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.
Go to top    

A09102 Actions:

BILL NOA09102C
 
02/07/2024referred to health
04/08/2024amend and recommit to health
04/08/2024print number 9102a
05/14/2024reported referred to ways and means
05/23/2024amend and recommit to ways and means
05/23/2024print number 9102b
05/28/2024amend and recommit to ways and means
05/28/2024print number 9102c
06/03/2024reported referred to rules
06/03/2024reported
06/03/2024rules report cal.342
06/03/2024substituted by s8486c
 S08486 AMEND=C HINCHEY
 02/05/2024REFERRED TO HEALTH
 05/07/2024AMEND AND RECOMMIT TO HEALTH
 05/07/2024PRINT NUMBER 8486A
 05/15/2024REPORTED AND COMMITTED TO FINANCE
 05/21/20241ST REPORT CAL.1400
 05/22/2024AMENDED 8486B
 05/22/20242ND REPORT CAL.
 05/23/2024ADVANCED TO THIRD READING
 05/29/2024PASSED SENATE
 05/29/2024DELIVERED TO ASSEMBLY
 05/29/2024referred to ways and means
 05/30/2024RECALLED FROM ASSEMBLY
 05/30/2024returned to senate
 05/30/2024VOTE RECONSIDERED - RESTORED TO THIRD READING
 05/30/2024AMENDED ON THIRD READING 8486C
 06/03/2024REPASSED SENATE
 06/03/2024RETURNED TO ASSEMBLY
 06/03/2024referred to ways and means
 06/03/2024substituted for a9102c
 06/03/2024ordered to third reading rules cal.342
 06/03/2024passed assembly
 06/03/2024returned to senate
Go to top

A09102 Committee Votes:

HEALTH Chair:Paulin DATE:05/14/2024AYE/NAY:24/0 Action: Favorable refer to committee Ways and Means
PaulinAyeJensenAye
DinowitzAyeByrnesExcused
GuntherAyeGandolfoAye
RosenthalAyeMikulinAye
HevesiAyeBlumencranzAye
SteckAyeBendettAye
BraunsteinAyeGrayAye
SolagesAyeMcGowanAye
Bichotte HermelAbsent
SayeghAye
McDonaldAye
ReyesAye
Gonzalez-RojasAye
RajkumarAye
ForrestAye
KellesAye
LucasAye
MeeksAye

RULES Chair:Pretlow DATE:06/03/2024AYE/NAY:28/0 Action: Favorable
HeastieExcusedBarclayAye
WeinsteinAyeHawleyAye
PretlowAyeGiglioAye
CookAyeBlankenbushAye
GlickAyeNorrisAye
AubryAyeRaAye
DinowitzAyeBrabenecAye
ColtonAyePalmesanoExcused
MagnarelliAyeReillyAye
PaulinAye
Peoples-StokesAye
BenedettoAye
LavineAye
LupardoAye
ZebrowskiAye
ThieleAye
BraunsteinAye
DickensExcused
DavilaAye
HyndmanAye
RozicAye
BronsonAye

WAYS AND MEANS Chair:Weinstein DATE:06/03/2024AYE/NAY:34/0 Action: Favorable refer to committee Rules
WeinsteinAyeRaAye
GlickAyeFitzpatrickAye
PretlowAyeHawleyAye
ColtonAyeBlankenbushAye
CookAyeNorrisAye
AubryAyeBrabenecAye
BenedettoAyePalmesanoExcused
WeprinAyeWalshAye
RamosAyeDeStefanoAye
BraunsteinAyeManktelowAye
McDonaldAyeSmullenAye
RozicAye
DinowitzAye
MagnarelliAye
ZebrowskiAye
BronsonAye
DilanAye
SeawrightAye
HyndmanAye
WalkerAye
Bichotte HermelAye
SimonAye
CruzAye
FahyAye

Go to top

A09102 Floor Votes:

There are no votes for this bill in this legislative session.
Go to top

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.
Go to top

A09102 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                         9102--C
 
                   IN ASSEMBLY
 
                                    February 7, 2024
                                       ___________
 
        Introduced by M. of A. KELLES, McDONALD, LUCAS, GUNTHER, HEVESI, THIELE,
          BUTTENSCHON,  LAVINE,  CLARK,  DICKENS, BURDICK, MEEKS, FAHY, EPSTEIN,
          STIRPE, BARRETT, LEVENBERG, WOERNER, BURKE,  JONES,  MANKTELOW,  LUNS-
          FORD,  RA,  SILLITTI,  J. M. GIGLIO,  OTIS, LUPARDO, SHIMSKY, BENDETT,
          DAVILA, SAYEGH, GRAY, SEAWRIGHT, PALMESANO -- read once  and  referred
          to  the  Committee  on  Health  -- committee discharged, bill amended,
          ordered reprinted as amended and  recommitted  to  said  committee  --
          reported  and referred to the Committee on Ways and Means -- committee
          discharged, bill amended, ordered reprinted as amended and recommitted
          to said committee  --  committee  discharged,  bill  amended,  ordered
          reprinted as amended and recommitted to said committee
 
        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
 
          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:
 
     1    Section  1. The social services law is amended by adding a new section
     2  367-y to read as follows:
     3    § 367-y. Reimbursement for treatment in place  and  transportation  to
     4  alternative  health  care  settings. 1. Notwithstanding any provision of
     5  law  to  the  contrary,  any  provision  of  this  title  providing  for
     6  reimbursement  of  transportation  costs  for an ambulance service shall
     7  also apply where, instead  of  providing  transportation  to  a  general
     8  hospital, such ambulance service when responding to an emergency call:
     9    (a) Administers treatment in place, including but not limited to tele-
    10  health  visits approved by Medicaid for reimbursement when deemed neces-
    11  sary; and/or
    12    (b) Transports an individual to an alternative health care setting.
    13    2. For the purposes of this section, the following  terms  shall  have
    14  the following meanings:
    15    (a)  "Alternative  health care setting" means the following facilities
    16  or institutions approved by Medicaid  for  reimbursement  and  accepting
    17  Medicaid recipients:
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD14413-09-4

        A. 9102--C                          2
 
     1    (i)  a  crisis  stabilization center or certified community behavioral
     2  health clinic operating pursuant to article  thirty-six  of  the  mental
     3  hygiene law;
     4    (ii) a facility under section 7.17 of the mental hygiene law;
     5    (iii)  a  facility providing addiction disorder services or behavioral
     6  health services, as such terms are defined by section 1.03 of the mental
     7  hygiene law;
     8    (iv) a diagnostic and treatment center established pursuant to article
     9  twenty-eight of the public health law, or  an  upgraded  diagnostic  and
    10  treatment  center  designated  as  such  pursuant to section twenty-nine
    11  hundred fifty-six of the public health law;
    12    (v) a federally qualified health center; or
    13    (vi) an urgent care center, which for the  purposes  of  this  section
    14  shall  mean  a  facility that provides episodic care related to an acute
    15  illness or minor traumas that are not  life-threatening  or  permanently
    16  disabling.
    17    (b)  "Ambulance  service"  shall  have  the same meaning as defined by
    18  section three thousand one of the public health law.
    19    (c) "General hospital" shall have  the  same  meaning  as  defined  by
    20  section twenty-eight hundred one of the public health law.
    21    (d) "Treatment in place" means the administration of emergency medical
    22  services,  as defined by section three thousand one of the public health
    23  law, by an employee or volunteer of an ambulance service. Such  services
    24  shall be consistent with protocols promulgated pursuant to article thir-
    25  ty of the public health law.
    26    3.  This section shall be effective if, and as long as, federal finan-
    27  cial participation is available therefor.
    28     4. Nothing in this section shall be  deemed  to  allow  a  person  to
    29  provide  any service for which a license, registration, certification or
    30  other authorization under title eight of the education law  is  required
    31  and which the person does not possess.
    32    §  2. This act shall take effect on the first of October next succeed-
    33  ing the date on which it shall have become a law.
Go to top