SFY Final State Budget Comparison to Executive Budget & Senate and Assembly One House Budget Proposals Health/Mental Hygiene

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SFY 2015‐16 Final State Budget Comparison to Executive Budget & Senate and Assembly

One‐House Budget Proposals‐ Health/Mental Hygiene

Executive Budget Senate One‐House Assembly One‐House Final Budget

MULTI‐SECTOR/ HOSPITAL Increase in Minimum Wage from $9 to $10.50 across NYS and to $11.50 in NYC Rejects Executive proposal to increase minimum wage Modifies Executive proposal by increasing to $10.50 per hour on December 31, 2016, and to $12.60 per hour on December 31, 2018. In New York City, Westchester, Nassau and Suffolk Counties, the minimum wage would be higher than the rest of the State, at $12.50 per hour at the end of 2016 and $15.00 per hour two years later. Effective December 31, 2019, indexed to inflation Proposal Not Included Make Global Spending Cap permanent and increase to Modifies Executive proposal by sun setting Commissioner’s Modifies Executive proposal to permanently codify spending cap and instead Proposal Included with modifications to extend global cap

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$17.9B authority March 31, 2016 extends for one year for one year Certificate of Need (CON) Redesign, 2012 Public Health and Health Planning Council (PHHPC) Recommendations Modifies Executive proposal to:  Decrease character and competence look back period from 10 to 5 years;  Apply existing timeframes for Article 28 FQHC CON and other Article 28 providers; and  Include improper delegation of authority as justification for DOH to appoint a temporary operator to a facility. Accepts Executive proposal Proposal Not Included

N/A N/A Includes a new provision to

require full CON review for a hospital‐sponsored off‐ campus emergency department located in towns with a population greater than 12600 and less than 12,700 people. Proposal Not Included Private Equity Demos to allow for five private equity businesses to operate a hospital or home care Modifies Executive proposal to:  Allow up to 10 private Rejects Executive proposal Proposal Not Included

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agency equity businesses;  Eliminate a requirement that the governance model reserve powers granted to a local governing authority;  Eliminate requirements for a local advisory board and for presentation of certain information by the entity including but not limited to the time period that it expects to keep its investment in a hospital and the role of the not‐for‐ profit hospital partner in discussions with a subsequent investor. New Hospital Capital Fund $1.4B ($700M NYC/Brooklyn; $400M Upstate; $300M Oneida County) Modifies Executive proposal by combining $1.4B into larger Capital Restructuring Finance Program to Support IT Investments, Debt Retirement, Restructuring, closures, mergers, etc. ($3.1B); Includes criteria, application and eligibility language for Accepts Executive proposal Proposal Included with modifications to add funding eligibility criteria and to provide $700M for Brooklyn, $300M for Oneida County, $355M for upstate hospitals, $15.5M for Roswell Park, $19.5M for a new community health care revolving capital fund, and $10M in funding for behavioral

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providers including hospitals nursing homes, home care, clinics, D&TCs, primary care providers and others; Proposes to fund the All Payer Database, SHIN‐NY and Health IT from this fund; Proposes up to $1 billion for NYC; $300M for Oneida County; and $400M for rural hospitals health IT Vital Access Provider (VAP) funding at $285M Modifies Executive proposal by providing level funding and requires that at least 40% of awards be provided Upstate Modifies Executive proposal to provide $190M increase and allots $7.5M for critical access hospitals and $10M for providers serving rural and isolated geographic areas Proposal Included ($285M state share funding) Proposal Included with increase in allocation for critical access hospitals from $5M to $7.5M and allots $10M for providers serving rural areas and isolated geographic regions DSRIP/ Value‐Based Payments (VBP) under Medicaid statutory authority

Rejects Executive proposal Rejects Executive proposal Proposal Not Included

SHIN‐NY funding of $45M Rejects Executive proposal; Fund through Capital Restructuring Finance Program described on page 1 Accepts Executive proposal Proposal Included at funding level proposed by Executive New Proposal to require NYSDOH to provide quarterly reports on how SHIN‐NY funding is used to achieve federal meaningful use, support

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DSRIP information exchange and increase participation in RHIOs All Payer Database funding of $10M Rejects Executive proposal; Fund through Capital Restructuring Finance Program described on page 1 Accepts Executive proposal Proposal Included as proposed by Executive New $50M Nonprofit Infrastructure Capital Investment Program

Accepts Executive proposal Accepts Executive proposal Proposal Included

Cost of Living Adjustment‐ continued from 2014‐15 (2% more added for direct care staff and new 2% for clinical staff)

N/A N/A Includes new proposal for

each DSRIP PPS to have a Community Advisory Board Proposal Included with modifications to require that each DSRIP PPS lead establish a project advisory committee made up of community representatives including Medicaid consumers to advise the PPS on matters including operations, delivery issues, elimination of disparities, project outcomes and the development of plans/programs

N/A N/A Includes new proposal to

create a new Independent Consumer Advocacy

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Network‐ independent ombudsman within NYSDOH to assist Medicaid enrollees with Managed Care N/A Includes new proposal to create a new Health Technology Assessment Committee to make recommendation to NYSDOH related to Medicaid coverage for devices and technology Includes new proposal to create a new Health Technology Assessment Committee to make recommendation to NYSDOH related to Medicaid coverage for devices and technology Proposal Included with modifications creating a Medicaid Evidence Based Benefit Review Advisory Committee to make recommendation to NYSDOH related to coverage for devices, technology and services

N/A N/A Includes a new proposal to

provide presumptive Medicaid eligibility for individuals within 60 days of release from prisons or local jails Proposal Not Included N/A Includes new proposal to require hospitals, office‐based surgery practices and Title 8 providers who accept unscheduled, walk‐ins and extended hours to utilize EHR systems that connect to local RHIOs N/A Proposal Not Included N/A Includes a new proposal to create a voluntary Hospital, Home Care and Physician N/A Proposal Included to create a voluntary Hospital, Home Care and Physician (all Title 8 professionals in

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Collaboration Program health/mental health) Collaboration Program to facilitate innovation through grants and adjustments in Medicaid rates for integration, transitions of care, telehealth/ telemedicine, physician house calls, health homes and bundled payments N/A Includes a new proposal related to School‐Based Health Centers (SBHCs) to:  Permanently carve‐out behavioral health and reproductive health services from the Medicaid Managed Care program; and  Phase in the carve‐out for other services on a pilot basis Includes a new proposal related to School‐Based Health Centers (SBHCs) to:  Permanently carve‐ out behavioral health and reproductive health services from the Medicaid Managed Care program; and  Phase in the carve‐ out for other services on a pilot basis Includes Proposal to extend the SBHC carve‐in for 1 year from July 1, 2015 to July 1, 2016 for all services N/A Includes a new proposal to require that at least 2.5% of health workforce training funding be given to each region N/A Proposal Not Included N/A Includes a new proposal to increase covered lives gross Includes a new proposal to increase covered lives gross Proposal Not Included

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amount to Rochester by $110 million for funding GME amount to Rochester by $110 million for funding GME N/A Includes a new proposal to establish young adult demonstration programs N/A Includes Proposal to require NYSDOH to establish up to three young adult demonstration programs for individuals with severe chronic medical problems or disabling conditions; The programs shall provide more appropriate settings and services and shall include at least one designed to serve persons aged 21‐35 who are aging out of pediatric adult care hospitals and pediatric nursing homes and at least one for persons aged 21‐35 with a developmental disability and severe or chronic health condition aging out of pediatric adult care hospitals, nursing homes or OPWDD children’s residential homes; NYSDOH shall report to the Legislature on the demonstration programs by 12/31/15 and for two years following the establishment of the programs N/A Includes a new proposal to establish a HCRA N/A Includes Proposal to require NYSDOH to annually report to the Legislature beginning 1/1/16 on all

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modernization task force revenues and disbursements from HCRA allocations and assessments; establishes a HCRA modernization task force convened by NYSDOH to evaluate and make recommendations regarding the efficacy and transparency of HCRA; Task Force shall include NYSDOH, health plans, consumers, hospitals and health care practitioners; Task force shall report to the Governor and Legislature on its findings and recommendations by 12/31/15

N/A N/A N/A Includes Proposal to establish a

definition of “improper delegation of management authority” by the governing authority or operator of a hospital to include delegation to an entity who is not the operator to: 1) hire or fire key management employees; 2) maintain or control books and records and disposition of assets and; 3) adopt operating policies. If the Public Health and Health Planning Council (PHHPC) find substantial evidence of improper delegation of management authority the hospital is subject to revocation or suspension of its establishment

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approval

N/A N/A N/A Includes Proposal to require

NYSDOH to prepare a report on the implementation of the State Health Innovation Plan (SHIP) including:  Recommendations of the workgroups established for implementation;  DOH efforts to advance SHIP goals; and  Expenditures on the State Innovation Model grant Report must be submitted to the Governor and the legislature on before 1‐1‐16 and annually thereafter

N/A N/A N/A Includes Proposal to authorize

NYSDOH to submit a waiver to CMS of the requirement that the Department include cost sharing for non‐exempt enrollees in the calculation of Medicaid payments to managed care organizations; NYSDOH must adjust the rates on 10/1/15 or the date CMS commences enforcement of such requirement, whichever is later

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AMBULATORY CARE Proposes regulation of Limited Services Clinics Rejects Executive proposal restoring $5 Million Rejects Executive proposal Proposal Not Included Proposes regulation of Urgent Care centers

Rejects Executive proposal Accepts Executive proposal Proposal Not Included

New requirements on Office‐Based Surgery (OBS) facilities Modifies Executive proposal to:  Require NYS DOH to convene an OBS workgroup to recommend & report by 12‐1‐2015;  Authorize a facility fee; and  Authorize suspension or revocation of licensure after removal of accreditation. Accepts Executive proposal to:  Include visit to an ED or admission to a hospital within 72 hours of surgery in the definition of “adverse event”; and  Require quality improvement activities Accepts Executive proposal Proposal Included with modifications to:  Delete the inclusion of podiatrists and chiropractors in the definition of Office‐ Based “licensees”;  Delete all references to “office‐based anesthesia;  Delete the requirement for practices and licensees to register with the State;  Delete a limitation on operations and procedures with an expected duration of no more than 6 hours and expected appropriate; and safe discharge within 6 hours  Add new confidentially for information relating to adverse event reporting and quality assurance and improvement activities

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HOME CARE/LONG TERM CARE

Eliminates refusal of spousal support

Provides exemption from Nurse Practice Act for Advanced Home Health Aides (AHHA) Rejects Executive proposal without prejudice until the recommendations of a workgroup are completed. Modifies Executive proposal to prohibit Advanced Home Health Aides from the administration of medications by injection other than insulin for diabetes care, sterile procedures, and central line maintenance and requiring a system for drug diversion. In addition, establishes additional supervision standards by a registered professional nurse. Proposal Not Included

N/A N/A N/A Includes New Proposal to require

expedited procedures for approving personal care services for recipients in need of immediate personal care services together with requiring expedited procedures for eligibility determinations. N/A Includes new proposal to require the Establishment of Uniform Billing Codes for MLTCs and mandatory N/A Proposed Included

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Electronic Funds Transfer for payments by MLTCs

N/A N/A Includes new proposal to

require any contract by a health care plan with certified home health agencies, long term home health care programs, licensed home care services agencies, or fiscal intermediaries in the consumer directed personal assistance program shall ensure that resources made available by the health plan under such contracts or agreements will support the retention of a qualified workforce capable of providing quality care. Rates must sufficiently support home care worker wage parity compensation requirements, and the recruitment, training and retention of direct care personnel in both wage parity and non‐wage parity regions. Proposal Not Included

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PHYSICIANS/HEALTH PROFESSIONALS Level funding for Excess Medical Malpractice Program $127.4M; Includes new proposal requiring eligible individuals to obtain tax clearance from Dept. of Taxation & Finance Accepts Executive proposal for $127.4 Million, Extends program to 2016 and Rejects Tax & Finance Clearance Requirements Includes new proposal to extend RBC Exemptions to 2019 Accepts Executive proposals for $127.4 Million, Extends program to 2016 and Rejects Tax & Finance Clearance Requirements Includes new proposal to extend RBC Exemptions to 2019 Proposal Included for $127.4 Million for Excess Program, Extends Program to 2016 and Rejects Executive Proposal for Tax & Finance Clearance Requirements Includes Senate & Assembly Proposal to extend RBC Exemptions to 2019 Funding for Doctors Across NY (DANY) Funding ($1,705,000 Loan Forgiveness/ $4,360,000 Practice Support) Accepts Executive proposal and includes $2 million in additional funding for DANY; Proposes to increase number of DANY slots by 100 Accepts Executive proposal Proposal Included for DANY funding at same level as Executive proposal Senate Proposal Included for additional $2 million Proposes to remove Physician Profiles website

Rejects Executive proposal Rejects Executive proposal Rejects proposed elimination Includes Proposal to modify existing law to require more frequent reporting by physicians of changes to their profile information (from 120 days to 30 days); Requires NYSDOH to update the website within 30 days of receipt of changes from physicians; Requires NYSDOH to study feasibility of including plan network information on Physician Profiles website if it can be done without an extra burden on

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physicians; and Requires NYSDOH to report to the Legislature annually on the status of physician profiles and any recommendation for additions or changes Establishes Ebola Healthcare Workers Bills of Rights

Rejects Executive proposal Accepts Executive proposal Proposal Included

PHARMACY Proposes AWP cut to pharmacy Medicaid reimbursement; $4.50 adjustment in pharmacy dispensing fees for brand name drugs

340B Drug Reimbursement change proposed

Eliminates prescriber prevails

Authorizes NYSDOH to negotiate directly for supplemental rebates with manufacturers

Rejects Executive proposal Rejects Executive proposal New Proposal Included to allow NYSDOH to negotiate directly with manufacturers only for costs of HIV/AIDS and Hep C drugs for the period of 4/1/15‐3/31/17 and to establish an adequate rate of reimbursement to plans taking into account the negotiated rebates and limitations posed on plans' ability to

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establish clinical criteria related to utilization of such drugs; No agreements shall be extended beyond 3/31/20; Manufacturers shall not pay supplemental rebates to plans or PBMs during this time and NYSDOH required to submit a report annually to the Legislature analyzing the adequacy of rates paid to plans for these drugs Authorizes requiring prior approval for certain drugs prior to approval from the Drug Utilization Review Board

Eliminates Prescription Drug Saver Program

Extends CDTM teaching hospital pilot for three years Rejects Executive proposal to extend teaching hospital pilot three years and replaces with language to create a 15 community site CDTM demonstration and make law permanent Modifies Executive proposal to extend CDTM teaching hospital pilot for seven years Proposal Not Included Removes limitations on syringe sales and ban on advertising of sales Rejects Executive proposal Accepts Executive proposal with some modifications Proposal Not Included

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N/A Includes a new proposal to provide for prescriber prevails for all drug classes under Medicaid Managed Care Includes a new proposal to provide for prescriber prevails for all drug classes under Medicaid Managed Care Proposal Not Included N/A Includes a new proposal to expand mail order consent law to include out of state mail order pharmacies and change consent requirement to be in same manner as used by Medicare Part D N/A Proposal Included PUBLIC HEALTH Proposes to consolidated public health and workforce programs into 5 block cuts; 15% cut to each block Rejects Executive proposal to consolidate programs and restores cut Rejects Executive proposal to consolidate programs and restores cut Proposal Not Included Level funding for tobacco control program $37,558,600

Accepts Executive proposal Accepts Executive proposal Proposal Included at same level as Executive proposal

Level funding for stem cell program $44.8 million

Accepts Executive proposal Accepts Executive proposal Proposal Included at same level as Executive proposal Proposes series of HIV/AIDs prevention measures (End the Epidemic) Rejects Executive proposal Accepts Executive proposal with some modifications Proposal Included with modifications to include that:  evidence that a person was in possession of one or more

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condoms may not be admitted at any trial, hearing or other proceeding in the prosecution of cases involving prostitution for the purpose of establishing probable cause; and  a person shall not be guilty of criminally possessing a hypodermic needle or syringe or of a controlled substance that is found in the instrument if he or she obtained it through the State’s Expanded Syringe Access Program (ESAP) or a medical provider‐based syringe access program N/A Includes a new proposal to create an umbilical cord blood banking education program N/A Proposal Included with modifications to add donation of umbilical cord blood banking to existing healthcare and wellness education and outreach program

N/A N/A Includes $7.5M in new

funding for the Healthy Food, Healthy Communities program Proposal Not Included

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BEHAVIORAL HEALTH Child Health Plus Rate Increase for Behavioral Health providers through 12/31/16 in NYC and 7/1/17 rest of State Modifies Executive proposal so rate increases run through 12/31/18 Modifies Executive proposal so rate increase runs through12/31/17 Proposal Included with modifications to extend CHP increase for entire state to 12/31/17 (same date as Medicaid MC APG payments for those under 21) and BH Managed Care Transition Study will now also include looking at population enrolled in CHP Proposes up to $5M for health homes and criminal justice system

Rejects Executive proposal Accepts Executive proposal Proposal Included

Extends for one year to 2016 OMH's authority to recover Medicaid exempt income from providers of community residence

Extends for three years to 2018 the pilot program to restructure educational services for children residing in OMH hospitals

Extends for three years to 2018 OMH facility director authority to use funds for care and treatment consistent with federal laws/regulations

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Includes $50M for VAP Behavioral Health providers Modifies Executive proposal to include language in statute specifying that minimum of $30M of the $50M must go to Article 31 and 32s and includes eligibility requirements in line with those that exist for broader VAP funding for providers Accepts Executive proposal Proposal Included as proposed by the Executive Includes savings from State‐operated psych facility bed reductions Includes $8.1 million to reject 137 bed reductions in State‐ operated psych facilities Includes language to limit number of beds to be reduced, clarifying that no facilities will be closed, and requiring 12 months notice on significant service reductions Proposal Included as proposed by Executive Includes $5M for Medicaid MC, health homes, BH providers for transition under DOH

N/A N/A Includes new proposals

related to legal and illegal gambling

Proposal Not Included

N/A N/A Includes a new proposal to

create a Mental Health Crisis Intervention Demonstration program Proposal Included providing $1 million for services and expenses for expansion of crisis intervention services and diversion programs

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including inpatient diversion programs; Includes $1M in funding for initiative and police related diversion services under OMH N/A Includes a new proposal to extend Medicaid Managed Care APG rates for behavioral health providers through 6/30/18 for NYC, 9/30/18 outside NYC, and 12/31/18 for kids (under 21) N/A Proposal Included with modifications to extend payment of APGs for NYC from 12/31/16 to 6/30/17 (6 months) and outside NYC from 6/30/17 to 12/31/17 (6 months) N/A Includes a new proposal to require monthly reports by Commissioner to Legislature on community reinvestment and inpatient census in state psych facilities, readmissions to hospitals/EDs and community reinvestments N/A Proposal Not Included N/A Includes a new proposal to establish a single point of access wait list for those seeking housing and services in OMH system; Provides $500,000 N/A Proposal Not Included N/A Includes a new proposal to create an opioid overdose N/A Proposal Included Includes $272,000 in new funding

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prevention program to allow schools to administer opioid overdose treatments after being trained in their use

for the program

N/A N/A Includes $20M in new

funding for IT and other infrastructure for non‐ profits related to behavioral health transition to Managed Care Proposal Included with modifications providing $10M for behavioral health IT

N/A N/A N/A _{Proposal Included for $1M in new}

funding under OASAS for services and expenses for opiate abuse treatment and prevention programs

N/A N/A N/A _{Proposal Included for $1M in new}

funding for certified application counselors to assist those recently discharged from jails

N/A N/A N/A Proposal Included to require

OPWDD, in consultation with other agencies and stakeholders to contract with a not‐for‐profit entity to conduct an assessment of transportation needs for individuals with developmental disabilities and others including those receiving behavioral health services and make recommendations; Following assessment, contractor shall

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develop recommendations regarding a pilot program to coordinate medical and non‐ medical transportation needs; The contractor shall report to the Legislature on its recommendations for the creation of a transportation pilot by 12/31/16 DEVELOPMENTAL DISABILITIES Proposal to provide $850 million for a settlement between the federal government and the Office for People with Developmental Disabilities

Rejects Executive proposal Modifies Executive proposal Proposal Included at level provided by Executive Proposal to clarify that OPWDD has authority to oversee nurse‐related services in non‐certified settings Accepts Executive proposal with some modifications Accepts Executive proposal with some modification to clarify that OPWDD’s oversight responsibilities are not expanded Proposal Included N/A Includes new language to restore the MRT #26 cut to Article 16s N/A Proposal Not Included N/A Includes new language requiring an integrated housing plan N/A Proposal Included requiring OPWDD to issue a report on its statewide review of individuals with developmental disabilities currently

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on the residential registration list and update on its progress in meeting transformational housing goals for the individuals with developmental disabilities currently on the residential registration list; OPWDD also required to establish a plan with input from stakeholders to increase housing alternatives for such individuals and advance five transformational housing goals; To the extent possible the plan should address the housing needs of individuals not currently on the residential registration list; OPWDD is required to issue a report with the plan to the Legislature by 2/15/16 N/A Includes new language incorporating the “Front Door Bill” vetoed in 2014 N/A Proposal Included requiring OPWDD to post on its website information regarding the front door process, including the approach for determining priority residential placements and the process for individuals to seek access to services and to report by 2/15/16 on implementation and outcomes N/A Includes new language incorporating the N/A Proposal Included requiring OPWDD to develop a plan to

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“Employment First Choice Act” provide choice of work settings for individuals with developmental disabilities including individuals working in sheltered workshop programs to transition to integrated community work settings; Plan shall include input from stakeholders and be submitted to the Legislature by 2/15/16 Includes $120 million to support new person‐ centered services for more than 3,500 people including certified and non‐certified residential services, day supports, employment and, MSC, and respite services. Accepts Executive proposal Modifies Executive proposal to dedicate $5M for development of new opportunities for those living with aging parents Proposal Included as proposed by Executive

N/A N/A Includes a proposal to

establish a OPWDD transformation workgroup to develop a plan for transition of OPWDD services into community in most integrated settings Proposal Included with modifications creating a Transformation Panel to look at increasing access to self‐directed models of care, opportunities for individuals to access community integrated housing, increasing integrated employment opportunities and examining the program design and fiscal model for managed care to appropriately address the needs of individuals

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with disabilities with an OPWDD report due to the Legislature by 2/15/16 N/A Includes new language to incorporate the “Peoples First Bill” vetoed in 2014 Includes language to require OPWDD to conduct a geographical analysis of supports and service needs in the community setting and to ensure proper transition from institutions into the community Proposal Included with modifications providing for monthly census reports related to census by facilities, number of admissions and discharges, reductions and community services provided to individuals

N/A N/A N/A Proposal Included to provide $2M

in new Medicaid funding for people with developmental disabilities for the development of new service opportunities for those currently living at home whose caregivers cannot continue to care for them and $1M in new funding for new OPWDD's omnibus reporting and panel responsibilities

N/A N/A N/A Proposal Included to require

OPWDD, in consultation with other agencies and stakeholders to contract with a not‐for‐profit entity to conduct an assessment of transportation needs for individuals with developmental disabilities and others including those receiving behavioral health services and make

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recommendations; Following assessment, contractor shall develop recommendations regarding a pilot program to coordinate medical and non‐ medical transportation needs; The contractor shall report to the Legislature on its recommendations for the creation of a transportation pilot by 12/31/16 EARLY INTERVENTION N/A Includes new language to reinstate NYSDOH report to the Legislature related to early intervention services N/A Proposal Not Included SPECIAL EDUCATION Allows for school district waivers from state education requirements for handicapped children

Accepts Executive proposal Rejects Executive proposal Proposal Not Included

Changes to preschool special education reimbursement rates Accepts Executive proposal Accepts Executive proposal with one modification to implementation date of the new rates to begin in the 2016‐17 school year instead of the 2015‐16 and still phased in over four years Proposal Included with modifications to allow the State Education Department to establish regional tuition rates for special education itinerant services based on actual costs. The new methodology would be phased in over 4 years, beginning with the

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2016‐17 School Year

INSURANCE

Insurance assessment to fund NYS of Health Benefit Exchange

Rejects Executive proposal Accepts Executive proposal Proposal Not Included

$35.7M for implementation/ administration of Basic Health Plan

Rejects Executive proposal Accepts Executive proposal Proposal Included authorizing Basic Health Plan with modifications to require NYSDOH to submit a report to the Legislature on the impact of the Basic Health Plan on other insurance products via the Exchange and to develop a contingency plan in the event that federal monies are no longer available

N/A N/A Includes new proposal to

create a new Insurance Modernization and Quality Care Commission to evaluation proposed health insurance mandates Proposal Not Included N/A Includes a new proposal requiring plans to provide listing of participating providers to NYSDOH and notify the Department within 15 days of changes to plan’s network N/A Proposal Included with modifications to have NYSDOH study feasibility of including plan network information on Physician Profiles website if it can be done without an extra burden on physicians

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N/A Includes a new proposal requiring an actuarial memorandum with date/methods for how managed care provider rates are developed to be provided to plans 30 days prior to submission to CMS for approval; Plans may request additional review; NYSDOH shall provide annual Medicaid managed care operating reports to the Legislature N/A Proposal Included