LeadingAge New York State Budget Review April 2017 | Page 26

Summary of NYS Budget by Functional Area

EXECUTIVE BUDGET
FINAL BUDGET
PROGRAMMATIC INITIATIVES
Minimum Wage
Includes $255.4 million in state funding to support the direct
cost of minimum wage increases for Medicaid-funded services
provided by home care agencies, nursing homes, Assisted
Living Programs (ALPs), hospitals and other providers. Includes Executive proposal.
MLTC Enrollment Assessment
No provision. Requires plans to evaluate cognitive needs as part of the
enrollment assessment.
MLTC Marketing Ban
Administrative proposal to prohibit marketing by single-
capitated MLTC plans. No language enacted to prevent administrative action.
MLTC Plan Fining Mechanism
Administrative proposal to establish a mechanism to levy fines
for contractual or regulatory infractions. No language enacted to prevent administrative action.
Nursing Home Level of Care
L imits new MLTC enrollments to individuals requiring nursing
home level of care. Does not include Executive proposal.
Paid Family Leave
Sets up fund to implement a risk-adjustment mechanism for
the paid leave benefit. Does not include Executive proposal.
State-Local Medicaid Cost Sharing
• Reduces state Medicaid cost sharing to NYC by $50
million, though this would not be implemented if NYC
entered into a joint savings allocation plan with DOH to
increase allowable federal claims for preschool and school
supportive health by $100 million.
• Continues State’s commitment to bear the full cost of any
growth in non-federal Medicaid expenditures and exempt
local social services districts from sharing in the cost of
any increases in Medicaid spending.
Uniform Assessment System (UAS) Tool
No provision.
• Does not inclu de Executive proposal.
• Includes Executive proposal.
DOH commits to analyze and formulate change
recommendations regarding the Universal Assessment System
(UAS) Tool (side letter).
REGULATORY/PROGRAMMATIC INITIATIVES
Financial Exploitation of Vulnerable Adults
Allows banks to place a “hold” on the account of a vulnerable
adult when there is reason to suspect financial exploitation.
Health Care Regulation Modernization Team
Creates a Health Care Regulation Modernization Team to
provide guidance on a “fundamental restructuring” of the
statutes, regulations and policies that govern the licensure and
oversight of health care facilities and home care.
LeadingAge New York/April 2017
Does not include Executive proposal, but amends crime
victims’ compensation law to enable vulnerable elderly persons
and persons with disabilities to receive compensation of up to
$30,000 for thefts that result in loss of savings.
Does not include Executive proposal.
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