New York S 3942: Provides for the allocation of monies for dental health services in the medicaid managed care program, the child health insurance program and the family health plus program

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S03942 Summary:

BILL NOS03942 

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SAME ASNo Same As

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SPONSORCOMRIE

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COSPNSR

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MLTSPNSR

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Amd §2511, Pub Health L; amd §364-j, Soc Serv L

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Provides for the allocation of monies for dental health services in the medicaid managed care program, the child health insurance program and the family health plus program.

Go to top S03942 Actions:

BILL NOS03942 

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01/30/2025REFERRED TO HEALTH

01/07/2026REFERRED TO HEALTH

Go to topS03942 Committee&nbspVotes:

Go to topS03942 Floor&nbspVotes:

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

Go to topS03942 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 3942

 2025-2026 Regular Sessions

 IN SENATE

 January 30, 2025
 ___________

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

 AN ACT to amend the public health law and the social services law, in
 relation to allocating monies for dental health services in the medi-
 caid managed care program, the child health insurance program, and the
 family health plus program

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

 1 Section 1. Section 2511 of the public health law is amended by adding
 2 a new subdivision 23 to read as follows:
 3 23. Every approved organization that provides coverage for any dental
 4 service shall spend not less than eighty percent of the capitation or
 5 other state funds paid to the approved organization for dental services,
 6 whether as a premium or in any other form either directly or indirectly,
 7 for the provision of dental services to patients by licensed dentists.
 8 In the event the approved organization spends less than eighty percent
 9 of the capitation or other state funds paid to it for dental services,
 10 whether as a premium or in any other form either directly or indirectly,
 11 for the provision of dental services, the difference shall be returned
 12 to the department. In no event shall more than twenty percent of the
 13 capitation or other state funds paid to the approved organization for
 14 dental services, whether as a premium or in any other form either
 15 directly or indirectly, be spent by any approved organization on admin-
 16 istrative services in lieu of dental services for patients. The depart-
 17 ment shall provide an approved organization with a certification letter
 18 indicating the amount of capitation or other state funds paid for dental
 19 services, whether as a premium or in any other form either directly or
 20 indirectly, during each year pursuant to this section.
 21 § 2. Section 364-j of the social services law is amended by adding a
 22 new subdivision 40 to read as follows:

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD05415-01-5

 S. 3942 2

 1 40. Every managed care provider and managed care program that provides
 2 coverage for any dental service shall spend not less than eighty percent
 3 of the capitation or other state funds paid to the managed care provider
 4 or managed care program for dental services, whether as a premium or in
 5 any other form either directly or indirectly, for the provision of
 6 dental services to patients by licensed dentists. In the event the
 7 managed care provider or managed care program spends less than eighty
 8 percent of the capitation or other state funds paid to it for dental
 9 services, whether as a premium or in any other form either directly or
 10 indirectly, for the provision of dental services, the difference shall
 11 be returned to the department. In no event shall more than twenty
 12 percent of the capitation or other state funds paid to the managed care
 13 provider or managed care program for dental services, whether as a
 14 premium or in any other form either directly or indirectly, be spent by
 15 any managed care provider or managed care program on administrative
 16 services in lieu of dental services for patients. The department shall
 17 provide a managed care provider and managed care program with a certif-
 18 ication letter indicating the amount of capitation or other state funds
 19 paid for dental services, whether as a premium