senate Bill S4486A

2021-2022 Legislative Session

Relates to audit and review of medical assistance program funds by the Medicaid inspector general

download bill text pdf

Sponsored By

Current Bill Status - Passed Senate


  • Introduced
  • In Committee
  • On Floor Calendar
    • Passed Senate
    • Passed Assembly
  • Delivered to Governor
  • Signed/Vetoed by Governor

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Actions

view actions (8)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jun 09, 2021 referred to health
delivered to assembly
passed senate
Jun 08, 2021 ordered to third reading cal.1639
committee discharged and committed to rules
May 24, 2021 print number 4486a
May 24, 2021 amend (t) and recommit to health
Feb 05, 2021 referred to health

S4486 - Details

See Assembly Version of this Bill:
A7889
Current Committee:
Assembly Health
Law Section:
Public Health Law
Laws Affected:
Amd §§30-a & 32, add §§37 & 38, Pub Health L; amd §363-d, Soc Serv L

S4486 - Summary

Amends provisions relating to audit and review of medical assistance program funds by the Medicaid inspector general; prohibits additional review without error or new information; requires application of rules in place at the time funds were paid to providers; requires notice to recipients of medical assistance funds of certain investigations.

S4486 - Sponsor Memo

S4486 - Bill Text download pdf

 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   4486
 
                        2021-2022 Regular Sessions
 
                             I N  S E N A T E
 
                             February 5, 2021
                                ___________
 
 Introduced  by Sen. HARCKHAM -- read twice and ordered printed, and when
   printed to be committed to the Committee on Health
 
 AN ACT to amend the public health law,  in  relation  to  providing  the
   Medicaid inspector general coordinate certain audits
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Subdivision 27 of section 32 of the public  health  law  is
 renumbered  subdivision  28 and a new subdivision 27 is added to read as
 follows:
   27. TO WORK IN A COORDINATED MANNER WITH THE RELEVANT STATE  OVERSIGHT
 AGENCY  FOR  THE PROGRAM THAT IS THE SUBJECT OF THE AUDIT TO ENSURE THAT
 ACCESS TO SERVICES IS NOT ADVERSELY IMPACTED. AUDIT FINDINGS  CONCERNING
 THE  LACK  OF MEDICAL NECESSITY AND AUDIT FINDINGS CONCERNING MISSING OR
 INACCURATE PATIENT CASE OR TREATMENT RECORDS SHALL NOT  BE  EXTRAPOLATED
 UNLESS FRAUD AND/OR ABUSE ARE DETECTED.
   § 2. This act shall take effect immediately.
 
 
 
 
 
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD06411-01-1


Co-Sponsors

S4486A (ACTIVE) - Details

See Assembly Version of this Bill:
A7889
Current Committee:
Assembly Health
Law Section:
Public Health Law
Laws Affected:
Amd §§30-a & 32, add §§37 & 38, Pub Health L; amd §363-d, Soc Serv L

S4486A (ACTIVE) - Summary

Amends provisions relating to audit and review of medical assistance program funds by the Medicaid inspector general; prohibits additional review without error or new information; requires application of rules in place at the time funds were paid to providers; requires notice to recipients of medical assistance funds of certain investigations.

S4486A (ACTIVE) - Sponsor Memo

S4486A (ACTIVE) - Bill Text download pdf

 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  4486--A
 
                        2021-2022 Regular Sessions
 
                             I N  S E N A T E
 
                             February 5, 2021
                                ___________
 
 Introduced  by Sen. HARCKHAM -- read twice and ordered printed, and when
   printed to be committed  to  the  Committee  on  Health  --  committee
   discharged, bill amended, ordered reprinted as amended and recommitted
   to said committee
 
 AN  ACT  to  amend the public health law and the social services law, in
   relation to the functions  of  the  Medicaid  inspector  general  with
   respect  to  audit  and review of medical assistance program funds and
   requiring notice of certain investigations
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1. Section 30-a of the public health law is amended by adding
 four new subdivisions 4, 5, 6 and 7 to read as follows:
   4. "PROVIDER" MEANS ANY PERSON OR ENTITY ENROLLED AS A PROVIDER IN THE
 MEDICAL ASSISTANCE PROGRAM.
   5. "RECIPIENT" MEANS AN INDIVIDUAL WHO  IS  ENROLLED  IN  THE  MEDICAL
 ASSISTANCE PROGRAM, INCLUDING AN INDIVIDUAL WHO WAS PREVIOUSLY A RECIPI-
 ENT  AND, IN AN APPROPRIATE CASE, AN INDIVIDUAL WHO IS LEGALLY RESPONSI-
 BLE FOR THE RECIPIENT.
   6. "MEDICAL ASSISTANCE" AND "MEDICAID" MEANS TITLE ELEVEN  OF  ARTICLE
 FIVE OF THE SOCIAL SERVICES LAW AND THE PROGRAM THEREUNDER.
   7.  "DRAFT  AUDIT REPORT", "INITIAL AUDIT REPORT", "PROPOSED NOTICE OF
 AGENCY ACTION" AND "FINAL NOTICE OF AGENCY ACTION" MEANS THOSE DOCUMENTS
 PREPARED AND ISSUED BY THE INSPECTOR UNDER THIS TITLE AND  CORRESPONDING
 REGULATIONS.
   §  2.  Subdivision 20 of section 32 of the public health law, as added
 by chapter 442 of the laws of 2006, is amended to read as follows:
   20. to, consistent with [provisions  of]  this  title  AND  APPLICABLE
 FEDERAL AND STATE LAWS, REGULATIONS, POLICIES, GUIDELINES AND STANDARDS,
 implement  and  amend,  as needed, rules and regulations relating to the
 prevention, detection, investigation and referral  of  fraud  and  abuse
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD06411-02-1

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