Permits individuals receiving hospice services to enroll in managed long term care plans; ensures coordinated service delivery.
Impact
The amendments introduced by S09875 would impact state law by specifically redefining eligibility criteria for enrollment in managed long-term care plans. It mandates that individuals who opt for hospice services through Medicare or Medicaid will not be deemed ineligible for continued enrollment in these managed care plans. This change could significantly improve access to necessary health services for individuals at the end of life, as it ensures that they receive comprehensive care without administrative barriers that could hinder their access to essential services.
Summary
Bill S09875 proposes amendments to both the social services law and the public health law in New York, focusing on enabling individuals who are receiving hospice services to enroll in managed long-term care plans. The bill seeks to ensure that such individuals are not forced to disenroll from their care programs upon electing for hospice services. By allowing these individuals to maintain their enrollment while receiving hospice care, the bill aims to promote continuity of care and coordination among service providers involved in the patient's health management.
Contention
Opposition to S09875 may center on concerns regarding the regulation and funding implications of expanding managed care enrollments for hospice patients. Critics could argue that while the intention of the bill is commendable, the practical aspects of implementing such a coordinated approach across various health services may pose challenges. These include potential strains on healthcare resources, the need for thorough training of healthcare professionals in interdisciplinary communication protocols, and ensuring that privacy laws are upheld during information exchanges between care providers.
Enacts "Ella's law"; requires care managers employed by or under contract with a care coordination organization to provide care management services to an individual unless such care manager has completed all training requirements.
Repeals managed long term care provisions for Medicaid recipients; establishes provisions for fully integrated plans for long term care including PACE and MAP plans.
Repeals managed long term care provisions for Medicaid recipients; establishes provisions for fully integrated plans for long term care including PACE and MAP plans.
Requires Medicaid fee-for-service coverage of managed long term services and supports when beneficiary is pending enrollment in managed care organization.
Requires Medicaid fee-for-service coverage of managed long term services and supports when beneficiary is pending enrollment in managed care organization.
Establishes the hospice and palliative care workgroup to study and issue recommendations related to the state of affairs of hospice and palliative care services offered in New York state, utilization metrics of hospice and palliative care services, and effectiveness and accessibility of home hospice and palliative care services; provides for the repeal of such provisions upon expiration thereof.