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S7679Senate2019-2020 Session

Medicaid Covers Nebulizers

Official title

“Relates to authorizing medicaid coverage for a nebulizer”

Sponsor James Sanders Jr.SD-10Affects Health
Status
In Senate Committee
Health
Impact
6/10
Moderate
Passage
0%

Bill progress

Step 2 of 7

In committee · Health

What's happening

This bill requires Medicaid in New York to cover 80% of the cost of a physician-prescribed nebulizer for certain medical conditions.

Why it matters

  1. Expands access to essential respiratory care. By mandating Medicaid coverage for 80% of physician-prescribed nebulizers, the bill helps ensure that low-income and medically vulnerable individuals can obtain these devices, which are crucial for managing chronic respiratory conditions like asthma and severe allergies.

  2. Reduces financial barriers. Covering the majority of the cost of nebulizers can significantly ease the financial strain on Medicaid recipients, who might otherwise be unable to afford this important medical equipment.

  3. Standardizes coverage and oversight. The requirement that the Department of Health approve the type and brand of nebulizers could help ensure device quality and safety, as well as consistency in what is provided under Medicaid.

  4. Potential for improved health outcomes and reduced emergency care. By facilitating better at-home management of respiratory conditions, the bill may help prevent severe episodes, hospitalizations, and emergency room visits, ultimately benefiting public health and potentially lowering overall healthcare costs.

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Who cares

Headline styles

Medicaid Covers Nebulizers

Plain English, a few words. Used as the page title.

Sponsors

Primary sponsor
James Sanders Jr.

Senator · Senate District 10

Chair, Banks

No co-sponsors yet.

History

  1. Referred to health

Full text

1 pageUnderlined is new[Struck] is removedOfficial text on nysenate.gov ↗

STATE OF NEW YORK

7679

IN SENATE

February 5, 2020

Introduced by Sen. SANDERS -- read twice and ordered printed, and when printed to be committed to the Committee on Health

AN ACT to amend the social services law, in relation to authorizing medicaid coverage for a nebulizer

The People of the State of New York, represented in Senate and Assembly, do enact as follows:

Section 1. Section 365-a of the social services law is amended by adding a new subdivision 10 to read as follows:

10. Notwithstanding any inconsistent provision of law to the contrary, medical assistance shall include coverage for a nebulizer if prescribed by a licensed physician for a medical condition, including, but not limited to asthma or allergies. The type and brand of such nebulizer shall be approved by the department of health. Such medical assistance shall be provided for eighty percent of the cost of such nebulizer.

§ 2. This act shall take effect on the ninetieth day after it shall have become a law.

EXPLANATION--Matter in italics (underscored) is new; matter in brackets

[ ] is old law to be omitted.

LBD15204-02-0

Reflowed for reading: line numbers and page breaks removed. Cite the official text.

Sponsor's memo

Title of bill

An act to amend the social services law, in relation to authorizing medicaid coverage for a nebulizer

Purpose or general idea of bill

This bill would authorize Medicaid coverage for a nebulizer for eligible persons.

Summary of provisions

Section One. Medical assistance shall include coverage for a nebulizer if prescribed by a licensed physician for a medical condition, includ- ing, but not limited to asthma or allergies. The type and brand of such nebulizer shall be approved by the department of health. Such medical assistance shall be provided for 80% of the cost of such nebulizer.

Section 2. The effective date.

Justification

A nebulizer is a device used to administer medication in the form of a mist inhaled into the lungs for the treatment of asthma, allergies, cystic fibrosis, COPD and other respiratory diseases or disorders. This legislation would authorize Medicaid coverage of 80% of the cost for a nebulizer for eligible persons.

Prior legislative history

New bill.

Fiscal implications

Cost to the State for 80% of the cost for a nebulizer for eligible persons.

Effective date

This act shall take effect on the ninetieth day after it shall 10 have become a law.

Summaries, headlines and scores are AI-generated from the official bill text. How we score bills. Source: NYS Open Legislation.