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Assembly Bill A8011

2017-2018 Legislative Session

Relates to payments for behavioral health services

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Archive: Last Bill Status - In Senate Committee Health Committee

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Bill Amendments

co-Sponsors

2017-A8011 - Details

Current Committee:
Senate Health
Law Section:
Social Services Law
Laws Affected:
Amd §364-j, Soc Serv L; amd §§2511 & 4403-f, Pub Health L
Versions Introduced in 2019-2020 Legislative Session:
A2787

2017-A8011 - Summary

Provides that increased rates of payment for behavioral health services shall be deemed to be effective on the date of the law, rule or regulation under which the change or increase is required.

2017-A8011 - Bill Text download pdf 

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   8011
 
                        2017-2018 Regular Sessions
 
                           I N  A S S E M B L Y
 
                               May 25, 2017
                                ___________
 
 Introduced  by  M.  of  A.  GOTTFRIED  --  read once and referred to the
   Committee on Health
 
 AN ACT to amend the social services law and the public  health  law,  in
   relation to payments for behavioral health services
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:

   Section 1. Subdivision 18 of section 364-j of the social services  law
 is amended by adding a new paragraph (e) to read as follows:
   (E)  INCREASED  RATES, TERMS OR SCOPE OF PAYMENT FOR BEHAVIORAL HEALTH
 SERVICES UNDER THIS TITLE, WHERE PAYMENT  IS  MADE  BY  A  MANAGED  CARE
 PROVIDER  UNDER  THIS  SECTION, AS A RESULT OF A RATE, COVERAGE OR OTHER
 CHANGE MADE PURSUANT TO A LAW, REGULATION, RULE  OR  OFFICIAL  GUIDANCE,
 SHALL  BE  DEEMED IN EFFECT ON THE SAME DATE THAT SUCH CHANGE WOULD HAVE
 TAKEN EFFECT IF PAYMENT WERE MADE OTHER THAN BY THE MANAGED CARE PROVID-
 ER. WHERE PAYMENT IS NOT MADE AS OF THE EFFECTIVE DATE, THE MANAGED CARE
 PROVIDER SHALL MAKE RETROACTIVE  PAYMENTS  TO  THE  APPROPRIATE  SERVICE
 PROVIDERS.
   §  2. Section 2511 of the public health law is amended by adding a new
 subdivision 22 to read as follows:
   22. INCREASED RATES, TERMS OR SCOPE OF PAYMENT FOR  BEHAVIORAL  HEALTH
 SERVICES  UNDER  THIS TITLE, WHERE PAYMENT IS MADE BY AN APPROVED ORGAN-
 IZATION, AS A RESULT OF A RATE, COVERAGE OR OTHER CHANGE  MADE  PURSUANT
 TO  A  LAW,  REGULATION,  RULE  OR  OFFICIAL GUIDANCE SHALL BE DEEMED IN
 EFFECT ON THE SAME DATE THAT SUCH CHANGE  WOULD  HAVE  TAKEN  EFFECT  IF
 PAYMENT WERE MADE OTHER THAN BY THE APPROVED ORGANIZATION. WHERE PAYMENT
 IS  NOT  MADE  AS OF THE EFFECTIVE DATE, THE APPROVED ORGANIZATION SHALL
 MAKE RETROACTIVE PAYMENTS TO THE APPROPRIATE SERVICE PROVIDERS.
   § 3. Subdivision 7 of section 4403-f  of  the  public  health  law  is
 amended by adding a new paragraph (i) to read as follows:
   (I)  INCREASED  RATES, TERMS OR SCOPE OF PAYMENT FOR BEHAVIORAL HEALTH
 SERVICES UNDER THIS SECTION, WHERE PAYMENT IS MADE BY  AN  ENTITY  UNDER
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.

co-Sponsors

2017-A8011A (ACTIVE) - Details

Current Committee:
Senate Health
Law Section:
Social Services Law
Laws Affected:
Amd §364-j, Soc Serv L; amd §§2511 & 4403-f, Pub Health L
Versions Introduced in 2019-2020 Legislative Session:
A2787

2017-A8011A (ACTIVE) - Summary

Provides that increased rates of payment for behavioral health services shall be deemed to be effective on the date of the law, rule or regulation under which the change or increase is required.

2017-A8011A (ACTIVE) - Bill Text download pdf 

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  8011--A
 
                        2017-2018 Regular Sessions
 
                           I N  A S S E M B L Y
 
                               May 25, 2017
                                ___________
 
 Introduced by M. of A. GOTTFRIED, SEPULVEDA -- read once and referred to
   the  Committee  on Health -- reported and referred to the Committee on
   Ways  and  Means  --  committee  discharged,  bill  amended,   ordered
   reprinted as amended and recommitted to said committee
 
 AN  ACT  to  amend the social services law and the public health law, in
   relation to payments for behavioral health services
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1. Subdivision 18 of section 364-j of the social services law
 is amended by adding a new paragraph (e) to read as follows:
   (E) INCREASED RATES, TERMS OR SCOPE OF PAYMENT FOR  BEHAVIORAL  HEALTH
 SERVICES  UNDER  THIS  TITLE,  WHERE  PAYMENT  IS MADE BY A MANAGED CARE
 PROVIDER UNDER THIS SECTION, AS A RESULT OF A RATE,  COVERAGE  OR  OTHER
 CHANGE  MADE  PURSUANT  TO A LAW, REGULATION, RULE OR OFFICIAL GUIDANCE,
 SHALL BE DEEMED IN EFFECT ON THE SAME DATE THAT SUCH CHANGE  WOULD  HAVE
 TAKEN EFFECT IF PAYMENT WERE MADE OTHER THAN BY THE MANAGED CARE PROVID-
 ER. WHERE PAYMENT IS NOT MADE AS OF THE EFFECTIVE DATE, THE MANAGED CARE
 PROVIDER  SHALL  MAKE  RETROACTIVE  PAYMENTS  TO THE APPROPRIATE SERVICE
 PROVIDERS.
   § 2. Subdivision 7 of section 4403-f  of  the  public  health  law  is
 amended by adding a new paragraph (i) to read as follows:
   (I)  INCREASED  RATES, TERMS OR SCOPE OF PAYMENT FOR BEHAVIORAL HEALTH
 SERVICES UNDER THIS SECTION, WHERE PAYMENT IS MADE BY  AN  ENTITY  UNDER
 THIS  SECTION,  AS  A  RESULT  OF  A RATE, COVERAGE OR OTHER CHANGE MADE
 PURSUANT TO A LAW, REGULATION,  RULE  OR  OFFICIAL  GUIDANCE,  SHALL  BE
 DEEMED  IN  EFFECT  ON  THE  SAME DATE THAT SUCH CHANGE WOULD HAVE TAKEN
 EFFECT IF PAYMENT WERE MADE OTHER THAN BY THE ENTITY. WHERE  PAYMENT  IS
 NOT  MADE  AS  OF  THE EFFECTIVE DATE, THE ENTITY SHALL MAKE RETROACTIVE
 PAYMENTS TO THE APPROPRIATE SERVICE PROVIDERS.
   § 3. This act shall take effect immediately; provided,  however,  that
 the  amendments  to section 364-j of the social services law and section
 4403-f of the public health law made by sections one  and  two  of  this
 act,  respectively,  shall  not  affect  the repeal of such sections and
 shall be deemed repealed therewith.

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