Bill Text: NY A03978 | 2017-2018 | General Assembly | Amended
Bill Title: Allows for reimbursement of transportation costs for emergency care without prior authorization by the social services official including emergency medical transportation by an ambulance service certified under article 30 of the public health law; and further authorizes the commissioner of health to establish a reimbursement methodology to ensure providers are reimbursed.
Spectrum: Moderate Partisan Bill (Democrat 29-4)
Status: (Introduced - Dead) 2018-01-03 - referred to ways and means [A03978 Detail]
Download: New_York-2017-A03978-Amended.html
STATE OF NEW YORK ________________________________________________________________________ 3978--A 2017-2018 Regular Sessions IN ASSEMBLY January 30, 2017 ___________ Introduced by M. of A. GOTTFRIED, DINOWITZ, PAULIN, ABINANTI, SEPULVEDA, D'URSO, SKOUFIS, McDONALD -- Multi-Sponsored by -- M. of A. ABBATE, AUBRY, CAHILL, COLTON, COOK, CYMBROWITZ, GALEF, GIGLIO, GUNTHER, HOOP- ER, JAFFEE, JENNE, KOLB, LIFTON, LUPARDO, MAGEE, MORELLE, ORTIZ, PALMESANO, PEOPLES-STOKES, PERRY, RIVERA, SCHIMMINGER -- read once and referred to the Committee on Health -- reported and referred to the Committee on Codes -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee AN ACT to amend the social services law, in relation to reimbursement of transportation costs for emergency care 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 365-h of the social services law, 2 as amended by section 20 of part B of chapter 109 of the laws of 2010, 3 is amended and a new subdivision 6 is added to read as follows: 4 1. The local social services official and, subject to the provisions 5 of subdivision four of this section, the commissioner of health shall 6 have responsibility for prior authorizing transportation of eligible 7 persons and for limiting the provision of such transportation to those 8 recipients and circumstances where such transportation is essential, 9 medically necessary and appropriate to obtain medical care, services or 10 supplies otherwise available under this title. However, prior authori- 11 zation shall not be required for transportation to obtain emergency 12 care, including emergency medical transportation by an ambulance service 13 certified under article thirty of the public health law. 14 6. With respect to transportation and care provided to an eligible 15 person by an ambulance service certified under article thirty of the 16 public health law, the commissioner of the department of health shall 17 establish a reimbursement methodology that ensures that providers are 18 reimbursed at the greater of the medical assistance rate in effect on 19 the effective date of this subdivision, or the medicare allowable charge EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD02204-03-7A. 3978--A 2 1 (pursuant to title XVIII of the federal social security act) for such 2 transportation and care. The amount of increase in reimbursement 3 produced by this methodology over what would otherwise have been paid 4 shall be phased in as follows: in the state fiscal year in which the 5 provisions of this subdivision become law, thirty-three percent; in the 6 following state fiscal year, sixty-six percent; and in the second state 7 fiscal year following the state fiscal year in which the provisions of 8 this subdivision become law and all subsequent fiscal years, one hundred 9 percent. 10 § 2. Subdivision 1 of section 368-a of the social services law is 11 amended by adding a new paragraph (aa) to read as follows: 12 (aa) Notwithstanding any inconsistent provision of this chapter or any 13 other provision of law to the contrary, one hundred percent of the 14 amount expended for medical assistance under this title for transporta- 15 tion and care furnished under subdivision four of section three hundred 16 sixty-five-h of this title on or after April first, two thousand nine- 17 teen, after first deducting therefrom any federal funds properly 18 received or to be received on account thereof. 19 § 3. This act shall take effect April 1, 2019, provided that the 20 amendments to section 365-h of the social services law made by section 21 one of this act shall not affect the repeal and reversion of such 22 section pursuant to subdivision (a) of section 40 of part B of chapter 23 109 of the laws of 2010, as amended.
