Bill Text: NY A05083 | 2023-2024 | General Assembly | Introduced

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Bill Title: Reimburses counties who have purchased or will purchase Medicaid fraud detection software.

Spectrum: Partisan Bill (Republican 14-0)

Status: (Introduced) 2024-01-03 - referred to social services [A05083 Detail]

Download: New_York-2023-A05083-Introduced.html

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                STATE OF NEW YORK
        ________________________________________________________________________

                                          5083

                               2023-2024 Regular Sessions

                   IN ASSEMBLY

                                      March 2, 2023
                                       ___________

        Introduced  by  M.  of  A.  PALMESANO,  BRABENEC,  DeSTEFANO,  DiPIETRO,
          J. M. GIGLIO,  LEMONDES,  MANKTELOW,  McDONOUGH,  MORINELLO,   NORRIS,
          TAGUE, WALSH -- Multi-Sponsored by -- M. of A. BARCLAY, BLANKENBUSH --
          read once and referred to the Committee on Social Services

        AN  ACT  to  amend  the  social  services  law, in relation to the state
          reimbursement of county payments for medical assistance  fraud,  waste
          and abuse detection software

          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:

     1    Section 1. Subdivision 1 of section 368-a of the social  services  law
     2  is amended by adding a new paragraph (aa) to read as follows:
     3    (aa)  (i)  Notwithstanding any other provision of law, the full amount
     4  expended by the local social services district  for  medical  assistance
     5  fraud,  waste  and abuse investigations via the use of data mining soft-
     6  ware shall be reimbursed by the  state  if  the  county  has  previously
     7  purchased or intends to purchase such software. For the purposes of this
     8  paragraph, "data mining software" shall mean a database application that
     9  utilizes  advanced  data searching capabilities and statistical analyses
    10  to discover patterns and correlations in the use and  abuse  of  medical
    11  assistance  practices.  Any  county  that  has previously purchased such
    12  software must supply adequate  documentation,  including  any  receipts,
    13  that details such purchase. The state shall disburse grants, when appli-
    14  cable, from the general fund for this purpose.
    15    (ii)  The  commissioner of health may develop rules and regulations as
    16  necessary to carry out the provisions of this paragraph.
    17    § 2. This act shall take effect immediately.


         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD05360-01-3