NY State Senate Bill S4486B

Archive: Last Bill Status Via A7889 - Vetoed by Governor

Introduced
In Committee
On Floor Calendar
- Passed Senate
- Passed Assembly
Delivered to Governor
Vetoed by Governor

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Actions

view actions (24)

	Assembly Actions - Lowercase Senate Actions - UPPERCASE
Dec 09, 2022	tabled vetoed memo.89
Dec 02, 2022	delivered to governor
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 25, 2022 - floor Vote

A7889A

floor

Aye

Nay

Absent

Excused

Abstained

May 10, 2022 - Finance committee Vote

S4486A

committee

Aye

Nay

Aye with Reservations

Absent

Excused

Abstained

Mar 15, 2022 - Health committee Vote

S4486A

committee

Aye

Nay

Aye with Reservations

Absent

Excused

Abstained

Jun 9, 2021 - floor Vote

S4486A

floor

Aye

Nay

Absent

Excused

Abstained

Jun 8, 2021 - Rules committee Vote

S4486A

committee

Aye

Nay

Aye with Reservations

Absent

Excused

Abstained

Bill Amendments

Original

B (Active)

Original

B (Active)

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
Versions Introduced in 2023-2024 Legislative Session:: S5329

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

 
BILL NUMBER: S4486

SPONSOR: HARCKHAM
 
TITLE OF BILL:

An act to amend the public health law, in relation to providing the
Medicaid inspector general coordinate certain audits

 
PURPOSE:

To ensure that the Medicaid inspector general coordinates with relevant
agencies to ensure audit findings concerning problems with patient or
client paperwork will not be extrapolated unless fraud or abuse are
detected with such paperwork

 
SUMMARY OF PROVISIONS:

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 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.

Section 2. States the effective date

 
JUSTIFICATION:

At a time when the CDC is reporting the highest number of drug overdose
deaths recorded in a 12-month period (81,000), the Medicaid Inspector
General is conducting audits where the penalties are so severe, they are
forcing the shut down of our state's opioid treatment programs (OTP).
Recently Mount Sinai Beth Israel's opioid treatment program, a reputable
program which has assisted over 1,500 New Yorkers yearly to overcome
their Opioid addiction, has become one of the first victims to this
audit system.

The Medicaid audit on Mount Sinai Beth Israel's opioid program revealed
that out of 3,000 potential errors, they reported only 12 findings
totaling $407. Their error rate was an impressive 0.0041 and there was
no suspicion of fraud, abuse, or waste, and yet it resulted in more than
$7.7 million in penalties. This program was forced to close, and 1500
patients were displaced. NYC is now at capacity.

Our state's OTPs are already contending with 20% budget cuts, with
demand for services skyrocketing. There isn't a provider in the state
that can afford the penalties associated with these audits. With the CDC
reporting the highest number of drug overdose, to limit or even worse,
discontinue access to treatment would be a catastrophe. If an audit does
not find fraud or abuse, we believe they should take a cooperative
approach, and not extrapolate penalties.

 
LEGISLATIVE HISTORY:

This is a new bill.

 
FISCAL IMPLICATIONS:

None to the State.

 
EFFECTIVE DATE:
This act shall take effect immediately.

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
Versions Introduced in 2023-2024 Legislative Session:: S5329

S4486A - Summary

S4486A - Sponsor Memo

 
BILL NUMBER: S4486A

SPONSOR: HARCKHAM
 
TITLE OF BILL:

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

 
PURPOSE OR GENERAL IDEA OF BILL:

To provide due process protections to health care providers and recipi-
ents in the medical assistance program when under scrutiny by the Office
of the Medicaid Inspector General.

 
SUMMARY OF PROVISIONS:

Section 1 amends public health law. (PHL) § 30-a by adding four new
definitions.

§ 2 amends PHL § 32 subdivision 20 to make clear that the Office oldie

Medicaid Inspector General (OMIG) must act consistently with all appli-
cable state and federal laws, regulations, policies, guidelines and
standards.

§ 3 adds two new sections to the PHL.

New §37.

Subdivision (1) requires OMIG to wait at least 60 days after issuing a
final audit report before starting a recovery action on any overpay-
ments, and to provide a minimum of 10 days advance written notice to the
affected provider.

(2) Prohibits repeating a review or audit of the same contracts, cost
reports, claims, bills, or expenditures unless the OMIG has new informa-
tion, good cause to believe the previous audit was erroneous.  or a
significantly different scope of investigation.

(3) OMIG must apply all laws. regulations. policies, guidelines, stand-
ards. and interpretations that were in place at the time the claim or
conduct occurred.

(4) Prohibits OMIG from making a recovery from a provider based solely
on an administrative or technical detect without any intent to falsify
or defraud, except where OMIG has informed the provider of the error and
given the provider 30 days to correct it, and the provider did not
correct the error. It clarifies that for a claim for a service provided
over two years prior to the audit. the provider may either resubmit the
claim or accept the disallowance of the amount of the claim. It prohib-
its the use of extrapolation for recoveries made under this subdivision.

(5) OMIG must provide an exit conference or detailed written explanation
of any draft audit findings to the provider, and OMIG may only use
statistically reasonably valid extrapolation methods for audits where
extrapolation is permitted.

New § 38
Establishes protections for medical assistance recipients, including
advance written notice of an investigation that details the basis for
the investigation. the individual's rights during questioning and to a
fair hearing, and contact information for local legal services. It also
requires detailed advance written notice of any recovery actions, and
makes clear that a lair hearing under Social Services Law § 22 shall be
available to the individual.

§ 4 amends Social Services Law § 363-d (3) (c) to require OMIG to notify
a provider if the provider's compliance program is not satisfactory.
and to allow the provider 60 days to submit a proposal for a satisfac-
tory compliance program. It also adds a new subdivision 8 to the section
to require OMIG regulations, determinations, or findings relating to a
compliance program to be consistent with subdivision 3.

§ 5 adds a new subsection 6-b to PHL § 32, requiring OMIG to file an
annual report on tore impacts that all civil and administrative enforce-
ment actions taken in the previous year have had and will have on the
quality and availability of medical care and services, the best inter-
ests of the medical assistance program and its recipients, and the
fiscal solvency of the providers subject to these actions.

§ 6 is the immediate effective date.

 
JUSTIFICATION:

When the OMIG was created in 2007, the emphasis of the legislature and
the concern of the public was on fraud and waste in the Medicaid system.
Experience with the law has made it clear that the current statute is
missing key provisions necessary to assure fairness and procedural clar-
ity for all the parties involved, including the personnel of the OMIG.

OMIG audits that punish providers for technical errors, not fraud, do
not help anyone in the Medicaid system, especially when those errors are
the result of contradictory guidance provided by different state agen-
cies. Further, the OMIG's practice of extrapolating millions of dollars
of claims from a small sample of technical errors has been forcing
already-stretched-thin health care providers, especially in the behav-
ioral health system, to close, which ultimately harms patients. New York
patients cannot afford to lose any more behavioral health providers.
especially.' over unintentional administrative errors.

This bill also addresses due process for Medicaid beneficiaries who
deserve advance notice of any investigations and details about what
exactly is being investigated. They also deserve to know their rights
before the OMIG makes any recoveries or enforcement actions against
them. These common sense requirements are necessary to protect vulner-
able New Yorkers from overzealous OMIG actions.

 
PRIOR LEGISLATIVE HISTORY:

New bill

 
FISCAL IMPLICATIONS FOR STATE AND LOCAL GOVERNMENTS:

None.

 
EFFECTIVE DATE:
This act shall take effect immediately.

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

 S. 4486--A                          2
 
 within  the  medical  assistance  program and the recovery of improperly
 expended medical assistance program funds;
   §  3.  The  public health law is amended by adding two new sections 37
 and 38 to read as follows:
   § 37. PROCEDURES, PRACTICES AND STANDARDS.  1. SUBJECT TO FEDERAL  LAW
 OR REGULATION, RECOVERY OF AN OVERPAYMENT RESULTING FROM THE ISSUANCE OF
 A  FINAL  AUDIT REPORT OR FINAL NOTICE OF AGENCY ACTION BY THE INSPECTOR
 SHALL COMMENCE NOT LESS THAN SIXTY DAYS AFTER THE ISSUANCE OF THE  FINAL
 AUDIT  REPORT  OR FINAL NOTICE OF AGENCY ACTION. THE INSPECTOR SHALL NOT
 COMMENCE ANY RECOVERY UNDER THIS SUBDIVISION WITHOUT PROVIDING A MINIMUM
 OF TEN DAYS ADVANCE WRITTEN NOTICE TO THE PROVIDER.
   2. CONTRACTS, COST REPORTS, CLAIMS, BILLS OR EXPENDITURES  OF  MEDICAL
 ASSISTANCE  FUNDS  THAT  WERE  THE SUBJECT MATTER OF A PREVIOUS AUDIT OR
 REVIEW BY OR ON BEHALF OF THE INSPECTOR, WITHIN THE  LAST  THREE  YEARS,
 SHALL NOT BE SUBJECT AGAIN TO REVIEW OR AUDIT EXCEPT ON THE BASIS OF NEW
 INFORMATION, FOR GOOD CAUSE TO BELIEVE THAT THE PREVIOUS REVIEW OR AUDIT
 WAS  ERRONEOUS, OR WHERE THE SCOPE OF THE INSPECTOR'S REVIEW OR AUDIT IS
 SIGNIFICANTLY DIFFERENT FROM THE SCOPE OF THE PREVIOUS REVIEW OR AUDIT.
   3. IN CONDUCTING REVIEWS OR AUDITS,  THE  INSPECTOR  SHALL  APPLY  THE
 LAWS,  REGULATIONS,  POLICIES, GUIDELINES, STANDARDS AND INTERPRETATIONS
 OF THE APPROPRIATE AGENCY, INCLUDING TEMPORARY OR EMERGENCY REGULATIONS,
 POLICIES, GUIDELINES, STANDARDS AND INTERPRETATIONS, THAT WERE IN  PLACE
 AT THE TIME THE SUBJECT CLAIM AROSE OR OTHER CONDUCT TOOK PLACE.  DISAL-
 LOWANCES  MAY  BE  IMPOSED OR OTHER ACTION TAKEN ONLY FOR NON-COMPLIANCE
 WITH THOSE LAWS, REGULATIONS, POLICIES,  GUIDELINES  OR  STANDARDS.  FOR
 PURPOSES  OF  THIS  SUBDIVISION,  ANY CHANGE IN THOSE LAWS, REGULATIONS,
 POLICIES, GUIDELINES, STANDARDS OR INTERPRETATIONS SHALL ONLY BE APPLIED
 PROSPECTIVELY AND UPON REASONABLE NOTICE.
   4. (A) THE INSPECTOR SHALL MAKE NO RECOVERY FROM A PROVIDER, BASED  ON
 AN ADMINISTRATIVE OR TECHNICAL DEFECT IN PROCEDURE OR DOCUMENTATION MADE
 WITHOUT  INTENT  TO  FALSIFY  OR  DEFRAUD, IN CONNECTION WITH CLAIMS FOR
 PAYMENT FOR MEDICALLY NECESSARY CARE, SERVICES AND SUPPLIES OR THE  COST
 THEREOF  AS SPECIFIED IN SUBDIVISION TWO OF SECTION THREE HUNDRED SIXTY-
 FIVE-A OF THE SOCIAL SERVICES LAW PROVIDED IN OTHER  RESPECTS  APPROPRI-
 ATELY  TO  A  BENEFICIARY  OF  THE MEDICAL ASSISTANCE PROGRAM, EXCEPT AS
 PROVIDED IN PARAGRAPHS (B) AND (C) OF THIS SUBDIVISION.
   (B) WHERE THERE IS AN ADMINISTRATIVE OR TECHNICAL DEFECT IN  PROCEDURE
 OR  DOCUMENTATION  WITHOUT  INTENT  TO FALSIFY OR DEFRAUD, THE INSPECTOR
 SHALL AFFORD THE PROVIDER AN  OPPORTUNITY  TO  CORRECT  THE  DEFECT  AND
 RESUBMIT THE CLAIM WITHIN THIRTY DAYS OF NOTICE OF THE DEFECT.
   (C) WHERE A CLAIM RELATES TO A SERVICE THAT WAS PROVIDED MORE THAN TWO
 YEARS PRIOR TO THE COMMENCEMENT OF THE AUDIT, THE PROVIDER MAY SUBMIT OR
 RESUBMIT  THE  CLAIM  OR  ACCEPT  THE  DISALLOWANCE OF THE AMOUNT OF THE
 CLAIM.
   (D) THE INSPECTOR SHALL NOT USE EXTRAPOLATION IN RECOVERIES MADE UNDER
 THIS SUBDIVISION.
   5. (A) THE INSPECTOR SHALL FURNISH TO THE PROVIDER AT  AN  AUDIT  EXIT
 CONFERENCE  OR IN ANY DRAFT AUDIT FINDINGS ISSUED OR TO BE ISSUED TO THE
 PROVIDER, A DETAILED WRITTEN EXPLANATION  OF  THE  EXTRAPOLATION  METHOD
 EMPLOYED,  INCLUDING  THE  SIZE OF THE SAMPLE, THE SAMPLING METHODOLOGY,
 THE DEFINED UNIVERSE OF CLAIMS, THE  SPECIFIC  CLAIMS  INCLUDED  IN  THE
 SAMPLE,  THE RESULTS OF THE SAMPLE, THE ASSUMPTIONS MADE ABOUT THE ACCU-
 RACY AND RELIABILITY OF THE SAMPLE AND THE LEVEL OF  CONFIDENCE  IN  THE
 SAMPLE  RESULTS,  AND  THE  STEPS  UNDERTAKEN AND STATISTICS UTILIZED TO
 CALCULATE THE ALLEGED OVERPAYMENT AND ANY APPLICABLE OFFSET BASED ON THE

 S. 4486--A                          3
 
 SAMPLE RESULTS. THIS WRITTEN INFORMATION SHALL INCLUDE A DESCRIPTION  OF
 THE SAMPLING AND EXTRAPOLATION METHODOLOGY.
   (B) THE SAMPLING AND EXTRAPOLATION METHODOLOGIES USED BY THE INSPECTOR
 SHALL  BE  STATISTICALLY REASONABLY VALID FOR THE INTENDED USE AND SHALL
 BE ESTABLISHED IN REGULATIONS OF THE INSPECTOR.
   § 38. PROCEDURES, PRACTICES AND  STANDARDS  FOR  RECIPIENTS.  1.  THIS
 SECTION  APPLIES  TO  ANY ADJUSTMENT OR RECOVERY OF A MEDICAL ASSISTANCE
 PAYMENT FROM A RECIPIENT, AND  ANY  INVESTIGATION  OR  OTHER  PROCEEDING
 RELATING THERETO.
   2.  AT LEAST FIVE BUSINESS DAYS PRIOR TO COMMENCEMENT OF ANY INTERVIEW
 WITH A RECIPIENT AS PART OF AN INVESTIGATION,  THE  INSPECTOR  OR  OTHER
 INVESTIGATING  ENTITY SHALL PROVIDE THE RECIPIENT WITH WRITTEN NOTICE OF
 THE INVESTIGATION. THE NOTICE OF THE INVESTIGATION SHALL SET  FORTH  THE
 BASIS  FOR  THE  INVESTIGATION;  THE POTENTIAL FOR REFERRAL FOR CRIMINAL
 INVESTIGATION; THE INDIVIDUAL'S RIGHT TO BE ACCOMPANIED BY  A  RELATIVE,
 FRIEND, ADVOCATE OR ATTORNEY DURING QUESTIONING; CONTACT INFORMATION FOR
 LOCAL  LEGAL  SERVICES  OFFICES; THE INDIVIDUAL'S RIGHT TO DECLINE TO BE
 INTERVIEWED OR PARTICIPATE IN AN INTERVIEW BUT TERMINATE THE QUESTIONING
 AT ANY TIME WITHOUT LOSS OF BENEFITS; AND THE RIGHT TO A FAIR HEARING IN
 THE EVENT THAT THE INVESTIGATION RESULTS IN A DETERMINATION OF INCORRECT
 PAYMENT.
   3. FOLLOWING COMPLETION OF THE INVESTIGATION AND AT LEAST THIRTY  DAYS
 PRIOR TO COMMENCING A RECOVERY OR ADJUSTMENT ACTION OR REQUESTING VOLUN-
 TARY  REPAYMENT,  THE  INSPECTOR  OR  OTHER  INVESTIGATING  ENTITY SHALL
 PROVIDE THE RECIPIENT WITH WRITTEN NOTICE OF THE DETERMINATION OF INCOR-
 RECT PAYMENT TO BE RECOVERED OR ADJUSTED. THE  NOTICE  OF  DETERMINATION
 SHALL  IDENTIFY  THE EVIDENCE RELIED UPON, SET FORTH THE FACTUAL CONCLU-
 SIONS OF THE INVESTIGATION, AND EXPLAIN THE RECIPIENT'S RIGHT TO REQUEST
 A FAIR HEARING IN ORDER TO CONTEST THE OUTCOME OF THE INVESTIGATION. THE
 EXPLANATION OF THE RIGHT TO A FAIR HEARING SHALL CONFORM TO THE REQUIRE-
 MENTS OF SUBDIVISION TWELVE OF SECTION TWENTY-TWO OF THE SOCIAL SERVICES
 LAW AND REGULATIONS THEREUNDER.
   4. A FAIR HEARING UNDER SECTION TWENTY-TWO OF THE SOCIAL SERVICES  LAW
 SHALL  BE  AVAILABLE  TO ANY RECIPIENT WHO RECEIVES A NOTICE OF DETERMI-
 NATION UNDER SUBDIVISION THREE OF THIS SECTION,  REGARDLESS  OF  WHETHER
 THE RECIPIENT IS STILL ENROLLED IN THE MEDICAL ASSISTANCE PROGRAM.
   §  4.  Paragraph  (c)  of subdivision 3 of section 363-d of the social
 services law, as amended by section 4 of part V of  chapter  57  of  the
 laws  of  2019,  is  amended and a new subdivision 8 is added to read as
 follows:
   (c) In the event that the  commissioner  of  health  or  the  Medicaid
 inspector  general  finds that the provider does not have a satisfactory
 program [within ninety days after the effective date of the  regulations
 issued  pursuant  to subdivision four of this section], THE COMMISSIONER
 OR MEDICAID INSPECTOR GENERAL SHALL SO NOTIFY  THE  PROVIDER,  INCLUDING
 SPECIFICATION  OF  THE  BASIS  OF  THE  FINDING SUFFICIENT TO ENABLE THE
 PROVIDER TO ADOPT A SATISFACTORY COMPLIANCE PROGRAM. THE PROVIDER  SHALL
 SUBMIT  TO  THE  COMMISSIONER  OR  MEDICAID INSPECTOR GENERAL A PROPOSED
 SATISFACTORY COMPLIANCE PROGRAM WITHIN SIXTY  DAYS  OF  THE  NOTICE  AND
 SHALL  ADOPT  THE  PROGRAM AS EXPEDITIOUSLY AS POSSIBLE. IF THE PROVIDER
 DOES NOT PROPOSE AND ADOPT A SATISFACTORY PROGRAM IN SUCH  TIME  PERIOD,
 the  provider  may be subject to any sanctions or penalties permitted by
 federal or state laws  and  regulations,  including  revocation  of  the
 provider's agreement to participate in the medical assistance program.
   8. ANY REGULATION, DETERMINATION OR FINDING OF THE COMMISSIONER OR THE
 MEDICAID  INSPECTOR  GENERAL RELATING TO A COMPLIANCE PROGRAM UNDER THIS

 S. 4486--A                          4
 
 SECTION SHALL BE SUBJECT TO AND CONSISTENT  WITH  SUBDIVISION  THREE  OF
 THIS SECTION.
   §  5.  Section  32 of the public health law is amended by adding a new
 subdivision 6-b to read as follows:
   6-B. TO FILE AN ANNUAL REPORT ON OR BEFORE THE FIRST DAY  OF  JULY  TO
 THE  GOVERNOR, THE TEMPORARY PRESIDENT OF THE SENATE, THE SPEAKER OF THE
 ASSEMBLY, THE MINORITY LEADER OF THE SENATE, THE MINORITY LEADER OF  THE
 ASSEMBLY,  THE COMMISSIONER, THE COMMISSIONER OF THE OFFICE OF ADDICTION
 SERVICES AND SUPPORTS, AND THE COMMISSIONER  OF  THE  OFFICE  OF  MENTAL
 HEALTH  ON  THE  IMPACTS  THAT  ALL CIVIL AND ADMINISTRATIVE ENFORCEMENT
 ACTIONS TAKEN UNDER SUBDIVISION SIX OF  THIS  SECTION  IN  THE  PREVIOUS
 CALENDAR  YEAR WILL HAVE AND HAVE HAD ON THE QUALITY AND AVAILABILITY OF
 MEDICAL CARE AND SERVICES,  THE  BEST  INTERESTS  OF  BOTH  THE  MEDICAL
 ASSISTANCE  PROGRAM  AND  ITS  RECIPIENTS,  AND  FISCAL  SOLVENCY OF THE
 PROVIDERS WHO WERE SUBJECT TO THE CIVIL  OR  ADMINISTRATIVE  ENFORCEMENT
 ACTION;
   § 6. This act shall take effect immediately.

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
Versions Introduced in 2023-2024 Legislative Session:: S5329

S4486B (ACTIVE) - Summary

S4486B (ACTIVE) - Sponsor Memo

 
BILL NUMBER: S4486B

SPONSOR: HARCKHAM
 
TITLE OF BILL:

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

 
PURPOSE OR GENERAL IDEA OF BILL:

To provide due process protections to health care providers and recipi-
ents in the medical assistance program when under scrutiny by the Office
of the Medicaid Inspector General.

 
SUMMARY OF PROVISIONS:

Section 1 amends public health law (PHL) § 30-a by adding four new defi-
nitions.

§ 2 amends PHL § 32 subdivision 20 to make clear that the Office of the

Medicaid Inspector General (OMIG) must act consistently with all appli-
cable state and federal laws, regulations, policies, guidelines, and
standards.

§ 3 adds two new sections to the PHL.

New § 37:

Subdivision (1) requires OMIG to wait at least 60 days after issuing a
final audit report before starting a recovery action on any overpay-
ments, and to provide a minimum of 10 days advance written notice to the
affected provider.

(2) Prohibits repeating a review or audit of the same contracts, cost
reports, claims, bills, or expenditures unless the OMIG has new informa-
tion, good cause to believe the previous audit was erroneous, or a
significantly different scope of investigation.

(3) OMIG must apply all laws, regulations, policies, guidelines, stand-
ards, and interpretations that were in place at the time the claim or
conduct occurred.

(4) Prohibits OMIG from making a recovery from a provider based solely
on an administrative or technical defect without any intent to falsify
or defraud, except where OMIG has informed the provider of the error and
given the provider 30 days to correct it, and the provider did not
correct the error. It clarifies that for a claim for a service provided
over two years prior to the audit, the provider may either resubmit the
claim or accept the disallowance of the amount of the claim.

(5) OMIG must provide an exit conference or detailed written explanation
of any draft audit findings to the provider, and OMIG may only use
statistically reasonably valid extrapolation methods for audits where
extrapolation is permitted.

New § 38

Establishes protections for medical assistance recipients, including
advance written notice of an investigation that details the basis for
the investigation, the individual's rights during questioning and to a
fair hearing, and contact information for local legal services. It also
requires detailed advance written notice of any recovery actions, and
makes clear that a fair hearing under Social Services Law § 22 shall be
available to the individual.

§ 4 amends Social Services Law § 363-d (3) (c) to require OMIG to notify
a provider if the provider's compliance program is not satisfactory, and
to allow the provider 60 days to submit a proposal for a satisfactory
compliance program. It also adds a new subdivision 8 to the section to
require OMIG regulations, determinations, or findings relating to a
compliance program to be consistent with subdivision 3.

§ 5 adds a new subsection 6-b to PHL § 32, requiring OMIG to consult
with the Commissioner of Health on preparing and filing an annual report
by the Commissioner on the impacts that all civil and administrative
enforcement actions taken in the previous year have had and will have on
the quality and availability of medical care and services, the best
interests of the medical assistance program and its recipients, and the
fiscal solvency of the providers subject to these actions.

§ 6 is the immediate effective date.

 
JUSTIFICATION:

When the OMIG was created in 2007, the emphasis of the legislature and
the concern of the public was on fraud and waste in the Medicaid system.
Experience with the law has made it clear that the current statute is
missing key provisions necessary to assure fairness and procedural clar-
ity for all the parties involved, including the personnel of the OMIG.

OMIG audits that punish providers for technical errors, not fraud, do
not help anyone in the Medicaid system, especially when those errors are
the result of contradictory guidance provided by different state agen-
cies. Further, the OMIG's practice of extrapolating millions of dollars
of claims from a small sample of technical errors has been forcing
alreadystretched-thin health care providers, especially in the behav-
ioral health system, to close, which ultimately harms patients. New York
patients cannot afford to lose any more behavioral health providers,
especially over unintentional administrative errors.

This bill also addresses due process for Medicaid beneficiaries, who
deserve advance notice of any investigations and details about what
exactly is being investigated. They also deserve to know their rights
before the OMIG makes any recoveries or enforcement actions against
them. These common sense requirements are necessary to protect vulner-
able New Yorkers from overzealous OMIG actions.

 
PRIOR LEGISLATIVE HISTORY:

New bill

 
FISCAL IMPLATIONS FOR STATE AND LOCAL GOVERNMENTS:


None.
 
EFFECTIVE DATE:
This act shall take effect immediately.

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.

                                                            LBD06411-03-2
 S. 4486--B                          2
 
   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
 within  the  medical  assistance  program and the recovery of improperly
 expended medical assistance program funds;
   § 3. The public health law is amended by adding two  new  sections  37
 and 38 to read as follows:
   §  37. PROCEDURES, PRACTICES AND STANDARDS.  1. SUBJECT TO FEDERAL LAW
 OR REGULATION, RECOVERY OF AN OVERPAYMENT RESULTING FROM THE ISSUANCE OF
 A FINAL AUDIT REPORT OR FINAL NOTICE OF AGENCY ACTION BY  THE  INSPECTOR
 SHALL  COMMENCE NOT LESS THAN SIXTY DAYS AFTER THE ISSUANCE OF THE FINAL
 AUDIT REPORT OR FINAL NOTICE OF AGENCY ACTION. THE INSPECTOR  SHALL  NOT
 COMMENCE ANY RECOVERY UNDER THIS SUBDIVISION WITHOUT PROVIDING A MINIMUM
 OF TEN DAYS ADVANCE WRITTEN NOTICE TO THE PROVIDER.
   2.  CONTRACTS,  COST REPORTS, CLAIMS, BILLS OR EXPENDITURES OF MEDICAL
 ASSISTANCE FUNDS THAT WERE THE SUBJECT MATTER OF  A  PREVIOUS  AUDIT  OR
 REVIEW  BY  OR  ON BEHALF OF THE INSPECTOR, WITHIN THE LAST THREE YEARS,
 SHALL NOT BE SUBJECT AGAIN TO REVIEW OR AUDIT EXCEPT ON THE BASIS OF NEW
 INFORMATION, FOR GOOD CAUSE TO BELIEVE THAT THE PREVIOUS REVIEW OR AUDIT
 WAS ERRONEOUS, OR WHERE THE SCOPE OF THE INSPECTOR'S REVIEW OR AUDIT  IS
 SIGNIFICANTLY DIFFERENT FROM THE SCOPE OF THE PREVIOUS REVIEW OR AUDIT.
   3.  IN  CONDUCTING  REVIEWS  OR  AUDITS, THE INSPECTOR SHALL APPLY THE
 LAWS, REGULATIONS, POLICIES, GUIDELINES, STANDARDS  AND  INTERPRETATIONS
 OF THE APPROPRIATE AGENCY, INCLUDING TEMPORARY OR EMERGENCY REGULATIONS,
 POLICIES,  GUIDELINES, STANDARDS AND INTERPRETATIONS, THAT WERE IN PLACE
 AT THE TIME THE SUBJECT CLAIM AROSE OR OTHER CONDUCT TOOK PLACE.  DISAL-
 LOWANCES MAY BE IMPOSED OR OTHER ACTION TAKEN  ONLY  FOR  NON-COMPLIANCE
 WITH  THOSE  LAWS,  REGULATIONS,  POLICIES, GUIDELINES OR STANDARDS. FOR
 PURPOSES OF THIS SUBDIVISION, ANY CHANGE  IN  THOSE  LAWS,  REGULATIONS,
 POLICIES, GUIDELINES, STANDARDS OR INTERPRETATIONS SHALL ONLY BE APPLIED
 PROSPECTIVELY AND UPON REASONABLE NOTICE.
   4.  (A) THE INSPECTOR SHALL MAKE NO RECOVERY FROM A PROVIDER, BASED ON
 AN ADMINISTRATIVE OR TECHNICAL DEFECT IN PROCEDURE OR DOCUMENTATION MADE
 WITHOUT INTENT TO FALSIFY OR DEFRAUD,  IN  CONNECTION  WITH  CLAIMS  FOR
 PAYMENT  FOR MEDICALLY NECESSARY CARE, SERVICES AND SUPPLIES OR THE COST
 THEREOF AS SPECIFIED IN SUBDIVISION TWO OF SECTION THREE HUNDRED  SIXTY-
 FIVE-A  OF  THE SOCIAL SERVICES LAW PROVIDED IN OTHER RESPECTS APPROPRI-
 ATELY TO A BENEFICIARY OF THE  MEDICAL  ASSISTANCE  PROGRAM,  EXCEPT  AS
 PROVIDED IN PARAGRAPHS (B) AND (C) OF THIS SUBDIVISION.
   (B)  WHERE THERE IS AN ADMINISTRATIVE OR TECHNICAL DEFECT IN PROCEDURE
 OR DOCUMENTATION WITHOUT INTENT TO FALSIFY  OR  DEFRAUD,  THE  INSPECTOR
 SHALL  AFFORD  THE  PROVIDER  AN  OPPORTUNITY  TO CORRECT THE DEFECT AND
 RESUBMIT THE CLAIM WITHIN THIRTY DAYS OF NOTICE OF THE DEFECT.
   (C) WHERE A CLAIM RELATES TO A SERVICE THAT WAS PROVIDED MORE THAN TWO
 YEARS PRIOR TO THE COMMENCEMENT OF THE AUDIT, THE PROVIDER MAY SUBMIT OR
 RESUBMIT THE CLAIM OR ACCEPT THE  DISALLOWANCE  OF  THE  AMOUNT  OF  THE
 CLAIM.
   5.  (A)  THE  INSPECTOR SHALL FURNISH TO THE PROVIDER AT AN AUDIT EXIT
 CONFERENCE OR IN ANY DRAFT AUDIT FINDINGS ISSUED OR TO BE ISSUED TO  THE
 PROVIDER,  A  DETAILED  WRITTEN  EXPLANATION OF THE EXTRAPOLATION METHOD
 EMPLOYED, INCLUDING THE SIZE OF THE SAMPLE,  THE  SAMPLING  METHODOLOGY,
 THE  DEFINED  UNIVERSE  OF  CLAIMS,  THE SPECIFIC CLAIMS INCLUDED IN THE
 SAMPLE, THE RESULTS OF THE SAMPLE, THE ASSUMPTIONS MADE ABOUT THE  ACCU-
 RACY  AND  RELIABILITY  OF THE SAMPLE AND THE LEVEL OF CONFIDENCE IN THE
 SAMPLE RESULTS, AND THE STEPS  UNDERTAKEN  AND  STATISTICS  UTILIZED  TO
 S. 4486--B                          3
 
 CALCULATE THE ALLEGED OVERPAYMENT AND ANY APPLICABLE OFFSET BASED ON THE
 SAMPLE  RESULTS. THIS WRITTEN INFORMATION SHALL INCLUDE A DESCRIPTION OF
 THE SAMPLING AND EXTRAPOLATION METHODOLOGY.
   (B) THE SAMPLING AND EXTRAPOLATION METHODOLOGIES USED BY THE INSPECTOR
 SHALL  BE  STATISTICALLY REASONABLY VALID FOR THE INTENDED USE AND SHALL
 BE ESTABLISHED IN REGULATIONS OF THE INSPECTOR.
   § 38. PROCEDURES, PRACTICES AND  STANDARDS  FOR  RECIPIENTS.  1.  THIS
 SECTION  APPLIES  TO  ANY ADJUSTMENT OR RECOVERY OF A MEDICAL ASSISTANCE
 PAYMENT FROM A RECIPIENT, AND  ANY  INVESTIGATION  OR  OTHER  PROCEEDING
 RELATING THERETO.
   2.  AT LEAST FIVE BUSINESS DAYS PRIOR TO COMMENCEMENT OF ANY INTERVIEW
 WITH A RECIPIENT AS PART OF AN INVESTIGATION,  THE  INSPECTOR  OR  OTHER
 INVESTIGATING  ENTITY SHALL PROVIDE THE RECIPIENT WITH WRITTEN NOTICE OF
 THE INVESTIGATION. THE NOTICE OF THE INVESTIGATION SHALL SET  FORTH  THE
 BASIS  FOR  THE  INVESTIGATION;  THE POTENTIAL FOR REFERRAL FOR CRIMINAL
 INVESTIGATION; THE INDIVIDUAL'S RIGHT TO BE ACCOMPANIED BY  A  RELATIVE,
 FRIEND, ADVOCATE OR ATTORNEY DURING QUESTIONING; CONTACT INFORMATION FOR
 LOCAL  LEGAL  SERVICES  OFFICES; THE INDIVIDUAL'S RIGHT TO DECLINE TO BE
 INTERVIEWED OR PARTICIPATE IN AN INTERVIEW BUT TERMINATE THE QUESTIONING
 AT ANY TIME WITHOUT LOSS OF BENEFITS; AND THE RIGHT TO A FAIR HEARING IN
 THE EVENT THAT THE INVESTIGATION RESULTS IN A DETERMINATION OF INCORRECT
 PAYMENT.
   3. FOLLOWING COMPLETION OF THE INVESTIGATION AND AT LEAST THIRTY  DAYS
 PRIOR TO COMMENCING A RECOVERY OR ADJUSTMENT ACTION OR REQUESTING VOLUN-
 TARY  REPAYMENT,  THE  INSPECTOR  OR  OTHER  INVESTIGATING  ENTITY SHALL
 PROVIDE THE RECIPIENT WITH WRITTEN NOTICE OF THE DETERMINATION OF INCOR-
 RECT PAYMENT TO BE RECOVERED OR ADJUSTED. THE  NOTICE  OF  DETERMINATION
 SHALL  IDENTIFY  THE EVIDENCE RELIED UPON, SET FORTH THE FACTUAL CONCLU-
 SIONS OF THE INVESTIGATION, AND EXPLAIN THE RECIPIENT'S RIGHT TO REQUEST
 A FAIR HEARING IN ORDER TO CONTEST THE OUTCOME OF THE INVESTIGATION. THE
 EXPLANATION OF THE RIGHT TO A FAIR HEARING SHALL CONFORM TO THE REQUIRE-
 MENTS OF SUBDIVISION TWELVE OF SECTION TWENTY-TWO OF THE SOCIAL SERVICES
 LAW AND REGULATIONS THEREUNDER.
   4. A FAIR HEARING UNDER SECTION TWENTY-TWO OF THE SOCIAL SERVICES  LAW
 SHALL  BE  AVAILABLE  TO ANY RECIPIENT WHO RECEIVES A NOTICE OF DETERMI-
 NATION UNDER SUBDIVISION THREE OF THIS SECTION,  REGARDLESS  OF  WHETHER
 THE RECIPIENT IS STILL ENROLLED IN THE MEDICAL ASSISTANCE PROGRAM.
   §  4.  Paragraph  (c)  of subdivision 3 of section 363-d of the social
 services law, as amended by section 4 of part V of  chapter  57  of  the
 laws  of  2019,  is  amended and a new subdivision 8 is added to read as
 follows:
   (c) In the event that the  commissioner  of  health  or  the  Medicaid
 inspector  general  finds that the provider does not have a satisfactory
 program [within ninety days after the effective date of the  regulations
 issued  pursuant  to subdivision four of this section], THE COMMISSIONER
 OR MEDICAID INSPECTOR GENERAL SHALL SO NOTIFY  THE  PROVIDER,  INCLUDING
 SPECIFICATION  OF  THE  BASIS  OF  THE  FINDING SUFFICIENT TO ENABLE THE
 PROVIDER TO ADOPT A SATISFACTORY COMPLIANCE PROGRAM. THE PROVIDER  SHALL
 SUBMIT  TO  THE  COMMISSIONER  OR  MEDICAID INSPECTOR GENERAL A PROPOSED
 SATISFACTORY COMPLIANCE PROGRAM WITHIN SIXTY  DAYS  OF  THE  NOTICE  AND
 SHALL  ADOPT  THE  PROGRAM AS EXPEDITIOUSLY AS POSSIBLE. IF THE PROVIDER
 DOES NOT PROPOSE AND ADOPT A SATISFACTORY PROGRAM IN SUCH  TIME  PERIOD,
 the  provider  may be subject to any sanctions or penalties permitted by
 federal or state laws  and  regulations,  including  revocation  of  the
 provider's agreement to participate in the medical assistance program.
 S. 4486--B                          4
 
   8. ANY REGULATION, DETERMINATION OR FINDING OF THE COMMISSIONER OR THE
 MEDICAID  INSPECTOR  GENERAL RELATING TO A COMPLIANCE PROGRAM UNDER THIS
 SECTION SHALL BE SUBJECT TO AND CONSISTENT  WITH  SUBDIVISION  THREE  OF
 THIS SECTION.
   §  5.  Section  32 of the public health law is amended by adding a new
 subdivision 6-b to read as follows:
   6-B. TO CONSULT WITH THE COMMISSIONER ON THE PREPARATION OF AN  ANNUAL
 REPORT,  TO BE MADE AND FILED BY THE COMMISSIONER ON OR BEFORE THE FIRST
 DAY OF JULY TO THE GOVERNOR, THE TEMPORARY PRESIDENT OF THE SENATE,  THE
 SPEAKER OF THE ASSEMBLY, THE MINORITY LEADER OF THE SENATE, THE MINORITY
 LEADER OF THE ASSEMBLY, THE COMMISSIONER, THE COMMISSIONER OF THE OFFICE
 OF  ADDICTION  SERVICES AND SUPPORTS, AND THE COMMISSIONER OF THE OFFICE
 OF MENTAL HEALTH ON  THE  IMPACTS  THAT  ALL  CIVIL  AND  ADMINISTRATIVE
 ENFORCEMENT  ACTIONS  TAKEN UNDER SUBDIVISION SIX OF THIS SECTION IN THE
 PREVIOUS CALENDAR YEAR WILL HAVE AND HAVE HAD ON THE QUALITY AND  AVAIL-
 ABILITY  OF  MEDICAL  CARE  AND SERVICES, THE BEST INTERESTS OF BOTH THE
 MEDICAL ASSISTANCE PROGRAM AND ITS RECIPIENTS, AND  FISCAL  SOLVENCY  OF
 THE  PROVIDERS  WHO WERE SUBJECT TO THE CIVIL OR ADMINISTRATIVE ENFORCE-
 MENT ACTION;
   § 6. This act shall take effect immediately.

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The New York State Senate

senate Bill S4486B

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Archive: Last Bill Status Via A7889 - Vetoed by Governor

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May 10, 2022 - Finance committee Vote

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Jun 8, 2021 - Rules committee Vote

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S4486 - Bill Text download pdf

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S4486A - Details

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senate Bill S4486B

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Sponsored By

Pete Harckham

Archive: Last Bill Status Via A7889 - Vetoed by Governor

Your Voice

Actions

Votes

May 25, 2022 - floor Vote

Floor Vote: May 25, 2022

May 10, 2022 - Finance committee Vote

Committee Vote: May 10, 2022

Mar 15, 2022 - Health committee Vote

Committee Vote: Mar 15, 2022

Jun 9, 2021 - floor Vote

Floor Vote: Jun 9, 2021

Jun 8, 2021 - Rules committee Vote

Committee Vote: Jun 8, 2021

Bill Amendments

S4486 - Details

S4486 - Summary

S4486 - Sponsor Memo

S4486 - Bill Text download pdf

Co-Sponsors

Timothy M. Kennedy

S4486A - Details

S4486A - Summary

S4486A - Sponsor Memo

S4486A - Bill Text download pdf

Co-Sponsors

Timothy M. Kennedy

S4486B (ACTIVE) - Details

S4486B (ACTIVE) - Summary

S4486B (ACTIVE) - Sponsor Memo

S4486B (ACTIVE) - Bill Text download pdf

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