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History
- Referred to ways and means
- Delivered to assembly
- Passed senateVote 60–0
- Amended on third reading (t) 6742a
- Advanced to third reading
- 2nd report cal.
- 1st report cal.465
- Referred to health
Companion bill
The same bill in the other chamber. A bill becomes law when one version passes both houses and the governor signs it, so either number can carry it.
Provides that medicaid reimbursement for services to medically fragile children by pediatric rehabilitation diagnostic and treatment centers be fee-for-service
In Assembly Committee · Ways And Means · Sponsor Shelley Mayer
Full text
The text isn't available here yet. Check nysenate.gov.
Sponsor's memo
BILL NUMBER:S6742A
Title of bill
An act to amend chapter 56 of the laws of 2012, directing a workgroup on medically fragile children, in relation to medicaid reimbursement for services provided to medically fragile children by pediatric rehabili- tation diagnostic and treatment centers
Purpose
To amend provisions adopted as part of the 2012-13 budget which estab- lishes a workgroup on Medicaid reimbursement for medically fragile chil- dren in order to determine the most appropriate reimbursement methodol- ogies for this unique population by insuring reimbursement is not changed prior to the workgroup's determination due no later than January 2013.
Summary of provisions
Amends section 34-b of Part D of Chapter 56 of the laws of 2012 to provide that services provided to medically fragile children receive services at pediatric rehabilitation diagnostic and treatment centers shall continue to receive fee for service Medicaid reimbursement during the deliberation of the workgroup created as part of the 2012-13 budget and until a report to the legislature is finalized and distributed.
Existing law
None.
Justification
New York's health care reimbursement system has historically treated providers of medically fragile children distinct from other health care providers in light of the unique needs of the children they serve. However, recent changes to Medicaid payment methodologies have failed to recognize the unique nature of these facilities, and are failing to adequately reimburse the cost of care for this extremely small, yet highly complex population. For example, the implementation of ambulatory patient groups which do not have a mechanism to distinguish reimburse- ment for highly complex children have had a negative effect on pediatric specialty clinics. Further, the transition to Medicaid managed Care, which is scheduled to take place this October, could be detrimental to highly specialized pediatric nursing homes. Accordingly, as part of the 2012-13 budget, a workgroup was established to determine the most appro- priate reimbursement methodologies to be used to ensure the continued viability of these facilities. This bill amends those provisions to authorize fee-for-service payments until the results of this workgroup are finalized and reported to the legislature which were directed to do by January, 2013.
Legislative history
New bill.
Fiscal implications
None.
Effective date
This act shall take effect immediately.
Summaries, headlines and scores are AI-generated from the official bill text. How we score bills. Source: NYS Open Legislation.