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Assembly Bill A5397

2025-2026 Legislative Session

Relates to Medicaid reimbursement rates for inpatient psychiatric care

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Current Bill Status - In Assembly Committee

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2025-A5397 (ACTIVE) - Details

Current Committee:
Assembly Health
Law Section:
Public Health Law
Laws Affected:
Amd §2807-c, Pub Health L

2025-A5397 (ACTIVE) - Summary

Requires Medicaid reimbursement rates for inpatient psychiatric care to remain consistent and uniform throughout the duration of the patient's hospitalization, regardless of length of stay.

2025-A5397 (ACTIVE) - Bill Text download pdf 

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   5397
 
                        2025-2026 Regular Sessions
 
                           I N  A S S E M B L Y
 
                             February 13, 2025
                                ___________
 
 Introduced  by M. of A. TAPIA -- read once and referred to the Committee
   on Health
 
 AN ACT  to  amend  the  public  health  law,  in  relation  to  Medicaid
   reimbursement rates for inpatient psychiatric care
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:

   Section 1. Subdivision 4 of section 2807-c of the public health law is
 amended by adding a new paragraph (e-3) to read as follows:
   (E-3) (I) NOTWITHSTANDING ANY LAW, RULE OR REGULATION TO THE CONTRARY,
 PER DIEM PAYMENTS FOR INPATIENT PSYCHIATRIC HOSPITAL  SERVICES  PROVIDED
 TO  PATIENTS ELIGIBLE FOR MEDICAL ASSISTANCE PURSUANT TO TITLE ELEVEN OF
 ARTICLE FIVE OF THE SOCIAL SERVICES  LAW  SHALL  REMAIN  CONSISTENT  AND
 UNIFORM  THROUGHOUT  THE  DURATION  OF  SUCH  PATIENTS' HOSPITALIZATION,
 REGARDLESS OF LENGTH OF STAY.
   (II) THE PROVISIONS OF SUBPARAGRAPH (I) OF THIS PARAGRAPH SHALL NOT BE
 CONSTRUED TO PREVENT  THE  COMMISSIONER  FROM  IMPLEMENTING  ALTERNATIVE
 PAYMENT  METHODOLOGIES  THAT  ARE  NOT BASED ON REDUCTIONS FOR LENGTH OF
 STAY, PROVIDED THAT SUCH METHODOLOGIES ARE CONSISTENT  WITH  MAINTAINING
 ACCESS TO AND QUALITY OF CARE.
   §  2. No later than 180 days after the effective date of this act, the
 commissioner of health shall submit a report to the governor, the tempo-
 rary president of the senate, and the speaker of  the  assembly  on  the
 regulatory  changes made pursuant to paragraph (e-3) of subdivision 4 of
 section 2807-c of the public health law, as added by section one of this
 act, and provide an assessment of the anticipated impact of such regula-
 tory changes on hospital reimbursement rates and patient care outcomes.
   § 3. This act shall take effect immediately.
 
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD07695-01-5

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