Senate Bill S7023A

2021-2022 Legislative Session

Directs the commissioner of health to conduct a study on rate adequacy of orthotics and prosthetics

download bill text pdf

Sponsored By

Archive: Last Bill Status - In Assembly Committee


  • Introduced
    • In Committee Assembly
    • In Committee Senate
    • On Floor Calendar Assembly
    • On Floor Calendar Senate
    • Passed Assembly
    • Passed Senate
  • Delivered to Governor
  • Signed By Governor

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Bill Amendments

co-Sponsors

2021-S7023 - Details

See Assembly Version of this Bill:
A7892
Current Committee:
Assembly Ways And Means
Law Section:
Public Health
Versions Introduced in 2023-2024 Legislative Session:
S3131, A5113

2021-S7023 - Summary

Directs the commissioner of health to conduct a study on the rates of reimbursement made through the New York state Medicaid durable medical equipment, orthotics, prosthetics and supplies program for rate adequacy and patient access.

2021-S7023 - Sponsor Memo

2021-S7023 - Bill Text download pdf

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   7023
 
                        2021-2022 Regular Sessions
 
                             I N  S E N A T E
 
                               May 24, 2021
                                ___________
 
 Introduced  by  Sen. MANNION -- read twice and ordered printed, and when
   printed to be committed to the Committee on Health
 
 AN ACT directing the commissioner of health to conduct a  study  on  the
   rates  of reimbursement made through the New York state Medicaid dura-
   ble medical equipment, orthotics, prosthetics and supplies program for
   rate adequacy and patient access; and providing for the repeal of such
   provisions upon expiration thereof
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1. The commissioner of health shall conduct a study to review
 the rates of reimbursement made through  the  New  York  state  Medicaid
 durable  medical  equipment, orthotics, prosthetics and supplies program
 for rate adequacy and patient access, including  those  made  under  all
 capitated and contract coverage models. Such review shall include:
   (a)  an  analysis of rules, regulations and policies for orthotics and
 prosthetics  service/device  provisions  under  the  New  York  Medicaid
 program, including all contracted and capitated models;
   (b)  a  comprehensive  assessment  of the existing methodology used to
 determine payment or nonpayment for prosthetic and orthotic care includ-
 ing but not limited to:
   (i) all orthotic and prosthetic codes  on  the  current  Medicaid  fee
 schedule,  including but not limited to a comparison of prevailing Medi-
 care fee schedule amounts and New York Medicaid amounts;
   (ii) codes on the Medicare fee schedule but not included  on  the  New
 York  state  Medicaid  durable medical equipment, orthotics, prosthetics
 and supplies program fee schedule;
   (iii)  recommendations  for  changing   reimbursement   methodologies.
 Recommendations under this subparagraph shall be consistent with federal
 law  and  shall include recommendations for appropriate changes in state
 law and regulations. Such  recommendations  shall  consider  appropriate
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD11559-01-1
              

co-Sponsors

2021-S7023A (ACTIVE) - Details

See Assembly Version of this Bill:
A7892
Current Committee:
Assembly Ways And Means
Law Section:
Public Health
Versions Introduced in 2023-2024 Legislative Session:
S3131, A5113

2021-S7023A (ACTIVE) - Summary

Directs the commissioner of health to conduct a study on the rates of reimbursement made through the New York state Medicaid durable medical equipment, orthotics, prosthetics and supplies program for rate adequacy and patient access.

2021-S7023A (ACTIVE) - Sponsor Memo

2021-S7023A (ACTIVE) - Bill Text download pdf

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  7023--A
     Cal. No. 118
 
                        2021-2022 Regular Sessions
 
                             I N  S E N A T E
 
                               May 24, 2021
                                ___________
 
 Introduced  by Sens. MANNION, KENNEDY, REICHLIN-MELNICK, SKOUFIS -- read
   twice and ordered printed, and when printed to  be  committed  to  the
   Committee  on  Health  --  recommitted  to  the Committee on Health in
   accordance with Senate Rule 6, sec. 8 -- reported favorably from  said
   committee,  ordered  to  first  and  second report, ordered to a third
   reading, passed by Senate and delivered  to  the  Assembly,  recalled,
   vote  reconsidered,  restored  to  third  reading, amended and ordered
   reprinted, retaining its place in the order of third reading
 
 AN ACT directing the commissioner of health to conduct a  study  on  the
   rates  of reimbursement made through the New York state Medicaid dura-
   ble medical equipment, orthotics, prosthetics and supplies program for
   rate adequacy and patient access; and providing for the repeal of such
   provisions upon expiration thereof
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1. The commissioner of health shall conduct a study to review
 the rates of reimbursement made through  the  New  York  state  Medicaid
 durable  medical  equipment, orthotics, prosthetics and supplies program
 for rate adequacy and patient access, including  those  made  under  all
 capitated and contract coverage models. Such review shall include:
   (a)  an  analysis of rules, regulations and policies for orthotics and
 prosthetics  service/device  provisions  under  the  New  York  Medicaid
 program, including all contracted and capitated models;
   (b)  a  comprehensive  assessment  of the existing methodology used to
 determine payment or nonpayment for prosthetic and orthotic care includ-
 ing but not limited to:
   (i) all orthotic and prosthetic codes  on  the  current  Medicaid  fee
 schedule,  including but not limited to a comparison of prevailing Medi-
 care fee schedule amounts and New York Medicaid amounts;
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD11559-03-2
 S. 7023--A                          2
              

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