2006 New York Code - Performance And Accountability.

 
    §   618.   Performance  and  accountability.  The  commissioner  shall
  establish, in consultation with the  municipalities,  uniform  statewide
  performance  standards for the services funded pursuant to this article;
  provided, however, the commissioner may modify a specific standard for a
  municipality if such municipality demonstrates  adequate  justification.
  The  commissioner  shall recognize the particular needs and capabilities
  of the  various  municipalities.  The  commissioner  shall  monitor  the
  expenditures  of each municipality to ensure that each one satisfies the
  performance standards. Any municipality failing to satisfy its standards
  may be subject to a reduction or loss of aid until such municipality can
  demonstrate that it has the capacity  to  satisfy  such  standards.  The
  commissioner  shall establish a uniform accounting system for monitoring
  the expenditures for services of  each  municipality  to  which  aid  is
  granted,  and  for  determining the appropriateness of the costs of such
  services. The commissioner shall  also  establish  a  uniform  reporting
  system  to  determine  the  appropriateness  of  the amount and types of
  services provided, and the number of  people  receiving  such  services.
  Such  reporting  system  shall also require information on the amount of
  public health moneys received from the federal government,  the  private
  sector,  grants,  and fees. Each such municipality shall comply with the
  regulations of such accounting and reporting systems.  The  commissioner
  shall determine the extent to which the services maintained and improved
  the  health  status  of  a  municipality's  residents and maintained and
  improved the accessibility and quality of care, and controlled costs  of
  the health care system.