What's happening
This bill defines school-based health centers and their sponsoring organizations and sets Medicaid reimbursement guidelines for their services.
Why it matters
Clarifies what school-based health centers are and who can sponsor them. , which helps ensure consistent standards for care and oversight across New York’s public schools.
Establishes clear Medicaid reimbursement rules for school-based health centers. , ensuring these clinics are paid fairly and predictably—either at federally mandated rates (for federally qualified health centers) or at state-set rates (for others).
Facilitates care coordination and quality improvement. by directing the state health commissioner to create a standard agreement between school-based health centers (or sponsors) and managed care providers, potentially improving health outcomes for students.
Gives school-based health centers flexibility in how they receive Medicaid payments. , allowing them to choose between direct reimbursement or payments through managed care organizations, which could help centers better manage finances and administrative burdens.
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Who cares
School-based health centers and sponsoring facilities
The bill would establish reimbursement rules for services provided outside managed care while preserving their option to receive payments through managed care providers.
Federally qualified health centers
Sponsored school-based clinics would receive reimbursement under specified federal requirements unless they choose the bill’s alternative fee-for-service methodology.
Managed care providers
The bill would require the health commissioner to develop a standard memorandum of understanding with school-based health centers or their sponsors covering coordinated care and quality improvement.
Children and adolescents using school-based clinics
The bill would address payment for school-based primary and preventive care, which may include behavioral health, vision, dental and nutritional services.
Headline styles
Fund School Health Clinics
Plain English, a few words. Used as the page title.
Sponsors
17 Co-sponsors
History
- Substituted by S6012
- Rules report cal.450
- Reported
- Reported referred to rules
- Reported referred to ways and means
- 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.
Fund School Health Clinics
Vetoed · Sponsor James L. Seward
Full text
2 pagesUnderlined is new[Struck] is removedOfficial text on nysenate.gov ↗
STATE OF NEW YORK
7866
2017-2018 Regular Sessions
IN ASSEMBLY
May 18, 2017
Introduced by M. of A. GOTTFRIED -- read once and referred to the Committee on Health
AN ACT to amend the social services law, in relation to school-based health centers
The People of the State of New York, represented in Senate and Assembly, do enact as follows:
Section 1. Subdivision 1 of section 364-j of the social services law is amended by adding two new paragraphs (w) and (w-1) to read as follows:
(w) "School-based health center". A clinic licensed under article twenty-eight of the public health law or sponsored by a facility licensed under article twenty-eight of the public health law which provides primary and preventative care which may include but is not limited to health maintenance, well-child care, diagnosis and treatment of injury and acute illness, diagnosis and management of chronic disease, behavioral health services, vision care, dental care, and nutritional or other enhanced services to children and adolescents, any of which may be provided by referral, within an elementary, secondary or prekindergarten public school setting.
(w-1) "Sponsoring organization". A facility licensed under article twenty-eight of the public health law which acts as the sponsor for a school-based health center.
§ 2. Subparagraph (iii) of paragraph (a) of subdivision 4 of section 364-j of the social services law is amended by adding a new clause (E-2) to read as follows:
(E-2) the service is provided by school-based health centers: any such services provided other than by a managed care provider shall be paid in accordance with applicable reimbursement methodologies, which shall mean:
(1) for school-based health centers that are sponsored by a federally qualified health center, rates of reimbursement and requirements in
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD11493-02-7
A. 7866 2
accordance with those mandated by 42 U.S.C. Secs. 1396a(bb), 1396b(m)(2)(A)(ix) and 1936a(a)(13)(C); and
(2) for school-based health centers that are sponsored by an entity licensed pursuant to article twenty-eight of the public health law that is not a federally qualified health center or is a federally qualified health center that chooses not to receive reimbursement pursuant to subclause one of this clause, rates of reimbursement at the fee for service rate for such services in effect on the effective date of this clause for the ambulatory patient group rate for the applicable service and in accordance with any future adjustments made to such rates by the department of health; provided that the commissioner of health shall develop a standard memorandum of understanding to be entered into by school-based health centers or their sponsoring organizations and managed care providers to provide for the delivery of coordinated health care and participation in quality improvement initiatives; and provided further that this clause shall not preclude a school-based health center or sponsoring organization from choosing to receive payments for services through managed care providers.
§ 3. This act shall take effect immediately, provided that the amendments to section 364-j of the social services law, made by sections one and two of this act, shall not affect the expiration and repeal of such section, and shall expire and be deemed repealed therewith.
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.