Provides for medicaid reimbursement for ambulance services when treatment in place is administered and/or when transportation is provided to alternative health care settings instead of a general hospital.
STATE OF NEW YORK
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8486--C
Cal. No. 1400
IN SENATE
February 5, 2024
___________
Introduced by Sens. HINCHEY, MAY, ASHBY, BORRELLO, GALLIVAN, HELMING,
MATTERA, OBERACKER, O'MARA, PALUMBO, ROLISON, STEC, WEBER, WEIK --
read twice and ordered printed, and when printed to be committed to
the Committee on Health -- committee discharged, bill amended, ordered
reprinted as amended and recommitted to said committee -- reported
favorably from said committee and committed to the Committee on
Finance -- reported favorably from said committee, ordered to first
report, amended on first report, ordered to a second report and
ordered reprinted, retaining its place in the order of second report
-- reported favorably from said committee, ordered to second report,
ordered to a third reading, passed by Senate and delivered to the
Assembly, recalled, vote reconsidered, restored to third reading,
amended and ordered reprinted, retaining its place in the order of
third reading
AN ACT to amend the social services law, in relation to Medicaid
reimbursement for treatment in place and transportation to alternative
health care settings by ambulance services
The People of the State of New York, represented in Senate and Assem-bly, do enact as follows:
1 Section 1. The social services law is amended by adding a new section
2 367-y to read as follows:
3 § 367-y. Reimbursement for treatment in place and transportation to
4 alternative health care settings. 1. Notwithstanding any provision of
5 law to the contrary, any provision of this title providing for
6 reimbursement of transportation costs for an ambulance service shall
7 also apply where, instead of providing transportation to a general
8 hospital, such ambulance service when responding to an emergency call:
9 (a) Administers treatment in place, including but not limited to tele-
10 health visits approved by Medicaid for reimbursement when deemed neces-
11 sary; and/or
12 (b) Transports an individual to an alternative health care setting.
13 2. For the purposes of this section, the following terms shall have
14 the following meanings:
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD14413-08-4
S. 8486--C 2
1 (a) "Alternative health care setting" means the following facilities
2 or institutions approved by Medicaid for reimbursement and accepting
3 Medicaid recipients:
4 (i) a crisis stabilization center or certified community behavioral
5 health clinic operating pursuant to article thirty-six of the mental
6 hygiene law;
7 (ii) a facility under section 7.17 of the mental hygiene law;
8 (iii) a facility providing addiction disorder services or behavioral
9 health services, as such terms are defined by section 1.03 of the mental
10 hygiene law;
11 (iv) a diagnostic and treatment center established pursuant to article
12 twenty-eight of the public health law, or an upgraded diagnostic and
13 treatment center designated as such pursuant to section twenty-nine
14 hundred fifty-six of the public health law;
15 (v) a federally qualified health center; or
16 (vi) an urgent care center, which for the purposes of this section
17 shall mean a facility that provides episodic care related to an acute
18 illness or minor traumas that are not life-threatening or permanently
19 disabling.
20 (b) "Ambulance service" shall have the same meaning as defined by
21 section three thousand one of the public health law.
22 (c) "General hospital" shall have the same meaning as defined by
23 section twenty-eight hundred one of the public health law.
24 (d) "Treatment in place" means the administration of emergency medical
25 services, as defined by section three thousand one of the public health
26 law, by an employee or volunteer of an ambulance service. Such services
27 shall be consistent with protocols promulgated pursuant to article thir-
28 ty of the public health law.
29 3. This section shall be effective if, and as long as, federal finan-
30 cial participation is available therefor.
31 4. Nothing in this section shall be deemed to allow a person to
32 provide any service for which a license, registration, certification or
33 other authorization under title eight of the education law is required
34 and which the person does not possess.
35 § 2. This act shall take effect on the first of October next succeed-
36 ing the date on which it shall have become a law.
