Relates to establishing a remote maternal health services pilot program for Medicaid recipients; provides that such program shall be established during fiscal years 2024-2025, 2025-2026 and 2026-2027 to provide: remote maternal health services to eligible Medicaid recipients, medically necessary remote maternal health services to such eligible recipients for up to 12 months postpartum and payment to healthcare providers who provide remote maternal health services.
STATE OF NEW YORK
________________________________________________________________________
5634--B
2023-2024 Regular Sessions
IN SENATE
March 10, 2023
___________
Introduced by Sens. WEBB, ADDABBO, CLEARE, COMRIE, HOYLMAN-SIGAL, MYRIE
-- 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 -- committee
discharged, bill amended, ordered reprinted as amended and recommitted
to said committee
AN ACT to amend the social services law, in relation to establishing a
remote maternal health services pilot program for Medicaid recipients
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
2 365-kk to read as follows:
3 § 365-kk. Remote maternal health services pilot program. 1. For the
4 purposes of this section, "remote maternal health services" means:
5 (a) the use of digital technology:
6 (i) to collect medical and other forms of health data from a patient
7 and electronically transmit that information securely to a healthcare
8 provider in a different location for interpretation and recommendation;
9 and
10 (ii) that is compliant with the federal Health Insurance Portability
11 and Accountability Act of 1996 (42 U.S.C. § 1320d et seq.) and approved
12 by the federal food and drug administration; and
13 (b) the use of a device that:
14 (i) uses remote non-stress test technology;
15 (ii) uses remote ultrasound technology; or
16 (iii) uses doppler effect technology.
17 2. The commissioner shall develop and implement a pilot program during
18 fiscal years two thousand twenty-four--two thousand twenty-five, two
19 thousand twenty-five--two thousand twenty-six, and two thousand twenty-
20 six--two thousand twenty-seven to provide:
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD09759-04-3
S. 5634--B 2
1 (a) remote maternal health services to a Medicaid recipient eligible
2 under subdivision three of this section;
3 (b) medically necessary remote maternal health services to such an
4 eligible Medicaid recipient for up to twelve months postpartum; and
5 (c) payment to healthcare providers who provide remote maternal health
6 services.
7 3. A Medicaid recipient is eligible to receive remote maternal health
8 services pursuant to the pilot program established by this section, if:
9 (a) the recipient is pregnant;
10 (b) the recipient's healthcare provider determines that remote mater-
11 nal health services meet the standard of care;
12 (c) the recipient's healthcare provider determines the recipient has
13 an increased likelihood of experiencing a higher-risk pregnancy due to:
14 (i) existing health conditions, such as high blood pressure, polycys-
15 tic ovary syndrome, diabetes, kidney disease, autoimmune disease,
16 thyroid disease, obesity, HIV/AIDS, or Zika infection;
17 (ii) age factors, including teenage pregnancy or pregnancy after thir-
18 ty-five years of age;
19 (iii) lifestyle factors, such as alcohol, tobacco, or drug use; or
20 (iv) conditions of pregnancy, including multiple gestation, gestation-
21 al diabetes, preeclampsia, eclampsia, previous preterm births, or birth
22 defects or genetic conditions in the fetus;
23 (d) the recipient lives in a county without a licensed
24 obstetrician/gynecologist who participates in Medicaid;
25 (e) the recipient's healthcare provider determines the recipient is
26 unable to access consistent obstetrical care due to factors that include
27 transportation, child care, employment requirements, and socioeconomics;
28 and
29 (f) the remote maternal health services meet the criteria of subdivi-
30 sion one of this section.
31 § 2. This act shall take effect on the first of April next succeeding
32 the date on which it shall have become a law.
