S T A T E O F N E W Y O R K
________________________________________________________________________
7433
I N S E N A T E
April 29, 2016
___________
Introduced by Sen. HANNON -- 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 the Medicaid
evidence-based benefit review advisory committee
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Subdivision 5 of section 365-d of the social services law,
as added by section 46-a of part B of chapter 57 of the laws of 2015, is
amended to read as follows:
5. The committee shall consider any matter regarding material changes
in the coverage status of a particular item, health technology or
service, and any matter relative to new health technology assessment or
medical evidence review [for which the department determines a suffi-
cient body of evidence exists to warrant committee deliberation]. The
commissioner shall provide members of the committee with any evidence or
information related to the health technology or medical service assess-
ment including but not limited to, information submitted by members of
the public. The department shall report to the committee AND MAKE AVAIL-
ABLE ON THE DEPARTMENT WEBSITE QUARTERLY ANY programmatic changes to
benefits that do not rise to the level of a material change[, as well as
determinations of when sufficient medical evidence exists to warrant
committee deliberations]. The commissioner shall provide forty-five days
public notice on the department's website prior to any meeting of the
committee to develop recommendations concerning health technology or
medical service coverage determinations. Such notice shall include a
description of the proposed health technology or service to be reviewed,
the conditions or diseases impacted by the health technology or service,
the proposals to be considered by the committee, and the systematic
evidence-based assessment prepared in accordance with this subdivision.
The committee shall allow interested parties a reasonable opportunity to
make an oral presentation to the committee related to the health tech-
nology or service to be reviewed and to submit written information. The
committee shall consider any information provided by any interested
party, including, but not limited to, health care providers, health care
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD15056-01-6
S. 7433 2
facilities, patients, consumers and manufacturers. For all health tech-
nologies or services selected for review, the department shall conduct
or commission a systematic evidence-based assessment of the health tech-
nology's or service's safety and clinical efficacy. The assessment shall
use established systematic review elements, study quality assessment,
and data synthesis. Upon completion, the systematic, evidence-based
assessment shall be made available to the public.
S 2. This act shall take effect immediately.