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.