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A10629 Text:

                STATE OF NEW YORK
                   IN ASSEMBLY
                                      June 20, 2024
        Introduced by COMMITTEE ON RULES -- (at request of M. of A. Rajkumar) --
          read once and referred to the Committee on Health
        AN  ACT  to  amend  the  social  services  law, in relation to capitated
          payments under medical assistance for needy persons
          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:

     1    Section  1.  Section  367-a  of  the social services law is amended by
     2  adding a new subdivision 13 to read as follows:
     3    13. (a) Any inconsistent  provision  of  this  chapter  or  other  law
     4  notwithstanding,  on  and  after the effective date of this subdivision,
     5  all payments with respect  to  medical  assistance  shall  be  capitated
     6  payments.
     7    (b) The commissioner may develop and assign patients rating categories
     8  based on risk for the purposes of developing reimbursement methodologies
     9  and payments under this subdivision.
    10    §  2.  Section 364-j of the social services law is amended by adding a
    11  new subdivision 3-a to read as follows:
    12    3-a. Special contract provisions. Any capitation  payment  system  for
    13  medical  assistance under this article may include contract arrangements
    14  that further adjust the payment amounts, including but  not  limited  to
    15  incentive arrangements, pass-through payments, risk corridor mechanisms,
    16  or withhold arrangements as defined by 42 CFR 438.6.
    17    § 3.  No later than one year after the effective date of this act, the
    18  commissioner  of health shall provide drafts of legislation necessary to
    19  convert all payments under the  medical  assistance  for  needy  persons
    20  program  from  fee-for-service  payments  to  capitated payments, to the
    21  governor, the temporary president of the senate and the speaker  of  the
    22  assembly.
    23    §  4.  This  act shall take effect immediately, provided that sections
    24  one and two of this act shall take effect five years after  such  effec-
    25  tive  date;  and provided, further, that the amendments to section 364-j
    26  of the social services law, made by section two of this act,  shall  not
    27  affect  the  repeal of such section, and shall be deemed repealed there-
    28  with. Effective immediately, the commissioner of health shall make regu-
    29  lations and take other actions, including applying for  federal  waivers
    30  and  submitting  state Medicaid plan amendments, reasonably necessary to
    31  implement the provisions of this act.
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
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