NY A10159

Creates a Managed Long Term Care High Acuity Stabilization Pool with funding up to $50 million for state fiscal year beginning April 1, 2026

Provides payments to managed long term care plans that demonstrate high performance on quality measures and serve disproportionately high shares of members with complex care needs or high service utilization

Limits eligibility to plans whose medical loss ratios exceed a commissioner-established threshold (not to exceed 92%) after final premium rates and risk adjustment

Restricts pool payments to offsetting costs above the threshold only, prohibiting use to increase plan profit margins

Designates the pool as supplemental and transitional, with payments excluded from base premium rates and no entitlement to payment created