Bill Text: NY A06080 | 2023-2024 | General Assembly | Amended

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Bill Title: Relates to establishing a remote maternal health services pilot program for Medicaid recipients; provides that such program shall be established during fiscal years 2024-2025, 2025-2026 and 2026-2027 to provide: remote maternal health services to eligible Medicaid recipients, medically necessary remote maternal health services to such eligible recipients for up to 12 months postpartum and payment to healthcare providers who provide remote maternal health services that includes the cost of the remote patient monitoring devices being used.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced) 2024-01-03 - referred to health [A06080 Detail]

Download: New_York-2023-A06080-Amended.html

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                STATE OF NEW YORK
        ________________________________________________________________________

                                         6080--A

                               2023-2024 Regular Sessions

                   IN ASSEMBLY

                                      April 3, 2023
                                       ___________

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

        AN ACT to amend the social services law, in relation to  establishing  a
          remote maternal health services pilot program for Medicaid recipients

          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:

     1    Section 1. The social services law is amended by adding a new  section
     2  365-kk to read as follows:
     3    §  365-kk.  Remote  maternal health services pilot program. 1. For the
     4  purposes of this section, "remote maternal health services" means:
     5    (a) the use of digital technology:
     6    (i) to collect medical and other forms of health data from  a  patient
     7  and  electronically  transmit  that information securely to a healthcare
     8  provider in a different location for interpretation and  recommendation;
     9  and
    10    (ii)  that  is compliant with the federal Health Insurance Portability
    11  and Accountability Act of 1996 (42 U.S.C. § 1320d et seq.) and  approved
    12  by the federal food and drug administration; and
    13    (b) the use of a device that:
    14    (i)  performs  remote fetal monitoring, including maternal heart rate,
    15  fetal heart rate, amniotic fluid, placenta location, and fetal presenta-
    16  tion, tone, and movement;
    17    (ii) measures physiological data,  including  blood  pressure,  pulse,
    18  pulse  oximetry,  weight,  blood  glucose levels, or other physiological
    19  data determined to be medically necessary;
    20    (iii) uses remote non-stress test technology;
    21    (iv) uses remote ultrasound technology; or
    22    (v) uses doppler effect technology.
    23    2. The commissioner shall develop and implement a pilot program during
    24  fiscal years two thousand  twenty-four--two  thousand  twenty-five,  two

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD09759-03-3
        A. 6080--A                          2

     1  thousand  twenty-five--two thousand twenty-six, and two thousand twenty-
     2  six--two thousand twenty-seven to provide:
     3    (a)  remote  maternal health services to a Medicaid recipient eligible
     4  under subdivision three of this section;
     5    (b) medically necessary remote maternal health  services  to  such  an
     6  eligible Medicaid recipient for up to twelve months postpartum; and
     7    (c) payment to healthcare providers who provide remote maternal health
     8  services that includes the cost of the remote patient monitoring devices
     9  being used.
    10    3.  A Medicaid recipient is eligible to receive remote maternal health
    11  services pursuant to the pilot program established by this section, if:
    12    (a) the recipient is pregnant;
    13    (b) the recipient's healthcare provider determines that remote  mater-
    14  nal health services are in the best interest of the patient;
    15    (c)  the  recipient's healthcare provider determines the recipient has
    16  an increased likelihood of experiencing a higher-risk pregnancy due to:
    17    (i) existing health conditions, such as high blood pressure,  polycys-
    18  tic  ovary  syndrome,  diabetes,  kidney  disease,  autoimmune  disease,
    19  thyroid disease, obesity, HIV/AIDS, or Zika infection;
    20    (ii) age factors, including teenage pregnancy or pregnancy after thir-
    21  ty-five years of age;
    22    (iii) lifestyle factors, such as alcohol, tobacco, or drug use; or
    23    (iv) conditions of pregnancy, including multiple gestation, gestation-
    24  al diabetes, preeclampsia, eclampsia, previous preterm births, or  birth
    25  defects or genetic conditions in the fetus;
    26    (d)   the   recipient   lives   in   a   county   without  a  licensed
    27  obstetrician/gynecologist who participates in Medicaid;
    28    (e) the recipient's healthcare provider determines  the  recipient  is
    29  unable to access consistent obstetrical care due to factors that include
    30  transportation, child care, employment requirements, and socioeconomics;
    31  and
    32    (f)  the remote maternal health services meet the criteria of subdivi-
    33  sion one of this section.
    34    § 2. This act shall take effect on the first of April next  succeeding
    35  the date on which it shall have become a law.