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
________________________________________________________________________
9102--A
IN ASSEMBLY
February 7, 2024
___________
Introduced by M. of A. KELLES, McDONALD, LUCAS, GUNTHER, HEVESI, THIELE,
BUTTENSCHON, LAVINE, CLARK, DICKENS, BURDICK, MEEKS, FAHY, EPSTEIN,
STIRPE, BARRETT, LEVENBERG, WOERNER, BURKE, JONES, MANKTELOW, LUNS-
FORD, RA, SILLITTI, J. M. GIGLIO, OTIS, LUPARDO, SHIMSKY, BENDETT --
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 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:
15 (a) "Alternative health care setting" means facilities or institutions
16 approved by Medicaid for reimbursement and accepting Medicaid recipients
17 including but not limited to:
18 (i) a crisis stabilization center or certified community behavioral
19 health clinic operating pursuant to article thirty-six of the mental
20 hygiene law;
21 (ii) a facility under section 7.17 of the mental hygiene law;
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD14413-02-4
A. 9102--A 2
1 (iii) a facility providing addiction disorder services and/or behav-
2 ioral health services, as such terms are defined by section 1.03 of the
3 mental hygiene law;
4 (iv) a diagnostic and treatment center established pursuant to article
5 twenty-eight of the public health law, or an upgraded diagnostic and
6 treatment center designated as such pursuant to section twenty-nine
7 hundred fifty-six of the public health law;
8 (v) a federally qualified health center; or
9 (vi) an office engaged principally in providing services by or under
10 the supervision of a physician licensed under article one hundred thir-
11 ty-one of the education law.
12 (b) "Ambulance service" shall have the same meaning as defined by
13 section three thousand one of the public health law.
14 (c) "General hospital" shall have the same meaning as defined by
15 section twenty-eight hundred one of the public health law.
16 (d) "Treatment in place" means the administration of emergency medical
17 services, as defined by section three thousand one of the public health
18 law, by an employee or volunteer of an ambulance service. Such services
19 shall be consistent with protocols promulgated pursuant to article thir-
20 ty of the public health law.
21 § 2. This act shall take effect on the first of October next succeed-
22 ing the date on which it shall have become a law.
