Bill Text: NY A07518 | 2011-2012 | General Assembly | Introduced

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Bill Title: Includes accountable care organizations within the definition of a managed care provider.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Engrossed - Dead) 2012-06-05 - starred on calendar [A07518 Detail]

Download: New_York-2011-A07518-Introduced.html

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                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                         7518
                              2011-2012 Regular Sessions
                                 I N  A S S E M B L Y
                                      May 9, 2011
                                      ___________
       Introduced  by  M.  of  A.  GOTTFRIED  --  read once and referred to the
         Committee on Health
       AN ACT to amend the  social  services  law,  in  relation  to  including
         accountable care organizations within the definition of a managed care
         provider
         THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section 1. Paragraph (b) of subdivision 1  of  section  364-j  of  the
    2  social  services  law,  as  amended  by chapter 649 of the laws of 1996,
    3  subparagraphs (i) and (ii) as amended by chapter  433  of  the  laws  of
    4  1997, is amended to read as follows:
    5    (b)  "Managed  care provider". An entity that provides or arranges for
    6  the provision of medical assistance services  and  supplies  to  partic-
    7  ipants  directly  or  indirectly (including by referral), including case
    8  management; and:
    9    (i) is authorized to operate under article forty-four  of  the  public
   10  health  law  or article forty-three of the insurance law and provides or
   11  arranges, directly or indirectly (including  by  referral)  for  covered
   12  comprehensive health services on a full capitation basis; [or]
   13    (ii)  is  authorized  as  a  partially  capitated  program pursuant to
   14  section three hundred sixty-four-f of this title or  section  forty-four
   15  hundred  three-e of the public health law or section 1915b of the social
   16  security act; OR
   17    (III) IS AN ACCOUNTABLE CARE ORGANIZATION UNDER ARTICLE  TWENTY-NINE-E
   18  OF THE PUBLIC HEALTH LAW.
   19    S 2. This act shall take effect immediately; provided however that the
   20  amendments  to  section 364-j of the social services law made by section
   21  one of this act shall not affect the repeal of such section and shall be
   22  deemed repealed therewith.
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD11101-01-1