Protect New Yorkers from Losing their MLTC Plans

Legislation (S.7800/A.8470) seeks to replace the State’s Managed Long-Term Care (MLTC) Program with a Fee-for-Service (FFS) system. This would eliminate options for more than 280,000 low-income, vulnerable elderly and disabled New Yorkers, reducing the quality of care and disrupting care coordination for these individuals.

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Community Opposition to S.7800/A.8470

The bill would sever longstanding relationships between patients with their care managers and make it more difficult for them to live independently and safely in their communities. Nearly 200 community groups, nonprofits, providers and social service organizations oppose repealing the MLTC program and are calling on lawmakers to reject the proposal. Read their letter here.

The Savings Don’t Add Up

Advocates’ estimated savings rely on overly optimistic cost projections and will not produce the savings they claim, resulting in higher costs for the State and poorer quality for patients. A recent fiscal and program analysis of the legislation shows the proposal would actually cost the State between $3.07 Billion and $4.67 Billion annually while undoing advancements in quality outcomes and disrupting care management for over 280,000 vulnerable New Yorkers.

High Member Satisfaction

Eligible individuals are able to choose their MLTC, and MLTC plans receive high marks for member satisfaction. According to the Department of Health’s 2022 Managed Long-Term Care report, 90% of plan respondents rated their health plan as good or excellent, 89% rated the quality of their care manager as good or excellent, and 86% rated the helpfulness of their plan in managing their illness as good or excellent.

MLTC member statistics

New Yorkers rely on their MLTC plans.

The proposal will disrupt care for patients and the providers who take care of them. These individuals are among the state’s most at-risk residents with multiple and complex health conditions that requires their care to be coordinated, their needed home care services and social supports to be in place, and that the process is seamless for them.

MLTC care managers work closely with members to create a personalized care plan that meets their unique needs, such as help with daily activities (e.g. bathing, getting dressed, grocery shopping) and coordination of doctor’s and therapist’s visits, acquisition of durable medical equipment, adult day health care, home delivered meals and other medical and social needs.

The state shouldn’t be making it harder for New Yorkers to get the care they need by taking away choices for vulnerable individuals who rely on the MLTC program.

woman receiving a shot

Urge Albany to keep this proposal out of the State Budget.

Use our tool below to contact your lawmakers’ offices to express your opposition to this proposal that puts vulnerable New Yorkers at risk.