Bill Text: NY S05217 | 2013-2014 | General Assembly | Introduced


Bill Title: Relates to quality measurement, assurance and reporting under the state's mandatory enrollment policy.

Spectrum: Partisan Bill (Republican 1-0)

Status: (Introduced - Dead) 2014-01-08 - REFERRED TO HEALTH [S05217 Detail]

Download: New_York-2013-S05217-Introduced.html
                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                         5217
                              2013-2014 Regular Sessions
                                   I N  S E N A T E
                                     May 14, 2013
                                      ___________
       Introduced  by  Sen.  HANNON -- read twice and ordered printed, and when
         printed to be committed to the Committee on Health
       AN ACT to amend the public health law, in relation to  quality  measure-
         ment,  assurance  and reporting under the state's mandatory enrollment
         policy; and providing for the repeal of such provisions  upon  expira-
         tion thereof
         THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section 1. Subparagraph (i) of  paragraph  (a)  of  subdivision  7  of
    2  section  4403-f  of the public health law, as amended by section 41-b of
    3  part H of chapter 59 of the laws of 2011, is amended to read as follows:
    4    (i) The commissioner shall promulgate regulations  to  implement  this
    5  section  and  to ensure the quality, appropriateness and cost-effective-
    6  ness of the services provided by  managed  long  term  care  plans.  The
    7  commissioner  may waive rules and regulations of the department, includ-
    8  ing but not limited to, those  pertaining  to  duplicative  requirements
    9  concerning  record keeping, boards of directors, staffing and reporting,
   10  when such waiver will promote the  efficient  delivery  of  appropriate,
   11  quality, cost-effective services and when the health, safety and general
   12  welfare of enrollees will not be impaired as a result of such waiver. In
   13  order  to  achieve  managed  long term care plan system efficiencies and
   14  coordination and to promote the objectives of high  quality,  integrated
   15  and cost effective care, the commissioner may establish a single coordi-
   16  nated  surveillance  process, allow for a comprehensive quality improve-
   17  ment and review process to  meet  component  quality  requirements,  and
   18  require  a  uniform  cost report. The commissioner shall require managed
   19  long term care plans to utilize quality improvement measures,  based  on
   20  health  outcomes data, for internal quality assessment processes and may
   21  utilize such measures as part of  the  single  coordinated  surveillance
   22  process.  IN  ADDITION,  IN  FURTHERANCE OF QUALITY MEASUREMENT AND CARE
   23  FOLLOWING APPROVAL OF THE  WAIVER  AUTHORITY  FOR  MANDATORY  ENROLLMENT
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD10868-01-3
       S. 5217                             2
    1  UNDER SUBPARAGRAPH (I) OF PARAGRAPH (B) OF THIS SUBDIVISION, THE COMMIS-
    2  SIONER  SHALL  CONVENE  A  TECHNICAL PANEL OF REPRESENTATIVES OF MANAGED
    3  LONG TERM CARE PLANS, CERTIFIED HOME HEALTH  AGENCIES,  LONG  TERM  HOME
    4  HEALTH  CARE  PROGRAMS,  LICENSED  HOME CARE SERVICES AGENCIES AND STATE
    5  ASSOCIATION REPRESENTATIVES THEREOF, ALONG WITH SUCH OTHERS WITH  DEMON-
    6  STRATED  EXPERTISE  IN  QUALITY MEASUREMENT AND REPORTING AS THE COMMIS-
    7  SIONER MAY DEEM APPROPRIATE, TO ASSIST AND ADVISE  THE  COMMISSIONER  IN
    8  IDENTIFYING  THE  QUALITY  IMPROVEMENT  MEASURES,  HEALTH OUTCOMES DATA,
    9  INTERNAL QUALITY ASSESSMENT PROCESSES AND REPORTING REQUIRED UNDER  THIS
   10  SECTION.
   11    S  2. The commissioner of health shall convene and consider the advice
   12  of the technical panel established by section one of this act not  later
   13  than  December  31,  2013,  and  by  no later than February 1, 2014, the
   14  commissioner of health shall report to the legislature on  such  panel's
   15  advice  and  on  the  actions  the  commissioner  of health has taken in
   16  response to such advice.
   17    S 3. This act shall take effect immediately and shall expire April  1,
   18  2015  when  upon  such  date  the provisions of this act shall be deemed
   19  repealed.
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