Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Jan 27, 2025 |
referred to health |
Senate Bill S3358
2025-2026 Legislative Session
Sponsored By
(D, WF) 33rd Senate District
Current 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
co-Sponsors
(D, WF) 31st Senate District
(D) 16th Senate District
(D, WF) 48th Senate District
(D, WF) 21st Senate District
2025-S3358 (ACTIVE) - Details
- See Assembly Version of this Bill:
- A1257
- Current Committee:
- Senate Health
- Law Section:
- Public Health Law
- Laws Affected:
- Amd §3614-e, Pub Health L
- Versions Introduced in 2023-2024 Legislative Session:
-
S6123, A5750
2025-S3358 (ACTIVE) - Sponsor Memo
BILL NUMBER: S3358 SPONSOR: RIVERA TITLE OF BILL: An act to amend the public health law, in relation to the submission of claims for services provided by home care agencies PURPOSE OR GENERAL IDEA OF BILL: To improve the process for claiming and billing for home and community- based providers. SUMMARY OF SPECIFIC PROVISIONS: Section 1 amends section 3614-e of the Public Health Law, as it relates to electronic payment of claims, to provide that home and community providers would use federally approved forms for the claiming to insur- ance companies. It also provides that insurers would not require the utilization by contract or action of any specific billing entity nor impede the timely processing and payment of claims. These provisions include Medicaid-managed care plans as well as managed long-term care
2025-S3358 (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 3358 2025-2026 Regular Sessions I N S E N A T E January 27, 2025 ___________ Introduced by Sens. RIVERA, JACKSON, LIU, MAY, PARKER -- 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 the submission of claims for services provided by home care agencies THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Section 3614-e of the public health law, as added by section 49 of part B of chapter 57 of the laws of 2015, is amended to read as follows: § 3614-e. Electronic payment of claims. 1. The payment of claims submitted under contracts or agreements with insurers under the medical assistance program for home and community-based long-term care services provided under this article, by fiscal intermediaries operating pursuant to section three hundred sixty-five-f of the social services law, and by residential health care facilities operating pursuant to article twen- ty-eight of this chapter shall be paid via electronic funds transfer. CLAIMS FOR SERVICES PROVIDED BY HOME CARE AGENCIES LICENSED OR CERTIFIED UNDER THIS ARTICLE AND BY FISCAL INTERMEDIARIES OPERATING PURSUANT TO SECTION THREE HUNDRED SIXTY-FIVE-F OF THE SOCIAL SERVICES LAW SHALL BE ONLY SUBMITTED AND REMITTED ON FORMS APPROVED BY THE CENTERS FOR MEDI- CARE AND MEDICAID SERVICES. CLAIMS SHALL BE SUBMITTED TO INSURERS DIRECTLY OR BY A BILLING ENTITY SELECTED BY THE HOME CARE AGENCY LICENSED OR CERTIFIED UNDER THIS ARTICLE OR BY A FISCAL INTERMEDIARY OPERATING PURSUANT TO SECTION THREE HUNDRED SIXTY-FIVE-F OF THE SOCIAL SERVICES LAW. INSURERS SHALL NOT REQUIRE THE UTILIZATION BY CONTRACT OR ACTION ANY SPECIFIC BILLING ENTITY BY A HOME CARE AGENCY LICENSED OR CERTIFIED UNDER THIS ARTICLE OR BY A FISCAL INTERMEDIARY OPERATING PURSUANT TO SECTION THREE HUNDRED SIXTY-FIVE-F OF THE SOCIAL SERVICES LAW; NOR IMPEDE THE TIMELY PROCESSING AND PAYMENT OF CLAIMS. EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD03466-01-5 S. 3358 2
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