Bill Text: NY S02802 | 2019-2020 | General Assembly | Introduced
Bill Title: Provides for the allocation of monies for dental health services in the medicaid managed care program, the child health insurance program and the family health plus program.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Introduced - Dead) 2020-01-08 - REFERRED TO HEALTH [S02802 Detail]
Download: New_York-2019-S02802-Introduced.html
STATE OF NEW YORK ________________________________________________________________________ 2802 2019-2020 Regular Sessions IN SENATE January 29, 2019 ___________ Introduced by Sen. COMRIE -- read twice and ordered printed, and when printed to be committed to the Committee on Health AN ACT to amend the public health law and the social services law, in relation to allocating monies for dental health services in the medi- caid managed care program, the child health insurance program, and the family health plus program The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Section 2511 of the public health law is amended by adding 2 a new subdivision 22 to read as follows: 3 22. Every approved organization that provides coverage for any dental 4 service shall spend not less than eighty percent of the capitation or 5 other state funds paid to the approved organization for dental services, 6 whether as a premium or in any other form either directly or indirectly, 7 for the provision of dental services to patients by licensed dentists. 8 In the event the approved organization spends less than eighty percent 9 of the capitation or other state funds paid to it for dental services, 10 whether as a premium or in any other form either directly or indirectly, 11 for the provision of dental services, the difference shall be returned 12 to the department. In no event shall more than twenty percent of the 13 capitation or other state funds paid to the approved organization for 14 dental services, whether as a premium or in any other form either 15 directly or indirectly, be spent by any approved organization on admin- 16 istrative services in lieu of dental services for patients. The depart- 17 ment shall provide an approved organization with a certification letter 18 indicating the amount of capitation or other state funds paid for dental 19 services, whether as a premium or in any other form either directly or 20 indirectly, during each year pursuant to this section. 21 § 2. Section 364-j of the social services law is amended by adding a 22 new subdivision 34 to read as follows: EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD06500-01-9S. 2802 2 1 34. Every managed care provider and managed care program that provides 2 coverage for any dental service shall spend not less than eighty percent 3 of the capitation or other state funds paid to the managed care provider 4 or managed care program for dental services, whether as a premium or in 5 any other form either directly or indirectly, for the provision of 6 dental services to patients by licensed dentists. In the event the 7 managed care provider or managed care program spends less than eighty 8 percent of the capitation or other state funds paid to it for dental 9 services, whether as a premium or in any other form either directly or 10 indirectly, for the provision of dental services, the difference shall 11 be returned to the department. In no event shall more than twenty 12 percent of the capitation or other state funds paid to the managed care 13 provider or managed care program for dental services, whether as a 14 premium or in any other form either directly or indirectly, be spent by 15 any managed care provider or managed care program on administrative 16 services in lieu of dental services for patients. The department shall 17 provide a managed care provider and managed care program with a certif- 18 ication letter indicating the amount of capitation or other state funds 19 paid for dental services, whether as a premium or in any other form 20 either directly or indirectly, during each year pursuant to this 21 section. 22 § 3. This act shall take effect January 1, 2020, provided, however, 23 that the amendments to section 364-j of the social services law made by 24 section two of this act shall not affect the repeal of such section and 25 shall be deemed repealed therewith.
