A05438 Summary:

BILL NO    A05438 

SAME AS    SAME AS S01955

SPONSOR    Palmesano

COSPNSR    Wozniak

MLTSPNSR   

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
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A05438 Votes:

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

BILL NUMBER:A5438

TITLE OF BILL:  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

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 expenditures 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:

                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________

                                         5438

                              2015-2016 Regular Sessions

                                 I N  A S S E M B L Y

                                   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    S 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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