Bill Text: NY S07081 | 2013-2014 | General Assembly | Introduced

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Bill Title: Relates to covered lives assessments in the Rochester region.

Spectrum: Partisan Bill (Republican 3-0)

Status: (Introduced - Dead) 2014-04-24 - REFERRED TO HEALTH [S07081 Detail]

Download: New_York-2013-S07081-Introduced.html

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                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                         7081
                                   I N  S E N A T E
                                    April 24, 2014
                                      ___________
       Introduced  by  Sen.  ROBACH -- read twice and ordered printed, and when
         printed to be committed to the Committee on Health
       AN ACT to amend the public health law,  in  relation  to  covered  lives
         assessments in the Rochester region
         THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section 1. Subdivision 6 of section 2807-s of the public health law is
    2  amended by adding a new paragraph (g) to read as follows:
    3    (G) A FURTHER GROSS ANNUAL AMOUNT ALLOCATED TO  THE  ROCHESTER  REGION
    4  BEGINNING  JANUARY  FIRST, TWO THOUSAND FIFTEEN SHALL BE ONE HUNDRED TEN
    5  MILLION DOLLARS. FOR CALENDAR YEARS TWO THOUSAND SIXTEEN AND THEREAFTER,
    6  THAT AMOUNT SHALL BE INDEXED FOR STATEWIDE HEALTH CARE INFLATION  IN  AN
    7  AMOUNT  DETERMINED  BY  THE  COMMISSIONER. SUCH AMOUNT SHALL BE EXCLUDED
    8  FROM ALL COMPUTATIONS AND ADJUSTMENTS MADE PURSUANT TO PARAGRAPH (B)  OF
    9  SUBDIVISION SIX OF SECTION TWENTY-EIGHT HUNDRED SEVEN-T OF THIS ARTICLE.
   10    S  2.  Subdivision  7  of  section  2807-s of the public health law is
   11  amended by adding a new paragraph (d) to read as follows:
   12    (D)(A) FIVE MILLION DOLLARS OF THE FUNDS ALLOCATED  TO  THE  ROCHESTER
   13  REGION  PURSUANT  TO  PARAGRAPH  (G)  OF SUBDIVISION SIX OF THIS SECTION
   14  SHALL BE DISTRIBUTED TO A ROCHESTER REGIONAL HEALTH  PLANNING  ORGANIZA-
   15  TION  FOR  USE IN FUNDING REGIONAL HEALTH CARE IMPROVEMENT PROJECTS. THE
   16  REGIONAL HEALTH PLANNING ORGANIZATION  SHALL  DISBURSE  THOSE  FUNDS  IN
   17  ACCORDANCE WITH THIS PARAGRAPH, OR PURSUANT TO GRANTS MADE BY THE ORGAN-
   18  IZATION  IN  ACCORDANCE  WITH  THIS PARAGRAPH. DISTRIBUTION OF ANY GRANT
   19  FUNDS ADMINISTERED BY THE REGIONAL HEALTH PLANNING ORGANIZATION SHALL BE
   20  PURSUANT TO  A  MULTI-STAKEHOLDER  PROCESS.  THE  REGIONAL  HEALTH  CARE
   21  IMPROVEMENT  GRANT FUND PROJECTS SHALL INCLUDE THREE MILLION DOLLARS PER
   22  YEAR FOR A SHARED COMMUNITY HEALTH INFRASTRUCTURE DESIGNED ON THE  BASIS
   23  OF  COLLABORATIVE  COMMUNITY  EFFORTS,  INCLUDING COMMUNITY-WIDE PATIENT
   24  SAFETY AND QUALITY IMPROVEMENT PROGRAMS, ELIMINATION OF HEALTH  DISPARI-
   25  TIES, HEALTH INFORMATION TECHNOLOGY, AND TWO MILLION DOLLARS TO FUND THE
   26  REGIONAL HEALTH PLANNING ORGANIZATION.  THE HEALTH PLANNING ORGANIZATION
   27  SHALL  USE REASONABLE EFFORTS TO GENERATE MATCHING FUND CONTRIBUTIONS IN
   28  THE FORM OF GRANTS, DONATIONS AND OTHER CONTRIBUTIONS.
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD14809-01-4
       S. 7081                             2
    1    (B) ONE HUNDRED FIVE MILLION DOLLARS OF THE  FUNDS  ALLOCATED  TO  THE
    2  ROCHESTER  REGION  PURSUANT  TO PARAGRAPH (G) OF SUBDIVISION SIX OF THIS
    3  SECTION SHALL BE ALLOCATED TO A NOT-FOR-PROFIT ORGANIZATION  OR  ASSOCI-
    4  ATION  THAT  HAS  BEEN  DESIGNATED  THROUGH A MULTI-STAKEHOLDER PROCESS,
    5  WHICH SHALL DISTRIBUTE THOSE FUNDS TO ALL OF THE HOSPITALS IN THE REGION
    6  ENGAGED  IN GRADUATE MEDICAL EDUCATION IN ORDER TO FUND GRADUATE MEDICAL
    7  EDUCATION. ONE HUNDRED MILLION DOLLARS OF SUCH FUNDING SHALL BE DISTRIB-
    8  UTED PROPORTIONALLY TO EACH OF THE HOSPITALS IN  AMOUNTS  WHICH  REFLECT
    9  EACH  HOSPITAL'S  CURRENT COSTS FOR GRADUATE MEDICAL EDUCATION, AND FIVE
   10  MILLION  DOLLARS  OF  UNREIMBURSED  ADMINISTRATIVE  AND  OTHER  GRADUATE
   11  MEDICAL   EDUCATION  RELATED  COSTS  SHALL  BE  ALLOCATED  IN  THE  SAME
   12  PROPORTIONS. ONE HUNDRED MILLION DOLLARS OF THE DISTRIBUTED FUNDS  SHALL
   13  BE  IN  LIEU  OF  CURRENT FUNDING OF SUCH COSTS AS CURRENTLY INCLUDED IN
   14  CLAIMS PAYMENTS BY THE TWO LARGEST NON-GOVERNMENTAL THIRD  PARTY  PAYORS
   15  RESULTING  IN  A REDUCTION IN THE AMOUNT PAID BY SUCH THIRD PARTY PAYORS
   16  IN AN AMOUNT EQUAL TO THE ONE HUNDRED  MILLION  DOLLARS.  PRIOR  TO  THE
   17  ALLOCATION  OF  FUNDS  PURSUANT  TO  THIS SUBDIVISION, THE PARTICIPATING
   18  HOSPITALS AND SUCH THIRD PARTY PAYORS SHALL DEVELOP A  PROCESS  FOR  THE
   19  DISTRIBUTION  OF  SUCH FUNDS AND A MECHANISM TO ENSURE THAT THE REQUIRED
   20  REDUCTION OF PAYMENTS BY  SUCH  THIRD  PARTY  PAYORS  TO  THE  HOSPITALS
   21  OCCURS.  THE  AFFECTED  HOSPITALS  AND  THE TWO LARGEST NON-GOVERNMENTAL
   22  THIRD PARTY PAYORS IN THE ROCHESTER REGION SHALL JOINTLY SELECT AN INDE-
   23  PENDENT THIRD PARTY TO DETERMINE THE REDUCTIONS WHICH SHALL  OCCUR  FROM
   24  PREVIOUSLY  NEGOTIATED  RATES  FOR  CLAIMS PAYMENTS TO SUCH HOSPITALS BY
   25  SPECIFIED THIRD PARTY PAYORS IN ORDER TO AVOID DUPLICATE FUNDING  PURSU-
   26  ANT TO THIS PARAGRAPH.
   27    S  3.  This  act  shall take effect January 1, 2015; provided that the
   28  amendments to section 2807-s of the public health law made  by  sections
   29  one  and two of this act shall not affect the expiration of such section
   30  and shall be deemed to expire therewith.