New York 2025-2026 Regular Session

New York Assembly Bill A10159

Introduced
2/12/26  

Caption

Establishes the managed long term care high acuity stabilization pool; appropriation

Impact

The introduction of A10159 could significantly enhance the support for managed long-term care plans that cater to high-need individuals. By setting performance criteria and establishing a funding mechanism, this bill potentially improves care quality for those who rely on long-term care services. The stabilization pool will provide supplemental funding meant to offset costs above a predetermined threshold, ensuring that plans remain financially viable while meeting quality standards.

Summary

Bill A10159 aims to establish a managed long-term care high acuity stabilization pool with a total funding of fifty million dollars for the state fiscal year commencing April 1, 2026. The purpose of this pool is to support managed long-term care plans that demonstrate high performance on quality measures set by the Department of Health, particularly those serving a disproportionately high share of individuals with complex long-term care needs. This initiative highlights the state's commitment to addressing the needs of vulnerable populations who require advanced health services.

Conclusion

Overall, Bill A10159 reflects a proactive approach to healthcare management for high-acuity populations. Still, its success will depend on transparent governance and the ability of the Department of Health to enforce quality standards while addressing the broader challenges facing long-term care systems.

Contention

However, there are notable concerns regarding the bill's implementation and its financial implications. Critics may question the efficacy of the performance measures and whether the appropriated funds will be sufficient to meet the needs of high acuity care settings. Additionally, there could be debates about accountability measures in place to ensure that funds are used appropriately without unduly inflating plan margins.

Companion Bills

NY S09169

Same As Establishes the managed long term care high acuity stabilization pool to support managed long term care plans that demonstrate high performance on quality measures established by the department and serve a disproportionately high share of members with complex long term care needs or high service utilization.

Previously Filed As

NY S09169

Establishes the managed long term care high acuity stabilization pool to support managed long term care plans that demonstrate high performance on quality measures established by the department and serve a disproportionately high share of members with complex long term care needs or high service utilization.

NY SF5270

Hospital stabilization program establishment, community-based safety net provider stabilization program establishment, Hennepin Healthcare System, Inc., stabilization grant program and appropriation

NY A02018

Repeals managed long term care provisions for Medicaid recipients; establishes provisions for fully integrated plans for long term care including PACE and MAP plans.

NY S02332

Repeals managed long term care provisions for Medicaid recipients; establishes provisions for fully integrated plans for long term care including PACE and MAP plans.

NY SF2760

Rural child care stabilization and support payment program establishment and appropriation

NY S07518

Provides for supplemental quality improvement payments for managed long term care plans that meet certain criteria.

NY S09875

Permits individuals receiving hospice services to enroll in managed long term care plans; ensures coordinated service delivery.

NY A10290

Permits individuals receiving hospice services to enroll in managed long term care plans; ensures coordinated service delivery.

NY HB934

Establish the Senior and Long-Term Care Home and Community-Based Services Access and Stabilization Act

NY A11059

Limits the liability of low-income housing providers who receive government assistance; establishes a temporary insurance stabilization program for such entities.

Similar Bills

No similar bills found.