What's happening
This bill would make certain non-federally mandated medical services unavailable to new enrollees in New York's medical assistance program for their first 90 days of eligibility.
Why it matters
Potentially limits access to important medical services for new enrollees. For the first 90 days, individuals new to New York’s Medicaid program would not receive non-federally mandated medical services, potentially delaying access to treatments, therapies, or preventive care that are important but not required under federal law.
Could disproportionately impact vulnerable populations. Many Medicaid enrollees are low-income or medically fragile; restricting their access to a full range of services during a critical transition period could worsen health outcomes or increase reliance on emergency care.
May create administrative complexity and confusion. The requirement for the state to develop new eligibility and services plans, seek federal waivers, and coordinate with local agencies could lead to confusion among enrollees and providers about what services are covered during the initial 90-day period.
State cost savings vs. potential long-term costs. While the bill may be intended to reduce short-term state spending on Medicaid, deferring access to non-mandated services could result in higher long-term costs if untreated conditions worsen and require more intensive care later.
Albany, before your first meeting.
Every bill that moved yesterday, summarized in a sentence and ranked by impact. The Albany Scorecard follows on Sundays.
Free. Unsubscribe in one click. Want alerts on specific bills? Create an account.
Who cares
Headline styles
Ninety-Day Medicaid Waiting Period
Plain English, a few words. Used as the page title.
Sponsors
1 Multi-sponsor
History
- Referred to social services
- Referred to social services
Full text
2 pagesUnderlined is new[Struck] is removedOfficial text on nysenate.gov ↗
STATE OF NEW YORK
1913
2017-2018 Regular Sessions
IN ASSEMBLY
January 17, 2017
Introduced by M. of A. SCHIMMINGER -- Multi-Sponsored by -- M. of A. GIGLIO -- read once and referred to the Committee on Social Services
AN ACT to amend the social services law, in relation to eligibility limitations on certain medical services not mandated by federal law
The People of the State of New York, represented in Senate and Assembly, do enact as follows:
Section 1. Section 117 of the social services law is amended by adding a new subdivision 4 to read as follows:
4. Notwithstanding any inconsistent provision of this section or any other provision of law, for the purposes of eligibility for medical assistance as provided under title eleven of article five of this chapter or any successor provisions thereof, no person shall be eligible for medical assistance during the first ninety days after such person is deemed enrolled for such medical assistance services if such services are not mandated services under federal law or regulation.
§ 2. The commissioner of health is authorized and directed to apply for any and all federal waivers required to implement the provisions of subdivision 4 of section 117 of the social services law.
§ 3. The commissioner of health shall promulgate any and all rules and regulations and take any other measures necessary to implement this act including, but not limited to, developing a services and eligibility plan and distributing the same to local social services districts.
§ 4. This act shall take effect immediately; provided, however, that subdivision 4 of section 117 of the social services law as added by section one of this act shall not take effect unless and until the commissioner of health receives all necessary approvals under federal law and regulation to implement its provisions, and provided that such provisions do not prevent the receipt of federal financial participation under the medical assistance program; provided that the commissioner of health shall notify the legislative bill drafting commission upon the occurrence of the enactment of the legislation provided for in this act
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD05818-01-7
A. 1913 2
in order that the commission may maintain an accurate and timely effective data base of the official text of the laws of the state of New York in furtherance of effectuating the provisions of section 44 of the legislative law and section 70-b of the public officers law.
Reflowed for reading: line numbers and page breaks removed. Cite the official text.
Summaries, headlines and scores are AI-generated from the official bill text. How we score bills. Source: NYS Open Legislation.