STATE OF NEW YORK ________________________________________________________________________ 5661--A 2017-2018 Regular Sessions IN SENATE April 24, 2017 ___________ Introduced by Sens. LITTLE, HANNON, RITCHIE, VALESKY -- read twice and ordered printed, and when printed to be committed to the Committee on Health -- reported favorably from said committee and committed to the Committee on Finance -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee AN ACT to amend the public health law, in relation to establishing the enhanced safety net hospital program The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Section 2807-c of the public health law is amended by 2 adding a new subdivision 34 to read as follows: 3 34. Enhanced safety net hospital program. (a) For the purposes of this 4 subdivision, "enhanced safety net hospital" means a hospital which: 5 (i) in any of the previous three calendar years, has met the following 6 criteria: 7 (A) not less than fifty percent of the patients it treats receive 8 medicaid or are medically uninsured; 9 (B) not less than forty percent of its inpatient discharges are 10 covered by medicaid; 11 (C) twenty-five percent or less of its discharged patients are commer- 12 cially insured; 13 (D) not less than three percent of the patients it provides services 14 to are attributed to the care of uninsured patients; and 15 (E) provides care to uninsured patients in its emergency room, hospi- 16 tal based clinics and community based clinics, including the provision 17 of important community services, such as dental care and prenatal care; 18 (ii) is a public hospital operated by a county, municipality, public 19 benefit corporation or the state university of New York; or 20 (iii) is federally designated as a critical access or sole community 21 hospital. EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD11172-03-7

S. 5661--A 2 1 (b) The commissioner shall adjust medical assistance rates to enhanced 2 safety net hospitals for the purposes of supporting critically needed 3 health care services and to ensure the continued maintenance and opera- 4 tion of such hospitals. 5 (c) Payment of the non-federal share of the medical assistance 6 payments made pursuant to this subdivision shall be the responsibility 7 of the state and shall not include a local share. Payments made pursuant 8 to this subdivision may be added to rates of payment or made as aggre- 9 gate payments to eligible general hospitals. 10 § 2. This act shall take effect April 1, 2018, provided, that the 11 enhanced safety net appropriation contained in chapter 53 of the laws of 12 2017 is not increased before the effective date of this act; provided, 13 however, that if the enhanced safety net appropriation contained in 14 chapter 53 of the laws of 2017 is increased prior to the effective date 15 of this act, then this act shall take effect on the same day as the 16 chapter of law that increases the enhanced safety net appropriation 17 takes effect; provided that the commissioner of health shall notify the 18 legislative bill drafting commission upon the occurrence of the increase 19 of the enhanced safety net appropriation contained in chapter 53 of the 20 laws of 2017 before April 1, 2018 in order that the commission may main- 21 tain an accurate and timely effective data base of the official text of 22 the laws of the state of New York in furtherance of effectuating the 23 provisions of section 44 of the legislative law and section 70-b of the 24 public officers law.