STATE OF NEW YORK ________________________________________________________________________ 5661--B 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 -- 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 EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD11172-05-7

S. 5661--B 2 1 (iii) is federally designated as a critical access or sole community 2 hospital. 3 (b) The commissioner shall adjust medical assistance rates to enhanced 4 safety net hospitals for the purposes of supporting critically needed 5 health care services and to ensure the continued maintenance and opera- 6 tion of such hospitals. 7 (c) Payment of the non-federal share of the medical assistance 8 payments made pursuant to this subdivision shall be the responsibility 9 of the state and shall not include a local share. Payments made pursuant 10 to this subdivision may be added to rates of payment or made as aggre- 11 gate payments to eligible general hospitals. 12 § 2. This act shall take effect April 1, 2018.