Provides parity to durable medical equipment providers by requiring Medicaid managed care organizations to reimburse such providers at no less than one hundred percent of the medical assistance durable medical equipment and complex rehabilitation technology fee schedule for the same service or item.
STATE OF NEW YORK
________________________________________________________________________
2520
2025-2026 Regular Sessions
IN ASSEMBLY
January 17, 2025
___________
Introduced by M. of A. McDONALD, LUPARDO, COLTON, SIMON, MAHER, McDO-
NOUGH, BUTTENSCHON, SAYEGH, STIRPE, GALLAHAN, NOVAKHOV, JACKSON, SHIM-
SKY, EACHUS, PAULIN, MORINELLO, ZACCARO, HEVESI, STECK, BENEDETTO,
BURDICK, SEAWRIGHT, PALMESANO, BICHOTTE HERMELYN, DeSTEFANO, TAYLOR,
WEPRIN, MEEKS, DINOWITZ, FITZPATRICK, McMAHON, ROSENTHAL, BRABENEC --
Multi-Sponsored by -- M. of A. LEVENBERG -- read once and referred to
the Committee on Health
AN ACT to amend the social services law, in relation to providing parity
to durable medical equipment providers by requiring Medicaid managed
care organizations to reimburse such providers at no less than one
hundred percent of the medical assistance durable medical equipment
and complex rehabilitation technology fee schedule for the same
service or item
The People of the State of New York, represented in Senate and Assem-bly, do enact as follows:
1 Section 1. Subdivision 4 of section 364-j of the social services law
2 is amended by adding a new paragraph (x) to read as follows:
3 (x) Managed care providers shall pay, directly or indirectly, for
4 durable medical equipment, prosthetics, orthotics, and related supplies
5 at no less than one hundred percent of the medical assistance durable
6 medical equipment and complex rehabilitation technology fee schedule for
7 the same service or item.
8 § 2. This act shall take effect on the ninetieth day after it shall
9 have become a law; provided, however, that the amendments to subdivision
10 4 of section 364-j of the social services law made by section one of
11 this act shall not affect the repeal of such section and shall be deemed
12 repealed therewith.
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD04119-01-5
