NY State Senate Bill 2017-S283

Senate Bill S283

2017-2018 Legislative Session

Requires the universal coding and electronic payment of medical assistance claims for mental health or substance abuse disorder services

download bill text pdf

Archive: Last Bill Status - In Senate Committee Health Committee

Introduced
- In Committee Assembly
- In Committee Senate
- On Floor Calendar Assembly
- On Floor Calendar Senate
- Passed Assembly
- Passed Senate
Delivered to Governor
Signed By Governor

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Actions

View Actions

	Assembly Actions - Lowercase Senate Actions - UPPERCASE
Jan 03, 2018	referred to health returned to senate died in assembly
Jun 19, 2017	referred to health delivered to assembly passed senate
May 01, 2017	advanced to third reading
Apr 26, 2017	2nd report cal.
Apr 25, 2017	1st report cal.642
Jan 04, 2017	referred to health

Votes

- Jun 19, 2017 - Floor Vote
  S283
  
  62
  
  Aye
  
  0
  
  Nay
  
  0
  
  Absent
  
  1
  
  Excused
  
  0
  
  Abstained
  - - Floor Vote: Jun 19, 2017
      
      aye (62)
      
      Addabbo Jr.
      
      Akshar
      
      Alcantara
      
      Amedore
      
      Avella
      
      Bailey
      
      Benjamin
      
      Bonacic
      
      Boyle
      
      Breslin
      
      Brooks
      
      Carlucci
      
      Comrie
      
      Croci
      
      DeFrancisco
      
      Diaz
      
      Dilan
      
      Felder
      
      Flanagan
      
      Funke
      
      Gallivan
      
      Gianaris
      
      Golden
      
      Griffo
      
      Hamilton
      
      Hannon
      
      Helming
      
      Hoylman-Sigal
      
      Jacobs
      
      Kaminsky
      
      Kennedy
      
      Klein
      
      Krueger
      
      LaValle
      
      Lanza
      
      Larkin
      
      Latimer
      
      Little
      
      Marcellino
      
      Marchione
      
      Montgomery
      
      Murphy
      
      O'Mara
      
      Ortt
      
      Parker
      
      Peralta
      
      Persaud
      
      Phillips
      
      Ranzenhofer
      
      Ritchie
      
      Rivera
      
      Robach
      
      Sanders Jr.
      
      Savino
      
      Serino
      
      Seward
      
      Squadron
      
      Stavisky
      
      Stewart-Cousins
      
      Tedisco
      
      Valesky
      
      Young
      
      excused (1)
      
      Serrano
  Apr 25, 2017 - Health Committee Vote
  S283
  
  17
  
  Aye
  
  0
  
  Nay
  
  0
  
  Aye with Reservations
  
  0
  
  Absent
  
  0
  
  Excused
  
  0
  
  Abstained
  - - Health Committee Vote: Apr 25, 2017
      
      aye (17)
      
      Felder
      
      Golden
      
      Hannon
      
      Hoylman-Sigal
      
      Jacobs
      
      Kaminsky
      
      Larkin
      
      Little
      
      Montgomery
      
      Murphy
      
      Persaud
      
      Ritchie
      
      Rivera
      
      Seward
      
      Stavisky
      
      Tedisco
      
      Valesky

2017-S283 (ACTIVE) - Details

See Assembly Version of this Bill:: A833
Current Committee:: Senate Health
Law Section:: Public Health Law
Laws Affected:: Add §§4403-h & 4403-i, Pub Health L
Versions Introduced in Other Legislative Sessions:: 2015-2016: S5983, A8314
2019-2020: A3715

2017-S283 (ACTIVE) - Summary

Requires the universal coding and electronic payment of medical assistance claims for mental health or substance abuse disorder services.

2017-S283 (ACTIVE) - Sponsor Memo

                                 BILL NUMBER:  S283

 TITLE OF BILL :

An act to amend the public health law, in relation to universal
standards for the coding and electronic payment of medical assistance
claims for mental health or substance abuse disorder services

 PURPOSE :

This bill would establish standardized billing codes for mental health
and substance abuse disorder service providers to be utilized by
Medicaid managed care organizations and other insurers.  The bill
further requires Medicaid managed care plans and other insurers to
accept electronic payment of claims from such providers.

 SUMMARY OF PROVISIONS :

Section one of the bill adds new section 4403-h to the public health
law to add the requirement for universal standard billing codes for
mental health and substance abuse disorder services, to be used by
insurers including but not limited to Medicaid managed care plans and
insurers certified under article 44 of the public health law.

Further, a new section 4403-i to the public health law to authorize
Medicaid managed care plans and other insurers certified under article

44 of the public health law to pay for substance abuse disorder or
mental health services via electronic funds transfer.

Section two establishes the effective date.

 JUSTIFICATION :

The behavioral health industry is in the process of transitioning to
Medicaid managed care. There are multiple challenges to ensuring that
this transition happens smoothly for both providers and the patients
who depend on their care. This bill would help mitigate some of these
challenges by streamlining two administrative hurdles faced by
providers.

Billing for Medicaid services has always been complex. Even under the
current system, agencies can spend months submitting and resubmitting
claims in a seemingly trial and error manner. Despite training from
state agencies, both providers and managed care companies continue to
be confused by billing requirements. As the state moves toward
Medicaid managed care, providers are beginning to deal with multiple
insurance plans all of which have their own system for processing
claims and payments. These processing issues could be easily mitigated
by streamlining codes and utilizing electronic billing, allowing
providers to deal with similar processes with each insurer. These
administrative hurdles are just one piece of multiple challenges to
the transition to managed care, but getting out in front of this is
important.

 LEGISLATIVE HISTORY :

2015-2016: S.5983 - Passed Senate

 FISCAL IMPLICATIONS :

None.

 EFFECTIVE DATE :
This act shall take effect on the first of January next succeeding the
date on which it shall have become a law; provided, however, that
effective immediately, the addition, amendment and/or repeal of any
rule or regulation necessary for the implementation of this act on its
effective date are authorized and directed to be made and completed on
or before such effective date.

2017-S283 (ACTIVE) - Bill Text download pdf

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                    283
 
                        2017-2018 Regular Sessions
 
                             I N  S E N A T E
 
                                (PREFILED)
 
                              January 4, 2017
                                ___________
 
 Introduced  by  Sen.  MURPHY -- read twice and ordered printed, and when
   printed to be committed to the Committee on Health
 
 AN ACT to amend the public health law, in relation to  universal  stand-
   ards  for  the  coding  and  electronic  payment of medical assistance
   claims for mental health or substance abuse disorder services
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. The public health law is amended by adding two new sections
 4403-h and 4403-i to read as follows:
   §  4403-H.  UNIVERSAL  STANDARDS  FOR  CODING  OF  PAYMENT FOR MEDICAL
 ASSISTANCE  CLAIMS  FOR  MENTAL  HEALTH  OR  SUBSTANCE  ABUSE   DISORDER
 SERVICES. CLAIMS FOR PAYMENT CONTRACTS OR AGREEMENTS WITH INSURERS UNDER
 THE  MEDICAL  ASSISTANCE  PROGRAM  FOR  MENTAL HEALTH OR SUBSTANCE ABUSE
 DISORDER SERVICES PROVIDED UNDER THIS ARTICLE, BY  FACILITIES  OPERATING
 PURSUANT TO ARTICLES THIRTY-ONE AND THIRTY-TWO OF THE MENTAL HYGIENE LAW
 SHALL  HAVE STANDARD BILLING CODES. SUCH INSURERS SHALL INCLUDE, BUT NOT
 BE LIMITED TO, MEDICAID MANAGED CARE PLANS AND INSURERS CERTIFIED PURSU-
 ANT TO THIS ARTICLE.  SUCH PAYMENTS SHALL BE BASED ON UNIVERSAL  BILLING
 CODES APPROVED BY THE DEPARTMENT OR A NATIONALLY ACCREDITED ORGANIZATION
 AS APPROVED BY THE DEPARTMENT.
   §  4403-I. ELECTRONIC PAYMENT OF CLAIMS. THE PAYMENT OF CLAIMS SUBMIT-
 TED UNDER CONTRACTS  OR  AGREEMENTS  WITH  INSURERS  UNDER  THE  MEDICAL
 ASSISTANCE  PROGRAM  FOR  MENTAL  HEALTH  OR  SUBSTANCE  ABUSE  DISORDER
 SERVICES PROVIDED UNDER THIS ARTICLE, AND BY FACILITIES OPERATING PURSU-
 ANT TO ARTICLES THIRTY-ONE AND THIRTY-TWO  OF  THE  MENTAL  HYGIENE  LAW
 SHALL  BE  PAID  VIA  ELECTRONIC  FUNDS  TRANSFER.  SUCH  INSURERS SHALL
 INCLUDE, BUT NOT BE LIMITED TO, MEDICAID MANAGED CARE PLANS AND INSURERS
 CERTIFIED PURSUANT TO THIS ARTICLE.
   § 2. This act shall take effect on the first of January next  succeed-
 ing  the  date  on  which it shall have become a law; provided, however,
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets

                       [ ] is old law to be omitted.
                                                            LBD02343-01-7

 S. 283                              2
 
 that effective immediately, the addition, amendment and/or repeal of any
 rule or regulation necessary for the implementation of this act  on  its
 effective  date  are authorized and directed to be made and completed on
 or before such effective date.

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