Bill Text: NY A07866 | 2017-2018 | General Assembly | Introduced

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Bill Title: Relates to services provided by school-based-health centers to be provided to medical assistance recipients through managed care programs.

Spectrum: Partisan Bill (Democrat 24-1)

Status: (Introduced - Dead) 2017-06-19 - substituted by s6012 [A07866 Detail]

Download: New_York-2017-A07866-Introduced.html

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                STATE OF NEW YORK
        ________________________________________________________________________
                                          7866
                               2017-2018 Regular Sessions
                   IN ASSEMBLY
                                      May 18, 2017
                                       ___________
        Introduced  by  M.  of  A.  GOTTFRIED  --  read once and referred to the
          Committee on Health
        AN ACT to amend the social services law,  in  relation  to  school-based
          health centers
          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 364-j of the social  services  law
     2  is  amended  by  adding  two  new  paragraphs  (w)  and (w-1) to read as
     3  follows:
     4    (w) "School-based health center".  A  clinic  licensed  under  article
     5  twenty-eight  of  the  public  health  law  or  sponsored  by a facility
     6  licensed under article twenty-eight  of  the  public  health  law  which
     7  provides  primary  and  preventative  care  which may include but is not
     8  limited to health maintenance, well-child care, diagnosis and  treatment
     9  of  injury  and  acute  illness,  diagnosis  and  management  of chronic
    10  disease, behavioral health  services,  vision  care,  dental  care,  and
    11  nutritional  or other enhanced services to children and adolescents, any
    12  of which may be provided by referral, within an elementary, secondary or
    13  prekindergarten public school setting.
    14    (w-1) "Sponsoring organization". A  facility  licensed  under  article
    15  twenty-eight  of  the  public health law which acts as the sponsor for a
    16  school-based health center.
    17    § 2. Subparagraph (iii) of paragraph (a) of subdivision 4  of  section
    18  364-j of the social services law is amended by adding a new clause (E-2)
    19  to read as follows:
    20    (E-2) the service is provided by school-based health centers: any such
    21  services provided other than by a managed care provider shall be paid in
    22  accordance  with  applicable  reimbursement  methodologies,  which shall
    23  mean:
    24    (1) for school-based health centers that are sponsored by a  federally
    25  qualified  health  center,  rates  of  reimbursement and requirements in
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD11493-02-7
        A. 7866                             2
     1  accordance  with  those  mandated  by   42   U.S.C.   Secs.   1396a(bb),
     2  1396b(m)(2)(A)(ix) and 1936a(a)(13)(C); and
     3    (2)  for  school-based  health centers that are sponsored by an entity
     4  licensed pursuant to article twenty-eight of the public health law  that
     5  is  not  a federally qualified health center or is a federally qualified
     6  health center that chooses not  to  receive  reimbursement  pursuant  to
     7  subclause  one  of  this  clause,  rates of reimbursement at the fee for
     8  service rate for such services in effect on the effective date  of  this
     9  clause  for the ambulatory patient group rate for the applicable service
    10  and in accordance with any future adjustments made to such rates by  the
    11  department  of  health;  provided  that the commissioner of health shall
    12  develop a standard memorandum of understanding to  be  entered  into  by
    13  school-based  health  centers  or  their  sponsoring  organizations  and
    14  managed care providers to provide for the delivery of coordinated health
    15  care and participation in quality improvement initiatives; and  provided
    16  further that this clause shall not preclude a school-based health center
    17  or  sponsoring  organization  from  choosing  to  receive  payments  for
    18  services through managed care providers.
    19    § 3. This act shall take effect immediately, provided that the  amend-
    20  ments  to section 364-j of the social services law, made by sections one
    21  and two of this act, shall not affect the expiration and repeal of  such
    22  section, and shall expire and be deemed repealed therewith.