S T A T E O F N E W Y O R K
________________________________________________________________________
7839
2015-2016 Regular Sessions
I N A S S E M B L Y
May 28, 2015
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Introduced by M. of A. O'DONNELL -- read once and referred to the
Committee on Health
AN ACT to amend the social services law, in relation to the medical
assistance presumptive eligibility program
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Section 364-i of the social services law is amended by
adding a new subdivision 9 to read as follows:
9. AN INDIVIDUAL, UPON APPLICATION FOR MEDICAL ASSISTANCE, SHALL BE
PRESUMED ELIGIBLE FOR SUCH ASSISTANCE FOR A PERIOD OF NINETY DAYS FROM
THE DATE OF DISCHARGE OR RELEASE FROM A CORRECTIONAL FACILITY AS DEFINED
IN PARAGRAPH (A) OF SUBDIVISION FOUR OF SECTION TWO OF THE CORRECTION
LAW OR A LOCAL CORRECTIONAL FACILITY AS DEFINED IN PARAGRAPH (A) OF
SUBDIVISION SIXTEEN OF SECTION TWO OF THE CORRECTION LAW, IF THE LOCAL
DEPARTMENT OF SOCIAL SERVICES DETERMINES THAT THE APPLICANT MEETS EACH
OF THE FOLLOWING CRITERIA: (A) THE APPLICANT OR HIS OR HER REPRESEN-
TATIVE STATES THAT THE APPLICANT DOES NOT HAVE INSURANCE COVERAGE FOR
THE REQUIRED MEDICAL CARE AND THAT SUCH CARE CANNOT BE AFFORDED; (B) IT
REASONABLY APPEARS THAT THE APPLICANT IS OTHERWISE ELIGIBLE TO RECEIVE
MEDICAL ASSISTANCE; (C) IT REASONABLY APPEARS THAT THE AMOUNT EXPENDED
BY THE STATE AND THE LOCAL SOCIAL SERVICES DISTRICT FOR MEDICAL ASSIST-
ANCE FOR TREATMENT OF A MENTAL ILLNESS DURING THE PERIOD OF PRESUMED
ELIGIBILITY, WOULD BE LESS THAN THE AMOUNT THE STATE AND THE LOCAL
SOCIAL SERVICES DISTRICT WOULD EXPEND FOR CONTINUED OR FUTURE ACUTE
HOSPITAL CARE FOR SUCH PERSON; AND (D) SUCH OTHER DETERMINATIVE CRITERIA
AS THE COMMISSIONER OF HEALTH SHALL PROVIDE BY RULE OR REGULATION. IF A
PERSON HAS BEEN DETERMINED TO BE PRESUMPTIVELY ELIGIBLE FOR MEDICAL
ASSISTANCE, PURSUANT TO THIS SUBDIVISION, AND IS SUBSEQUENTLY DETERMINED
TO BE INELIGIBLE FOR SUCH ASSISTANCE, THE COMMISSIONER OF HEALTH, ON
BEHALF OF THE STATE AND THE LOCAL SOCIAL SERVICES DISTRICT SHALL HAVE
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD11367-01-5
A. 7839 2
THE AUTHORITY TO RECOUP FROM THE INDIVIDUAL THE SUMS EXPENDED FOR SUCH
ASSISTANCE DURING THE PERIOD OF PRESUMED ELIGIBILITY.
S 2. This act shall take effect on the ninetieth day after it shall
have become a law.