Assembly Bill A4602A

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

                                 4602--A

                       2015-2016 Regular Sessions

                          I N  A S S E M B L Y

                            February 3, 2015
                               ___________

Introduced  by  M.  of A. COLTON, GOTTFRIED -- read once and referred to
  the Committee on Health -- committee discharged, bill amended, ordered
  reprinted as amended and recommitted to said committee

AN ACT to amend the social services law, in relation to medical  assist-
  ance  to  address  growth  and  development  problems in children as a
  result of various illnesses, conditions, diseases or injuries

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

  Section  1.  Paragraph  (g)  of  subdivision 2 of section 365-a of the
social services law, as amended by section 21 of part A of chapter 56 of
the laws of 2013, is amended to read as follows:
  (g) sickroom supplies, eyeglasses, prosthetic  appliances  and  dental
prosthetic  appliances  furnished  in accordance with the regulations of
the department; provided further that: (i) the commissioner of health is
authorized to implement a preferred diabetic supply program wherein  the
department  of  health  will  receive  enhanced  rebates  from preferred
manufacturers of glucometers and test strips, and may  subject  non-pre-
ferred manufacturers' glucometers and test strips to prior authorization
under  section  two hundred seventy-three of the public health law; (ii)
enteral formula therapy  and  nutritional  supplements  are  limited  to
coverage only for nasogastric, jejunostomy, or gastrostomy tube feeding,
for  treatment of an inborn metabolic disorder, or to address growth and
development problems in children, or, subject to  standards  established
by the commissioner, for persons with a diagnosis of HIV infection, AIDS
or   HIV-related   illness  or  other  diseases  and  conditions;  (iii)
prescription footwear and inserts are limited to coverage only when used
as an integral part of a lower limb orthotic appliance,  as  part  of  a
diabetic treatment plan, [or] to address growth and development problems
in  children  AS A RESULT OF VARIOUS ILLNESSES, CONDITIONS, DISEASES, OR
INJURIES; (iv) compression and support stockings are limited to coverage
only for pregnancy or treatment of venous stasis  ulcers;  and  (v)  the

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD06699-03-5
              

A. 4602--A                          2

commissioner of health is authorized to implement an incontinence supply
utilization  management  program to reduce costs without limiting access
through the existing provider network,  including  but  not  limited  to
single  or multiple source contracts or, a preferred incontinence supply
program wherein the department of health will receive  enhanced  rebates
from  preferred  manufacturers of incontinence supplies, and may subject
non-preferred manufacturers' incontinence  supplies  to  prior  approval
pursuant  to  regulations  of  the  department,  provided  any necessary
approvals under federal law have been obtained to receive federal finan-
cial participation in the costs of incontinence supplies provided pursu-
ant to this subparagraph;
  S 2. This act shall take effect on the one hundred twentieth day after
it shall have become a law.