Angelino, Brown K, Fitzpatrick, Friend, Goodell, 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: A5462
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
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
Section 2 contains the effective date.
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:
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.