Bill Text: NY A09102 | 2023-2024 | General Assembly | Amended

NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: 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.

Spectrum: Moderate Partisan Bill (Democrat 34-10)

Status: (Introduced - Dead) 2024-06-03 - substituted by s8486c [A09102 Detail]

Download: New_York-2023-A09102-Amended.html



                STATE OF NEW YORK
        ________________________________________________________________________

                                         9102--B

                   IN ASSEMBLY

                                    February 7, 2024
                                       ___________

        Introduced by M. of A. KELLES, McDONALD, LUCAS, GUNTHER, HEVESI, THIELE,
          BUTTENSCHON,  LAVINE,  CLARK,  DICKENS, BURDICK, MEEKS, FAHY, EPSTEIN,
          STIRPE, BARRETT, LEVENBERG, WOERNER, BURKE,  JONES,  MANKTELOW,  LUNS-
          FORD,  RA,  SILLITTI,  J. M. GIGLIO,  OTIS, LUPARDO, SHIMSKY, BENDETT,
          DAVILA, SAYEGH, GRAY, SEAWRIGHT --  read  once  and  referred  to  the
          Committee  on  Health  --  committee discharged, bill amended, ordered
          reprinted as amended and recommitted to said committee -- reported and
          referred to the Committee on Ways and Means --  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 the  following  facilities
    16  or  institutions  approved  by  Medicaid for reimbursement and accepting
    17  Medicaid recipients:

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD14413-05-4

        A. 9102--B                          2

     1    (i) a crisis stabilization center or  certified  community  behavioral
     2  health  clinic  operating  pursuant  to article thirty-six of the mental
     3  hygiene law;
     4    (ii) a facility under section 7.17 of the mental hygiene law;
     5    (iii)  a  facility providing addiction disorder services or behavioral
     6  health services, as such terms are defined by section 1.03 of the mental
     7  hygiene law;
     8    (iv) a diagnostic and treatment center established pursuant to article
     9  twenty-eight of the public health law, or  an  upgraded  diagnostic  and
    10  treatment  center  designated  as  such  pursuant to section twenty-nine
    11  hundred fifty-six of the public health law;
    12    (v) a federally qualified health center; or
    13    (vi) an urgent care center, which for the  purposes  of  this  section
    14  shall  mean  a  facility that provides episodic care related to an acute
    15  illness or minor traumas that are not  life-threatening  or  permanently
    16  disabling.
    17    (b)  "Ambulance  service"  shall  have  the same meaning as defined by
    18  section three thousand one of the public health law.
    19    (c) "General hospital" shall have  the  same  meaning  as  defined  by
    20  section twenty-eight hundred one of the public health law.
    21    (d) "Treatment in place" means the administration of emergency medical
    22  services,  as defined by section three thousand one of the public health
    23  law, by an employee or volunteer of an ambulance service. Such  services
    24  shall be consistent with protocols promulgated pursuant to article thir-
    25  ty of the public health law.
    26    §  2. This act shall take effect on the first of October next succeed-
    27  ing the date on which it shall have become a law.
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