What's happening
This bill restricts state medical assistance eligibility for non-federally mandated services during the first 90 days of enrollment.
Why it matters
Limits access to non-federally mandated Medicaid services. for new enrollees during their first 90 days, which could delay critical but non-required treatments or supports (such as dental, vision, or certain therapies) for vulnerable populations.
May result in cost savings for the state. by restricting eligibility for some services, but could also increase emergency care usage or worsen health outcomes for individuals unable to access needed care early in enrollment.
Implementation depends on federal approval. , so there is uncertainty about if and when the policy would be enacted, and how it might interact with federal Medicaid funding rules.
Requires the state health commissioner to develop plans and guidance. for local agencies, potentially creating new administrative burdens and affecting how services are delivered and communicated to newly enrolled beneficiaries.
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Who cares
New Medicaid enrollees
They would be ineligible for services not mandated by federal law or regulation during their first 90 days of enrollment, subject to federal approvals and preservation of federal funding.
New York State Department of Health
The commissioner would have to seek necessary federal waivers, issue implementing rules and develop a services and eligibility plan.
Local social services districts
They would receive the department’s services and eligibility plan for implementing the new limitation.
Providers of Medicaid services not mandated by federal law
They would face a 90-day period when newly enrolled patients could not receive Medicaid coverage for those services.
Headline styles
Limit Non-Mandated Medicaid for 90 Days
Plain English, a few words. Used as the page title.
Sponsors
No co-sponsors yet.
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
2778
2019-2020 Regular Sessions
IN ASSEMBLY
January 25, 2019
Introduced by M. of A. SCHIMMINGER -- 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.
LBD03823-01-9
A. 2778 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.