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S09875 Summary:

BILL NOS09875
 
SAME ASSAME AS A10290
 
SPONSORWEBB
 
COSPNSR
 
MLTSPNSR
 
Amd §364-j, Soc Serv L; amd §4403-f, Pub Health L
 
Permits individuals receiving hospice services to enroll in managed long term care plans; ensures coordinated service delivery.
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S09875 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          9875
 
                    IN SENATE
 
                                      April 9, 2026
                                       ___________
 
        Introduced  by  Sen.  WEBB  --  read twice and ordered printed, and when
          printed to be committed to the Committee on Health
 
        AN ACT to amend the social services law and the public  health  law,  in
          relation  to  permitting  individuals  receiving  hospice  services to
          enroll in managed  long  term  care  plans  and  ensuring  coordinated
          service delivery

          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:
 
     1    Section 1. Subparagraph (xix) of paragraph (e)  of  subdivision  3  of
     2  section  364-j  of  the social services law, as amended by section 38 of
     3  part A of chapter 56 of the laws of 2013, is amended to read as follows:
     4    (xix) individuals receiving hospice services at  time  of  enrollment;
     5  provided, however, that this clause shall not be construed to require an
     6  individual  enrolled  in  a  managed long term care plan or another care
     7  coordination model, who subsequently elects hospice, to  disenroll  from
     8  such program, and an individual who elects the hospice benefit under the
     9  Medicare  or  Medicaid  program  shall  not,  solely  by  reason of such
    10  election, be deemed ineligible for enrollment in  a  managed  long  term
    11  care  plan,  and  the  commissioner shall issue guidance to managed long
    12  term care plans, local social services districts, and  hospice  programs
    13  regarding  enrollment  procedures,  continuity of care, and coordination
    14  expectations for such individuals;
    15    § 2. Clause 8 of subparagraph v of paragraph (b) of subdivision  7  of
    16  section  4403-f  of  the  public health law, as amended by section 48 of
    17  part A of chapter 56 of the laws of 2013, is amended to read as follows:
    18    (8) a  person  receiving  hospice  services  at  time  of  enrollment;
    19  provided, however, that this clause shall not be construed to require an
    20  individual  enrolled  in  a  managed long term care plan or another care
    21  coordination model, who subsequently elects hospice, to  disenroll  from
    22  such program, and an individual who elects the hospice benefit under the
    23  Medicare  or  Medicaid  program  shall  not,  solely  by  reason of such
    24  election, be deemed ineligible for enrollment in  a  managed  long  term
    25  care  plan,  and  the  commissioner shall issue guidance to managed long
    26  term care plans, local social services districts, and  hospice  programs
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD14723-01-6

        S. 9875                             2
 
     1  regarding  enrollment  procedures,  continuity of care, and coordination
     2  expectations for such individuals;
     3    §  3.  Section  4403-f of the public health law is amended by adding a
     4  new subdivision 12-a to read as follows:
     5    12-a. (a) The department shall establish standards to promote  coordi-
     6  nation  of care for individuals enrolled in managed long term care plans
     7  who are also receiving hospice services.
     8    (b) Such standards may include, but need not be limited to:
     9    (i) shared or coordinated care planning;
    10    (ii) interdisciplinary communication protocols;
    11    (iii) clarification of responsibilities for personal care, transporta-
    12  tion, and other community-based services; and
    13    (iv) procedures to minimize delays or disruptions in service delivery.
    14    (c) Managed long term care plans and hospice programs  shall  exchange
    15  information  necessary  to  ensure  continuity  of care, consistent with
    16  applicable state and federal privacy laws.
    17    (d) The department  may  promulgate  regulations  and  issue  guidance
    18  necessary to implement this subdivision.
    19    §  4. To the extent necessary to implement the provisions of this act,
    20  the department of health shall seek any federal approvals required under
    21  the Medicaid program.
    22    § 5. This act shall take effect on the  one  hundredth  day  after  it
    23  shall  have  become  a  law;  provided,  however, that the amendments to
    24  subdivision 3 of section 364-j  of  the  social  services  law  made  by
    25  section  one of this act shall not affect the repeal of such section and
    26  shall be deemed repealed therewith; provided, further, that  the  amend-
    27  ments  to  section  4403-f of the public health law made by sections two
    28  and three of this act shall not affect the repeal of  such  section  and
    29  shall be deemed repealed therewith. Effective immediately, the addition,
    30  amendment  and/or  repeal  of  any  rule or regulation necessary for the
    31  implementation of this act on its effective date are  authorized  to  be
    32  made and completed on or before such effective date.
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