S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   9475
 
                           I N  A S S E M B L Y
 
                               March 7, 2022
                                ___________
 
 Introduced by M. of A. REYES, GOTTFRIED -- read once and referred to the
   Committee on Health
 
 AN  ACT  to  amend the social services law, in relation to reimbursement
   for early and periodic screening, diagnosis and treatment
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:

   Section  1.  Subdivisions  1  and  3  of  section  368-d of the social
 services law, as amended by section 54 of part B of chapter  58  of  the
 laws of 2009, are amended to read as follows:
   1.  The department of health shall review claims for expenditures made
 by  or  on  behalf  of  local  public  school   districts,   and   state
 operated/state  supported  schools  which  operate  pursuant  to article
 eighty-five, eighty-seven or eighty-eight  of  the  education  law,  for
 medical care, services and supplies which are furnished to children with
 handicapping  conditions  or such children suspected of having handicap-
 ping conditions, as such children are defined in the education law.  THE
 DEPARTMENT OF HEALTH SHALL ALSO REVIEW CLAIMS FOR EXPENDITURES FOR EARLY
 AND  PERIODIC  SCREENING,  DIAGNOSIS  AND  TREATMENT  AND  OTHER  HEALTH
 SERVICES, CARE AND SUPPLIES WHICH ARE  FURNISHED  TO  ELIGIBLE  CHILDREN
 REGARDLESS  OF  WHETHER  THE  CHILDREN HAVE HANDICAPPING CONDITIONS, ARE
 SUSPECTED OF HAVING HANDICAPPING CONDITIONS OR  HAVE  AN  INDIVIDUALIZED
 EDUCATION  PLAN. If approved by the department, payment for such medical
 care, services and supplies which would otherwise qualify for reimburse-
 ment under this title and which are furnished in  accordance  with  this
 title  and  the regulations of the department to such children, shall be
 made in accordance with the department's approved medical assistance fee
 schedules by payment to such local public  school  district,  and  state
 operated/state  supported  schools  which  operate  pursuant  to article
 eighty-five, eighty-seven or eighty-eight of the  education  law,  which
 furnished the care, services or supplies either directly or by contract.
   3.  THE  DEPARTMENT  OF  HEALTH  SHALL APPLY FOR ALL NECESSARY FEDERAL
 APPROVALS TO IMPLEMENT THE PROVISIONS OF THIS SECTION. The provisions of
 this section shall be of  no  force  and  effect  unless  all  necessary
 approvals under federal law and regulation have been obtained to receive
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
              

                                                            LBD14793-01-2
 A. 9475                             2
 
 federal  financial  participation  in  the costs of health care services
 provided pursuant to this section.
   §  2.  Subdivision 1 and the closing paragraph of section 368-e of the
 social services law, as amended by section 55 of part B of chapter 58 of
 the laws of 2009, are amended to read as follows:
   1. The department of health shall review claims for expenditures  made
 by  counties  and  the  city  of New York for medical care, services and
 supplies which are furnished to  preschool  children  with  handicapping
 conditions  or  such preschool children suspected of having handicapping
 conditions, as such children are  defined  in  the  education  law.  THE
 DEPARTMENT OF HEALTH SHALL ALSO REVIEW CLAIMS FOR EXPENDITURES FOR EARLY
 AND  PERIODIC  SCREENING,  DIAGNOSIS  AND  TREATMENT  AND  OTHER  HEALTH
 SERVICES, CARE AND SUPPLIES WHICH ARE FURNISHED TO  ELIGIBLE  PRE-SCHOOL
 CHILDREN REGARDLESS OF WHETHER THE PRE-SCHOOL CHILDREN HAVE HANDICAPPING
 CONDITIONS,  ARE  SUSPECTED OF HAVING HANDICAPPING CONDITIONS OR HAVE AN
 INDIVIDUALIZED EDUCATION PLAN. If approved by  the  department,  payment
 for such medical care, services and supplies which would otherwise qual-
 ify  for  reimbursement  under  this  title  and  which are furnished in
 accordance with this title and the regulations of the department to such
 children, shall be made in accordance  with  the  department's  approved
 medical assistance fee schedules by payment to such county or city which
 furnished the care, services or supplies either directly or by contract.
 Notwithstanding any provisions of law, rule or regulation to the contra-
 ry, any clinic or diagnostic and treatment center licensed under article
 twenty-eight  of the public health law, which as determined by the state
 education department, in conjunction with the department of health,  has
 a  less  than  arms length relationship with the provider approved under
 section forty-four hundred ten of the education law  shall,  subject  to
 the  approval  of the department and based on standards developed by the
 department, be authorized to directly submit  such  claims  for  medical
 assistance,  services  or supplies so furnished for any period beginning
 on or after July first, nineteen hundred ninety-seven.  The actual  full
 cost  of  the  individualized  education  program (IEP) related services
 incurred by the clinic shall be reported on the New York  State  Consol-
 idated Fiscal Report in the education law section forty-four hundred ten
 program  cost  center  in which the student is placed and the associated
 medical assistance revenue shall be reported in the same manner.
   6. THE DEPARTMENT OF HEALTH SHALL  APPLY  FOR  ALL  NECESSARY  FEDERAL
 APPROVALS TO IMPLEMENT THE PROVISIONS OF THIS SECTION. The provisions of
 this  section  shall  be  of  no  force  and effect unless all necessary
 approvals under federal law and regulation have been obtained to receive
 federal financial participation in the costs  of  health  care  services
 provided pursuant to this section.
   § 3. This act shall take effect immediately.