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A05784 Summary:

BILL NOA05784
 
SAME ASSAME AS S07323
 
SPONSORBrown E
 
COSPNSRJensen
 
MLTSPNSR
 
Amd §§2557 & 2559, Pub Health L
 
Provides that on and after April first, two thousand twenty-three, the department of health shall reimburse municipalities in an amount of sixty-six percent or more for the costs of early intervention services; directs the commissioner of health to review rates of reimbursement for early intervention services.
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A05784 Actions:

BILL NOA05784
 
03/23/2023referred to health
01/03/2024referred to health
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A05784 Memo:

NEW YORK STATE ASSEMBLY
MEMORANDUM IN SUPPORT OF LEGISLATION
submitted in accordance with Assembly Rule III, Sec 1(f)
 
BILL NUMBER: A5784
 
SPONSOR: Brown E
  TITLE OF BILL: An act to amend the public health law, in relation to Medicaid reimbursement rates for early intervention services   PURPOSE OR GENERAL IDEA OF BILL: Relates to early intervention reimbursement rates.   SUMMARY OF PROVISIONS: Section 1. Subdivision 2 of section 2557 of the public health law, as amended by chapter 820 of the laws of 2021, is amended to read as follows: 2. The department shall reimburse the approved costs paid by a munici- pality for the purposes of this title, other than those reimbursable by the medical assistance program, in an amount of fifty percent of the amount expended in accordance with the rules and regulations of the commissioner; provided, however, that in the discretion of the depart- ment and with the approval of the director of the division of the budg- et, the department may reimburse municipalities in an amount greater than fifty percent of the amount expended; provided, further, on and after April first, two thousand twenty-three, the department shall reim- burse municipalities in an amount of sixty-six percent or more. Such state reimbursement to the municipality shall not be paid prior to April first of the year in which the approved costs are paid by the munici- pality, provided, however that, subject to the approval of the director of the budget, the department may pay such state aid reimbursement to the municipality prior to such date. § 2. Section 2559 of the public health law is, amended by adding a new subdivision 6 to read as follows: 6. On and after April first, two thousand twenty-three, the commissioner shall review the rates of reimbursement made through the early inter- vention program for rate adequacy. The review shall include, but not be limited to: (a) a comprehensive assessment of the existing methodology used to determine payment for early intervention screenings, evaluations, services and service coordination, including but not limited to: (i) analysis of early intervention rules, regulations, and policies, Including policies, processes, and revenue sources; (ii) analysis of costs to providers participating in the early inter- vention program, including time and cost of travel, service provision, and administrative activities; and (iii) analysis by discipline and labor region of salary levels for Indi- viduals providing early intervention services compared to the salary Levels for individuals in the same disciplines and labor regions provid- ing services other than in the early intervention program; and (b) recommendations for maintaining or changing reimbursement methodol- ogies. The commissioner shall make such recommendations within one year of the effective date of this section. Copies of such recommendations shall be submitted to the governor, the temporary president of the senate, the speaker of the assembly, and the chair of the senate and assembly committees on health and shall post the report on the depart- ment's website. § 3. This act shall take effect immediately.   JUSTIFICATION: An act to amend the public health law, in relation to Medicaid reimbursement rates for early intervention services.   LEGISLATIVE HISTORY: New bill.   FISCAL IMPLICATIONS: None.   EFFECTIVE DATE: This act shall take effect immediately.
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A05784 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          5784
 
                               2023-2024 Regular Sessions
 
                   IN ASSEMBLY
 
                                     March 23, 2023
                                       ___________
 
        Introduced by M. of A. E. BROWN, JENSEN -- read once and referred to the
          Committee on Health
 
        AN  ACT  to  amend  the  public  health  law,  in  relation  to Medicaid
          reimbursement rates for early intervention services
 
          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:

     1    Section  1. Subdivision 2 of section 2557 of the public health law, as
     2  amended by chapter 820 of the laws  of  2021,  is  amended  to  read  as
     3  follows:
     4    2. The department shall reimburse the approved costs paid by a munici-
     5  pality  for the purposes of this title, other than those reimbursable by
     6  the medical assistance program, in an amount of  fifty  percent  of  the
     7  amount  expended  in  accordance  with  the rules and regulations of the
     8  commissioner; provided, however, that in the discretion of  the  depart-
     9  ment  and with the approval of the director of the division of the budg-
    10  et, the department may reimburse municipalities  in  an  amount  greater
    11  than  fifty  percent  of  the amount expended; provided, further, on and
    12  after April first, two thousand twenty-three, the department shall reim-
    13  burse municipalities in an amount of sixty-six  percent  or  more.  Such
    14  state reimbursement to the municipality shall not be paid prior to April
    15  first  of  the  year in which the approved costs are paid by the munici-
    16  pality, provided, however that, subject to the approval of the  director
    17  of  the  budget,  the department may pay such state aid reimbursement to
    18  the municipality prior to such date.
    19    § 2. Section 2559 of the public health law is amended by adding a  new
    20  subdivision 6 to read as follows:
    21    6.  On  and  after April first, two thousand twenty-three, the commis-
    22  sioner shall review the rates of reimbursement made  through  the  early
    23  intervention  program  for  rate adequacy. The review shall include, but
    24  not be limited to:

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD09932-01-3

        A. 5784                             2
 
     1    (a) a comprehensive assessment of the  existing  methodology  used  to
     2  determine   payment  for  early  intervention  screenings,  evaluations,
     3  services and service coordination, including but not limited to:
     4    (i)  analysis  of early intervention rules, regulations, and policies,
     5  including policies, processes, and revenue sources;
     6    (ii) analysis of costs to providers participating in the early  inter-
     7  vention  program,  including time and cost of travel, service provision,
     8  and administrative activities; and
     9    (iii) analysis by discipline and labor region  of  salary  levels  for
    10  individuals providing early intervention services compared to the salary
    11  levels for individuals in the same disciplines and labor regions provid-
    12  ing services other than in the early intervention program; and
    13    (b)  recommendations for maintaining or changing reimbursement method-
    14  ologies. The commissioner shall make  such  recommendations  within  one
    15  year  of  the effective date of this section. Copies of such recommenda-
    16  tions shall be submitted to the governor, the temporary president of the
    17  senate, the speaker of the assembly, and the chairs of  the  senate  and
    18  assembly  committees on health, and shall post the report on the depart-
    19  ment's website.
    20    § 3. This act shall take effect immediately.
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