floor&nbspVotes:

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

Go to topA00700 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 700

 2025-2026 Regular Sessions

 IN ASSEMBLY

 (Prefiled)

 January 8, 2025
 ___________

 Introduced by M. of A. GONZALEZ-ROJAS, PAULIN, SIMON, LUPARDO, SIMONE,
 WEPRIN, ROSENTHAL, KELLES, MAMDANI, DINOWITZ, SAYEGH, SHRESTHA,
 FORREST, REYES, GALLAGHER, ALVAREZ, GLICK, KIM, EPSTEIN -- read once
 and referred to the Committee on Health

 AN ACT to amend the public health law, in relation to data reporting
 required on the administration of managed long term care plans

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

 1 Section 1. Subparagraph (ix) of paragraph (b) of subdivision 7 of
 2 section 4403-f of the public health law, as added by section 56-a of
 3 part D of chapter 56 of the laws of 2012 and as relettered by section 4
 4 of part B of chapter 57 of the laws of 2018, is amended to read as
 5 follows:
 6 (ix) (1) The commissioner shall report [biannually] annually on the
 7 implementation of this subdivision. The reports shall include, but not
 8 be limited to:
 9 (A) satisfaction of enrollees with care coordination/case management;
 10 timeliness of care;
 11 (B) service utilization data including changes in the level, hours,
 12 frequency, and types of services and providers;
 13 (C) enrollment data, including auto-assignment rates by plan;
 14 (D) quality data; and
 15 (E) continuity of care for participants as they move to managed long
 16 term care, with respect to community based and nursing home populations,
 17 including pediatric nursing home populations, and medically fragile
 18 children being served by home care agencies affiliated with pediatric
 19 nursing homes and diagnostic and treatment centers primarily serving
 20 medically fragile children.
 21 (2) The following data shall be included in the report under this
 22 subdivision and shall be posted on the department's website in an inter-

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD01012-01-5

 A. 700 2

 1 active format. To the extent the data set forth in this subparagraph is
 2 not now reported by plans to the department, plans shall be required to
 3 report this data through a reporting mechanism that the department shall
 4 develop by October first, two thousand twenty-five:
 5 (A) Statewide and regional service utilization data for each plan,
 6 with the number and percentage of "member months" authorized for each
 7 range of hours per month as reported in cost reports filed under para-
 8 graph (a) of this subdivision, and using "member months" as defined in
 9 the cost reports, including all required exhibits. Data shall include
 10 the number of member months for whom each type of service was author-
 11 ized, and the percentage of each plan's total member months for which
 12 members were authorized for each of the ranges of hours per month of
 13 each service. These numbers and percentages shall be reported separate-
 14 ly for