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Senate Bill S3358

2025-2026 Legislative Session

Relates to the submission of claims for services provided by home care agencies

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Current Bill Status - In Senate Committee Rules Committee

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2025-S3358 (ACTIVE) - Details

See Assembly Version of this Bill:
A1257
Current Committee:
Senate Rules
Law Section:
Public Health Law
Laws Affected:
Amd §3614-e, Pub Health L
Versions Introduced in 2023-2024 Legislative Session:
S6123, A5750

2025-S3358 (ACTIVE) - Summary

Provides that the submission of claims for services provided by home care agencies shall be done on forms approved by the centers for Medicare and Medicaid services.

2025-S3358 (ACTIVE) - Sponsor Memo

2025-S3358 (ACTIVE) - Bill Text download pdf 

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   3358
 
                        2025-2026 Regular Sessions
 
                             I N  S E N A T E
 
                             January 27, 2025
                                ___________
 
 Introduced  by Sens. RIVERA, JACKSON, LIU, MAY, PARKER -- 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 the submission of
   claims for services provided by home care agencies

   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1.  Section  3614-e  of  the  public  health law, as added by
 section 49 of part B of chapter 57 of the laws of 2015,  is  amended  to
 read as follows:
   §  3614-e.  Electronic  payment  of  claims.  1. The payment of claims
 submitted under contracts or agreements with insurers under the  medical
 assistance  program for home and community-based long-term care services
 provided under this article, by fiscal intermediaries operating pursuant
 to section three hundred sixty-five-f of the social services law, and by
 residential health care facilities operating pursuant to  article  twen-
 ty-eight  of  this  chapter shall be paid via electronic funds transfer.
 CLAIMS FOR SERVICES PROVIDED BY HOME CARE AGENCIES LICENSED OR CERTIFIED
 UNDER THIS ARTICLE AND BY FISCAL INTERMEDIARIES  OPERATING  PURSUANT  TO
 SECTION  THREE  HUNDRED SIXTY-FIVE-F OF THE SOCIAL SERVICES LAW SHALL BE
 ONLY SUBMITTED AND REMITTED ON FORMS APPROVED BY THE CENTERS  FOR  MEDI-
 CARE  AND  MEDICAID  SERVICES.    CLAIMS  SHALL BE SUBMITTED TO INSURERS
 DIRECTLY OR BY A  BILLING  ENTITY  SELECTED  BY  THE  HOME  CARE  AGENCY
 LICENSED  OR  CERTIFIED  UNDER  THIS ARTICLE OR BY A FISCAL INTERMEDIARY
 OPERATING PURSUANT TO SECTION THREE HUNDRED SIXTY-FIVE-F OF  THE  SOCIAL
 SERVICES  LAW. INSURERS SHALL NOT REQUIRE THE UTILIZATION BY CONTRACT OR
 ACTION ANY SPECIFIC BILLING ENTITY BY A HOME  CARE  AGENCY  LICENSED  OR
 CERTIFIED  UNDER  THIS  ARTICLE  OR  BY  A FISCAL INTERMEDIARY OPERATING
 PURSUANT TO SECTION THREE HUNDRED SIXTY-FIVE-F OF  THE  SOCIAL  SERVICES
 LAW; NOR IMPEDE THE TIMELY PROCESSING AND PAYMENT OF CLAIMS.
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD03466-01-5
 S. 3358                             2

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