New York A 4801: Relates to early intervention reimbursement rates

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A04801 Summary:

BILL NOA04801 

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SAME ASSAME AS S06590

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SPONSORBrown E

&nbsp

COSPNSRJensen

&nbsp

MLTSPNSR

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Amd §§2557 & 2559, Pub Health L

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Provides that on and after April first, two thousand twenty-five, the department of health shall reimburse municipalities in an amount of sixty-six percent or more for the costs of early intervention services; directs the commissioner of health to review rates of reimbursement for early intervention services.

Go to top A04801 Actions:

BILL NOA04801 

&nbsp

02/06/2025referred to health

01/07/2026referred to health

Go to topA04801 Committee&nbspVotes:

Go to topA04801 Floor&nbspVotes:

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

Go to topA04801 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 4801

 2025-2026 Regular Sessions

 IN ASSEMBLY

 February 6, 2025
 ___________

 Introduced by M. of A. E. BROWN, JENSEN -- read once and referred to the
 Committee on Health

 AN ACT to amend the public health law, in relation to Medicaid
 reimbursement rates for early intervention services

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

 1 Section 1. Subdivision 2 of section 2557 of the public health law, as
 2 amended by chapter 820 of the laws of 2021, is amended to read as
 3 follows:
 4 2. The department shall reimburse the approved costs paid by a munici-
 5 pality for the purposes of this title, other than those reimbursable by
 6 the medical assistance program, in an amount of fifty percent of the
 7 amount expended in accordance with the rules and regulations of the
 8 commissioner; provided, however, that in the discretion of the depart-
 9 ment and with the approval of the director of the division of the budg-
 10 et, the department may reimburse municipalities in an amount greater
 11 than fifty percent of the amount expended; provided, further, on and
 12 after April first, two thousand twenty-five, the department shall reim-
 13 burse municipalities in an amount of sixty-six percent or more. Such
 14 state reimbursement to the municipality shall not be paid prior to April
 15 first of the year in which the approved costs are paid by the munici-
 16 pality, provided, however that, subject to the approval of the director
 17 of the budget, the department may pay such state aid reimbursement to
 18 the municipality prior to such date.
 19 § 2. Section 2559 of the public health law is amended by adding a new
 20 subdivision 6 to read as follows:
 21 6. On and after April first, two thousand twenty-five, the commission-
 22 er shall review the rates of reimbursement made through the early inter-
 23 vention program for rate adequacy. The review shall include, but not be
 24 limited to:

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD04680-01-5

 A. 4801 2

 1 (a) a comprehensive assessment of the existing methodology used to
 2 determine payment for early intervention screenings, evaluations,
 3 services and service coordination, including but not limited to:
 4 (i) analysis of early intervention rules, regulations, and policies,
 5 including policies, processes, and revenue sources;
 6 (ii) analysis of costs to providers participating in the early inter-
 7 vention program, including time and cost of travel, service provision,
 8 and administrative activities; and
 9 (iii) analysis by discipline and labor region of salary levels for
 10 individuals providing early intervention services compared to the salary
 11 levels for individuals in the same disciplines and labor regions provid-
 12 ing services other than in the early intervention program; and
 13 (b) recommendations for maintaining or changing reimbursement method-
 14 ologies. The commissioner shall make such recommendations within one
 15 year of the effective date of this section. Copies of such recommenda-
 16 tions shall be submitted to the governor, the temporary president of the
 17 senate, the speaker of the assembly, and the chairs of the senate and
 18 assembly committees on health, and shall post the report on the depart-
 19 ment's website.
 20 § 3. This act shall take effect immediately.

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