To waive temporarily the Medicaid enrollment composition rule for the Better Health Plan of Amherst, New York.
Latest Action
Became Public Law No: 105-31.
Official Summary
Official summary has not been imported yet.
GovScope Watchdog™
AI Government Intelligence™This bill, enacted as Public Law 105-31, temporarily waives the Medicaid enrollment composition rule specifically for the Better Health Plan of Amherst, New York. The Medicaid enrollment composition rule generally governs the makeup of enrollees in Medicaid managed care plans to ensure balanced risk pools and appropriate coverage. By waiving this rule temporarily, the bill allows the Better Health Plan of Amherst to operate under modified enrollment requirements for a limited period.
The law provides a temporary exemption from Medicaid enrollment composition rules for a specific health plan in Amherst, New York, enabling it to adjust its enrollment criteria for a limited time.
- The bill applies exclusively to the Better Health Plan of Amherst, New York.
- It temporarily waives the Medicaid enrollment composition rule, which affects how enrollees are distributed within Medicaid managed care plans.
- The bill was passed by the House and signed into law on July 25, 1997, becoming Public Law 105-31.
['Better Health Plan of Amherst, New York', 'Medicaid enrollees in Amherst, New York', 'New York State Medicaid program administrators']
['Temporary waiver of enrollment rules may affect risk pooling and financial stability of the Medicaid plan.', 'Potential oversight challenges in monitoring compliance with modified enrollment criteria.', 'Unclear duration and specific conditions of the waiver could complicate implementation.']
The bill was introduced and passed during the 105th Congress and signed into law in 1997. It reflects a legislative action to address a specific Medicaid managed care plan's operational requirements within New York State, consistent with federal Medicaid program flexibility provisions.
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['Potential changes in enrollment patterns could influence Medicaid cost and risk distribution in the region.', 'Other Medicaid managed care plans might seek similar waivers if this approach proves beneficial.', 'Temporary rule changes may require adjustments in state Medicaid oversight and reporting.']
The absence of a detailed official summary and full bill text limits comprehensive analysis. Transparency about the waiver's duration, specific conditions, and oversight mechanisms is essential for public understanding and accountability. Monitoring the impact on Medicaid enrollment and financial stability is recommended.
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