Bill Text: NY A01827 | 2015-2016 | General Assembly | Introduced


Bill Title: Relates to amounts payable for medical assistance for items and services provided to eligible persons.

Spectrum: Partisan Bill (Democrat 5-0)

Status: (Introduced - Dead) 2016-01-06 - referred to health [A01827 Detail]

Download: New_York-2015-A01827-Introduced.html
                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                         1827
                              2015-2016 Regular Sessions
                                 I N  A S S E M B L Y
                                   January 13, 2015
                                      ___________
       Introduced  by M. of A. GUNTHER, COOK, CLARK -- Multi-Sponsored by -- M.
         of A. CAMARA, ENGLEBRIGHT, PEOPLES-STOKES, RIVERA  --  read  once  and
         referred to the Committee on Health
       AN  ACT to amend the social services law, in relation to amounts payable
         for medical assistance for items and  services  provided  to  eligible
         persons
         THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section 1. Subparagraph (iii) of paragraph (d)  of  subdivision  1  of
    2  section  367-a  of  the social services law, as amended by section 65 of
    3  part H of chapter 59 of the laws of 2011, is amended to read as follows:
    4    (iii) When payment under part B of title XVIII of the  federal  social
    5  security act for items and services provided to eligible persons who are
    6  also  beneficiaries  under  part  B of title XVIII of the federal social
    7  security act and for items and services provided to  qualified  medicare
    8  beneficiaries under part B of title XVIII of the federal social security
    9  act  would  exceed  the  amount  that otherwise would be made under this
   10  title if provided to an eligible person other than a person who is  also
   11  a  beneficiary  under part B or is a qualified medicare beneficiary, the
   12  amount payable for services covered under this  title  shall  be  twenty
   13  percent  of  the  amount  of any co-insurance liability of such eligible
   14  persons pursuant to federal law  were  they  not  eligible  for  medical
   15  assistance  or  were  they  not  qualified  medicare  beneficiaries with
   16  respect to such benefits under such part B; provided,  however,  amounts
   17  payable  under  this  title  for items and services provided to eligible
   18  persons who are also beneficiaries under part B or to qualified medicare
   19  beneficiaries by an ambulance service under the authority of an  operat-
   20  ing  certificate  issued pursuant to article thirty of the public health
   21  law, a psychologist licensed under article one  hundred  fifty-three  of
   22  the  education  law,  A  NEPHROLOGIST LICENSED UNDER ARTICLE ONE HUNDRED
   23  THIRTY-ONE OF THE EDUCATION LAW, or a facility under the authority of an
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD01892-01-5
       A. 1827                             2
    1  operating certificate issued pursuant to article sixteen, thirty-one  or
    2  thirty-two  of  the  mental  hygiene  law and with respect to outpatient
    3  hospital and clinic items and services provided by a facility under  the
    4  authority  of  an operating certificate issued pursuant to article twen-
    5  ty-eight of the public health law, shall not be less than the amount  of
    6  any  co-insurance  liability  of such eligible persons or such qualified
    7  medicare beneficiaries, or for which such eligible persons or such qual-
    8  ified medicare beneficiaries would be liable under federal law were they
    9  not eligible for medical assistance or were they not qualified  medicare
   10  beneficiaries with respect to such benefits under part B.
   11    S 2. This act shall take effect immediately.
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