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A09102 Summary:

BILL NOA09102C
 
SAME ASSAME AS S08486-C
 
SPONSORKelles
 
COSPNSRMcDonald, Lucas, Gunther, Hevesi, Thiele, Buttenschon, Lavine, Clark, Dickens, Burdick, Meeks, Fahy, Epstein, Stirpe, Barrett, Levenberg, Woerner, Burke, Jones, Manktelow, Lunsford, Ra, Sillitti, Giglio JM, Otis, Lupardo, Shimsky, Bendett, Davila, Sayegh, Gray, Seawright, Palmesano, Stern, Gallahan, Shrestha, Blankenbush, Wallace, Maher, Gonzalez-Rojas, Santabarbara, Jacobson, Walsh
 
MLTSPNSR
 
Add §367-y, Soc Serv L
 
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.
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A09102 Memo:

NEW YORK STATE ASSEMBLY
MEMORANDUM IN SUPPORT OF LEGISLATION
submitted in accordance with Assembly Rule III, Sec 1(f)
 
BILL NUMBER: A9102C
 
SPONSOR: Kelles
  TITLE OF BILL: 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   PURPOSE: This bill would authorize Medicaid reimbursement to emergency medical service agencies for *providing emergency medical care to Medicaid enrollees without requir- ing the transportation of these patients from the location where the medical care was administered *providing emergency medical care to Medicaid enrollees and transporting them to alternative destinations (i.e.locations other than a hospital), such as an urgent ,care clinic or mental health or rehabilitation facil- ity   SUMMARY OF PROVISIONS: Section 1; Establishes and defines reimbursement for treatment in place and transportation to alternative health care settings. Section 2: Effective Date   JUSTIFICATION: Under current law, when responding to a 911 call, EMS agencies must transport Medicaid enrollees to a general hospital in order to receive Medicaid reimbursement. Each medical scenario is unique. Not every call requires a visit to a hospital or emergency room. In some cases, a patient may be better served at the scene of the emergency, and in these instances the EMS agency is faced with not being reimbursed for the cost of care (let alone the cost of the time it takes to respond in more rural or remote areas). This contributes to the already dire financial. situations that many EMS providers already experience. Furthermore, when EMS agencies do transport enrollees to a hospital unnecessarily, that is valuable time lost that could have been spent responding to more serious emergencies while further burdening emergency rooms in the process. The first piece here would allow EMS practitioners to treat Medicaid enrol- lees in place (when deemed appropriate by the agency's medical director) and be reimbursed for such services, saving time and money for emergency responders, patients, and hospital staff. Additionally, since each emergency call is unique, there must be a degree of discretion allowed regarding the best treatment options for the patient. Whereas EMS agencies are hamstrung into a "one-size-fit- sall" approach of transporting a patient to a general hospital for reimbursement, this bill would also authorize Medicaid reimbursement for transportation to alternative destinations-"hospitals" as defined in NYS Public Health Law--which can include mental health or rehabilitation facilities.   LEGISLATIVE HISTORY: New bill.   FISCAL IMPLICATIONS: To be determined.   EFFECTIVE DATE: This act shall take effect on the first of October next succeeding the date on which it shall have become a law.
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