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A06163 Summary:

BILL NOA06163
 
SAME ASSAME AS S00061
 
SPONSORSolages
 
COSPNSR
 
MLTSPNSR
 
Add 2505-b, Pub Health L
 
Establishes protocol for financial reimbursement for donor human breast milk.
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A06163 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          6163
 
                               2017-2018 Regular Sessions
 
                   IN ASSEMBLY
 
                                    February 27, 2017
                                       ___________
 
        Introduced  by M. of A. SOLAGES -- read once and referred to the Commit-
          tee on Health
 
        AN ACT to amend the public health law, in relation to reimbursement  for
          donor human breast milk
 
          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:

     1    Section 1. The public health law is amended by adding  a  new  section
     2  2505-b to read as follows:
     3    § 2505-b. Reimbursement for breast milk. 1. The department shall reim-
     4  burse  a  medical care facility for prescribed medically necessary donor
     5  human breast milk provided to a recipient of medical assistance if:
     6    (a) such recipient is:
     7    (i) an infant under the age of three months;
     8    (ii) critically ill; and
     9    (iii) in the neonatal intensive care unit of the hospital;
    10    (b) a person licensed to practice  medicine  and  surgery  orders  the
    11  donor human breast milk for the recipient;
    12    (c)  the  department  determines  that  the donor human breast milk is
    13  medically necessary for the recipient;
    14    (d) the parent or legal guardian of the recipient signs and  dates  an
    15  informed  consent form indicating the risks and benefits of using banked
    16  donor human breast milk; and
    17    (e) the donor human breast milk is obtained from a donor human  breast
    18  milk bank that meets the quality requirements established by the depart-
    19  ment.
    20    2. An electronic prior authorization system that uses the best medical
    21  evidence  and  care  and  treatment  guidelines consistent with national
    22  standards shall be used by the department to determine medical  necessi-
    23  ty.
    24    3.  The department shall promulgate rules and regulations necessary to
    25  implement the provisions of this section.

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD04667-01-7

        A. 6163                             2
 
     1    4. The department shall implement and  administer  the  provisions  of
     2  this  section  in  a  manner consistent with applicable federal laws and
     3  regulations. The department shall seek any necessary  approvals  of  the
     4  federal  government  that  are  required  for the implementation of this
     5  section.
     6    § 2. This act shall take effect immediately.
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