|Assembly Actions - Lowercase
Senate Actions - UPPERCASE
|Jan 08, 2014||referred to health|
|Jan 31, 2013||referred to health|
senate Bill S3312
Archive: Last Bill Status - In Committee
- In Committee
- On Floor Calendar
- Passed Senate
- Passed Assembly
- Delivered to Governor
- Signed/Vetoed by Governor
S3312 - Details
S3312 - Summary
Allows for reimbursement of transportation costs for emergency care without prior authorization by the social services official including emergency medical transportation by an ambulance service certified under article 30 of the public health law; and further authorizes the commissioner of health to establish a reimbursement methodology to ensure providers are reimbursed.
S3312 - Sponsor Memo
BILL NUMBER:S3312 TITLE OF BILL: An act to amend the social services law, in relation to reimbursement of transportation costs for emergency care PURPOSE: To establish a Medicaid reimbursement methodology for ambulance transportation with rates that allow providers to recoup their costs SUMMARY OF PROVISIONS: Section 1. Amends Subdivision 1 of section 365-h of the Social Services Law to exempt transportation to obtain emergency care from the requirement for prior authorization under Medicaid, to conform with the exemption in § 365a(2)(j) of the Social Services Law. Amends Section 365-h of the Social Services Law to direct the Commis- sioner of Health to establish a Medicaid reimbursement methodology for ambulance transportation and care that ensures that providers are reim- bursed at the greater of the Medical Assistance Rate on the effective date of the bill or the Federal Medicare allowable charge. This reimbursement methodology shall be phased in over three years as follows: in the state fiscal year in which the bill becomes a law, 33 percent; in the following state fiscal year, 66 percent; and in the second state fiscal year following the fiscal year in which the bill becomes a law and all subsequent fiscal years, 100 percent Section 2. Amends Subdivision 1 of section 368-a of the Social Services Law to ensure that the state bears 100 percent of the increase in
S3312 - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 3312 2013-2014 Regular Sessions I N S E N A T E January 31, 2013 ___________ Introduced by Sen. SEWARD -- 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 reimbursement of transportation costs for emergency care THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Subdivision 1 of section 365-h of the social services law, as amended by section 20 of part B of chapter 109 of the laws of 2010, is amended and a new subdivision 5 is added to read as follows: 1. The local social services official and, subject to the provisions of subdivision four of this section, the commissioner of health shall have responsibility for prior authorizing transportation of eligible persons and for limiting the provision of such transportation to those recipients and circumstances where such transportation is essential, medically necessary and appropriate to obtain medical care, services or supplies otherwise available under this title. HOWEVER, PRIOR AUTHORI- ZATION SHALL NOT BE REQUIRED FOR TRANSPORTATION TO OBTAIN EMERGENCY CARE, INCLUDING EMERGENCY MEDICAL TRANSPORTATION BY AN AMBULANCE SERVICE CERTIFIED UNDER ARTICLE THIRTY OF THE PUBLIC HEALTH LAW. 5. WITH RESPECT TO TRANSPORTATION AND CARE PROVIDED TO AN ELIGIBLE PERSON BY AN AMBULANCE SERVICE CERTIFIED UNDER ARTICLE THIRTY OF THE PUBLIC HEALTH LAW, THE COMMISSIONER OF THE DEPARTMENT OF HEALTH SHALL ESTABLISH A REIMBURSEMENT METHODOLOGY THAT ENSURES THAT PROVIDERS ARE REIMBURSED AT THE GREATER OF THE MEDICAL ASSISTANCE RATE IN EFFECT ON THE EFFECTIVE DATE OF THIS SUBDIVISION, OR THE MEDICARE ALLOWABLE CHARGE (PURSUANT TO TITLE XVIII OF THE FEDERAL SOCIAL SECURITY ACT) FOR SUCH TRANSPORTATION AND CARE. THE AMOUNT OF INCREASE IN REIMBURSEMENT PRODUCED BY THIS METHODOLOGY OVER WHAT WOULD OTHERWISE HAVE BEEN PAID SHALL BE PHASED IN AS FOLLOWS: IN THE STATE FISCAL YEAR IN WHICH THE PROVISIONS OF THIS SUBDIVISION BECOME A LAW, THIRTY-THREE PERCENT; IN THE FOLLOWING STATE FISCAL YEAR, SIXTY-SIX PERCENT; AND IN THE SECOND EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD08126-01-3
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