NY State Senate Bill S559

Archive: Last Bill Status - Signed by Governor

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

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Actions

view actions (15)

	Assembly Actions - Lowercase Senate Actions - UPPERCASE
Dec 30, 2022	approval memo.102 signed chap.824
Dec 19, 2022	delivered to governor
May 31, 2022	returned to senate passed assembly ordered to third reading rules cal.445 substituted for a3642
May 16, 2022	referred to ways and means delivered to assembly passed senate
Feb 17, 2022	advanced to third reading
Feb 16, 2022	2nd report cal.
Feb 15, 2022	1st report cal.514
Jan 05, 2022	referred to health
Jan 06, 2021	referred to health

Votes

view votes

May 16, 2022 - floor Vote

S559

floor

Aye

Nay

Absent

Excused

Abstained

Feb 15, 2022 - Health committee Vote

S559

committee

Aye

Nay

Aye with Reservations

Absent

Excused

Abstained

Co-Sponsors

S559 (ACTIVE) - Details

See Assembly Version of this Bill:: A3642
Law Section:: Medical Assistance
Versions Introduced in 2019-2020 Legislative Session:: S8316, A10385

S559 (ACTIVE) - Summary

Directs the department of health to request guidance from the Centers for Medicare and Medicaid Services to determine whether the state can claim federal financial participation for coverage of and payment for certain prescription digital therapeutics.

S559 (ACTIVE) - Sponsor Memo

 
BILL NUMBER: S559

SPONSOR: HARCKHAM
 
TITLE OF BILL:

An act in relation to determining whether the state can claim federal
financial participation for coverage of and payment for certain
prescription digital therapeutics

 
PURPOSE:

This bill seeks to have prescription digital therapeutics covered by
Medicaid.

 
SUMMARY OF SPECIFIC PROVISIONS:

Section one contains the legislative findings.

Section two directs the New York State Department of Health to request
guidance from the Centers for Medicare and Medicaid Services regarding
coverage of digital therapeutics.

Section three establishes the effective date.

 
JUSTIFICATION:

Prescription digital therapeutics (PDTs) are therapeutic interventions
that use software programs to help prevent, manage or treat a medical
disorder or disease. These treatments are prescribed by healthcare
professionals, have been tested in randomized clinical trials and have
received approval by the U.S. Food and Drug Administration. PDTs are
being increasingly used for the treatment of opioid use disorders as
they allow patients to use software to easily track their cravings and
triggers in real time, complete cognitive behavioral therapy lessons and
participate in contingency management interventions.The information
gained through this software is available to the clinician, allowing
them to modify treatment to best fit the needs of the patient.

Trials have shown PDTs to be highly successful in increasing treatment
attendance and retention rates. However, these therapies are not
currently covered by Medicaid, and therefore access to them remains
limited. This legislation would request guidance from the Centers for
Medicare and Medicaid Services regarding coverage of digital therapeu-
tics, allowing more individuals the opportunity to have these programs
incorporated into their treatment.

 
LEGISLATIVE HISTORY:

2020: S8316 referred to Health; same as A10385 (Rosenthal L) referred to
health

 
FISCAL IMPLICATIONS:

Undetermined.

 
EFFECTIVE DATE:
This act shall take effect immediately.

S559 (ACTIVE) - Bill Text download pdf

 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                    559
 
                        2021-2022 Regular Sessions
 
                             I N  S E N A T E
 
                                (PREFILED)
 
                              January 6, 2021
                                ___________
 
 Introduced  by Sen. HARCKHAM -- read twice and ordered printed, and when
   printed to be committed to the Committee on Health
 
 AN ACT in relation to determining whether the state  can  claim  federal
   financial  participation  for  coverage  of  and  payment  for certain
   prescription digital therapeutics
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1. Legislative finding and declaration. New Yorkers in recov-
 ery for substance and opioid use disorders and in treatment  for  mental
 health  conditions  are  losing  access to in-person treatment under the
 state's "stay at home" and social distancing orders as part of coronavi-
 rus pandemic mitigation efforts. In recent news  reports,  experts  warn
 that  the  coronavirus  pandemic may be "a national relapse trigger" for
 individuals in treatment for alcohol, cocaine, methamphetamine, marijua-
 na, and heroin addiction.  Prescription Digital Therapeutics (PDTs)  are
 new,  software-based  disease  treatments  designed  to  directly  treat
 disease, tested for safety and efficacy in randomized  clinical  trials,
 evaluated  by  the  FDA,  and  prescribed by healthcare providers. These
 therapies are designed and tested  much  like  traditional  prescription
 drugs  with  one distinction: rather than swallowing a pill or taking an
 injection, patients are treated  with  software.  Certain  PDTs  provide
 clinicians  and patients with evidence-based remote treatment modalities
 to treat substance and opioid use disorders, mental  health,  and  other
 diseases  and  conditions.  However, there is no clear statutory benefit
 category to allow Medicaid coverage for PDTs. In light of the promise of
 PDTs for the treatment of patients with substance  use  and  opioid  use
 disorders  during  the  coronavirus  pandemic,  this  legislation  would
 require that the New York state department of health seek guidance  from
 the  Centers  for  Medicare and Medicaid Services relative to a coverage

  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.

                                                            LBD01006-01-1

 S. 559                              2
 
 and reimbursement pathway for PDTs, in order  to  accelerate  access  to
 such therapies for enrollees.
   §  2.  No  later than 30 days from the effective date of this section,
 the New York state department of health shall request guidance from  the
 Centers  for  Medicare  and  Medicaid  Services to determine whether the
 state can claim federal financial  participation  for  coverage  of  and
 payment  for  certain  prescription digital therapeutics approved by the
 food and drug administration to  treat  substance  use  and  opioid  use
 disorders.
   § 3. This act shall take effect immediately.

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The New York State Senate

senate Bill S559

Sponsored By

Archive: Last Bill Status - Signed by Governor

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Votes

May 16, 2022 - floor Vote

Floor Vote: May 16, 2022

Feb 15, 2022 - Health committee Vote

Health Committee Vote: Feb 15, 2022

Co-Sponsors

S559 (ACTIVE) - Details

S559 (ACTIVE) - Summary

S559 (ACTIVE) - Sponsor Memo

S559 (ACTIVE) - Bill Text download pdf

Comments

senate Bill S559

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Sponsored By

Pete Harckham

Archive: Last Bill Status - Signed by Governor

Your Voice

Actions

Votes

May 16, 2022 - floor Vote

Floor Vote: May 16, 2022

Feb 15, 2022 - Health committee Vote

Health Committee Vote: Feb 15, 2022

Co-Sponsors

Alessandra Biaggi

S559 (ACTIVE) - Details

S559 (ACTIVE) - Summary

S559 (ACTIVE) - Sponsor Memo

S559 (ACTIVE) - Bill Text download pdf

Comments