- Summary
- Actions
- Committee Votes
- Floor Votes
- Memo
- Text
- LFIN
- Chamber Video/Transcript
A07492 Summary:
BILL NO | A07492 |
  | |
SAME AS | SAME AS S05741 |
  | |
SPONSOR | Steck |
  | |
COSPNSR | D'Urso, Dickens, Sayegh, Englebright, McDonald, Cruz, Colton, Buttenschon, Simon, Jaffee, Gottfried, Epstein, Santabarbara, Salka, Weprin, Rosenthal L, Seawright, Reyes, Lawrence, Williams, Miller ML, Niou |
  | |
MLTSPNSR | Cook, De La Rosa, Griffin |
  | |
Add §367-j, Soc Serv L | |
  | |
Relates to coverage and billing procedures in the Medicaid program for complex rehabilitation technology for patients with complex medical needs. |
A07492 Actions:
BILL NO | A07492 | |||||||||||||||||||||||||||||||||||||||||||||||||
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05/07/2019 | referred to health | |||||||||||||||||||||||||||||||||||||||||||||||||
05/14/2019 | reported referred to ways and means | |||||||||||||||||||||||||||||||||||||||||||||||||
05/21/2019 | reported | |||||||||||||||||||||||||||||||||||||||||||||||||
05/23/2019 | advanced to third reading cal.444 | |||||||||||||||||||||||||||||||||||||||||||||||||
05/29/2019 | passed assembly | |||||||||||||||||||||||||||||||||||||||||||||||||
05/29/2019 | delivered to senate | |||||||||||||||||||||||||||||||||||||||||||||||||
05/29/2019 | REFERRED TO HEALTH | |||||||||||||||||||||||||||||||||||||||||||||||||
06/14/2019 | SUBSTITUTED FOR S5741 | |||||||||||||||||||||||||||||||||||||||||||||||||
06/14/2019 | 3RD READING CAL.1399 | |||||||||||||||||||||||||||||||||||||||||||||||||
06/14/2019 | PASSED SENATE | |||||||||||||||||||||||||||||||||||||||||||||||||
06/14/2019 | RETURNED TO ASSEMBLY | |||||||||||||||||||||||||||||||||||||||||||||||||
11/08/2019 | delivered to governor | |||||||||||||||||||||||||||||||||||||||||||||||||
11/20/2019 | vetoed memo.142 | |||||||||||||||||||||||||||||||||||||||||||||||||
11/20/2019 | tabled |
A07492 Committee Votes:
Gottfried | Aye | Raia | Aye | ||||||
Schimminger | Aye | McDonough | Aye | ||||||
Galef | Aye | Ra | Aye | ||||||
Dinowitz | Aye | Garbarino | Aye | ||||||
Cahill | Aye | Byrne | Aye | ||||||
Paulin | Aye | Byrnes | Aye | ||||||
Cymbrowitz | Aye | Ashby | Aye | ||||||
Gunther | Aye | ||||||||
Rosenthal | Aye | ||||||||
Hevesi | Aye | ||||||||
Jaffee | Aye | ||||||||
Steck | Aye | ||||||||
Abinanti | Aye | ||||||||
Braunstein | Aye | ||||||||
Kim | Excused | ||||||||
Solages | Aye | ||||||||
Bichotte | Excused | ||||||||
Barron | Aye | ||||||||
Sayegh | Aye | ||||||||
Weinstein | Aye | Barclay | Aye | ||||||
Lentol | Aye | Crouch | Aye | ||||||
Schimminger | Aye | Fitzpatrick | Aye | ||||||
Gantt | Excused | Hawley | Aye | ||||||
Glick | Aye | Malliotakis | Aye | ||||||
Nolan | Excused | Montesano | Aye | ||||||
Pretlow | Aye | Ra | Aye | ||||||
Perry | Aye | Blankenbush | Aye | ||||||
Colton | Aye | Palmesano | Aye | ||||||
Cook | Aye | Norris | Aye | ||||||
Cahill | Aye | ||||||||
Aubry | Aye | ||||||||
Thiele | Aye | ||||||||
Cusick | Aye | ||||||||
Ortiz | Aye | ||||||||
Benedetto | Aye | ||||||||
Weprin | Aye | ||||||||
Rodriguez | Excused | ||||||||
Ramos | Aye | ||||||||
Braunstein | Aye | ||||||||
McDonald | Aye | ||||||||
Rozic | Aye | ||||||||
Simotas | Aye | ||||||||
Dinowitz | Aye | ||||||||
Miller | Aye | ||||||||
Go to top
A07492 Floor Votes:
Yes
Abbate
Yes
Crespo
ER
Gantt
Yes
LiPetri
Yes
Perry
Yes
Simon
Yes
Abinanti
Yes
Crouch
Yes
Garbarino
Yes
Lupardo
Yes
Pheffer Amato
Yes
Simotas
Yes
Arroyo
Yes
Cruz
ER
Giglio
Yes
Magnarelli
ER
Pichardo
Yes
Smith
Yes
Ashby
Yes
Cusick
Yes
Glick
Yes
Malliotakis
Yes
Pretlow
Yes
Smullen
Yes
Aubry
Yes
Cymbrowitz
No
Goodell
Yes
Manktelow
Yes
Quart
Yes
Solages
Yes
Barclay
Yes
Davila
Yes
Gottfried
Yes
McDonald
Yes
Ra
Yes
Stec
Yes
Barnwell
Yes
De La Rosa
Yes
Griffin
ER
McDonough
Yes
Raia
Yes
Steck
Yes
Barrett
Yes
DenDekker
Yes
Gunther
Yes
McMahon
Yes
Ramos
Yes
Stern
Yes
Barron
Yes
DeStefano
Yes
Hawley
Yes
Mikulin
ER
Raynor
Yes
Stirpe
Yes
Benedetto
Yes
Dickens
Yes
Hevesi
Yes
Miller B
Yes
Reilly
No
Tague
Yes
Bichotte
Yes
Dilan
Yes
Hunter
Yes
Miller MG
Yes
Reyes
Yes
Taylor
Yes
Blake
Yes
Dinowitz
Yes
Hyndman
Yes
Miller ML
Yes
Richardson
Yes
Thiele
Yes
Blankenbush
No
DiPietro
Yes
Jacobson
ER
Montesano
Yes
Rivera
ER
Titus
Yes
Brabenec
Yes
D'Urso
Yes
Jaffee
Yes
Morinello
Yes
Rodriguez
Yes
Vanel
Yes
Braunstein
Yes
Eichenstein
Yes
Jean-Pierre
Yes
Mosley
Yes
Romeo
Yes
Walczyk
Yes
Bronson
Yes
Englebright
Yes
Johns
Yes
Niou
Yes
Rosenthal D
Yes
Walker
Yes
Buchwald
Yes
Epstein
Yes
Jones
ER
Nolan
Yes
Rosenthal L
Yes
Wallace
Yes
Burke
Yes
Fahy
Yes
Joyner
Yes
Norris
Yes
Rozic
Yes
Walsh
Yes
Buttenschon
Yes
Fall
Yes
Kim
ER
O'Donnell
Yes
Ryan
Yes
Weinstein
No
Byrne
Yes
Fernandez
Yes
Kolb
Yes
Ortiz
Yes
Salka
Yes
Weprin
Yes
Byrnes
Yes
Finch
No
Lalor
Yes
Otis
Yes
Santabarbara
Yes
Williams
Yes
Cahill
Yes
Fitzpatrick
Yes
Lavine
Yes
Palmesano
Yes
Sayegh
Yes
Woerner
Yes
Carroll
No
Friend
Yes
Lawrence
Yes
Palumbo
Yes
Schimminger
Yes
Wright
Yes
Colton
Yes
Frontus
Yes
Lentol
ER
Paulin
Yes
Schmitt
Yes
Zebrowski
Yes
Cook
Yes
Galef
Yes
Lifton
Yes
Peoples-Stokes
Yes
Seawright
Yes
Mr. Speaker
‡ Indicates voting via videoconference
A07492 Text:
Go to top STATE OF NEW YORK ________________________________________________________________________ 7492 2019-2020 Regular Sessions IN ASSEMBLY May 7, 2019 ___________ Introduced by M. of A. STECK -- read once and referred to the Committee on Health AN ACT to amend the social services law, in relation to coverage and billing procedures in the Medicaid program for complex rehabilitation technology for patients with complex medical needs 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-j to read as follows: 3 § 367-j. Complex rehabilitation technology; coverage and safeguards. 4 1. Definitions. As used in this section: 5 (a) "Complex needs patient" means a medical assistance enrollee with 6 significant physical or functional impairment resulting from a medical 7 condition or disease including, but not limited to: spinal cord injury, 8 traumatic brain injury, cerebral palsy, muscular dystrophy, spina bifi- 9 da, osteogenesis imperfecta, arthrogryposis, amyotrophic lateral sclero- 10 sis, multiple sclerosis, demyelinating disease, myelopathy, myopathy, 11 progressive muscular atrophy, anterior horn cell disease, post-polio 12 syndrome, cerebellar degeneration, dystonia, huntington's disease, 13 spinocerebellar disease, and certain types of amputation, paralysis or 14 paresis. 15 (b) "Complex rehabilitation technology" means products classified as 16 durable medical equipment within the medicare program that are individ- 17 ually configured for individuals to meet their specific and unique 18 medical, physical and functional needs and capacities for basic and 19 functional activities of daily living. Such products include, but are 20 not limited to: individually configured manual and power wheelchairs 21 and accessories, adaptive seating and positioning items and accessories, 22 and other specialized equipment such as standing frames and gait train- 23 ers and accessories. 24 (c) "Individually configured" means a device with a combination of 25 sizes, features, adjustments or modifications that are configured or 26 designed by a qualified complex rehabilitation technology supplier for a 27 specific individual by measuring, fitting, programming, adjusting or EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD11457-02-9A. 7492 2 1 adapting the device so that the device is consistent with the individ- 2 ual's medical condition, physical and functional needs and capabilities, 3 body size, period of need and intended use as determined by an assess- 4 ment or evaluation by a qualified health care professional. 5 (d) "Qualified complex rehabilitation technology professional" means 6 an individual who is certified as an assistive technology professional 7 by a nationally-recognized rehabilitation engineering and assistive 8 technology society. 9 (e) "Qualified complex rehabilitation technology supplier" means a 10 company or entity that: 11 (i) is accredited by a nationally-recognized accrediting organization; 12 (ii) is an enrolled supplier for durable medical equipment under the 13 federal medicare program and the medical assistance program under this 14 title; 15 (iii) has at least one qualified complex rehabilitation technology 16 professional available to analyze the needs and capacities of complex 17 needs patients in consultation with a qualified health care professional 18 and participate in the selection of appropriate complex rehabilitation 19 technology and provide training in the proper use of the complex reha- 20 bilitation technology; 21 (iv) requires a qualified complex rehabilitation technology profes- 22 sional be physically present for the evaluation and determination of 23 appropriate complex rehabilitation technology for complex needs 24 patients; 25 (v) has the capability to provide service and repair by qualified 26 technicians for all complex rehabilitation technology it sells; 27 (vi) has at least one retail vending location within New York state; 28 and 29 (vii) provides written information regarding how to receive service 30 and repair of complex rehabilitation technology to the complex needs 31 patient prior to the ordering of such technology. 32 (f) "Qualified health care professional" means a health care profes- 33 sional licensed or otherwise authorized to practice under title eight of 34 the education law, acting within his or her scope of practice who has no 35 financial relationship with the complex rehabilitation technology 36 supplier. 37 2. Reimbursement and billing procedures. (a) The commissioner shall 38 maintain specific reimbursement and billing procedures under this title 39 for complex rehabilitation technology products to ensure that Medicaid 40 payments for such products permit adequate access to such products and 41 services for complex needs patients and take into account the signif- 42 icant resources, infrastructure, and staff needed. 43 (b) The commissioner shall monitor the addition of new billing codes 44 for complex rehabilitation technology by the medicare program and shall 45 expeditiously incorporate such codes under this subdivision. 46 (c) Where reimbursement rates for complex rehabilitation technology 47 products provided under section forty-four hundred three-f of the public 48 health law or section three hundred sixty-four-j of this title are 49 determined by a managed care organization, they shall be determined 50 consistent with this subdivision. The commissioner may establish minimum 51 benchmark reimbursement rates to be paid by managed care organizations 52 under this paragraph. 53 § 2. This act shall take effect on the first of April next succeeding 54 the date on which it shall have become a law.