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S08486 Summary:

Add §367-y, Soc Serv L
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.
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S08486 Text:

                STATE OF NEW YORK
                    IN SENATE
                                    February 5, 2024
        Introduced  by  Sens.  HINCHEY,  MAY, BORRELLO -- 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
        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;
    22    (iii) a facility providing addiction disorder services  and/or  behav-
    23  ioral  health services, as such terms are defined by section 1.03 of the
    24  mental hygiene law;
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.

        S. 8486--A                          2
     1    (iv) a diagnostic and treatment center established pursuant to article
     2  twenty-eight of the public health law, or  an  upgraded  diagnostic  and
     3  treatment  center  designated  as  such  pursuant to section twenty-nine
     4  hundred fifty-six of the public health law;
     5    (v) a federally qualified health center; or
     6    (vi)  an  office engaged principally in providing services by or under
     7  the supervision of a physician licensed under article one hundred  thir-
     8  ty-one of the education law.
     9    (b)  "Ambulance  service"  shall  have  the same meaning as defined by
    10  section three thousand one of the public health law.
    11    (c) "General hospital" shall have  the  same  meaning  as  defined  by
    12  section twenty-eight hundred one of the public health law.
    13    (d) "Treatment in place" means the administration of emergency medical
    14  services,  as defined by section three thousand one of the public health
    15  law, by an employee or volunteer of an ambulance service. Such  services
    16  shall be consistent with protocols promulgated pursuant to article thir-
    17  ty of the public health law.
    18    §  2. This act shall take effect on the first of October next succeed-
    19  ing the date on which it shall have become a law.
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