S T A T E O F N E W Y O R K
________________________________________________________________________
4846
2019-2020 Regular Sessions
I N A S S E M B L Y
February 5, 2019
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Introduced by M. of A. BARRETT -- read once and referred to the Commit-
tee on Health
AN ACT to amend the social services law, in relation to providing
extended speech, physical or occupational therapy under Medicaid
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Paragraph (h) of subdivision 2 of section 365-a of the
social services law, as amended by section 5 of part A of chapter 57 of
the laws of 2018, is amended to read as follows:
(h) speech therapy, and when provided at the direction of a physician
or nurse practitioner, physical therapy including related rehabilitative
services and occupational therapy; provided, however, that speech thera-
py and occupational therapy each shall be limited to coverage of twenty
visits per year UNLESS THE PROFESSIONAL AT WHOSE DIRECTION THE THERAPY
OR SERVICES ARE PROVIDED OR THE PROVIDER OF THE THERAPY OR SERVICES
ATTESTS TO THE MEDICAL NECESSITY OF ADDITIONAL VISITS; physical therapy
shall be limited to coverage of forty visits per year UNLESS THE PROFES-
SIONAL AT WHOSE DIRECTION THE THERAPY OR SERVICES ARE PROVIDED OR THE
PROVIDER OF THE THERAPY OR SERVICES ATTESTS TO THE MEDICAL NECESSITY OF
ADDITIONAL VISITS; such limitation shall not apply to persons with
developmental disabilities or, notwithstanding any other provision of
law to the contrary, to persons with traumatic brain injury;
§ 2. This act shall take effect on the one hundred eightieth day after
it shall have become a law; provided that, effective immediately, the
addition, amendment, and/or repeal of any rules and regulations neces-
sary to implement the provisions of this act on its effective date are
authorized and directed to be completed on or before such effective
date.
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD00472-01-9