A 4051: Includes accountable care organizations within the definition of a managed care provider.
The bill aims to amend the social services law to include accountable care organizations (ACOs) within the definition of a managed care provider. ACOs are allowed to operate under the public health law and are also considered accountable care organizations under the public health law. The bill also makes changes to the definition of a managed care provider, allowing for partially capitated programs to be included. The amendments take effect 180 days after the bill becomes a law, but the changes to subparagraph (iii) of paragraph (b) of section 364-j of the social services law expire and are repealed when the provisions of section 2 of the bill take effect.
| Jan. 07, 2026 | referred to health |
| Jan. 31, 2025 | referred to health |
STATE OF NEW YORK ________________________________________________________________________ 4051 2025-2026 Regular Sessions IN ASSEMBLY January 31, 2025 ___________ Introduced by M. of A. CUNNINGHAM -- read once and referred to the Committee on Health AN ACT to amend the social services law, in relation to including accountable care organizations within the definition of a managed care provider The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Subparagraph (iii) of paragraph (b) of subdivision 1 of 2 section 364-j of the social services law, as added by section 77 of part 3 A of chapter 56 of the laws of 2013, is amended and a new subparagraph 4 (iv) is added to read as follows: 5 (iii) is authorized to operate under section forty-four hundred 6 three-g of the public health law[.]; or 7 (iv) is an accountable care organization under article twenty-nine-E 8 of the public health law. 9 § 2. Subparagraph (ii) of paragraph (b) of subdivision 1 of section 10 364-j of the social services law, as amended by chapter 433 of the laws 11 of 1997, is amended and a new subparagraph (iii) is added to read as 12 follows: 13 (ii) is authorized as a partially capitated program pursuant to 14 section three hundred sixty-four-f of this title or section forty-four 15 hundred three-e of the public health law or section 1915b of the social 16 security act[.]; or 17 (iii) is an accountable care organization under article twenty-nine-E 18 of the public health law. 19 § 3. This act shall take effect one hundred eighty days after it shall 20 have become a law; provided, that the amendments to subparagraph (iii) 21 of paragraph (b) of section 364-j of the social services law made by 22 section one of this act shall be subject to the expiration and repeal of 23 such subparagraph when upon such date the provisions of section two of 24 this act shall take effect; and provided further that the amendments to EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD06470-01-5A. 4051 2 1 section 364-j of the social services law made by this act shall be 2 subject to the expiration and repeal of such section and shall expire 3 and be deemed repealed therewith. Effective immediately, the commission- 4 er of health shall make regulations and take other actions reasonably 5 necessary to implement this act on that date.