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A06768 Summary:

BILL NOA06768
 
SAME ASSAME AS S05458
 
SPONSORHyndman
 
COSPNSR
 
MLTSPNSR
 
Amd §365-f, Soc Serv L
 
Ensures that there are at least two fiscal intermediaries headquartered in each county with a population of two hundred thousand or more; provides additional awards to entities providing fiscal intermediary services if they meet certain criteria in order to ensure regional choice and experience serving individuals with developmental disabilities and racial and ethnic minorities.
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A06768 Actions:

BILL NOA06768
 
03/29/2021referred to health
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A06768 Memo:

NEW YORK STATE ASSEMBLY
MEMORANDUM IN SUPPORT OF LEGISLATION
submitted in accordance with Assembly Rule III, Sec 1(f)
 
BILL NUMBER: A6768
 
SPONSOR: Hyndman
  TITLE OF BILL: An act to amend the social services law, in relation to fiscal interme- diary services   PURPOSE OR GENERAL IDEA OF BILL: This legislation will require the Department of Health to reoffer contracts for lead fiscal intermediary services to ensure geographic diversity and expertise serving the developmental disabilities popu- lation, new American population, and minority populations.   SUMMARY OF PROVISIONS: Section 1. Amends Section 365-f (4-a) to require the reoffering of contracts to ensure all requirements are met. Requires two fiscal inter- mediaries headquartered in each county with a population of two hundred thousand or more. Section 2. Amends Section 365-f and creates (4-e) and (4-f) (4-e) requires at least five contractors selected to have experience serving individuals with disabilities, defined as non-profits with expe- rience as a fiscal intermediary before 2012 and approved and certified by OPWDD. (4-f) requires at least five contractors selected to have experience serving individuals with disabilities, defined as non-profits with expe- rience as a fiscal intermediary before 2012 and primarily serving racial and ethnic minorities or individuals who are New Americans. Section 3. Effective Date   JUSTIFICATION: Consumer Directed Personal Assistance Program (CDPAP) is a wildly successful program that allows individuals to stay in their community while receiving personal care services or skilled nursing services. In order to receive services, a person must apply through a fiscal interme- diary. Recognizing the ballooning cost of this program and the more than 700 fiscal intermediaries across the state, the Department of Health released a request for offer to determine lead fiscal intermediaries and the awardees were notified in February. Of the over 250 applicants, only 68 awardees were selected. Several counties with significant populations did not have any local providers selected for their area - and will instead be relying on large, state- wide organizations to provide services. In addition, the awardees did not include any lead fiscal intermediaries who specialize in providing services to individuals with intellectual or developmental disabilities. Historically marginalized communities like individuals with disabili- ties, racial minorities, and New Americans are at risk of being left behind in this switch of lead fiscal intermediaries. It is extremely disruptive to ask the thousands of individuals to find, work with, and feel comfortable with a new fiscal intermediary who's primary base of operations is across the state or does not specialize in the type of services an individual needs. Expanding the number of lead fiscal intermediaries will encourage indi- viduals who want to stay in their community and with their families to do so. However, more individuals will turn to costly full time residen- tial services if they are not given the option or tools necessary to work with the local, specialized providers they know and trust. This legislation takes a balanced approach to ensure regional diversity across the State by requiring at least two local providers per county with a population of over 200,000 and ensure there are 5 providers each with a history of working with minority communities and individuals with developmental or intellectual disabilities.   LEGISLATIVE HISTORY: New Bill   FISCAL IMPLICATIONS FOR STATE AND LOCAL GOVERNMENTS: To be determined.   EFFECTIVE DATE: Immediately and shall be deemed in full force and effect on January 1, 2021.
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