STATE OF NEW YORK
________________________________________________________________________
8171
2015-2016 Regular Sessions
IN ASSEMBLY
June 10, 2015
___________
Introduced by M. of A. GOTTFRIED -- read once and referred to the
Committee on Health
AN ACT to amend the public health law, in relation to rebasing of the
episodic reimbursement methodology for certified home health agencies
The People of the State of New York, represented in Senate and Assem-bly, do enact as follows:
1 Section 1. Paragraph (b) of subdivision 13 of section 3614 of the
2 public health law, as added by section 4 of part H of chapter 59 of the
3 laws of 2011, is amended to read as follows:
4 (b) Initial base year episodic payments shall be based on Medicaid
5 paid claims, as determined and adjusted by the commissioner to achieve
6 savings comparable to the prior state fiscal year, for services provided
7 by all certified home health agencies in the base year two thousand
8 nine. Subsequent base year episodic payments may be based on Medicaid
9 paid claims for services provided by all certified home health agencies
10 in a base year subsequent to two thousand nine, as determined by the
11 commissioner, provided, however, that such base year adjustment shall be
12 made not less frequently than every three years; and provided further
13 that, for the period April first, two thousand fifteen through March
14 thirty-first, two thousand sixteen, the statewide negative impact on
15 total episodic payments resulting from the base year adjustment required
16 under this paragraph shall in no event exceed thirty million dollars. In
17 determining case mix, each patient shall be classified using a system
18 based on measures which may include, but not limited to, clinical and
19 functional measures, as reported on the federal Outcome and Assessment
20 Information Set (OASIS), as may be amended.
21 § 2. This act shall take effect immediately and shall be deemed to
22 have been in full force and effect on and after April 1, 2015.
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD11587-01-5
