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Bill > A02018

NY A02018

NY A02018
Repeals managed long term care provisions for Medicaid recipients; establishes provisions for fully integrated plans for long term care including PACE and MAP plans.

summary

Introduced
01/14/2025
In Committee
01/14/2025
Crossed Over
Passed
Dead

Introduced Session

2025-2026 General Assembly

Bill Summary

AN ACT to amend the public health law, the social services law, the elder law and the mental hygiene law, in relation to long term care options; and to repeal certain provisions of the public health law relating to managed long term care

AI Summary

This bill repeals the current managed long-term care provisions for Medicaid recipients and establishes a new framework for long-term care services. Specifically, the bill aims to transition Medicaid recipients from partially capitated managed long-term care plans to fully integrated care options, including Programs of All-Inclusive Care for the Elderly (PACE) and Medicaid Advantage Plus (MAP) plans, or a fee-for-service model with care coordination. Starting April 1, 2028, the bill requires the New York State Department of Health to submit federal waivers to implement this transition. The legislation defines PACE as a fully capitated care model for individuals 55 and older, and MAP as a fully capitated care model for those 18 and older who are eligible for Medicaid and Medicare. The bill also introduces the concept of "care coordination entities" to help manage and coordinate services for long-term care recipients. Additionally, the bill mandates the creation of an advisory group to evaluate the transition, develop guidelines, and ensure minimal disruption to care providers and recipients. The commissioner of health is required to provide biannual reports on the implementation, including data on enrollee satisfaction, service utilization, and continuity of care.

Committee Categories

Health and Social Services

Sponsors (47)

Amy Paulin (D)*,  George Alvarez (D),  Khaleel Anderson (D),  Michael Benedetto (D),  Rodneyse Bichotte Hermelyn (D),  Ed Braunstein (D),  Harry Bronson (D),  Chris Burdick (D),  Robert Carroll (D),  Sarah Clark (D),  William Colton (D),  Bill Conrad (D),  Maritza Davila (D),  Manny De Los Santos (D),  Jeffrey Dinowitz (D),  Chris Eachus (D),  Harvey Epstein (D),  Emily Gallagher (D),  Eddie Gibbs (D),  Jessica González-Rojas (D),  Judy Griffin (D),  Pamela Hunter (D),  Alicia Hyndman (D),  Anna Kelles (D),  Ron Kim (D),  Dana Levenberg (D),  Donna Lupardo (D),  Zohran Mamdani (D),  Dave McDonough (R),  Demond Meeks (D),  Marcela Mitaynes (D),  Steven Raga (D),  Karines Reyes (D),  Linda Rosenthal (D),  Angelo Santabarbara (D),  Nader Sayegh (D),  Rebecca Seawright (D),  Maryjane Shimsky (D),  Sarahana Shrestha (D),  Jo Anne Simon (D),  Tony Simone (D),  Phara Souffrant Forrest (D),  Phil Steck (D),  Yudelka Tapia (D),  Al Taylor (D),  David Weprin (D),  Stefani Zinerman (D), 

Last Action

referred to health (on 01/14/2025)

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