Bill Text: NY A06677 | 2019-2020 | General Assembly | Amended
NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: Relates to general hospital and safety net hospital reimbursement rates and Medicaid adjustments.
Spectrum: Partisan Bill (Democrat 16-0)
Status: (Introduced - Dead) 2020-01-22 - reported referred to ways and means [A06677 Detail]
Download: New_York-2019-A06677-Amended.html
Bill Title: Relates to general hospital and safety net hospital reimbursement rates and Medicaid adjustments.
Spectrum: Partisan Bill (Democrat 16-0)
Status: (Introduced - Dead) 2020-01-22 - reported referred to ways and means [A06677 Detail]
Download: New_York-2019-A06677-Amended.html
STATE OF NEW YORK ________________________________________________________________________ 6677--A 2019-2020 Regular Sessions IN ASSEMBLY March 15, 2019 ___________ Introduced by M. of A. GOTTFRIED, REYES, DICKENS, MOSLEY, WEPRIN, RODRI- GUEZ, SANTABARBARA -- read once and referred to the Committee on Health -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee AN ACT to amend the public health law, in relation to the general hospi- tal indigent care pool, hospital reimbursements and adjustments to medical assistance rates to enhanced safety net hospitals; and to amend chapter 474 of the laws of 1996 amending the education law and other laws relating to rates for residential health care facilities, in relation to extending the effectiveness of such rates The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Subdivision 5-d of section 2807-k of the public health law, 2 as amended by section 6 of part H of chapter 57 of the laws of 2019, is 3 amended to read as follows: 4 5-d. (a) Notwithstanding any inconsistent provision of this section, 5 section twenty-eight hundred seven-w of this article or any other 6 contrary provision of law, and subject to the availability of federal 7 financial participation, for periods [on and after January] April first, 8 two thousand [thirteen,] nineteen through [March] December thirty-first, 9 two thousand [twenty] nineteen and each calendar year thereafter, all 10 funds available for distribution pursuant to this section, [except for11funds distributed pursuant to subparagraph (v) of paragraph (b) of12subdivision five-b of this section,] and all funds available for 13 distribution pursuant to section twenty-eight hundred seven-w of this 14 article, shall be reserved and set aside and distributed in accordance 15 with the provisions of this subdivision. 16 (b) The commissioner shall promulgate regulations, and may promulgate 17 emergency regulations, establishing methodologies for the distribution 18 of funds as described in paragraph (a) of this subdivision and such 19 regulations shall include, but not be limited to, the following: EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD10355-04-9A. 6677--A 2 1 (i) Such regulations shall establish methodologies for determining 2 each facility's relative uncompensated care need amount based on unin- 3 sured inpatient and outpatient units of service from the cost reporting 4 year two years prior to the distribution year, multiplied by the appli- 5 cable medicaid rates in effect January first of the distribution year, 6 as summed and adjusted by a statewide cost adjustment factor and reduced 7 by the sum of all payment amounts collected from such uninsured 8 patients, and as further adjusted by application of a nominal need 9 computation that shall take into account each facility's medicaid inpa- 10 tient share. 11 (ii) Annual distributions pursuant to such regulations for [the two12thousand thirteen through two thousand twenty calendar years] each 13 calendar year beginning with the two thousand nineteen calendar year 14 shall be in accord with the following: 15 (A) [one hundred thirty-nine million four hundred thousand dollars] 16 one hundred one million seven hundred thousand dollars for each calendar 17 year (prorated, as may be necessary, to reflect any period less than a 18 year) shall be distributed as Medicaid Disproportionate Share Hospital 19 ("DSH") payments to major public general hospitals; and 20 (B) [nine hundred ninety-four million nine hundred thousand dollars] 21 seven hundred seven million six hundred thousand dollars for each calen- 22 dar year (prorated, as may be necessary, to reflect any period less than 23 a year) as Medicaid DSH payments to eligible general hospitals, other 24 than major public general hospitals. 25 (iii)[(A) Such regulations shall establish transition adjustments to26the distributions made pursuant to clauses (A) and (B) of subparagraph27(ii) of this paragraph such that no facility experiences a reduction in28indigent care pool payments pursuant to this subdivision that is greater29than the percentages, as specified in clause (C) of this subparagraph as30compared to the average distribution that each such facility received31for the three calendar years prior to two thousand thirteen pursuant to32this section and section twenty-eight hundred seven-w of this article.33(B) Such regulations shall also establish adjustments limiting the34increases in indigent care pool payments experienced by facilities35pursuant to this subdivision by an amount that will be, as determined by36the commissioner and in conjunction with such other funding as may be37available for this purpose, sufficient to ensure full funding for the38transition adjustment payments authorized by clause (A) of this subpara-39graph.40(C) No facility shall experience a reduction in indigent care pool41payments pursuant to this subdivision that: for the calendar year begin-42ning January first, two thousand thirteen, is greater than two and one-43half percent; for the calendar year beginning January first, two thou-44sand fourteen, is greater than five percent; and, for the calendar year45beginning on January first, two thousand fifteen; is greater than seven46and one-half percent, and for the calendar year beginning on January47first, two thousand sixteen, is greater than ten percent; and for the48calendar year beginning on January first, two thousand seventeen, is49greater than twelve and one-half percent; and for the calendar year50beginning on January first, two thousand eighteen, is greater than51fifteen percent; and for the calendar year beginning on January first,52two thousand nineteen, is greater than seventeen and one-half percent;53and for the calendar year beginning on January first, two thousand twen-54ty, is greater than twenty percent.55(iv)] Such regulations shall reserve one percent of the funds avail- 56 able for distribution in the two thousand fourteen and two thousandA. 6677--A 3 1 fifteen calendar years, and for calendar years thereafter, pursuant to 2 this subdivision, subdivision fourteen-f of section twenty-eight hundred 3 seven-c of this article, and sections two hundred eleven and two hundred 4 twelve of chapter four hundred seventy-four of the laws of nineteen 5 hundred ninety-six, in a "financial assistance compliance pool" and 6 shall establish methodologies for the distribution of such pool funds to 7 facilities based on their level of compliance, as determined by the 8 commissioner, with the provisions of subdivision nine-a of this section. 9 (c) The commissioner shall annually report to the governor and the 10 legislature on the distribution of funds under this subdivision includ- 11 ing, but not limited to: 12 (i) the impact on safety net providers, including community providers, 13 rural general hospitals and major public general hospitals; 14 (ii) the provision of indigent care by units of services and funds 15 distributed by general hospitals; and 16 (iii) the extent to which access to care has been enhanced. 17 § 2. Section 2807 of the public health law is amended by adding a new 18 subdivision 23 to read follows: 19 23. Adjustments to medicaid rates. (a) The commissioner is authorized 20 to make adjustments to medical assistance rates in accordance with this 21 subdivision to enhanced safety net hospitals, as defined in paragraph 22 (a) of subdivision thirty-four of section twenty-eight hundred seven-c 23 of this article, and to qualified safety net hospitals, as defined in 24 paragraph (b) of this subdivision, for the purposes of supporting crit- 25 ically needed health care services and to ensure the continued mainte- 26 nance and operation of such hospitals. 27 (b) For the purposes of this subdivision, a "qualified safety net" 28 hospital shall mean a hospital, other than an enhanced safety net hospi- 29 tal, so designated by the commissioner pursuant to criteria developed by 30 the commissioner that take into account: (i) the hospital's financial 31 hardship, evidenced by the operating losses of the hospital or the 32 system of hospitals to which the hospital belongs and/or participation 33 by the hospital in programs established by the commissioner to enable 34 hospitals in financial distress to maintain operations and vital 35 services; (ii) the volume of Medicaid and/or medically uninsured 36 patients served by the hospital compared to other hospitals in the 37 hospital's region; and/or (iii) the importance of the hospital in the 38 hospital's region in enabling Medicaid and/or medically uninsured 39 patients' access to health care services in inpatient, outpatient and 40 community settings. 41 (c) For the state fiscal year commencing April first, two thousand 42 nineteen, and each state fiscal year thereafter, the commissioner shall 43 increase medical assistance rates of payments for inpatient and/or 44 outpatient services made by either state governmental agencies or organ- 45 izations operating in accordance with article forty-three of the insur- 46 ance law or article forty-four of this chapter by an aggregate of: 47 (i) thirty-seven million seven hundred thousand dollars for enhanced 48 safety net hospitals that are major public general hospitals; 49 (ii) two hundred seventy-four million eight hundred thousand dollars 50 for qualified safety net hospitals and enhanced safety net hospitals 51 other than major public general hospitals, of which at least twelve 52 million five hundred thousand dollars shall be allocated to enhanced 53 safety net hospitals that are federally designated as critical access or 54 sole community hospitals; and 55 (iii) twelve million five hundred thousand dollars for those hospitals 56 eligible under subparagraph (ii) of this paragraph for which theA. 6677--A 4 1 combined payments made, or to be made, under subparagraph (ii) of this 2 paragraph and subdivision five-d of section twenty-eight thousand 3 seven-k of this article for calendar year two thousand nineteen, and 4 each calendar year thereafter, are projected by the commissioner to be 5 less than payments made to such hospitals pursuant to subdivision five-d 6 of section twenty-eight thousand seven-k of this article for calendar 7 year two thousand eighteen. 8 (d) Payments made pursuant to this subdivision may be added to rates 9 of payment, or made as aggregate payments of equal amounts on October 10 one and April one of each state fiscal year, to such enhanced safety net 11 hospitals and qualified safety net hospitals in accordance with a meth- 12 odology to be established by the commissioner; provided, however, that, 13 the commissioner may make the twelve million five hundred thousand 14 dollars in payments due to eligible hospitals under subparagraph (iii) 15 of paragraph (c) of this subdivision by instead increasing the amount 16 otherwise awarded to such eligible hospitals under programs established 17 by the commissioner to enable hospitals in financial distress to main- 18 tain operations and vital services while working to achieve longer-term 19 sustainability, including, but not limited to, the Value Based Payment 20 Quality Improvement Program. 21 § 3. Subparagraph (v) of paragraph (a) of subdivision 1 of section 22 2807-c of the public health law, as amended by chapter 639 of the laws 23 of 1996, is amended and a new subparagraph (vi) is added to read as 24 follows: 25 (v) adjustments for any modifications to the case payments determined 26 in accordance with paragraph (a), (b), (c) or (d) of subdivision four of 27 this section[.]; and 28 (vi) adjustments for any modifications to the case payments determined 29 in accordance with subdivision twenty-three of section twenty-eight 30 hundred seven of this article. 31 § 4. Subparagraph (v) of paragraph (a) of subdivision 1 of section 32 2807-c of the public health law, as amended by chapter 731 of the laws 33 of 1993, is amended and a new subparagraph (vi) is added to read as 34 follows: 35 (v) adjustments for any modifications to the case payments determined 36 in accordance with paragraph (a), (b), (c) or (d) of subdivision four of 37 this section[.]; and 38 (vi) adjustments for any modifications to the case payments determined 39 in accordance with subdivision twenty-three of section twenty-eight 40 hundred seven of this article. 41 § 5. Subdivision 34 of section 2807-c of the public health law is 42 amended by adding a new paragraph (d) to read as follows: 43 (d) Notwithstanding any inconsistent provision of law or regulation to 44 the contrary, adjustments made pursuant to this subdivision shall be in 45 addition to any adjustments made to medical assistance rates to enhanced 46 safety net hospitals authorized by subdivision twenty-three of section 47 twenty-eight hundred seven of this article. 48 § 6. Subdivision 1 of section 211 of chapter 474 of the laws of 1996 49 amending the education law and other laws relating to rates for residen- 50 tial health care facilities is amended by adding a new paragraph (g) to 51 read as follows: 52 (g) Notwithstanding any inconsistent provision of law or regulation to 53 the contrary, effective for the state fiscal year beginning April 1, 54 2019, and annually thereafter, the department of health is authorized to 55 pay public general hospitals, other than those operated by the state of 56 New York or the state university of New York, as defined in subdivisionA. 6677--A 5 1 10 of section 2801 of the public health law, located in a city with a 2 population of over one million, additional payments for inpatient hospi- 3 tal services of 200 million dollars annually, as medical assistance 4 pursuant to title 11 of article 5 of the social services law for 5 patients eligible for federal financial participation under title XIX of 6 the federal social security act, pursuant to federal laws and regu- 7 lations governing disproportionate share payments to hospitals, based on 8 the relative share of each such non-state operated public general hospi- 9 tal medical assistance and uninsured patient losses. The payments may be 10 added to rates of payment or made as aggregate payments to an eligible 11 public general hospital. 12 § 7. Subdivision 1 of section 212 of chapter 474 of the laws of 1996 13 amending the education law and other laws relating to rates for residen- 14 tial health care facilities, is amended by adding a new paragraph (c) to 15 read as follows: 16 (c) Notwithstanding any inconsistent provision of law or regulation to 17 the contrary, effective for the state fiscal year beginning April 1, 18 2019, and annually thereafter, the department of health is authorized to 19 pay public general hospitals, as defined in subdivision 10 of section 20 2801 of the public health law, operated by the state of New York or the 21 state university of New York or by a county, which shall not include a 22 city with a population of over one million, of the state of New York, 23 and those public general hospitals located in the county of Westchester, 24 the county of Erie or the county of Nassau, additional payments for 25 inpatient hospital services of 100 million dollars annually, as medical 26 assistance payments pursuant to title 11 of article 5 of the social 27 services law for patients eligible for federal financial participation 28 under title XIX of the federal social security act, pursuant to federal 29 laws and regulations governing disproportionate share payments to hospi- 30 tals. The payments may be added to rates of payment or made as aggregate 31 payments to an eligible public general hospital. 32 § 8. This act shall take effect immediately; provided however, that 33 the amendments made to paragraph (a) of subdivision 1 of section 2807-c 34 of the public health law made by section three of this act shall be 35 subject to the expiration and reversion of such paragraph when upon such 36 date the provisions of section four of this act shall take effect.