What's happening
This bill requires the state to fully reimburse counties for costs of software used to detect medical assistance fraud, waste, and abuse.
Why it matters
Shifts financial responsibility for anti-fraud technology from counties to the state, potentially easing county budgets and enabling more widespread adoption of data mining tools.
Defines "data mining software" in law, ensuring counties can use advanced analytics to proactively identify and address medical assistance fraud, waste, and abuse.
May increase state expenditures in the short term but could lead to long-term Medicaid savings if fraud detection efforts become more effective and widespread as a result of this funding.
Empowers the commissioner of health to set rules and regulations, allowing flexibility in implementation and oversight to adapt to emerging fraud detection technologies or changing county needs.
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Who cares
Headline styles
Pay Counties for Fraud Software
Plain English, a few words. Used as the page title.
Sponsors
14 Co-sponsors
History
- Held for consideration in social services
- Referred to social services
- Referred to social services
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.
Pay Counties for Fraud Software
In Senate Committee · Health · Sponsor Thomas F. O'Mara
Full text
1 pageUnderlined is new[Struck] is removedOfficial text on nysenate.gov ↗
STATE OF NEW YORK
3540
2019-2020 Regular Sessions
IN ASSEMBLY
January 29, 2019
Introduced by M. of A. PALMESANO, GARBARINO, LALOR, GIGLIO, McDONOUGH, RAIA, WALSH -- Multi-Sponsored by -- M. of A. ASHBY, BARCLAY, BLANKEN- BUSH, BRABENEC, CROUCH, DiPIETRO, FINCH, HAWLEY, B. MILLER, MORINELLO, NORRIS, STEC -- read once and referred to the Committee on Social Services
AN ACT to amend the social services law, in relation to the state reimbursement of county payments for medical assistance fraud, waste and abuse detection software
The People of the State of New York, represented in Senate and Assembly, do enact as follows:
Section 1. Subdivision 1 of section 368-a of the social services law is amended by adding a new paragraph (aa) to read as follows:
(aa) (i) Notwithstanding any other provision of law, the full amount expended by the local social services district for medical assistance fraud, waste and abuse investigations via the use of data mining software shall be reimbursed by the state if the county has previously purchased or intends to purchase such software. For the purposes of this paragraph, "data mining software" shall mean a database application that utilizes advanced data searching capabilities and statistical analyses to discover patterns and correlations in the use and abuse of medical assistance practices. Any county that has previously purchased such software must supply adequate documentation, including any receipts, that details such purchase. The state shall disburse grants, when applicable, from the general fund for this purpose.
(ii) The commissioner of health may develop rules and regulations as necessary to carry out the provisions of this paragraph.
§ 2. This act shall take effect immediately.
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD05766-01-9
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.