S T A T E O F N E W Y O R K
________________________________________________________________________
8048--A
2025-2026 Regular Sessions
I N A S S E M B L Y
April 22, 2025
___________
Introduced by M. of A. REYES, STECK, TAPIA, DAVILA, DINOWITZ, HEVESI,
MAGNARELLI, LEE, BENEDETTO, ROZIC -- read once and referred to the
Committee on Health -- recommitted to the Committee on Health in
accordance with Assembly Rule 3, sec. 2 -- committee discharged, bill
amended, ordered reprinted as amended and recommitted to said commit-
tee
AN ACT to amend the public health law, in relation to add-on payment for
pediatric practices that implement the HealthySteps model
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Legislative intent. In order to improve quality and promote
access to team-based care, it is the policy of the state to encourage
HealthySteps implementation in pediatric practices for the purpose of
increasing access to evidenced-based screenings, health promotion and
prevention services, and connections to supports for the family.
§ 2. Section 2807 of the public health law is amended by adding a new
subdivision 22 to read as follows:
22. (A) NOTWITHSTANDING ANY PROVISION OF LAW, RULE OR REGULATION TO
THE CONTRARY, AND SUBJECT TO THE PROVISIONS OF PARAGRAPH (B) OF THIS
SUBDIVISION AND TO THE AVAILABILITY OF FEDERAL FINANCIAL PARTICIPATION,
THE COMMISSIONER SHALL ESTABLISH OR APPROVE AN ADD-ON RATE FOR PEDIATRIC
PRACTICES IMPLEMENTING THE HEALTHYSTEPS MODEL, FOR THE PURPOSES OF
ADVANCING PEDIATRIC SCREENINGS, PROMOTION OF BEHAVIORAL HEALTH, AND
PREVENTION AND TREATMENT OF BEHAVIORAL HEALTH ISSUES IN CHILDREN. FOR
FEDERALLY QUALIFIED HEALTH CENTERS AND RURAL HEALTH CLINICS, THE HEAL-
THYSTEPS PAYMENT ADD-ON SHALL BE PAID IN ADDITION TO THE HEALTH CENTER'S
PROSPECTIVE PAYMENT SYSTEM RATE OR PAYMENTS RECEIVED UNDER THE AMBULATO-
RY PATIENT GROUP REIMBURSEMENT METHODOLOGY. REVENUE FROM THE ADD-ON
SHALL BE EXCLUDED FROM MANAGED CARE VISIT AND REVENUE REPORTS AND SHALL
NOT BE CONSIDERED IN THE CALCULATION OR DETERMINATION OF SUPPLEMENTAL
WRAP-AROUND PAYMENTS.
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD11507-07-6
A. 8048--A 2
(B) TO BE ELIGIBLE FOR THE RATE ADD-ON ESTABLISHED OR APPROVED PURSU-
ANT TO PARAGRAPH (A) OF THIS SUBDIVISION, A PEDIATRIC PRACTICE THAT
IMPLEMENTS HEALTHYSTEPS SHALL BE ON TRACK OR MEET HEALTHYSTEPS SPECIFIC
FIDELITY CRITERIA.
(C) FOR THE PURPOSES OF THIS SUBDIVISION, THE FOLLOWING TERMS SHALL
HAVE THE FOLLOWING MEANINGS:
(I) "PEDIATRIC PRACTICE" MEANS A CLINIC PROVIDING PEDIATRIC CARE, AS
DEFINED BY SECTION THREE THOUSAND SEVENTY-THREE OF THIS CHAPTER.
(II) "HEALTHYSTEPS MODEL" MEANS THE NATIONALLY RECOGNIZED MODEL OF
CARE THAT IS ORGANIZED INTO THREE TIERS OF SERVICE AND EIGHT CORE COMPO-
NENTS TO HELP FAMILIES IN PRACTICES. SERVICES CAN BE OFFERED TO CHIL-
DREN AGES BIRTH UP TO THEIR SIXTH BIRTHDAY ALIGNED WITH THEIR NEEDS.
§ 3. This act shall take effect April 1, 2027. Effective immediately,
the addition, amendment and/or repeal of any rule or regulation neces-
sary for the implementation of this act on its effective date are
authorized to be made and completed on or before such effective date.