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 fee schedule for the same service or item.
STATE OF NEW YORK
________________________________________________________________________
10576
IN ASSEMBLY
March 13, 2026
___________
Introduced by M. of A. LUCAS -- 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
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 fee schedule for the same service or item.
7 § 2. This act shall take effect on the ninetieth day after it shall
8 have become a law; provided, however, that the amendments to subdivision
9 4 of section 364-j of the social services law made by section one of
10 this act shall not affect the repeal of such section and shall be deemed
11 repealed therewith.
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD04119-03-6
