Provides for medical assistance to address growth and development problems in children as a result of various illnesses, conditions, diseases or injuries.
STATE OF NEW YORK
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4602--A
2015-2016 Regular Sessions
IN ASSEMBLY
February 3, 2015
___________
Introduced by M. of A. COLTON, GOTTFRIED -- read once and referred to
the Committee on Health -- committee discharged, bill amended, ordered
reprinted as amended and recommitted to said committee
AN ACT to amend the social services law, in relation to medical assist-
ance to address growth and development problems in children as a
result of various illnesses, conditions, diseases or injuries
The People of the State of New York, represented in Senate and Assem-bly, do enact as follows:
1 Section 1. Paragraph (g) of subdivision 2 of section 365-a of the
2 social services law, as amended by section 21 of part A of chapter 56 of
3 the laws of 2013, is amended to read as follows:
4 (g) sickroom supplies, eyeglasses, prosthetic appliances and dental
5 prosthetic appliances furnished in accordance with the regulations of
6 the department; provided further that: (i) the commissioner of health is
7 authorized to implement a preferred diabetic supply program wherein the
8 department of health will receive enhanced rebates from preferred
9 manufacturers of glucometers and test strips, and may subject non-pre-
10 ferred manufacturers' glucometers and test strips to prior authorization
11 under section two hundred seventy-three of the public health law; (ii)
12 enteral formula therapy and nutritional supplements are limited to
13 coverage only for nasogastric, jejunostomy, or gastrostomy tube feeding,
14 for treatment of an inborn metabolic disorder, or to address growth and
15 development problems in children, or, subject to standards established
16 by the commissioner, for persons with a diagnosis of HIV infection, AIDS
17 or HIV-related illness or other diseases and conditions; (iii)
18 prescription footwear and inserts are limited to coverage only when used
19 as an integral part of a lower limb orthotic appliance, as part of a
20 diabetic treatment plan, [or] to address growth and development problems
21 in children as a result of various illnesses, conditions, diseases, or
22 injuries; (iv) compression and support stockings are limited to coverage
23 only for pregnancy or treatment of venous stasis ulcers; and (v) the
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD06699-03-5
A. 4602--A 2
1 commissioner of health is authorized to implement an incontinence supply
2 utilization management program to reduce costs without limiting access
3 through the existing provider network, including but not limited to
4 single or multiple source contracts or, a preferred incontinence supply
5 program wherein the department of health will receive enhanced rebates
6 from preferred manufacturers of incontinence supplies, and may subject
7 non-preferred manufacturers' incontinence supplies to prior approval
8 pursuant to regulations of the department, provided any necessary
9 approvals under federal law have been obtained to receive federal finan-
10 cial participation in the costs of incontinence supplies provided pursu-
11 ant to this subparagraph;
12 § 2. This act shall take effect on the one hundred twentieth day after
13 it shall have become a law.
