N.Y. Comp. Codes R. & Regs. tit. 9 § 5.18

Current through Register Vol. 46, No. 25, June 18, 2024

Section 5.18 - Executive order no. 18: establishing the ad hoc task force on new york's prospective hospital reimbursement methodology

WHEREAS, New York's Prospective Hospital Reimbursement Methodology (NYPHRM), which establishes rates of payment for inpatient hospital services applicable to all payers other than Medicare, expires June 30, 1996;

WHEREAS, NYPHRM has provided a source of revenue to support hospital operating costs, capital costs, uncompensated care, and graduate medical education, and to support valuable health initiatives related to primary care services and access to health care services throughout New York State;

WHEREAS, health maintenance organizations have been permitted to develop negotiated rates of payment with hospitals, subject to the approval of the Commissioner of Health; and

WHEREAS, the State will transition from the NYPHRM system to a system focused on promotion of the delivery of health care services in a cost effective and efficient matter;

NOW, THEREFORE, I, George E. Pataki, Governor of the State of New York, by virtue of the authority vested in me by the Constitution and Laws of the State of New York, do hereby establish the Ad Hoc Task Force on New York's Prospective Hospital Reimbursement Methodology.

I. Membership

The Task Force on New York's Prospective Hospital Reimbursement Methodology shall consist of the Commissioner of Health, who shall serve as chair, or her designee, and up to 19 members who shall represent various aspects of the health care system, and shall include but not be limited to payers, hospitals, employers, local government and primary care. The members of the task force shall receive no compensation but shall be entitled to reimbursement for any necessary expenses incurred in connection with the performance of their duties.

II. Responsibilities of the Task Force.

The task force shall study and report to the Governor no later than December 1, 1995 on options that achieve the following goals:

A. provide an equitable approach for financing hospital services;

B. promote competition in the health care market place;

C. assure access to care for the medically indigent;

D. promote access to primary care and the continuing development of the Medicaid managed care program;

E. maintain a commitment to medical education; and

F. address issues related to access to capital.

The work of the task force shall be done in consultation with the Departments of Health, Social Services and Insurance. The task force shall solicit the views and concerns of the health service sector, large and small purchasers, and consumers.

III. Assistance and Cooperation.

The Department of Health shall provide technical staff and support to the task force. All other departments, divisions, and units of State government, including public benefit corporations, are directed to cooperate with the task force and to provide such assistance as it may require to fulfill its purposes. Such assistance may include, but not be limited to, assignment of agency staff and the provisions of such statistical and program data as the task force may require.

IV. Dissolution.

The task force shall be dissolved 90 days after completion of its report.

George E. PatakiSeptember 22, 1995

[FN*] [Revoked by Executive Order No. 5 (Eliot Spitzer), infra.]

[Revoked by Executive Order No. 9 (David A. Paterson), infra.]

[Revoked by Executive Order No. 2 (Andrew M. Cuomo), infra.]

N.Y. Comp. Codes R. & Regs. Tit. 9 § 5.18