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Senate Bill S969

2009-2010 Legislative Session

Provides that physician fee reimbursement under the Medicaid program for office visits be no less than the amount reimbursed for hospital out-patient settings

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Sponsored By

Archive: Last Bill Status - In Senate Committee Health Committee

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2009-S969 (ACTIVE) - Details

Current Committee:
Senate Health
Law Section:
Social Services Law
Laws Affected:
Amd ยง367-a, Soc Serv L
Versions Introduced in 2011-2012 Legislative Session:
S2035

2009-S969 (ACTIVE) - Summary

Provides that physician fee reimbursement under the Medicaid program for office visits be no less than the amount reimbursed for physician treatment in hospital out-patient settings.

2009-S969 (ACTIVE) - Sponsor Memo

2009-S969 (ACTIVE) - Bill Text download pdf 

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

                                   969

                       2009-2010 Regular Sessions

                            I N  S E N A T E

                            January 22, 2009
                               ___________

Introduced  by  Sen.  KRUGER -- read twice and ordered printed, and when
  printed to be committed to the Committee on Social Services

AN ACT to amend the social services law, in relation  to  physician  fee
  reimbursements  under  the medical assistance for needy persons (medi-
  caid) program

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

  Section  1.  Paragraph  (a)  of  subdivision 1 of section 367-a of the
social services law, as amended by chapter 165 of the laws of  1991,  is
amended to read as follows:
  (a)  Any  inconsistent provision of this chapter or other law notwith-
standing, no assignment of the claim of any supplier of medical  assist-
ance shall be valid and enforceable as against any LOCAL social services
district  or  the    STATE  department  OF  HEALTH, and any payment with
respect to any medical assistance shall be made to the person,  institu-
tion,  state department or agency or municipality supplying such medical
assistance at rates established by the appropriate LOCAL social services
district and contained in its approved local  medical  plan,  except  as
otherwise   permitted  or  required  by  applicable  federal  and  state
provisions, including the regulations of the STATE department OF HEALTH;
provided, however, that for those districts for whom the  STATE  depart-
ment  OF HEALTH has assumed payment responsibilities pursuant to section
three hundred sixty-seven-b of this  [chapter]  TITLE,  rates  shall  be
established  by  the  STATE  department  OF  HEALTH, except as otherwise
required by applicable provisions of federal or state law; AND  PROVIDED
FURTHER,  HOWEVER,  THAT  AMOUNTS  PAYABLE  UNDER THIS TITLE FOR MEDICAL
ASSISTANCE FOR SERVICES PROVIDED BY PHYSICIANS IN THEIR OFFICES SHALL BE
NO LESS THAN THE AMOUNTS PAYABLE UNDER THIS TITLE FOR MEDICAL ASSISTANCE
FOR SERVICES PROVIDED BY PHYSICIANS IN OUT-PATIENT DEPARTMENTS OF HOSPI-
TALS LOCATED IN THE SAME LOCAL SOCIAL SERVICES DISTRICT AS  SUCH  PHYSI-
CIAN'S  OFFICE IS LOCATED. A LOCAL social services official may apply to

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD06668-01-9

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