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Who cares
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Sponsors
1 Co-sponsor
History
- Referred to investigations and government operations
Full text
The text isn't available here yet. Check nysenate.gov.
Sponsor's memo
Title of bill
An act to amend the legislative law, in relation to the creation of the legislative commission on Medicaid fraud, waste and abuse
Purpose
To create a legislative commission that will review the operation of the Office of Medicaid Inspector General.
Summary of provisions
Section 1. Amends Legislative Law by adding a new Article 6-A (Sections 96-98).
Section 96. Legislative Intent Section 97. Powers and Duties. The Commission shall review the operations of OMIG that will include but not be limited to (i) compliance with legislative intent, (ii) use of extrapolation, (iii) audit procedures, methods and protocols, (iv) communication with health care providers, (v) compliance with state, federal laws and regulations, and (vi) auditor training and qualifications. Section 98. Reporting Requirements.
Section 2. Enacting clause.
Justification
Medicaid, a joint federal-state-county partnership created in 1965 that assists, low income individuals and families to obtain medical services, and hospital treatment, is both an extremely important and costly programs for New Yorkers. The Medicaid program is, in fact, the largest single component of state spending. In 2006, the Legislature created the Office of Medicaid Inspector General (OMIG) in order to combat fraud, waste and abuse within the Medicaid system. Pharmacies, hospitals, nursing homes, home care providers, dentists, clinics, and providers of durable equipment became subject to audits by OMIG. While there is universal agreement that fraud, waste and abuse are drains on the system and need to be combated, the tactics and focus of OMIG have been called into question. With economic pressures on states, individuals and health care providers and OMIG recoveries being used to fill budget gaps, the time is right to look at the business practices of OMIG. This commission will provide constant oversight of OMIG and will allow the legislature to be fully informed if future legislation is required.
Legislative history
New bill.
Fiscal implications
Minimal.
Effective date
Immediately.
Summaries, headlines and scores are AI-generated from the official bill text. How we score bills. Source: NYS Open Legislation.