senate Bill S4486B

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 Via A7889 - Passed Senate & Assembly


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

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Actions

view actions (21)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
May 25, 2022 returned to assembly
passed senate
3rd reading cal.1212
substituted for s4486b
May 25, 2022 substituted by a7889a
May 23, 2022 amended on third reading 4486b
May 16, 2022 advanced to third reading
May 11, 2022 2nd report cal.
May 10, 2022 1st report cal.1212
Mar 15, 2022 reported and committed to finance
Jan 05, 2022 referred to health
returned to senate
died in assembly
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

Votes

view votes

May 10, 2022 - Finance committee Vote

S4486A
22
0
committee
22
Aye
0
Nay
0
Aye with Reservations
1
Absent
0
Excused
0
Abstained
show committee vote details

Mar 15, 2022 - Health committee Vote

S4486A
15
0
committee
15
Aye
0
Nay
0
Aye with Reservations
0
Absent
0
Excused
0
Abstained
show committee vote details

Jun 8, 2021 - Rules committee Vote

S4486A
21
0
committee
21
Aye
0
Nay
0
Aye with Reservations
0
Absent
0
Excused
0
Abstained
show committee vote details

S4486 - Details

See Assembly Version of this Bill:
A7889
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 - Details

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

S4486A - 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 - Sponsor Memo

S4486A - 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

Co-Sponsors

S4486B (ACTIVE) - Details

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

S4486B (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.

S4486B (ACTIVE) - Sponsor Memo

S4486B (ACTIVE) - Bill Text download pdf

 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  4486--B
     Cal. No. 1212
 
                        2021-2022 Regular Sessions
 
                             I N  S E N A T E
 
                             February 5, 2021
                                ___________
 
 Introduced by Sens. HARCKHAM, KENNEDY -- read twice and ordered printed,
   and when printed to be committed to the Committee on Health -- commit-
   tee  discharged, bill amended, ordered reprinted as amended and recom-
   mitted to said committee -- recommitted to the Committee on Health  in
   accordance  with Senate Rule 6, sec. 8 -- reported favorably from said
   committee and committed to the Committee on Finance -- reported favor-
   ably from said committee, ordered to first and second report,  ordered
   to a third reading, amended and ordered reprinted, retaining its place
   in the order of third reading
 
 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:
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.

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