Bill Text: NY A00544 | 2017-2018 | General Assembly | Introduced

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Bill Title: Relates to amounts payable for medical assistance for items and services provided to eligible persons.

Spectrum: Partisan Bill (Democrat 5-0)

Status: (Introduced - Dead) 2018-01-03 - referred to health [A00544 Detail]

Download: New_York-2017-A00544-Introduced.html

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                STATE OF NEW YORK
        ________________________________________________________________________
                                           544
                               2017-2018 Regular Sessions
                   IN ASSEMBLY
                                     January 9, 2017
                                       ___________
        Introduced  by  M. of A. GUNTHER, COOK -- Multi-Sponsored by -- M. of A.
          ENGLEBRIGHT, PEOPLES-STOKES, RIVERA -- read once and referred  to  the
          Committee on Health
        AN  ACT to amend the social services law, in relation to amounts payable
          for medical assistance for items and  services  provided  to  eligible
          persons
          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:
     1    Section 1. Subparagraph (iii) of paragraph (d)  of  subdivision  1  of
     2  section  367-a  of  the social services law, as amended by section 31 of
     3  part B of chapter 57 of the laws of 2015, is amended to read as follows:
     4    (iii) With respect to items and services provided to eligible  persons
     5  who  are  also  beneficiaries under part B of title XVIII of the federal
     6  social security act and items and services provided to  qualified  medi-
     7  care  beneficiaries  under  part  B of title XVIII of the federal social
     8  security act, the amount payable for services covered under  this  title
     9  shall  be  the  amount  of  any  co-insurance liability of such eligible
    10  persons pursuant to federal law  were  they  not  eligible  for  medical
    11  assistance  or  were  they  not  qualified  medicare  beneficiaries with
    12  respect to such benefits under such part B, but  shall  not  exceed  the
    13  amount  that  otherwise would be made under this title if provided to an
    14  eligible person other than a person who is also a beneficiary under part
    15  B or is a qualified medicare beneficiary minus the amount payable  under
    16  part  B;  provided,  however, amounts payable under this title for items
    17  and services provided to eligible persons  who  are  also  beneficiaries
    18  under  part  B  or  to  qualified medicare beneficiaries by an ambulance
    19  service under the authority of an operating certificate issued  pursuant
    20  to  article  thirty  of  the  public health law, a psychologist licensed
    21  under article one hundred fifty-three of the education law, a  nephrolo-
    22  gist licensed under article one hundred thirty-one of the education law,
    23  or  a  facility  under  the authority of an operating certificate issued
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD03188-01-7
        A. 544                              2
     1  pursuant to article sixteen, thirty-one  or  thirty-two  of  the  mental
     2  hygiene law and with respect to outpatient hospital and clinic items and
     3  services  provided  by  a  facility  under the authority of an operating
     4  certificate issued pursuant to article twenty-eight of the public health
     5  law,  shall not be less than the amount of any co-insurance liability of
     6  such eligible persons or such qualified medicare beneficiaries,  or  for
     7  which  such  eligible  persons  or such qualified medicare beneficiaries
     8  would be liable under federal law were they  not  eligible  for  medical
     9  assistance  or  were  they  not  qualified  medicare  beneficiaries with
    10  respect to such benefits under part B.
    11    § 2. This act shall take effect immediately.