Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Jan 13, 2016 |
print number 717a |
Jan 13, 2016 |
amend and recommit to health |
Jan 06, 2016 |
referred to health |
Jan 07, 2015 |
referred to health |
Senate Bill S717A
2015-2016 Legislative Session
Sponsored By
(D, WF) 33rd Senate District
Archive: Last Bill Status - In Senate Committee Health Committee
- Introduced
-
- In Committee Assembly
- In Committee Senate
-
- On Floor Calendar Assembly
- On Floor Calendar Senate
-
- Passed Assembly
- Passed Senate
- Delivered to Governor
- Signed By Governor
Actions
Bill Amendments
2015-S717 - Details
2015-S717 - Sponsor Memo
BILL NUMBER: S717 REVISED 1/7/16 TITLE OF BILL : An act to amend the social services law, in relation to requiring a managed care program to establish procedures through which participants will be assured access to medical assistance dental services to which they are otherwise entitled, other than through the managed care provider PURPOSE OR GENERAL IDEA OF BILL : This bill allows Medicaid clients who are members of a managed care program to obtain dental services outside of the medical program. SUMMARY OF SPECIFIC PROVISIONS : Amends subparagraph (iii) of paragraph a of subdivision 4 of section 364-j of the social services law to add dental services to the list of services which managed care participants may obtain outside of their medical program. JUSTIFICATION : The Medicaid Managed Care Program was instituted to provide Medicaid recipients with improved health care through the Services of health maintenance organizations (HMO's). HMO's improve health care by establishing a relationship between a patient and a primary care provider and then maintaining that relationship through all of that patients' interactions in the health care system. Dental services have always been provided on a very different track than other health care services, and HMO's have very little experience
2015-S717 - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 717 2015-2016 Regular Sessions I N S E N A T E (PREFILED) January 7, 2015 ___________ Introduced by Sen. RIVERA -- 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 requiring a managed care program to establish procedures through which partic- ipants will be assured access to medical assistance dental services to which they are otherwise entitled, other than through the managed care provider THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Subparagraph (iii) of paragraph (a) of subdivision 4 of section 364-j of the social services law, as amended by section 14 of part C of chapter 58 of the laws of 2004, clause (E) as added and clause (F) as relettered by chapter 37 of the laws of 2010, clause (E-1) as added by chapter 449 of the laws of 2013, is amended to read as follows: (iii) under a managed care program, not all managed care providers must be required to provide the same set of medical assistance services. The managed care program shall establish procedures through which participants will be assured access to all medical assistance services to which they are otherwise entitled, other than through the managed care provider, where: (A) the service is not reasonably available directly or indirectly from the managed care provider, (B) it is necessary because of emergency or geographic unavailability, or (C) the services provided are family planning services; or (D) the services PROVIDED are dental services [and are provided by a diagnostic and treatment center licensed under article twenty-eight of the public health law which is affiliated with an academic dental center and which has been granted an operating certificate pursuant to article twenty-eight of the public health law to provide such dental services. EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted.
2015-S717A (ACTIVE) - Details
2015-S717A (ACTIVE) - Sponsor Memo
BILL NUMBER: S717A TITLE OF BILL : An act to amend the social services law, in relation to requiring a managed care program to establish procedures through which participants will be assured access to medical assistance dental services to which they are otherwise entitled, other than through the managed care provider PURPOSE OR GENERAL IDEA OF BILL : This bill allows Medicaid clients who are members of a managed care program to obtain dental services outside of the medical program. SUMMARY OF SPECIFIC PROVISIONS : Amends subparagraph (iii) of paragraph a of subdivision 4 of section 364-j of the social services law to add dental services to the list of services which managed care participants may obtain outside of their medical program. JUSTIFICATION : The Medicaid Managed Care Program was instituted to provide Medicaid recipients with improved health care through the Services of health maintenance organizations (HMO's). HMO's improve health care by establishing a relationship between a patient and a primary care
2015-S717A (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 717--A 2015-2016 Regular Sessions I N S E N A T E (PREFILED) January 7, 2015 ___________ Introduced by Sen. RIVERA -- read twice and ordered printed, and when printed to be committed to the Committee on Health -- recommitted to the Committee on Health in accordance with Senate Rule 6, sec. 8 -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee AN ACT to amend the social services law, in relation to requiring a managed care program to establish procedures through which partic- ipants will be assured access to medical assistance dental services to which they are otherwise entitled, other than through the managed care provider THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Subparagraph (iii) of paragraph (a) of subdivision 4 of section 364-j of the social services law, as amended by section 14 of part C of chapter 58 of the laws of 2004, clause (E) as added and clause (F) as relettered by chapter 37 of the laws of 2010, clause (E-1) as added by chapter 449 of the laws of 2013, is amended to read as follows: (iii) under a managed care program, not all managed care providers must be required to provide the same set of medical assistance services. The managed care program shall establish procedures through which participants will be assured access to all medical assistance services to which they are otherwise entitled, other than through the managed care provider, where: (A) the service is not reasonably available directly or indirectly from the managed care provider, (B) it is necessary because of emergency or geographic unavailability, or (C) the services provided are family planning services; or (D) the services PROVIDED are dental services [and are provided by a diagnostic and treatment center licensed under article twenty-eight of EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted.
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