S T A T E O F N E W Y O R K ________________________________________________________________________ 1149 2015-2016 Regular Sessions I N S E N A T E January 9, 2015 ___________ Introduced by Sen. O'MARA -- read twice and ordered printed, and when printed to be committed to the Committee on Health AN ACT to amend the social services law and the transportation law, in relation to the interagency coordinating committee on rural public transportation THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: 1 Section 1. The opening paragraph of subdivision 4 of section 365-h of 2 the social services law, as added by section 20 of part B of chapter 109 3 of the laws of 2010, is amended to read as follows: 4 The commissioner of health is authorized to assume responsibility from 5 a local social services official for the provision and reimbursement of 6 transportation costs under this section. If the commissioner elects to 7 assume such responsibility, the commissioner shall notify the local 8 social services official in writing as to the election, the date upon 9 which the election shall be effective and such information as to transi- 10 tion of responsibilities as the commissioner deems prudent. The commis- 11 sioner is authorized to contract with a transportation manager or manag- 12 ers to manage transportation services in any local social services 13 district. Any transportation manager or managers selected by the commis- 14 sioner to manage transportation services shall have proven experience in 15 coordinating transportation services in a geographic and demographic 16 area similar to the area in New York state within which the contractor 17 would manage the provision of services under this section. Such a 18 contract or contracts may include responsibility for: review, approval 19 and processing of transportation orders; management of the appropriate 20 level of transportation based on documented patient medical need; and 21 development of new technologies leading to efficient transportation 22 services. If the commissioner elects to assume such responsibility from 23 a local social services district, the commissioner shall examine and[, 24 if appropriate,] adopt quality assurance measures that may include, but EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD04266-01-5 S. 1149 2 1 are not limited to, global positioning tracking system reporting 2 requirements and service verification mechanisms. Any and all reimburse- 3 ment rates developed by transportation managers under this subdivision 4 SHALL INCLUDE RATES FOR PUBLIC TRANSPORTATION THAT REFLECT THE COST TO 5 PROVIDE SERVICE TO ELIGIBLE INDIVIDUALS AND shall be subject to the 6 review and approval of the commissioner. IN REVIEWING THE REIMBURSEMENT 7 RATES DEVELOPED BY TRANSPORTATION MANAGERS, THE COMMISSIONER SHALL 8 CONSULT WITH LOCAL OFFICIALS RESPONSIBLE FOR PUBLIC TRANSPORTATION IN 9 THE AFFECTED COUNTY AND THE INTERAGENCY COORDINATING COMMITTEE ON RURAL 10 PUBLIC TRANSPORTATION AS DEFINED IN SECTION SEVENTY-THREE-D OF THE 11 TRANSPORTATION LAW. Notwithstanding any inconsistent provision of 12 sections one hundred twelve and one hundred sixty-three of the state 13 finance law, or section one hundred forty-two of the economic develop- 14 ment law, or any other law, the commissioner is authorized to enter into 15 a contract or contracts under this subdivision without a competitive bid 16 or request for proposal process, provided, however, that: 17 S 2. Section 73-d of the transportation law, as amended by chapter 562 18 of the laws of 1987, is amended to read as follows: 19 S 73-d. Interagency coordinating committee on rural public transporta- 20 tion. 1. There is hereby created a committee to be known as the "intera- 21 gency coordinating committee on rural public transportation", to be 22 comprised of [nineteen] SIXTEEN members. The commissioner or his or her 23 designee shall serve as chairperson. [Twelve] EIGHT of such members 24 shall be the following or his or her duly designated representative: the 25 director of the office for the aging; the commissioner of education; the 26 commissioner of labor; the commissioner of health; the commissioner of 27 the office of mental health; the commissioner of the office [of mental 28 retardation and] FOR PEOPLE WITH developmental disabilities; the commis- 29 sioner of social services; [state advocate for the disabled; secretary 30 of state;] AND THE commissioner of agriculture and markets[; the direc- 31 tor of the office of rural affairs and the director of the division for 32 youth]. [Six] EIGHT additional members, all of whom shall be transpor- 33 tation providers or consumers representing rural counties shall be 34 appointed to serve a term of three years as follows: [two] THREE by the 35 president pro-tempore of the senate, [two] THREE by the speaker of the 36 assembly, one by the minority leader of the senate, and one by the 37 minority leader of the assembly. Efforts shall be made to provide a 38 broad representation of consumers and providers of transportation 39 services in rural counties when making such appointments. Members of 40 the committee shall receive no salary. 41 The commissioner shall cause the department to provide staff assist- 42 ance necessary for the efficient and effective operation of the commit- 43 tee. 44 2. The committee shall: 45 A. identify programs and the annual amounts and sources of funds from 46 such programs that are eligible to be used to support a coordinated 47 public transportation service, and the annual amounts and sources of 48 such funds that are actually used for client transportation or for 49 transportation of persons in connection with agency-affiliated programs 50 or services; such data shall be provided on a county basis; 51 b. identify restrictions on existing programs that inhibit funds from 52 such programs being used to pay for a coordinated public transportation 53 service in rural counties; 54 c. recommend changes in state or local laws or regulations that would 55 improve the coordination of funds, facilities, vehicles or equipment and 56 other resources used for transportation at the local level; S. 1149 3 1 d. upon request, compile and forward to the commissioner any data or 2 other information required by this section. 3 3. THE COMMITTEE SHALL BE REQUIRED TO REPORT TO THE SPEAKER OF THE 4 ASSEMBLY, THE TEMPORARY PRESIDENT OF THE SENATE, AND THE GOVERNOR BIAN- 5 NUALLY BEGINNING OCTOBER FIRST, TWO THOUSAND FIFTEEN REGARDING THE 6 MANAGEMENT OF NON-EMERGENCY MEDICAID TRANSPORTATION IN RURAL AREAS AS 7 DEFINED BY SECTION FOUR HUNDRED EIGHTY-ONE OF THE EXECUTIVE LAW. THIS 8 SHALL INCLUDE, BUT NOT BE LIMITED TO, A BREAKDOWN BY COUNTY OF COST 9 SAVINGS, MODES OF TRANSPORTATION PROVIDED TO MEDICAID PATIENTS, AND 10 RATES OF UTILIZATION OF PUBLIC TRANSPORTATION. 11 4. THE COMMITTEE SHALL BE REQUIRED TO EXAMINE REIMBURSEMENT RATES 12 DEVELOPED BY TRANSPORTATION MANAGERS PURSUANT TO SUBDIVISION FOUR OF 13 SECTION THREE HUNDRED SIXTY-FIVE-H OF THE SOCIAL SERVICES LAW FOR COUN- 14 TIES WITH A POPULATION OF TWO HUNDRED THOUSAND OR LESS. THE COMMITTEE 15 SHALL SUBMIT RECOMMENDATIONS FOR PROPOSED AND EFFECTIVE RATES FOR RURAL 16 COMMUNITIES TO THE COMMISSIONER OF HEALTH WITH RECOMMENDATIONS INCLUD- 17 ING, BUT NOT LIMITED TO, ADJUSTMENTS TO INDIVIDUAL RIDERSHIP FARES FOR 18 PUBLIC TRANSPORTATION UTILIZATION, RATES FOR LOW-COST COORDINATED TRANS- 19 PORTATION WITH OTHER HUMAN SERVICE AGENCIES, AND RATES FOR PRIVATE 20 TRANSPORTATION WITH CONSIDERATIONS OF AVAILABILITY AND COST SAVINGS. 21 THE COMMISSIONER OF HEALTH SHALL CONSULT WITH THE COMMITTEE PRIOR TO 22 APPROVAL OF RATES PROPOSED UNDER SUBDIVISION FOUR OF SECTION THREE 23 HUNDRED SIXTY-FIVE OF THE SOCIAL SERVICES LAW FOR COUNTIES WITH A POPU- 24 LATION OF TWO HUNDRED THOUSAND OR LESS. ANY PROPOSAL FOR A RATE ADJUST- 25 MENT FOR RURAL COMMUNITIES AFTER APPROVAL SHALL BE EXAMINED BY THE 26 COMMITTEE PRIOR TO APPROVAL BY THE COMMISSIONER. 27 S 3. This act shall take effect immediately; provided that the amend- 28 ments to the opening paragraph of subdivision 4 of section 365-h of the 29 social services law made by section one of this act shall not affect the 30 repeal of such section and shall expire and be deemed repealed there- 31 with.