Bill Text: NY A03540 | 2019-2020 | General Assembly | Introduced


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

Spectrum: Partisan Bill (Republican 26-1)

Status: (Introduced) 2020-03-03 - held for consideration in social services [A03540 Detail]

Download: New_York-2019-A03540-Introduced.html


                STATE OF NEW YORK
        ________________________________________________________________________
                                          3540
                               2019-2020 Regular Sessions
                   IN ASSEMBLY
                                    January 29, 2019
                                       ___________
        Introduced  by  M. of A. PALMESANO, GARBARINO, LALOR, GIGLIO, McDONOUGH,
          RAIA, WALSH -- Multi-Sponsored by -- M. of A. ASHBY, BARCLAY, BLANKEN-
          BUSH, BRABENEC, CROUCH, DiPIETRO, FINCH, HAWLEY, B. MILLER, MORINELLO,
          NORRIS, STEC -- 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.
                                                                   LBD05766-01-9
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