assembly Bill A7527A

2013-2014 Legislative Session

Requires specific Medicaid insurance codes related to complex needs patients' therapy and treatment; requires managed care contracts to comply with certain reimbursement rates

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Sponsored By

Archive: Last Bill Status -


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

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Actions

view actions (5)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jun 02, 2014 reported referred to ways and means
May 16, 2014 print number 7527a
amend (t) and recommit to health
Jan 08, 2014 referred to health
May 23, 2013 referred to health

Co-Sponsors

Multi-Sponsors

A7527 - Details

See Senate Version of this Bill:
S7252
Law Section:
Social Services Law
Laws Affected:
Add §367-j, Soc Serv L; amd §§3217-e & 4306-d, Ins L; amd §4403, Pub Health L

A7527 - Summary

Establishes the "complex needs patient act" including definitions and reimbursement and billing procedures; preserves access to quality complex rehabilitation technology for patients with complex medical needs.

A7527 - Bill Text download pdf

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

                                  7527

                       2013-2014 Regular Sessions

                          I N  A S S E M B L Y

                              May 23, 2013
                               ___________

Introduced  by  M.  of  A. McDONALD, LAVINE, MAISEL, MONTESANO -- Multi-
  Sponsored by -- M. of A.  DUPREY, GABRYSZAK, ROSA, SIMANOWITZ --  read
  once and referred to the Committee on Health

AN ACT to amend the public health law, in relation to requiring specific
  Medicaid  insurance  codes  related to complex needs patients' therapy
  and treatment; and to amend the insurance law, in relation to  requir-
  ing  managed care contracts to comply with certain reimbursement rates
  related to complex needs patients' therapy and treatment

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

  Section  1.  Short  title. This act shall be known and may be cited as
the "complex needs patient act".
  S 2. Legislative intent. It is the intent of the Legislature to:
  a. protect access for complex needs patients to  important  technology
and supporting services;
  b.  establish  and  improve  safeguards  relating  to the delivery and
provision of medically necessary complex rehabilitation technology;
  c. provide supports for complex needs patients to stay in the home  or
community  setting, prevent institutionalization, and prevent hospitali-
zations and other costly secondary complications; and
  d. establish adequate pricing for  complex  rehabilitation  technology
for the purpose of allowing continued access to appropriate products and
services.
  S  3.  The  public health law is amended by adding a new section 23 to
read as follows:
  S 23. COMPLEX NEEDS PATIENT BENEFITS. 1. DEFINITIONS. AS USED IN  THIS
SECTION:  (A) "COMPLEX NEEDS PATIENT" MEANS AN INDIVIDUAL WITH A DIAGNO-
SIS OR MEDICAL CONDITION THAT RESULTS IN SIGNIFICANT PHYSICAL  OR  FUNC-
TIONAL  NEEDS  AND CAPACITIES.  SUCH TERM SHALL INCLUDE INDIVIDUALS WITH
PROGRESSIVE OR DEGENERATIVE NEUROMUSCULAR DISEASES OR INJURIES OR TRAUMA
WHICH RESULTED IN SIGNIFICANT PHYSICAL OR FUNCTIONAL NEEDS  AND  CAPACI-
TIES,  INCLUDING, BUT NOT LIMITED TO, INDIVIDUALS WITH SPINAL CORD INJU-
RY, TRAUMATIC BRAIN INJURY, CEREBRAL PALSY,  MUSCULAR  DYSTROPHY,  SPINA
BIFIDA,  OSTEOGENESIS  IMPERFECTA,  ARTHROGRYPOSIS,  AMYOTROPHIC LATERAL

Co-Sponsors

Multi-Sponsors

A7527A (ACTIVE) - Details

See Senate Version of this Bill:
S7252
Law Section:
Social Services Law
Laws Affected:
Add §367-j, Soc Serv L; amd §§3217-e & 4306-d, Ins L; amd §4403, Pub Health L

A7527A (ACTIVE) - Summary

Establishes the "complex needs patient act" including definitions and reimbursement and billing procedures; preserves access to quality complex rehabilitation technology for patients with complex medical needs.

A7527A (ACTIVE) - Bill Text download pdf

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

                                 7527--A

                       2013-2014 Regular Sessions

                          I N  A S S E M B L Y

                              May 23, 2013
                               ___________

Introduced  by  M. of A. McDONALD, LAVINE, MONTESANO, MILLER, GUNTHER --
  Multi-Sponsored by -- M. of A. DUPREY,  HOOPER,  ROSA,  SIMANOWITZ  --
  read  once  and  referred to the Committee on Health -- recommitted to
  the Committee on Health in accordance with Assembly Rule 3, sec. 2  --
  committee  discharged,  bill amended, ordered reprinted as amended and
  recommitted to said committee

AN ACT to amend the social services  law,  the  insurance  law  and  the
  public health law, in relation to preserving access to quality complex
  rehabilitation technology for patients with complex medical needs

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

  Section 1. Short title. This act shall be known and may  be  cited  as
the "complex needs patient act".
  S 2. Legislative intent. It is the intent of the legislature to:
  1.  protect access for complex needs patients to quality complex reha-
bilitation technology;
  2. establish and improve standards  and  safeguards  relating  to  the
provision of complex rehabilitation technology; and
  3.  provide  quality support for complex needs patients to stay in the
home or community setting,  prevent  institutionalization,  and  prevent
hospitalizations and other costly secondary complications.
  S  3. The social services law is amended by adding a new section 367-j
to read as follows:
  S 367-J. COMPLEX NEEDS PATIENT ACT.  1. DEFINITIONS. AS USED  IN  THIS
SECTION:
  (A) "COMPLEX NEEDS PATIENT" MEANS AN INDIVIDUAL WITH SIGNIFICANT PHYS-
ICAL  OR  FUNCTIONAL  IMPAIRMENT  RESULTING  FROM A MEDICAL CONDITION OR
DISEASE INCLUDING, BUT NOT LIMITED TO:  SPINAL  CORD  INJURY,  TRAUMATIC
BRAIN  INJURY,  CEREBRAL PALSY, MUSCULAR DYSTROPHY, SPINA BIFIDA, OSTEO-
GENESIS  IMPERFECTA,  ARTHROGRYPOSIS,  AMYOTROPHIC  LATERAL   SCLEROSIS,
MULTIPLE   SCLEROSIS,   DEMYELINATING   DISEASE,  MYELOPATHY,  MYOPATHY,

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD10590-03-4

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