Bill Text: NY S01616 | 2025-2026 | General Assembly | Introduced

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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: Slight Partisan Bill (Democrat 8-3)

Status: (Introduced) 2025-01-13 - REFERRED TO HEALTH [S01616 Detail]

Download: New_York-2025-S01616-Introduced.html

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                STATE OF NEW YORK
        ________________________________________________________________________

                                          1616

                               2025-2026 Regular Sessions

                    IN SENATE

                                    January 13, 2025
                                       ___________

        Introduced  by Sens. RIVERA, ASHBY, FERNANDEZ, GALLIVAN, HARCKHAM, HOYL-
          MAN-SIGAL, JACKSON, MAY, SKOUFIS, WEBER  --  read  twice  and  ordered
          printed, and when printed to be committed 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:

     1    Section 1. Subdivision 4 of section 364-j of the social  services  law
     2  is amended by adding a new paragraph (x) to read as follows:
     3    (x)  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.
                                                                   LBD04119-01-5