NEW YORK STATE ASSEMBLY MEMORANDUM IN SUPPORT OF LEGISLATION submitted in accordance with Assembly Rule III, Sec 1(f)
BILL NUMBER: A5905B
SPONSOR: Woerner TITLE OF BILL:
An act to amend the public health law, in relation to residential health
care facility rates
PURPOSE OR GENERAL IDEA OF BILL:
Provides for updates to rates for residential health care facilities.
SUMMARY OF PROVISIONS:
Section 1: Amends Paragraphs a, b, c and d of subdivision 2-c of section
2808 of the public health law to establish a schedule upon which the
Department of Health shall rebase expenses and update Medicaid rates
accordingly and adds a new paragraph b-1 to establish a technical
assistance work group with which the Department shall consult.
Section 2 provided the effective date.
DIFFERENCE BETWEEN ORIGINAL AND AMENDED VERSION (IF APPLICABLE):
The amendment requires the non-capital component of the rates estab-
lished pursuant to paragraph c of subdivision 2-c of section 2808 of the
public health law to be adjusted for inflation commencing on or after
April 1, 2025 rather than January 1, 2025.
JUSTIFICATION:
To set Medicaid rates, DOH does a look-back of expenses at categories of
facilities. For nursing homes, the last time the expense basis was
determined was fifteen years ago. As a result, their rate hasn't changed
in fifteen years. Other states that surround NY rebase expense calcu-
lations as the basis for Medicaid rates on a regular basis. This bill
establishes a schedule upon which the Department of Health will be
required to rebase expenses and update Medicaid rates accordingly.
PRIOR LEGISLATIVE HISTORY:
New bill.
FISCAL IMPLICATIONS FOR STATE AND LOCAL GOVERNMENTS:
To be determined.
EFFECTIVE DATE:
This act shall take effect immediately.
