A05438 Summary:

BILL NO    A05438 

SAME AS    SAME AS S01955

SPONSOR    Palmesano

COSPNSR    Wozniak, Murray, Stec

MLTSPNSR   Barclay, Blankenbush, Butler, Ceretto, Corwin, Crouch, Curran,
           Cusick, Duprey, Finch, Fitzpatrick, Friend, Giglio, Goodell, Graf,
           Hawley, Hevesi, Johns, Katz, Kolb, Lopez, Magee, Malliotakis,
           McDonough, McKevitt, McLaughlin, Montesano, Oaks, Ra, Raia, Russell,
           Saladino, Tedisco, Tenney, Thiele, Walter

Amd Part C S1, Chap 58 of 2005

Relates to calculating social services district medical assistance expenditure
amounts.
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A05438 Actions:

BILL NO    A05438 

02/23/2015 referred to health
05/29/2015 enacting clause stricken
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A05438 Votes:

There are no votes for this bill in this legislative session.
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A05438 Memo:

NEW YORK STATE ASSEMBLY
MEMORANDUM IN SUPPORT OF LEGISLATION
submitted in accordance with Assembly Rule III, Sec 1(f)
 
BILL NUMBER: A5438
 
SPONSOR: Palmesano
  TITLE OF BILL: An act to amend chapter 58 of the laws of 2005, relat- ing to authorizing reimbursements for expenditures made by or on behalf of social services districts for medical assistance for needy persons and the administration thereof, in relation to calculating social services district medical assistance expenditure amounts   PURPOSE OF BILL: To freeze the municipal share of local Medicaid costs at the current level.   SUMMARY OF SPECIFIC PROVISIONS: Section 1 caps the municipal share of Medicaid cost at the 2011 trend factor of 18.75% of the 2005 base rate. Section 2 contains the effective date.   JUSTIFICATION: By far, New York's largest unfunded mandate on county governments each year is Medicaid spending. The Municipal share of Medicaid spending for the 2010-2011 fiscal year was 7.5 billion. In order to provide counties financial stability the state imposed a cap on county Medicaid expendi- tures of 3.5% for 2006, 3.25% for 2007, and 3% for the 2008 and every year thereafter. Although this was an improvement over past practice, these mandated costs are still increasing at a rate that is a burden to the local property taxpayer. Although this will result in a shift in costs to the state, the state is in a much better position to deal directly with this issue since it has direct authority over the program and can implement the needed reforms to continue reconstructing the Medicaid Program. By the state taking over the future growth increases, this will provide significant and needed mandate relief to county governments and the City of New York.   PRIOR LEGISLATIVE HISTORY: S.4296, 2014 A.4776, 2014 A.8453, 2012   FISCAL IMPLICATIONS: This bill would save municipalities $165 million annually. The state would assume the local cost of future Medicaid growth, providing an incentive to implement cost saving reforms.   EFFECTIVE DATE: This bill shall take effect January 1, 2016, provided, however, if this act shall become law after such date it shall take effect immediately and shall be deemed to have been in full force and effect on and after January 1, 2016.
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A05438 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          5438
 
                               2015-2016 Regular Sessions
 
                   IN ASSEMBLY
 
                                    February 23, 2015
                                       ___________
 
        Introduced  by  M.  of  A.  PALMESANO  --  read once and referred to the
          Committee on Health
 
        AN ACT to amend chapter 58 of the laws of 2005, relating to  authorizing
          reimbursements  for  expenditures  made  by  or  on  behalf  of social
          services districts for medical assistance for needy  persons  and  the
          administration  thereof,  in  relation  to calculating social services
          district medical assistance expenditure amounts
 
          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:
 
     1    Section 1. Subdivision (c) of section 1 of part C of chapter 58 of the
     2  laws  of  2005,  relating to authorizing reimbursements for expenditures
     3  made by or on behalf of social services districts for medical assistance
     4  for needy persons and the administration thereof, is amended to read  as
     5  follows:
     6    (c)  Commencing  with  the  calendar  year  beginning January 1, 2006,
     7  calendar year social services district  medical  assistance  expenditure
     8  amounts  for each social services district shall be calculated by multi-
     9  plying the results of the calculations performed pursuant  to  paragraph
    10  (b) of this section by a non-compounded trend factor, as follows:
    11    (i) 2006 (January 1, 2006 through December 31, 2006):  3.5%;
    12    (ii)  2007  (January 1, 2007 through December 31, 2007):  6.75% (3.25%
    13  plus the prior year's 3.5%);
    14    (iii) 2008 (January 1, 2008 through December 31,  2008):    9.75%  (3%
    15  plus the prior year's 6.75%);
    16    (iv) 2009 (January 1, 2009 through December 31, 2009): 12.75% (3% plus
    17  the prior year's 9.75%);
    18    (v)  2010 (January 1, 2010 through December 31, 2010): 15.75% (3% plus
    19  the prior year's 12.75%);
    20    (vi) 2011 (January 1, 2011 through December 31, 2011): 18.75% (3% plus
    21  the prior year's 15.75%);
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD07913-01-5

        A. 5438                             2
 
     1    (vii) 2012 (January 1, 2012 through December 31, 2012):    21.75%  (3%
     2  plus the prior year's 18.75%);
     3    (viii)  2013  (January  1, 2013 through December 31, 2013): 24.75% (3%
     4  plus the prior year's 21.75%);
     5    (ix) 2014 (January 1, 2014 through December 31, 2014), 27.75% (3% plus
     6  the prior year's 24.75%);
     7    (x) 2015 (January  1,  2015  through  December  31,  2015),  and  each
     8  succeeding  calendar  year:  prior  year's trend factor percentage [plus
     9  3%].
    10    § 2. This act shall take effect January 1, 2015; provided, however, if
    11  this act shall become a law after such date it shall take  effect  imme-
    12  diately and shall be deemed to have been in full force and effect on and
    13  after January 1, 2015.
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