Angelino, Brown K, Fitzpatrick, Friend, Hawley, McDonough, Palmesano
Amd §365-a, Soc Serv L
Authorizes the state to allow counties to opt out of the county cost of medical assistance payments to any new enrollees who have either never received such benefits or who have reenrolled after a period of absence; directs the commissioner of health to apply for any and all federal waivers required to implement the provisions of this subdivision.
NEW YORK STATE ASSEMBLY MEMORANDUM IN SUPPORT OF LEGISLATION submitted in accordance with Assembly Rule III, Sec 1(f)
BILL NUMBER: A5652
SPONSOR: Barclay (MS) TITLE OF BILL:
An act to amend the social services law, in relation to requiring the
state to allow counties to opt out of certain Medicaid services
PURPOSE OR GENERAL IDEA OF BILL:
To allow counties to opt out of providing optional Medicaid services to
new enrollees.
SUMMARY OF PROVISIONS:
Section 1 amends section 365-a of the Social Services Law to require the
state to allow counties to opt out of providing optional Medicaid
services to new enrollees. Also, authorizes the Commissioner of Health
to apply for federal waivers required to implement the provisions of
this act.
Section 2 contains the effective date.
JUSTIFICATION:
New York State's combined Medicaid spending is among the highest in the
nation, more than Texas and Florida combined. This legislation could
lower local Medicaid costs by allowing county governments to choose
which optional services to provide to new enrollees.
PRIOR LEGISLATIVE HISTORY:
A5462 (2023-24) Referred to Health
A4830 (2021-22) Held in Health
A2806 (2019-20) Held in Health
A2938 (2017-18) Held in Health
A4072 (2015-16) Held in Health
A1573 (2013-14) Held in Health
A1104 (2011-12 Referred to Health
A11281 (2010) Referred to Health
FISCAL IMPLICATIONS FOR STATE AND LOCAL GOVERNMENTS:
Significant savings to local governments. Unknown savings to the state
because there would be no state share payments for services the county
declined to provide.
EFFECTIVE DATE:
Immediately
STATE OF NEW YORK
________________________________________________________________________
5652
2025-2026 Regular Sessions
IN ASSEMBLY
February 19, 2025
___________
Introduced by M. of A. BARCLAY, BRABENEC, DiPIETRO, MILLER, WALSH, MANK-
TELOW, LEMONDES, GALLAHAN, SIMPSON -- Multi-Sponsored by -- M. of A.
ANGELINO, K. BROWN, FITZPATRICK, FRIEND, HAWLEY, McDONOUGH, PALMESANO
-- read once and referred to the Committee on Health
AN ACT to amend the social services law, in relation to requiring the
state to allow counties to opt out of certain Medicaid services
The People of the State of New York, represented in Senate and Assem-bly, do enact as follows:
1 Section 1. Section 365-a of the social services law is amended by
2 adding a new subdivision 11 to read as follows:
3 11. (a) Notwithstanding any other provision of this section or any
4 other provision of law, on and after the effective date of this subdivi-
5 sion, the state is required to allow counties to opt out of providing
6 optional medical assistance services to any new enrollees who have
7 either never received such benefits or who have reenrolled after a peri-
8 od of absence.
9 (b) The commissioner of health is authorized to apply for any and all
10 federal waivers required to implement the provisions of this subdivi-
11 sion.
12 § 2. This act shall take effect immediately.
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD05083-01-5
