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A03007 Summary:

Amd Various Laws, generally
Amends various provisions to achieve statutory savings; makes changes necessary to continue implementation of Medicaid redesign team recommendations; makes statutory changes necessary to align child health plus rates with Medicaid managed care rates for certain providers; extend various provisions of public health social services and mental hygiene laws, including continued authorization of previously enacted Medicaid savings initiatives; makes statutory changes necessary related to payments of indigent care pool funds for uncompensated care for three years; makes statutory changes necessary to implement value based payments within the delivery system reform incentive payment programs; makes statutory changes necessary to establish an assessment on individual small group and large group health insurers that will sustain New York state of health operations; modifies provisions regarding establishing an operating limited services clinics, standardizing urgent care centers, eliminating certain upgraded diagnostic and treatment centers and charging the public health and health planning council with reviewing sedation and anesthesia procedures in outpatient settings; modifies various provisions of law to remove barriers to obtaining HIV/AIDS treatment and to engaging in appropriate risk reduction activities to limit the spread of HIV/AIDS; provides an exemption to the nurse practice act for advanced home health aides to authorize such individuals to perform advanced tasks in home care and hospice settings with appropriate training and supervision; implements various provisions related to streamlining the certificate of need process for hospitals and diagnostic treatment centers; modifies various provisions of the public health law to expand office-based surgery requirements to include office-based anesthesia, to standardize and limit the procedures permitted in such settings and to strengthen accreditation requirements; requires local governments to notify the public and the department of health of their intent to discontinue water fluoridation and to establish a grant program to provide assistance to local governments to cover the costs of installing, replacing, repairing or upgrading water fluoridation equipment; authorizes state office for the aging to seek public input on the creation of an office of community living to address the expansion of community living integration services for older adults and disabled individuals; authorizes OMH to continue to recover Medicaid exempt income from providers of community residences; extends pilot program to restructure educational services for children and youth residing in OMH hospitals; establishes a private equity pilot program allowing up to five business corporations to make private capital investments to assist in restructuring health care delivery systems; authorizes OMH facility directors who act as representative payees to continue to use funds for care and treatment consistent with federal law and regulations; makes technical amendments required to implement the expansion of the nurse practice act exemption for direct care staff in non-certified settings funding, authorized or approved by OPWDD; relates to time limited demonstration programs; relates to rates and fees for OPWDD providers; relates to opioid overdose prevention; relates to HCRA; extends risk based capital provisions; and relates to excess medical malpractice.
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