senate Bill S4433

Provides for medical assistance to address the consequences of poliomeyelitis

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Sponsor

Bill Status


  • Introduced
  • In Committee
  • On Floor Calendar
    • Passed Senate
    • Passed Assembly
  • Delivered to Governor
  • Signed/Vetoed by Governor
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actions

  • 01 / Apr / 2013
    • REFERRED TO HEALTH
  • 08 / Jan / 2014
    • REFERRED TO HEALTH
  • 10 / Mar / 2014
    • RECOMMIT, ENACTING CLAUSE STRICKEN

Summary

Provides for medical assistance to address the consequences of poliomeyelitis.

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Bill Details

See Assembly Version of this Bill:
A4571
Versions:
S4433
Legislative Cycle:
2013-2014
Current Committee:
Senate Health
Law Section:
Social Services Law
Laws Affected:
Amd ยง365-a, Soc Serv L

Sponsor Memo

BILL NUMBER:S4433

TITLE OF BILL: An act to amend the social services law, in relation
to medical assistance for poliomeyelitis

PURPOSE OR GENERAL IDEA OF BILL:

This bill would include poliomyelitis, commonly known as polio, in the
list of diseases and conditions eligible for Medicaid funding for
orthopedic footwear.

SUMMARY OF SPECIFIC PROVISIONS:

Section 1. Paragraph (g) of subdivision 2 of section 365-a of the
social services law, as amended by section 7 of part D of chapter 56
of the laws of 2012, is amended to include poliomyelitis.

JUSTIFICATION:

The Medicaid Redesign Team (ART) was created to reform New York
State's Medicaid program and reduce its costs, Various MET
recommendations have been adopted in both the 2011-12 and 2012-13
Executive Budgets. One of the areas the MET focused on was
reimbursement for the purchase of orthopedic and corrective footwear.

Since April 1st, 2012, Medicaid has only reimbursed providers for
prescription orthopedic footwear when it is an integral part of a
lower limb orthotic, part of a diabetic treatment plan, or used to
treat a child with growth or development problems. It can be argued
that polio present just as many challenges to everyday life as the
conditions currently eligible under the law. Individuals living with
polio can experience vast disparities in the length of their legs and
corrective footwear is necessary to compensate for the disparity.

This footwear can cost up to $750, which is quite a sum for an
individual or a family on a modest or fixed income. The reinstatement
of polio into the list of diseases and conditions eligible for
Medicaid funding for orthopedic footwear is a reasonable proposal and
will significantly help improve the quality-of-life for those living
with the disease.

PRIOR LEGISLATIVE HISTORY:

New bill.

FISCAL IMPLICATIONS:

To be determined,

EFFECTIVE DATE:

This act shall take effect on the one hundred twentieth day after it
shall have become law.

view bill text
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                  4433

                       2013-2014 Regular Sessions

                            I N  S E N A T E

                              April 1, 2013
                               ___________

Introduced  by  Sen.  SAVINO -- 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 medical  assist-
  ance for poliomeyelitis

  THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:

  Section 1. Paragraph (g) of subdivision 2  of  section  365-a  of  the
social  services law, as amended by section 7 of part D of chapter 56 of
the laws of 2012, is amended to read as follows:
  (g) sickroom supplies, eyeglasses, prosthetic  appliances  and  dental
prosthetic  appliances  furnished  in accordance with the regulations of
the department; provided further that: (i) the commissioner of health is
authorized to implement a preferred diabetic supply program wherein  the
department  of  health  will  receive  enhanced  rebates  from preferred
manufacturers of glucometers and test strips, and may  subject  non-pre-
ferred manufacturers' glucometers and test strips to prior authorization
under  section  two hundred seventy-three of the public health law; (ii)
enteral formula therapy  and  nutritional  supplements  are  limited  to
coverage only for nasogastric, jejunostomy, or gastrostomy tube feeding,
for  treatment of an inborn metabolic disorder, or to address growth and
development problems in children, or, subject to  standards  established
by the commissioner, for persons with a diagnosis of HIV infection, AIDS
or   HIV-related   illness  or  other  diseases  and  conditions;  (iii)
prescription footwear and inserts are limited to coverage only when used
as an integral part of a lower limb orthotic appliance,  as  part  of  a
diabetic treatment plan, [or] to address growth and development problems
in  children  OR  TO  ADDRESS  CONSEQUENCES  OF POLIOMEYELITIS; and (iv)
compression and support stockings are limited to coverage only for preg-
nancy or treatment of venous stasis ulcers;
  S 2. This act shall take effect on the one hundred twentieth day after
it shall have become a law.

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD07790-01-3

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