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S03468 Summary:

BILL NOS03468
 
SAME ASSAME AS A03408
 
SPONSORRIVERA
 
COSPNSRASHBY, FERNANDEZ, GALLIVAN, HARCKHAM, HOYLMAN-SIGAL, JACKSON, MAY, SKOUFIS, WEBER
 
MLTSPNSR
 
Amd §364-j, Soc Serv L
 
Provides parity to durable medical equipment providers by requiring Medicaid managed care organizations to reimburse such providers at no less than one hundred percent of the medical assistance durable medical equipment and complex rehabilitation technology fee schedule for the same service or item.
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S03468 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          3468
 
                               2023-2024 Regular Sessions
 
                    IN SENATE
 
                                    January 31, 2023
                                       ___________
 
        Introduced  by  Sens.  RIVERA,  GALLIVAN, MAY, SKOUFIS -- read twice and
          ordered printed, and when printed to be committed to the Committee  on
          Health
 
        AN ACT to amend the social services law, in relation to providing parity
          to  durable  medical equipment providers by requiring Medicaid managed
          care organizations to reimburse such providers at  no  less  than  one
          hundred  percent  of  the medical assistance durable medical equipment
          and complex  rehabilitation  technology  fee  schedule  for  the  same
          service or item
 
          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:
 
     1    Section 1. Subdivision 4 of section 364-j of the social  services  law
     2  is amended by adding a new paragraph (x) to read as follows:
     3    (x)  Managed  care  providers  shall  pay, directly or indirectly, for
     4  durable medical equipment, prosthetics, orthotics, and related  supplies
     5  at  no  less  than one hundred percent of the medical assistance durable
     6  medical equipment and complex rehabilitation technology fee schedule for
     7  the same service or item.
     8    § 2. This act shall take effect on the ninetieth day  after  it  shall
     9  have become a law; provided, however, that the amendments to subdivision
    10  4  of  section  364-j  of the social services law made by section one of
    11  this act shall not affect the repeal of such section and shall be deemed
    12  repealed therewith.
 
 
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD06143-01-3
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