- In Committee Assembly
- In Committee Senate
- On Floor Calendar Assembly
- On Floor Calendar Senate
- Passed Assembly
- Passed Senate
| Assembly Actions - Lowercase Senate Actions - UPPERCASE | |
|---|---|
| Nov 17, 2023 | vetoed memo.75 |
| Nov 13, 2023 | delivered to governor |
| May 24, 2023 | returned to senate passed assembly ordered to third reading rules cal.238 substituted for a5113 |
| May 24, 2023 | substituted by s3131 rules report cal.238 reported |
| May 23, 2023 | reported referred to rules |
| Apr 18, 2023 | reported referred to ways and means |
| Mar 02, 2023 | referred to health |
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View Votes
- View Health Committee vote details
Mar 28, 2023 - Floor Vote
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View Floor vote details
Floor Vote: Mar 28, 2023
Mar 14, 2023 - Health Committee Vote
Aye with ReservationsHealth Committee Vote: Mar 14, 2023
co-Sponsors
Jo Anne Simon
Nader Sayegh
John T. McDonald III
Karl Brabenec
2023-A5113 (ACTIVE) - Details
See Senate Version of this Bill: S3131 Law Section: Public Health Versions Introduced in 2021-2022 Legislative Session: A7892, S7023
2023-A5113 (ACTIVE) - Summary
Directs the commissioner of health to conduct a study on the rates of reimbursement made through the New York state Medicaid durable medical equipment, orthotics, prosthetics and supplies program for rate adequacy and patient access.
2023-A5113 (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 5113 2023-2024 Regular Sessions I N A S S E M B L Y March 2, 2023 ___________ Introduced by M. of A. GUNTHER, SIMON, SAYEGH -- read once and referred to the Committee on Health AN ACT directing the commissioner of health to conduct a study on the rates of reimbursement made through the New York state Medicaid dura- ble medical equipment, orthotics, prosthetics and supplies program for rate adequacy and patient access; and providing for the repeal of such provisions upon expiration thereof THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. The commissioner of health shall conduct a study to review the rates of reimbursement made through the New York state Medicaid durable medical equipment, orthotics, prosthetics and supplies program for rate adequacy and patient access, including those made under all capitated and contract coverage models. Such review shall include: (a) an analysis of rules, regulations and policies for orthotics and prosthetics service/device provisions under the New York Medicaid program, including all contracted and capitated models; (b) a comprehensive assessment of the existing methodology used to determine payment or nonpayment for prosthetic and orthotic care includ- ing but not limited to: (i) all orthotic and prosthetic codes on the current Medicaid fee schedule, including but not limited to a comparison of prevailing Medi- care fee schedule amounts and New York Medicaid amounts; (ii) codes on the Medicare fee schedule but not included on the New York state Medicaid durable medical equipment, orthotics, prosthetics and supplies program fee schedule; (iii) recommendations for changing reimbursement methodologies. Recommendations under this subparagraph shall be consistent with federal law and shall include recommendations for appropriate changes in state law and regulations. Such recommendations shall consider appropriate EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD04992-01-3 A. 5113 2
payment methodologies for codes not included on the Medicaid fee sched- ule; (c) assessment of barriers to timely service provision as well as racial and socioeconomic disparities in access including, but not limit- ed to, travel time required, geographic variability, access to and cost of technology; (d) the workforce needed to provide orthotic and prosthetic services in the next five years to eligible children and adults, disaggregated by county; (e) opportunities for stakeholder input on current rate methodologies; and (f) assessment of cost savings associated with percentage of Medicaid population returning to work after orthotic and/or prosthetic provision. § 2. Within one year after the effective date of this act, the commis- sioner of health shall submit a report of the findings and recommenda- tions pursuant to this act to the governor, the temporary president of the senate, the minority leader of the senate, the speaker of the assem- bly, the minority leader of the assembly, and the chairs and ranking members of the senate and assembly committees on health and shall post such report on the department of health's website. § 3. The commissioner of health shall be authorized to promulgate rules and regulations to provide for the orderly effectuation of the provisions of this act. § 4. This act shall take effect immediately and shall expire and be deemed repealed upon the submission of the report required pursuant to section two of this act.
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