Assembly Bill A2520

2025-2026 Legislative Session

Provides parity to durable medical equipment providers by requiring Medicaid managed care organizations to reimburse such providers

download bill text pdf

Sponsored By

Current Bill Status - In Assembly 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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2025-A2520 (ACTIVE) - Details

See Senate Version of this Bill:
S1616
Current Committee:
Assembly Health
Law Section:
Social Services Law
Laws Affected:
Amd §364-j, Soc Serv L
Versions Introduced in Other Legislative Sessions:
2021-2022: A5368, S5118
2023-2024: A3408, S3468

2025-A2520 (ACTIVE) - Summary

Provides parity to durable medical equipment providers by requiring Medicaid managed care organizations to reimburse such providers at no less than one hundred percent of the medical assistance durable medical equipment and complex rehabilitation technology fee schedule for the same service or item.

2025-A2520 (ACTIVE) - Bill Text download pdf 

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   2520
 
                        2025-2026 Regular Sessions
 
                           I N  A S S E M B L Y
 
                             January 17, 2025
                                ___________
 
 Introduced  by  M.  of A. McDONALD, LUPARDO, COLTON, SIMON, MAHER, McDO-
   NOUGH, BUTTENSCHON, SAYEGH, STIRPE, GALLAHAN, NOVAKHOV, JACKSON, SHIM-
   SKY, EACHUS, PAULIN, MORINELLO,  ZACCARO,  HEVESI,  STECK,  BENEDETTO,
   BURDICK,  SEAWRIGHT,  PALMESANO, BICHOTTE HERMELYN, DeSTEFANO, TAYLOR,
   WEPRIN, MEEKS, DINOWITZ, FITZPATRICK, McMAHON, ROSENTHAL, BRABENEC  --
   Multi-Sponsored  by -- M. of A. LEVENBERG -- read once and referred to
   the Committee on Health
 
 AN ACT to amend the social services law, in relation to providing parity
   to durable medical equipment providers by requiring  Medicaid  managed
   care  organizations  to  reimburse  such providers at no less than one
   hundred percent of the medical assistance  durable  medical  equipment
   and  complex  rehabilitation  technology  fee  schedule  for  the same
   service or item
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1.  Subdivision 4 of section 364-j of the social services law
 is amended by adding a new paragraph (x) to read as follows:
   (X) MANAGED CARE PROVIDERS SHALL  PAY,  DIRECTLY  OR  INDIRECTLY,  FOR
 DURABLE  MEDICAL EQUIPMENT, PROSTHETICS, ORTHOTICS, AND RELATED SUPPLIES
 AT NO LESS THAN ONE HUNDRED PERCENT OF THE  MEDICAL  ASSISTANCE  DURABLE
 MEDICAL EQUIPMENT AND COMPLEX REHABILITATION TECHNOLOGY FEE SCHEDULE FOR
 THE SAME SERVICE OR ITEM.
   §  2. This act shall take effect on the ninetieth day  after  it shall
 have become a law; provided, however, that the amendments to subdivision
 4 of section 364-j of the social services law made  by  section  one  of
 this act shall not affect the repeal of such section and shall be deemed
 repealed therewith.
 
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD04119-01-5

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