New York A 8048: Relates to add-on payment for pediatric practices that implement the HealthySteps model

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A08048 Summary:

BILL NOA08048A

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SAME ASSAME AS S07833-B

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SPONSORReyes

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COSPNSRSteck, Tapia, Davila, Dinowitz, Hevesi, Magnarelli, Lee, Benedetto, Rozic, Lunsford

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MLTSPNSR

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Amd §2807, Pub Health L

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Directs the commissioner of health to establish or approve an add-on rate for pediatric practices implementing the HealthySteps model.

Go to top A08048 Actions:

BILL NOA08048A

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04/22/2025referred to health

01/07/2026referred to health

05/06/2026amend (t) and recommit to health

05/06/2026print number 8048a

Go to topA08048 Committee&nbspVotes:

Go to topA08048 Floor&nbspVotes:

There are no Assembly votes for this bill in this legislative session.

Go to topA08048 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 8048--A

 2025-2026 Regular Sessions

 IN ASSEMBLY

 April 22, 2025
 ___________

 Introduced by M. of A. REYES, STECK, TAPIA, DAVILA, DINOWITZ, HEVESI,
 MAGNARELLI, LEE, BENEDETTO, ROZIC -- read once and referred to the
 Committee on Health -- recommitted to the Committee on Health in
 accordance with Assembly Rule 3, sec. 2 -- committee discharged, bill
 amended, ordered reprinted as amended and recommitted to said commit-
 tee

 AN ACT to amend the public health law, in relation to add-on payment for
 pediatric practices that implement the HealthySteps model

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

 1 Section 1. Legislative intent. In order to improve quality and promote
 2 access to team-based care, it is the policy of the state to encourage
 3 HealthySteps implementation in pediatric practices for the purpose of
 4 increasing access to evidenced-based screenings, health promotion and
 5 prevention services, and connections to supports for the family.
 6 § 2. Section 2807 of the public health law is amended by adding a new
 7 subdivision 22 to read as follows:
 8 22. (a) Notwithstanding any provision of law, rule or regulation to
 9 the contrary, and subject to the provisions of paragraph (b) of this
 10 subdivision and to the availability of federal financial participation,
 11 the commissioner shall establish or approve an add-on rate for pediatric
 12 practices implementing the HealthySteps model, for the purposes of
 13 advancing pediatric screenings, promotion of behavioral health, and
 14 prevention and treatment of behavioral health issues in children. For
 15 federally qualified health centers and rural health clinics, the Heal-
 16 thySteps payment add-on shall be paid in addition to the health center's
 17 prospective payment system rate or payments received under the ambulato-
 18 ry patient group reimbursement methodology. Revenue from the add-on
 19 shall be excluded from managed care visit and revenue reports and shall
 20 not be considered in the calculation or determination of supplemental
 21 wrap-around payments.

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD11507-07-6

 A. 8048--A 2

 1 (b) To be eligible for the rate add-on established or approved pursu-
 2 ant to paragraph (a) of this subdivision, a pediatric practice that
 3 implements HealthySteps shall be on track or meet HealthySteps specific
 4 fidelity criteria.
 5 (c) For the purposes of this subdivision, the following terms shall
 6 have the following meanings:
 7 (i) "Pediatric practice" means a clinic providing pediatric care, as
 8 defined by section three thousand seventy-three of this chapter.
 9 (ii) "HealthySteps model" means the nationally recognized model of
 10 care that is organized into three tiers of service and eight core compo-
 11 nents to help families in practices. Services can be offered to chil-
 12 dren ages birth up to their sixth birthday aligned with their needs.
 13 § 3. This act shall take effect April 1, 2027. Effective immediately,
 14 the addition, amendment and/or repeal of any rule or regulation neces-
 15 sary for the implementation of this act on its effective date are
 16 authorized to be made and completed on or before such effective date.

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