Source: https://www.nysenate.gov/legislation/bills/2019/A5248
Timestamp: 2019-05-22 20:43:57
Document Index: 54580370

Matched Legal Cases: ['Art 50', '§5000', 'Art 80', '§8000', 'Art 51', '§5100', 'Art 49', '§4920', '§270', '§89', '§ 4924', '§ 4925', '§  4926', '§ 4927', '§ 4928', '§  7', '§ 89']

NY State Assembly Bill A5248
assembly Bill A5248
Get Status Alerts for A5248
Feb 08, 2019 referred to health
A5248 (ACTIVE) - Details
Ren Art 50 §§5000 - 5003 to be Art 80 §§8000 - 8003, add Art 51 §§5100 - 5111, Art 49 Title 3 §§4920 - 4928, amd §270, Pub Health L; add §89-j, St Fin L
A5248 (ACTIVE) - Summary
A5248 (ACTIVE) - Bill Text download pdf
Introduced  by M. of A. GOTTFRIED, ABINANTI, BARRETT, BARRON, BENEDETTO,
BICHOTTE, BLAKE, BRONSON, BURKE, CAHILL, CARROLL, COLTON, COOK,  CRES-
PO,  CRUZ,  CYMBROWITZ,  DE LA ROSA, DICKENS, DILAN, DINOWITZ, D'URSO,
ENGLEBRIGHT, EPSTEIN,  FERNANDEZ,  FRONTUS,  GANTT,  HUNTER,  HYNDMAN,
JAFFEE, JEAN-PIERRE, JOYNER, KIM, LAVINE, LIFTON, LUPARDO, M. G. MILL-
ER, MOSLEY, NIOU, ORTIZ, PAULIN, PEOPLES-STOKES, PERRY, PHEFFER AMATO,
PICHARDO,  RAMOS,  REYES, RICHARDSON, RIVERA, RODRIGUEZ, L. ROSENTHAL,
SEAWRIGHT, SIMON, SIMOTAS, SOLAGES,  STECK,  STIRPE,  TAYLOR,  THIELE,
TITUS,  VANEL, WALKER, WALLACE, WEINSTEIN, WEPRIN, WILLIAMS, WRIGHT --
Multi-Sponsored by -- M. of A. ABBATE, ARROYO, AUBRY, DAVILA, DenDEKK-
ER, FAHY, GALEF, GLICK, GUNTHER, LENTOL, MAGNARELLI, O'DONNELL,  PRET-
LOW, QUART, ROZIC -- read once and referred to the Committee on Health
inadequate coverage.  Millions of New Yorkers do not get the health care
they  need  or face financial obstacles and hardships to get it. That is
not acceptable.  There is no plan other than the  New  York  health  act
LBD09777-01-9
A. 5248                             2
that  will  enable  New  York state to meet that need.  New Yorkers - as
individuals, employers, and taxpayers - have experienced a rise  in  the
cost  of  health  care  and  coverage  in recent years, including rising
premiums, deductibles and co-pays, restricted provider networks and high
out-of-network charges.  Many New Yorkers go without health care because
they  cannot  afford  it  or suffer financial hardship to get it.  Busi-
nesses have also experienced increases in the costs of health care bene-
fits for their employees, and many employers are shifting a larger share
of the cost of coverage to their employees or dropping coverage  entire-
ly.  Including long-term services and supports (LTSS) in New York Health
is  a major step forward for older adults, people with disabilities, and
their families. Older adults and people with disabilities  often  cannot
receive  the  services necessary to stay in the community or other LTSS.
Even when older adults and people with disabilities receive LTSS,  espe-
cially  services  in the community, it is often at the cost of unreason-
able demands on unpaid family caregivers, depleting their own or  family
resources,  or  impoverishing themselves to qualify for public coverage.
New York state. A large portion of hospitals, health centers  and  other
providers now experience substantial losses due to the provision of care
that  is uncompensated. Individuals often find that they are deprived of
affordable care and choice because of decisions by health  plans  guided
by  the  plan's  economic  interests rather than the individual's health
care needs. To address the fiscal crisis facing the health  care  system
and  the  state  and  to  assure New Yorkers can exercise their right to
health care,  affordable  and  comprehensive  health  coverage  must  be
to  provide for the health of New Yorkers, this legislation is an enact-
ment of state concern for the purpose of  establishing  a  comprehensive
universal guaranteed health care coverage program and a health care cost
control  system  for  the  benefit  of all residents of the state of New
legislature intends that federal waivers and approvals be  sought  where
they will improve the administration of the New York Health program, but
the  legislature  intends  that  the  program be implemented even in the
absence of such waivers or approvals.  The state shall  work  to  obtain
waivers  and  other  approvals  relating to Medicaid, Child Health Plus,
Medicare, the Affordable Care Act, and  any  other  appropriate  federal
programs,  under  which  federal  funds  and  other subsidies that would
otherwise be paid to New  York  State,  New  Yorkers,  and  health  care
deposited in the New York Health trust fund,  or  paid  to  health  care
providers and individuals in combination with New York Health trust fund
payments,  and for other program modifications (including elimination of
cost sharing and insurance premiums).  Under such waivers and approvals,
health coverage under those programs will, to the maximum extent  possi-
ble,  be replaced and merged into New York Health, which will operate as
a true single-payer program.
(b) If any necessary waiver or approval is  not  obtained,  the  state
shall  use state plan amendments and seek waivers and approvals to maxi-
mize, and make as seamless as possible,  the  use  of  federally-matched
health  programs  and federal health programs in New York Health.  Thus,
A. 5248                             3
choice  of  health care providers and health care decision making.  Care
coordination within the program shall ensure management and coordination
among a patient's health care services, consistent with patient autonomy
and person-centered service planning, rather than acting as a gatekeeper
to needed services.
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6. "HEALTH CARE PROVIDER"  MEANS  ANY  INDIVIDUAL  OR  ENTITY  LEGALLY
AUTHORIZED  TO  PROVIDE A HEALTH CARE SERVICE UNDER MEDICAID OR MEDICARE
THAT IS AN  INDIVIDUAL  LICENSED,  CERTIFIED,  REGISTERED  OR  OTHERWISE
ESTABLISHED UNDER SECTION EIGHTY-NINE-J OF THE STATE FINANCE LAW.
A. 5248                             5
A. 5248                             6
THIS CHAPTER.  AN ENROLLEE MAY DESIGNATE A PERSON OR ENTITY,  INCLUDING,
BUT NOT LIMITED TO, A REPRESENTATIVE OF THE ENROLLEE'S CARE COORDINATOR,
A HEALTH CARE ORGANIZATION PROVIDING THE SERVICE UNDER REVIEW OR APPEAL,
OR  A  LABOR  UNION  OR  TAFT-HARTLEY  FUND  OF  WHICH  SUCH ENROLLEE OR
ENROLLEE'S FAMILY MEMBER IS A MEMBER TO SERVE AS THE ENROLLEE'S DESIGNEE
FOR PURPOSES OF THAT ARTICLE, IF THE PERSON OR ENTITY AGREES TO  BE  THE
8.  (A) NO MEMBER SHALL BE REQUIRED TO RECEIVE ANY HEALTH CARE SERVICE
SERVICES (OTHER THAN CARE COORDINATION) FROM THE PROGRAM.
(B) HOWEVER, THIS SUBDIVISION SHALL NOT PRECLUDE THE USE OF A MEDICARE
MANAGED CARE ("MEDICARE ADVANTAGE") ENTITY OR OTHER ENTITY CREATED BY OR
UNDER  THE  DIRECTION OF THE PROGRAM WHERE REASONABLY NECESSARY TO MAXI-
MIZE FEDERAL FINANCIAL PARTICIPATION OR OTHER FEDERAL FINANCIAL  SUPPORT
UNDER  ANY  FEDERALLY-MATCHED  PUBLIC  HEALTH  PROGRAM,  MEDICARE OR THE
AFFORDABLE CARE ACT. ANY ENTITY UNDER THIS PARAGRAPH SHALL, TO THE MAXI-
MUM EXTENT FEASIBLE, OPERATE IN THE BACKGROUND,  WITHOUT  BURDEN  ON  OR
INTERFERENCE WITH THE MEMBER AND HEALTH CARE PROVIDER, WITHOUT DEPRIVING
THE  MEMBER  OR  HEALTH  CARE PROVIDER OF ANY RIGHT OR BENEFIT UNDER THE
PROGRAM AND OTHERWISE CONSISTENT WITH THIS ARTICLE.
9. THE PROGRAM SHALL INCLUDE PROVISIONS  FOR  AN  APPROPRIATE  RESERVE
10. (A) THIS SUBDIVISION APPLIES TO EVERY PERSON WHO IS A RETIREE OF A
PUBLIC  EMPLOYER,  AS  DEFINED  IN  SECTION TWO HUNDRED ONE OF THE CIVIL
SERVICE LAW, AND ANY PERSON WHO IS A BENEFICIARY OF THE RETIREE'S PUBLIC
EMPLOYEE RETIREE HEALTH BENEFIT. ANY REFERENCE TO THE RETIREE SHALL MEAN
AND INCLUDE ANY BENEFICIARY OF THE RETIREE. THIS  SUBDIVISION  DOES  NOT
CREATE  OR  INCREASE  ANY  ELIGIBILITY  FOR  ANY PUBLIC EMPLOYEE RETIREE
HEALTH BENEFIT THAT WOULD NOT OTHERWISE EXIST AND DOES NOT DIMINISH  ANY
PUBLIC EMPLOYEE RETIREE HEALTH BENEFIT.
(B)  THIS  PARAGRAPH APPLIES TO THE RETIREE WHILE HE OR SHE IS A RESI-
DENT OF NEW YORK STATE. THE RETIREE SHALL ENROLL IN THE PROGRAM.  IF, BY
THE IMPLEMENTATION DATE, THE RETIREE HAS NOT ENROLLED  IN  THE  PROGRAM,
THE  APPROPRIATE  PUBLIC EMPLOYEE RETIREMENT SYSTEM AND THE COMMISSIONER
SHALL ENROLL THE  RETIREE  IN  THE  NEW  YORK  HEALTH  PROGRAM.  IF  THE
RETIREE'S  PUBLIC  EMPLOYEE  RETIREE HEALTH BENEFIT INCLUDES ANY SERVICE
FOR WHICH COVERAGE IS NOT OFFERED UNDER THE NEW YORK HEALTH PROGRAM, THE
RETIREE SHALL CONTINUE TO RECEIVE THAT BENEFIT FROM THE PUBLIC  EMPLOYEE
(C)  FOR  EVERY RETIREE, WHILE HE OR SHE IS NOT A RESIDENT OF NEW YORK
STATE, THE APPROPRIATE PUBLIC EMPLOYEE RETIREMENT SYSTEM SHALL  MAINTAIN
THE  RETIREE'S PUBLIC EMPLOYEE RETIREE HEALTH BENEFIT AS IF THIS ARTICLE
A. 5248                             7
HAVE  BEEN  INVOLVED  IN  ISSUES OF INTEREST TO LOW- AND MODERATE-INCOME
INDIVIDUALS, OLDER ADULTS, AND PEOPLE WITH DISABILITIES; AT LEAST  THREE
OF WHOM SHALL REPRESENT ORGANIZATIONS LED BY CONSUMERS IN THOSE GROUPS;
(VI)  TWO  OF  WHOM SHALL BE REPRESENTATIVES OF REHABILITATION OR HOME
A. 5248                             8
(A) THE BOARD SHALL DEVELOP PROPOSALS FOR: (I)  INCORPORATING  RETIREE
(B) THE BOARD SHALL DEVELOP A PROPOSAL FOR NEW YORK HEALTH COVERAGE OF
A. 5248                             9
(H)  PROVIDED  THAT  WHERE  ANY STATE LAW OR REGULATION RELATED TO ANY
FEDERALLY-MATCHED PUBLIC HEALTH PROGRAM STATES THAT A BENEFIT IS CONTIN-
GENT ON FEDERAL FINANCIAL PARTICIPATION, OR WORDS TO  THAT  EFFECT,  THE
BENEFIT  SHALL  BE  INCLUDED  UNDER  THE NEW YORK HEALTH PROGRAM WITHOUT
REGARD TO FEDERAL FINANCIAL PARTICIPATION.
(IV) A TAFT-HARTLEY FUND OR LABOR UNION, WITH RESPECT TO  ITS  MEMBERS
AND  THEIR  FAMILY  MEMBERS;  PROVIDED  THAT  THIS  PROVISION  SHALL NOT
PRECLUDE A TAFT-HARTLEY FUND OR LABOR UNION FROM BECOMING A CARE COORDI-
NATOR UNDER SUBPARAGRAPH (V) OF THIS PARAGRAPH OR A HEALTH  CARE  ORGAN-
IZATION UNDER SECTION FIFTY-ONE HUNDRED SIX OF THIS ARTICLE; OR
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(III)  THE  MEMBER  SHALL  REMAIN  ENROLLED WITH THAT CARE COORDINATOR
DINATOR  ON  TERMS  AT  LEAST AS PERMISSIVE AS THE PROVISIONS OF SECTION
THREE HUNDRED SIXTY-FOUR-J OF THE SOCIAL SERVICES  LAW  RELATING  TO  AN
INDIVIDUAL  CHANGING  HIS  OR  HER PRIMARY CARE PROVIDER OR MANAGED CARE
(C) CARE COORDINATION SHALL BE PROVIDED TO THE MEMBER BY THE  MEMBER'S
(D) A HEALTH CARE ORGANIZATION MAY ESTABLISH RULES  RELATING  TO  CARE
APPROVAL ON A DETERMINATION THAT THE INDIVIDUAL OR ENTITY IS NOT  COMPE-
IS  EITHER  INCONSISTENT WITH PROGRAM STANDARDS AND REGULATIONS OR WHICH
(G) NOTHING IN THIS SUBDIVISION  SHALL  AUTHORIZE  ANY  INDIVIDUAL  TO
HEALTH CARE PROVIDER IS NOT COMPETENT  TO  BE  A  PROVIDER  OF  SPECIFIC
HEALTH  CARE  SERVICES  OR  HAS  EXHIBITED  A COURSE OF CONDUCT WHICH IS
A. 5248                            11
STANDARDS  SHALL  NOT  LIMIT  HEALTH  CARE PROVIDER PARTICIPATION IN THE
A. 5248                            12
5.  PRIOR  AUTHORIZATION. THE PROGRAM SHALL NOT REQUIRE PRIOR AUTHORI-
ZATION FOR ANY HEALTH CARE SERVICE IN ANY  MANNER  MORE  RESTRICTIVE  OF
ACCESS  TO  OR  PAYMENT  FOR  THE SERVICE THAN WOULD BE REQUIRED FOR THE
SERVICE UNDER MEDICARE  PART  A  OR  PART  B.  PRIOR  AUTHORIZATION  FOR
PRESCRIPTION  DRUGS  PROVIDED  BY  PHARMACIES UNDER THE PROGRAM SHALL BE
UNDER TITLE ONE OF ARTICLE TWO-A OF THIS CHAPTER.
CLINICS, LONG-TERM SUPPORTS AND SERVICE PROVIDERS, CONSUMERS  AND  THEIR
REPRESENTATIVES  AND  LABOR ORGANIZATIONS REPRESENTING HEALTH CARE WORK-
ERS. WHEN DEVELOPING AND IMPLEMENTING STANDARDS OF  APPROVAL  OF  HEALTH
CARE ORGANIZATIONS, THE COMMISSIONER SHALL CONSULT WITH THE COMMISSIONER
OF  MENTAL  HEALTH,  THE COMMISSIONER OF DEVELOPMENTAL DISABILITIES, THE
A. 5248                            13
DIRECTOR OF THE STATE OFFICE FOR THE AGING AND THE COMMISSIONER  OF  THE
VANT CIRCUMSTANCES;
TION SERVICES AND HEALTH CARE SERVICES IN A CULTURALLY COMPETENT MANNER;
(F)  ESPECIALLY  IN  RELATION  TO LONG-TERM SUPPORTS AND SERVICES, THE
MAXIMIZATION AND PRIORITIZATION OF THE MOST  INTEGRATED  COMMUNITY-BASED
A  FOR-PROFIT  ENTITY (OTHER THAN A PROFESSIONAL PRACTICE OF ONE OR MORE
HEALTH CARE PROFESSIONALS) SHALL BE REQUIRED TO MEET THE  SAME  REQUIRE-
MENTS  AND  STANDARDS  AS ENTITIES ORGANIZED AS NOT-FOR-PROFIT ENTITIES,
A. 5248                            14
LATED TO ACCOMMODATE THE GENERATION OF PROFIT OR REVENUE  FOR  DIVIDENDS
OR  OTHER RETURN ON INVESTMENT OR THE PAYMENT OF TAXES THAT WOULD NOT BE
HEALTH  CARE ORGANIZATIONS   EMPLOYERS, ORGANIZED LABOR INCLUDING REPRE-
SENTATIVES OF HEALTH CARE WORKERS, AND OTHER INTERESTED PARTIES.
PROGRAMS OR FEDERAL  HEALTH  PROGRAMS.    THE  COMMISSIONER  SHALL  TAKE
ACTIONS  UNDER  PARAGRAPH  (B) OF SUBDIVISION EIGHT OF SECTION FIFTY-ONE
HUNDRED ONE OF THIS ARTICLE AS REASONABLY NECESSARY.
A. 5248                            15
FEDERAL WAIVERS OR APPROVALS TO ENSURE FEDERAL FINANCIAL PARTICIPATION.
(E)  TO  ENABLE  THE  COMMISSIONER  TO APPLY FOR COVERAGE OR FINANCIAL
SUPPORT UNDER ANY FEDERALLY-MATCHED PUBLIC HEALTH PROGRAM, THE  AFFORDA-
BLE  CARE ACT, OR MEDICARE ON BEHALF OF ANY MEMBER AND ENROLL THE MEMBER
IN ANY SUCH PROGRAM, INCLUDING AN ENTITY UNDER PARAGRAPH (B) OF SUBDIVI-
SION EIGHT OF SECTION FIFTY-ONE HUNDRED  ONE  OF  THIS  ARTICLE  IF  THE
MEMBER  IS  ELIGIBLE  FOR  IT,  THE  COMMISSIONER MAY REQUIRE THAT EVERY
MEMBER OR APPLICANT TO BE A MEMBER SHALL PROVIDE INFORMATION  TO  ENABLE
THE COMMISSIONER TO DETERMINE WHETHER THE APPLICANT IS ELIGIBLE FOR SUCH
PROGRAM.    THE PROGRAM SHALL MAKE A REASONABLE EFFORT TO NOTIFY MEMBERS
OF THEIR OBLIGATIONS UNDER THIS PARAGRAPH. AFTER A REASONABLE EFFORT HAS
A. 5248                            16
3. RETRAINING AND RE-EMPLOYMENT OF IMPACTED EMPLOYEES. (A) AS USED  IN
(I)  "THIRD PARTY PAYER" MEANS AN INSURER AUTHORIZED TO PROVIDE HEALTH
COVERAGE UNDER THE INSURANCE  LAW,  A  HEALTH  MAINTENANCE  ORGANIZATION
UNDER  ARTICLE FORTY-FOUR OF THIS CHAPTER, A SELF-INSURED PLAN PROVIDING
HEALTH COVERAGE,  OR  ANY  OTHER  THIRD  PARTY  PAYER  FOR  HEALTH  CARE
(II)  "HEALTH CARE PROVIDER ADMINISTRATIVE EMPLOYEE" MEANS AN EMPLOYEE
OF A HEALTH CARE PROVIDER PRIMARILY ENGAGED  IN  RELATIONS  OR  DEALINGS
WITH  THIRD  PARTY PAYERS OR SEEKING PAYMENT OR REIMBURSEMENT FOR HEALTH
CARE SERVICES FROM THIRD PARTY PAYERS.
(III) "IMPACTED EMPLOYEE" MEANS AN INDIVIDUAL WHO, AT  ANY  TIME  FROM
THE DATE THIS SECTION BECOMES A LAW UNTIL TWO YEARS AFTER THE END OF THE
IMPLEMENTATION PERIOD, IS EMPLOYED BY A THIRD PARTY PAYER OR IS A HEALTH
A. 5248                            17
CARE  PROVIDER  ADMINISTRATIVE  EMPLOYEE, AND WHOSE EMPLOYMENT ENDS AS A
RESULT OF THE IMPLEMENTATION OF THE NEW YORK HEALTH PROGRAM.
(B)  WITHIN  NINETY  DAYS  AFTER  THIS SECTION SHALL BECOME A LAW, THE
COMMISSIONER OF LABOR SHALL CONVENE A RETRAINING AND RE-EMPLOYMENT  TASK
FORCE  INCLUDING  BUT  NOT  LIMITED  TO:  REPRESENTATIVES  OF  POTENTIAL
IMPACTED EMPLOYEES, HUMAN RESOURCE DEPARTMENTS OF THIRD PARTY PAYERS AND
HEALTH CARE PROVIDERS, INDIVIDUALS  WITH  EXPERIENCE  AND  EXPERTISE  IN
RETRAINING  AND  RE-EMPLOYMENT PROGRAMS RELEVANT TO THE CIRCUMSTANCES OF
IMPACTED EMPLOYEES, AND REPRESENTATIVES OF THE  COMMISSIONER  OF  LABOR.
THE COMMISSIONER OF LABOR AND THE TASK FORCE SHALL REVIEW AND PROVIDE:
(I)  ANALYSIS  OF  POTENTIAL  IMPACTED  EMPLOYEES  BY  JOB  TITLE  AND
(II) COMPETENCY MAPPING AND LABOR MARKET ANALYSIS OF IMPACTED EMPLOYEE
OCCUPATIONS WITH JOB OPENINGS; AND
(III) ESTABLISHMENT OF REGIONAL RETRAINING AND RE-EMPLOYMENT  SYSTEMS,
INCLUDING  BUT  NOT  LIMITED  TO  JOB BOARDS, OUTPLACEMENT SERVICES, JOB
SEARCH SERVICES, CAREER ADVISEMENT SERVICES, AND RETRAINING  ADVISEMENT,
TO  BE COORDINATED WITH THE REGIONAL ADVISORY COUNCILS ESTABLISHED UNDER
SECTION FIFTY-ONE HUNDRED ELEVEN OF THIS ARTICLE.
(C) (I) THREE OR MORE IMPACTED EMPLOYEES, A RECOGNIZED UNION OF  WORK-
ERS  INCLUDING  IMPACTED EMPLOYEES, OR AN EMPLOYER OF IMPACTED EMPLOYEES
MAY FILE A PETITION WITH THE  COMMISSIONER  OF  LABOR  TO  CERTIFY  SUCH
EMPLOYEES AS BEING IMPACTED EMPLOYEES.
(II) IMPACTED EMPLOYEES SHALL BE ELIGIBLE FOR:
(A) UP TO TWO YEARS OF RETRAINING AT ANY TRAINING PROVIDER APPROVED BY
THE COMMISSIONER OF LABOR; AND
(B)  UP  TO  TWO  YEARS  OF  UNEMPLOYMENT  BENEFITS, PROVIDED THAT THE
IMPACTED EMPLOYEE IS ENROLLED IN A DEPARTMENT OF LABOR APPROVED TRAINING
PROGRAM, IS ACTIVELY SEEKING EMPLOYMENT, AND IS NOT  CURRENTLY  EMPLOYED
FULL  TIME;  PROVIDED, HOWEVER, THAT SUCH IMPACTED EMPLOYEE MAY MAINTAIN
UNEMPLOYMENT BENEFITS FOR UP TO TWO YEARS EVEN IF HE  OR  SHE  DOES  NOT
MEET  THE  CRITERIA SET FORTH IN THIS CLAUSE BUT IS SIXTY-THREE YEARS OF
AGE OR OLDER AT THE TIME OF LOSS OF EMPLOYMENT AS AN IMPACTED EMPLOYEE.
(D) THE COMMISSIONER SHALL PROVIDE FUNDS  FROM  THE  NEW  YORK  HEALTH
TRUST FUND OR OTHERWISE APPROPRIATED FOR THIS PURPOSE TO THE COMMISSION-
ER  OF  LABOR  FOR  RETRAINING  AND  RE-EMPLOYMENT PROGRAMS FOR IMPACTED
EMPLOYEES UNDER THIS SUBDIVISION.
(E) THE COMMISSIONER OF LABOR SHALL MAKE REGULATIONS  AND  TAKE  OTHER
ACTIONS  REASONABLY NECESSARY TO IMPLEMENT THIS SUBDIVISION. THIS SUBDI-
VISION SHALL BE IMPLEMENTED CONSISTENT WITH  APPLICABLE  LAW  AND  REGU-
A. 5248                            18
LIN, FULTON, GREENE, HAMILTON, HERKIMER, JEFFERSON,  LEWIS,  MONTGOMERY,
OTSEGO,  RENSSELAER,  SARATOGA,  SCHENECTADY,  SCHOHARIE,  ST. LAWRENCE,
WARREN, WASHINGTON COUNTIES;
LAND,  LIVINGSTON,  MADISON,  MONROE, ONEIDA, ONONDAGA, ONTARIO, OSWEGO,
SCHUYLER, SENECA, STEUBEN, TIOGA, TOMPKINS, WAYNE, YATES COUNTIES; AND
(I) REPRESENTATIVES OF ORGANIZATIONS WITH A REGIONAL CONSTITUENCY THAT
ADVOCATE FOR HEALTH CARE CONSUMERS, OLDER ADULTS, AND PEOPLE WITH  DISA-
BILITIES  INCLUDING  ORGANIZATIONS  LED  BY MEMBERS OF THOSE GROUPS, WHO
SHALL CONSTITUTE AT LEAST ONE THIRD OF THE MEMBERSHIP OF  EACH  REGIONAL
(VI) REPRESENTATIVES OF MENTAL HEALTH,  BEHAVIORAL  HEALTH  (INCLUDING
(IX)  REPRESENTATIVES  OF ORGANIZED LABOR INCLUDING REPRESENTATIVES OF
A. 5248                            19
8. EACH REGIONAL ADVISORY COUNCIL SHALL ADVISE THE  COMMISSIONER,  THE
PHYSICAL AND DEVELOPMENTAL DISABILITY SERVICES, AND  LONG-TERM  SUPPORTS
(C) IDENTIFYING GAPS IN REGIONAL HEALTH CARE SERVICES;
SIONER AND THE BOARD AND SHALL BE POSTED ON THE DEPARTMENT'S WEBSITE;
(E)  IDENTIFYING  NEEDS IN PROFESSIONAL AND SERVICE PERSONNEL REQUIRED
TO DELIVER HEALTH CARE SERVICES; AND
(F) COORDINATING REGIONAL IMPLEMENTATION OF RETRAINING AND  RE-EMPLOY-
MENT  PROGRAMS FOR IMPACTED EMPLOYEES UNDER SUBDIVISION THREE OF SECTION
FIFTY-ONE HUNDRED TEN OF THIS ARTICLE.
A. 5248                            20
to  in  this  section  as the "non-payroll tax").  Income in the bracket
below twenty-five thousand dollars per year shall  be  exempt  from  the
taxes.  Higher brackets of income subject to the taxes shall be assessed
at  a  higher marginal rate than lower brackets.  The taxes shall be set
at levels anticipated to  produce  sufficient  revenue  to  finance  the
program,  to be scaled up as enrollment grows, taking into consideration
anticipated federal revenue available for the program.  Provision  shall
be  made  for state residents (who are eligible for the program) who are
employed out-of-state, and non-residents (who are not eligible  for  the
program) who are employed in the state.
A. 5248                            21
For the employer, the credit shall be available regardless of  the  form
of  the  health  benefit  (e.g.,  health insurance, a self-insured plan,
direct services, or reimbursement for services), to make sure  that  the
revenue  proposal does not relate to employment benefits in violation of
the credit shall be available for and limited  to  spending  for  health
able  without  regard  to how little is spent or how sparse the benefit.
The credit may only be taken against the payroll tax. Any excess  amount
may  not be applied to other tax liability. The credit shall be distrib-
uted between the employer and employee in the  same  proportion  as  the
spending  by each for the benefit and may be applied to their respective
portion of the tax. (C) If any provision of  this  subparagraph  or  any
affect  any  other  provision  or application of this section or the act
3. (a) The revenue proposal  shall  include  a  plan  and  legislative
(b)  The  taxes  under this section shall not supplant the spending of
other state revenue to pay for the Medicaid program as it exists  as  of
the  enactment  of  the  revenue proposal as amended, unless the revenue
subdivision  two  or paragraph (b) of subdivision three of this section,
the revenue proposal shall state how it differs  from  those  terms  and
5.  All  revenue  from  the  taxes  shall be deposited in the New York
Health trust fund account under section 89-j of the state finance law.
4924. MEDIATION.
4927. CONFIDENTIALITY.
4928. SEVERABILITY AND CONSTRUCTION.
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5. "HEALTH CARE PROVIDER" MEANS A HEALTH CARE PROVIDER  UNDER  ARTICLE
FIFTY-ONE  OF  THIS  CHAPTER.  A  HEALTH CARE PROFESSIONAL AS DEFINED IN
ARTICLE FIFTY-ONE OF THIS CHAPTER WHO PRACTICES AS AN EMPLOYEE OR  INDE-
PENDENT CONTRACTOR OF ANOTHER HEALTH CARE PROVIDER SHALL NOT BE DEEMED A
HEALTH CARE PROVIDER FOR PURPOSES OF THIS TITLE.
§ 4924. MEDIATION. 1. IN THE EVENT THE COMMISSIONER DETERMINES THAT AN
IMPASSE EXISTS  IN  THE  NEGOTIATIONS,  THE  COMMISSIONER  SHALL  RENDER
A. 5248                            23
(A)  TO  ASSIST  THE  PARTIES  TO EFFECT A VOLUNTARY RESOLUTION OF THE
NEGOTIATIONS, THE COMMISSIONER SHALL APPOINT A MEDIATOR WHO IS  MUTUALLY
ACCEPTABLE  TO  BOTH  THE  HEALTH CARE PROVIDERS' REPRESENTATIVE AND THE
REPRESENTATIVE OF NEW YORK HEALTH. IF  THE  MEDIATOR  IS  SUCCESSFUL  IN
RESOLVING  THE  IMPASSE,  THEN THE HEALTH CARE PROVIDERS' REPRESENTATIVE
SHALL PROCEED AS SET FORTH IN THIS ARTICLE;
(B) IF AN IMPASSE CONTINUES, THE COMMISSIONER SHALL  APPOINT  A  FACT-
FINDING  BOARD OF NOT MORE THAN THREE MEMBERS, WHO ARE MUTUALLY ACCEPTA-
BLE TO BOTH THE HEALTH CARE PROVIDERS' REPRESENTATIVE AND THE  REPRESEN-
TATIVE  OF  NEW  YORK  HEALTH.  THE  FACT-FINDING  BOARD  SHALL HAVE, IN
ADDITION TO THE POWERS DELEGATED TO IT BY THE BOARD, THE POWER  TO  MAKE
RECOMMENDATIONS FOR THE RESOLUTION OF THE DISPUTE;
(C) THE FACT-FINDING BOARD, ACTING BY A MAJORITY OF ITS MEMBERS, SHALL
HEALTH CARE PROVIDERS' REPRESENTATIVE AND THE REPRESENTATIVE OF NEW YORK
HEALTH.  IF  WITHIN  TWENTY DAYS AFTER THE SUBMISSION OF THE FINDINGS OF
FACT AND RECOMMENDATIONS, THE IMPASSE CONTINUES, THE COMMISSIONER  SHALL
ORDER  A  RESOLUTION TO THE NEGOTIATIONS BASED UPON THE FINDINGS OF FACT
AND RECOMMENDATIONS SUBMITTED BY THE FACT-FINDING BOARD.
§ 4925. CERTAIN COLLECTIVE ACTION PROHIBITED. 1.  THIS  TITLE  IS  NOT
§  4926. FEES. EACH PERSON WHO ACTS AS THE REPRESENTATIVE OF NEGOTIAT-
§ 4927. CONFIDENTIALITY. ALL REPORTS AND OTHER INFORMATION REQUIRED TO
§ 4928. SEVERABILITY AND CONSTRUCTION. IF ANY PROVISION OR APPLICATION
A. 5248                            24
§  7. The state finance law is amended by adding a new section 89-j to
§ 89-J. NEW YORK HEALTH TRUST FUND. 1. THERE IS HEREBY ESTABLISHED  IN
A. 5248                            25
of proposals consistent with the principles of article 51 of the  public
health law for provision of health care services covered under the work-
ers'  compensation law; and incorporation of retiree health benefits, as
described in paragraphs (a), (b) and (c) of  subdivision  8  of  section
5102  of  the  public health law.  The commission shall provide its work
product and assistance to the board established pursuant to section 5102
of the public health law upon  completion  of  the  appointment  of  the
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