Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Jan 08, 2020 |
referred to health |
Senate Bill S7035
2019-2020 Legislative Session
Sponsored By
(D) 10th Senate District
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
Actions
2019-S7035 (ACTIVE) - Details
- See Assembly Version of this Bill:
- A2789
- Current Committee:
- Senate Health
- Law Section:
- Social Services Law
- Laws Affected:
- Amd §§365-h & 368-a, Soc Serv L
- Versions Introduced in Other Legislative Sessions:
-
2009-2010:
S5068
2011-2012: S2715
2013-2014: S3312, A5537
2015-2016: S1055, A1512
2017-2018: S2528, A3978
2021-2022: S1580, A231
2023-2024: S3223, A9237
2019-S7035 (ACTIVE) - Summary
Allows for reimbursement of transportation costs for emergency care without prior authorization by the social services official including emergency medical transportation by an ambulance service certified under article 30 of the public health law; and further authorizes the commissioner of health to establish a reimbursement methodology to ensure providers are reimbursed.
2019-S7035 (ACTIVE) - Sponsor Memo
BILL NUMBER: S7035 SPONSOR: SANDERS TITLE OF BILL: An act to amend the social services law, in relation to reimbursement of transportation costs for emergency care PURPOSE OR GENERAL IDEA OF BILL: To establish a Medicaid reimbursement methodology for ambulance trans- portation with rates that allow providers to recoup their costs. SUMMARY OF PROVISIONS: Section 1: Amends subdivision 1 of section 365-h of the Social Services Law to exempt transportation to obtain emergency care from the require- ment for prior authorization under Medicaid, to conform with the exemption in section 365a(2)(j) of the Social Services Law. Amends Section 365-h of the Social Services Law to direct the Commissioner of Health to establish a Medicaid reimbursement methodology for ambulance
2019-S7035 (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 7035 I N S E N A T E (PREFILED) January 8, 2020 ___________ Introduced by Sen. SANDERS -- read twice and ordered printed, and when printed to be committed to the Committee on Health AN ACT to amend the social services law, in relation to reimbursement of transportation costs for emergency care THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Subdivision 1 of section 365-h of the social services law, as amended by section 20 of part B of chapter 109 of the laws of 2010, is amended and a new subdivision 6 is added to read as follows: 1. The local social services official and, subject to the provisions of subdivision four of this section, the commissioner of health shall have responsibility for prior authorizing transportation of eligible persons and for limiting the provision of such transportation to those recipients and circumstances where such transportation is essential, medically necessary and appropriate to obtain medical care, services or supplies otherwise available under this title. HOWEVER, PRIOR AUTHORI- ZATION SHALL NOT BE REQUIRED FOR TRANSPORTATION TO OBTAIN EMERGENCY CARE, INCLUDING EMERGENCY MEDICAL TRANSPORTATION BY AN AMBULANCE SERVICE CERTIFIED UNDER ARTICLE THIRTY OF THE PUBLIC HEALTH LAW. 6. WITH RESPECT TO TRANSPORTATION AND CARE PROVIDED TO AN ELIGIBLE PERSON BY AN AMBULANCE SERVICE CERTIFIED UNDER ARTICLE THIRTY OF THE PUBLIC HEALTH LAW, THE COMMISSIONER OF THE DEPARTMENT OF HEALTH SHALL ESTABLISH A REIMBURSEMENT METHODOLOGY THAT ENSURES THAT PROVIDERS ARE REIMBURSED AT THE GREATER OF THE MEDICAL ASSISTANCE RATE IN EFFECT ON THE EFFECTIVE DATE OF THIS SUBDIVISION, OR THE MEDICARE ALLOWABLE CHARGE (PURSUANT TO TITLE XVIII OF THE FEDERAL SOCIAL SECURITY ACT) FOR SUCH TRANSPORTATION AND CARE. THE AMOUNT OF INCREASE IN REIMBURSEMENT PRODUCED BY THIS METHODOLOGY OVER WHAT WOULD OTHERWISE HAVE BEEN PAID SHALL BE PHASED IN AS FOLLOWS: IN THE STATE FISCAL YEAR IN WHICH THE PROVISIONS OF THIS SUBDIVISION BECOME LAW, THIRTY-THREE PERCENT; IN THE FOLLOWING STATE FISCAL YEAR, SIXTY-SIX PERCENT; AND IN THE SECOND STATE FISCAL YEAR FOLLOWING THE STATE FISCAL YEAR IN WHICH THE PROVISIONS OF EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
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