Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Mar 14, 2024 |
print number 5329d |
Mar 14, 2024 |
amend and recommit to finance |
Mar 05, 2024 |
print number 5329c |
Mar 05, 2024 |
amend and recommit to finance |
Feb 27, 2024 |
reported and committed to finance |
Jan 17, 2024 |
print number 5329b |
Jan 17, 2024 |
amend and recommit to health |
Jan 03, 2024 |
referred to health returned to senate died in assembly |
Jun 05, 2023 |
referred to ways and means delivered to assembly passed senate |
May 30, 2023 |
ordered to third reading cal.1375 committee discharged and committed to rules |
May 17, 2023 |
print number 5329a |
May 17, 2023 |
amend and recommit to finance reported and committed to finance |
Mar 02, 2023 |
referred to health |
Senate Bill S5329D
2023-2024 Legislative Session
Sponsored By
(D, WF) 40th Senate District
Current Bill Status - In Senate Committee Finance 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
Actions
Votes
Bill Amendments
co-Sponsors
(D, WF) 63rd Senate District
(D, WF) 52nd Senate District
2023-S5329 - Details
- See Assembly Version of this Bill:
- A6813
- Current Committee:
- Senate Finance
- 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 2021-2022 Legislative Session:
-
S4486
2023-S5329 - Summary
Requires the Medicaid inspector general to comply with standards relating to the audit and review of medical assistance program funds; establishes procedures, practices and standards for the adjustment or recovery of a medical assistance payment from recipients; requires notice of certain investigations.
2023-S5329 - Sponsor Memo
BILL NUMBER: S5329 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 (OMIG). SUMMARY OF PROVISIONS: Section 1 amends public health law. (PHL) § 30-a by adding new defi- nitions. § 2 amends PHL § 32 to clarifies the Office of the Medicaid Inspector
2023-S5329 - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 5329 2023-2024 Regular Sessions I N S E N A T E March 2, 2023 ___________ Introduced by Sens. HARCKHAM, KENNEDY -- read twice and ordered printed, and when printed to be committed to the Committee on Health 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 within the medical assistance program and the recovery of improperly expended medical assistance program funds; EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD04963-01-3 S. 5329 2
co-Sponsors
(D) 34th Senate District
(D, WF) 63rd Senate District
(D, WF) 48th Senate District
(D, WF) 52nd Senate District
2023-S5329A - Details
- See Assembly Version of this Bill:
- A6813
- Current Committee:
- Senate Finance
- 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 2021-2022 Legislative Session:
-
S4486
2023-S5329A - Summary
Requires the Medicaid inspector general to comply with standards relating to the audit and review of medical assistance program funds; establishes procedures, practices and standards for the adjustment or recovery of a medical assistance payment from recipients; requires notice of certain investigations.
2023-S5329A - Sponsor Memo
BILL NUMBER: S5329A 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 (OMIG). SUMMARY OF PROVISIONS: Section 1 amends Public Health Law § 30,-a by adding three new subdivi- sions, 5 and 6. Subdivision 4 defines "medical assistance" "Medicaid" and "recipient," Subdivision 5 defines "provider," and Subdivision 6 defines "overpayment."
2023-S5329A - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 5329--A 2023-2024 Regular Sessions I N S E N A T E March 2, 2023 ___________ Introduced by Sens. HARCKHAM, KENNEDY, WEBB -- read twice and ordered printed, and when printed to be committed to the Committee on Health -- reported favorably from said committee and committed to the Commit- tee on Finance -- 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 three new subdivisions 4, 5, and 6 to read as follows: 4. "MEDICAL ASSISTANCE," "MEDICAID," AND "RECIPIENT" SHALL HAVE THE SAME MEANING AS THOSE TERMS IN TITLE ELEVEN OF ARTICLE FIVE OF THE SOCIAL SERVICES LAW AND SHALL INCLUDE ANY PAYMENTS TO PROVIDERS UNDER ANY MEDICAID MANAGED CARE PROGRAM. 5. "PROVIDER" MEANS ANY PERSON OR ENTITY ENROLLED AS A PROVIDER IN THE MEDICAL ASSISTANCE PROGRAM. 6. "OVERPAYMENT" SHALL MEAN ANY AMOUNT PAID TO A PROVIDER FOR MEDICAL ASSISTANCE IN EXCESS OF THE AMOUNT ALLOWABLE UNDER THE STATE PLAN FOR MEDICAL ASSISTANCE IN EFFECT AT THE TIME OF SUCH SERVICE, OR ALLOWABLE UNDER ANY FEDERALLY APPROVED MEDICAID WAIVER, EXPERIMENT, PILOT, OR DEMONSTRATION PROJECT. AN OVERPAYMENT SHALL NOT INCLUDE CIRCUMSTANCES OF PROVIDER NONCOMPLIANCE WITH STATE LAWS, REGULATIONS OR APPLICABLE PROMULGATED STATE AGENCY POLICIES, GUIDELINES, STANDARDS, PROTOCOLS OR INTERPRETATIONS WHICH ARE NOT A CONDITION OF PAYMENT, UNLESS THE PROVID- ER OBTAINED PAYMENT BY FRAUD OR DECEIT, OR WHERE THE PROVIDER WAS PREVI- OUSLY PROVIDED NOTICE OF ITS FAILURE TO COMPLY AND HAS FAILED TO CORRECT SUCH NONCOMPLIANCE. AN OVERPAYMENT SHALL NOT INCLUDE NONCOMPLIANCE WITH ANY APPLICABLE PROMULGATED STATE AGENCY POLICIES, GUIDELINES, STANDARDS, EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD04963-02-3
co-Sponsors
(R, C) 57th Senate District
(D) 34th Senate District
(R, C) 60th Senate District
(D, WF) 63rd Senate District
2023-S5329B - Details
- See Assembly Version of this Bill:
- A6813
- Current Committee:
- Senate Finance
- 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 2021-2022 Legislative Session:
-
S4486
2023-S5329B - Summary
Requires the Medicaid inspector general to comply with standards relating to the audit and review of medical assistance program funds; establishes procedures, practices and standards for the adjustment or recovery of a medical assistance payment from recipients; requires notice of certain investigations.
2023-S5329B - Sponsor Memo
BILL NUMBER: S5329B 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 (OMIG). SUMMARY OF PROVISIONS:: Section 1 amends Public Health Law § 30,-a by adding new subdivisions, which defines various terms including "abuse", "creditable allegations of fraud", "fraud"," medical assistance", "overpayment " and " provid- er".
2023-S5329B - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 5329--B 2023-2024 Regular Sessions I N S E N A T E March 2, 2023 ___________ Introduced by Sens. HARCKHAM, FERNANDEZ, KENNEDY, MAY, WEBB -- read twice and ordered printed, and when printed to be committed to the Committee on Health -- reported favorably from said committee and committed to the Committee on Finance -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said commit- tee -- recommitted to the Committee on Health in accordance with Senate Rule 6, sec. 8 -- 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, as added by chapter 442 of the laws of 2006, is amended to read as follows: § 30-a. Definitions. For the purposes of this title, the following definitions shall apply: 1. "ABUSE" MEANS PROVIDER PRACTICES THAT ARE INCONSISTENT WITH SOUND FISCAL, BUSINESS OR MEDICAL PRACTICES, AND RESULT IN AN UNNECESSARY COST TO THE MEDICAID PROGRAM, OR IN REIMBURSEMENT FOR SERVICES THAT ARE NOT MEDICALLY NECESSARY OR THAT FAIL TO MEET PROFESSIONALLY RECOGNIZED STAN- DARDS FOR HEALTH CARE. IT ALSO INCLUDES BENEFICIARY PRACTICES THAT RESULT IN UNNECESSARY COST TO THE MEDICAID PROGRAM. 2. "CREDITABLE ALLEGATION OF FRAUD" (A) MEANS AN ALLEGATION WHICH HAS BEEN VERIFIED BY THE INSPECTOR, FROM ANY SOURCE, INCLUDING BUT NOT LIMITED TO THE FOLLOWING: I. FRAUD HOTLINES TIPS VERIFIED BY FURTHER EVIDENCE; II. CLAIMS DATA MINING; AND III. PATTERNS IDENTIFIED THROUGH PROVIDER AUDITS, CIVIL FALSE CLAIMS CASES, AND LAW ENFORCEMENT INVESTIGATIONS. EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD04963-03-4
co-Sponsors
(R, C) 57th Senate District
(D) 34th Senate District
(R, C) 60th Senate District
(D, WF) 63rd Senate District
2023-S5329C - Details
- See Assembly Version of this Bill:
- A6813
- Current Committee:
- Senate Finance
- 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 2021-2022 Legislative Session:
-
S4486
2023-S5329C - Summary
Requires the Medicaid inspector general to comply with standards relating to the audit and review of medical assistance program funds; establishes procedures, practices and standards for the adjustment or recovery of a medical assistance payment from recipients; requires notice of certain investigations.
2023-S5329C - Sponsor Memo
BILL NUMBER: S5329C 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 (OMIG). SUMMARY OF PROVISIONS: Section 1 amends Public Health Law § 30,-a by adding new subdivisions, which defines various terms including "abuse", "creditable allegations of fraud", "fraud"," medical assistance", "overpayment" and " provider".
2023-S5329C - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 5329--C 2023-2024 Regular Sessions I N S E N A T E March 2, 2023 ___________ Introduced by Sens. HARCKHAM, BORRELLO, FERNANDEZ, GALLIVAN, KENNEDY, MAY, MAYER, SEPULVEDA, WEBB -- read twice and ordered printed, and when printed to be committed to the Committee on Health -- reported favorably from said committee and committed to the Committee on Finance -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee -- recommitted to the Committee on Health in accordance with Senate Rule 6, sec. 8 -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee -- reported favorably from said commit- tee and committed to the Committee on Finance -- 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, as added by chapter 442 of the laws of 2006, is amended to read as follows: § 30-a. Definitions. For the purposes of this title, the following definitions shall apply: 1. "ABUSE" MEANS PROVIDER PRACTICES THAT ARE INCONSISTENT WITH SOUND FISCAL, BUSINESS OR MEDICAL PRACTICES, AND RESULT IN AN UNNECESSARY COST TO THE MEDICAID PROGRAM, OR IN REIMBURSEMENT FOR SERVICES THAT ARE NOT MEDICALLY NECESSARY OR THAT FAIL TO MEET PROFESSIONALLY RECOGNIZED STAN- DARDS FOR HEALTH CARE. IT ALSO INCLUDES BENEFICIARY PRACTICES THAT RESULT IN UNNECESSARY COST TO THE MEDICAID PROGRAM. 2. "CREDITABLE ALLEGATION OF FRAUD" (A) MEANS AN ALLEGATION WHICH HAS BEEN VERIFIED BY THE INSPECTOR, FROM ANY SOURCE, INCLUDING BUT NOT LIMITED TO THE FOLLOWING: EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD04963-04-4
co-Sponsors
(R, C) 57th Senate District
(D) 34th Senate District
(R, C) 60th Senate District
(D, WF) 63rd Senate District
2023-S5329D (ACTIVE) - Details
- See Assembly Version of this Bill:
- A6813
- Current Committee:
- Senate Finance
- 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 2021-2022 Legislative Session:
-
S4486
2023-S5329D (ACTIVE) - Summary
Requires the Medicaid inspector general to comply with standards relating to the audit and review of medical assistance program funds; establishes procedures, practices and standards for the adjustment or recovery of a medical assistance payment from recipients; requires notice of certain investigations.
2023-S5329D (ACTIVE) - Sponsor Memo
BILL NUMBER: S5329D 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 (OMIG). SUMMARY OF PROVISIONS: Section 1 amends Public Health Law § 30,-a by adding new subdivisions, which defines various terms including "abuse", "creditable allegations of fraud", "fraud"," medical assistance", "overpayment" and " provider".
2023-S5329D (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 5329--D 2023-2024 Regular Sessions I N S E N A T E March 2, 2023 ___________ Introduced by Sens. HARCKHAM, BORRELLO, FERNANDEZ, GALLIVAN, KENNEDY, MAY, MAYER, SEPULVEDA, WEBB -- read twice and ordered printed, and when printed to be committed to the Committee on Health -- reported favorably from said committee and committed to the Committee on Finance -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee -- recommitted to the Committee on Health in accordance with Senate Rule 6, sec. 8 -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee -- reported favorably from said commit- tee and committed to the Committee on Finance -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee -- 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, as added by chapter 442 of the laws of 2006, is amended to read as follows: § 30-a. Definitions. For the purposes of this title, the following definitions shall apply: 1. "ABUSE" MEANS PROVIDER PRACTICES THAT ARE INCONSISTENT WITH SOUND FISCAL, BUSINESS OR MEDICAL PRACTICES, AND RESULT IN AN UNNECESSARY COST TO THE MEDICAID PROGRAM, OR IN REIMBURSEMENT FOR SERVICES THAT ARE NOT MEDICALLY NECESSARY OR THAT FAIL TO MEET PROFESSIONALLY RECOGNIZED STAN- DARDS FOR HEALTH CARE. IT ALSO INCLUDES BENEFICIARY PRACTICES THAT RESULT IN UNNECESSARY COST TO THE MEDICAID PROGRAM. EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD04963-05-4 S. 5329--D 2
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