Bill Text: NY A05368 | 2021-2022 | General Assembly | Amended


Bill Title: 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.

Spectrum: Moderate Partisan Bill (Democrat 7-1)

Status: (Introduced - Dead) 2022-01-05 - referred to ways and means [A05368 Detail]

Download: New_York-2021-A05368-Amended.html



                STATE OF NEW YORK
        ________________________________________________________________________

                                         5368--A

                               2021-2022 Regular Sessions

                   IN ASSEMBLY

                                    February 16, 2021
                                       ___________

        Introduced  by  M.  of  A.  McDONALD, GOTTFRIED, BYRNES -- read once and
          referred to the Committee on  Health  --  committee  discharged,  bill
          amended,  ordered reprinted as amended and recommitted to said commit-
          tee

        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:

     1    Section  1.  Subdivision 4 of section 364-j of the social services law
     2  is amended by adding a new paragraph (w) to read as follows:
     3    (w) Managed care providers shall  pay,  directly  or  indirectly,  for
     4  durable  medical equipment, prosthetics, orthotics, and related supplies
     5  at no less than one hundred percent of the  medical  assistance  durable
     6  medical equipment and complex rehabilitation technology fee schedule for
     7  the same service or item.
     8    §  2. This act shall take effect on the ninetieth day  after  it shall
     9  have become a law, provided, however, that the amendments to subdivision
    10  4 of section 364-j of the social services law made  by  section  one  of
    11  this act shall not affect the repeal of such section and shall be deemed
    12  repealed therewith.



         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD09509-02-1
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