New York A 5825: Directs the state comptroller to conduct an audit of the department of health and other agencies to ensure compliance with federal and state requirements

Bill Text

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A05825 Summary:

BILL NOA05825 

&nbsp

SAME ASNo Same As

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SPONSORBrown K

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COSPNSRGallahan, Chang, McDonough, Giglio, Blankenbush

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MLTSPNSR

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Add §41-b, Exec L

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Directs the state comptroller to conduct an audit of the department of health and other agencies to ensure that the agency meets its responsibilities to review and assess Medicaid managed care organizations for compliance with federal and state requirements to maintain adequate health care providers within network, and to meet mental health and substance use disorder parity requirements.

Go to top A05825 Actions:

BILL NOA05825 

&nbsp

02/20/2025referred to governmental operations

05/20/2025enacting clause stricken

Go to topA05825 Committee&nbspVotes:

Go to topA05825 Floor&nbspVotes:

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

Go to topA05825 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 5825

 2025-2026 Regular Sessions

 IN ASSEMBLY

 February 20, 2025
 ___________

 Introduced by M. of A. K. BROWN -- read once and referred to the Commit-
 tee on Governmental Operations

 AN ACT to amend the executive law, in relation to directing the state
 comptroller to conduct an audit of the department of health and other
 agencies to ensure that the agency meets its responsibilities to
 review and assess Medicaid managed care organizations for compliance
 with federal and state requirements to maintain adequate health care
 providers within network, and to meet mental health and substance use
 disorder parity requirements

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

 1 Section 1. The executive law is amended by adding a new section 41-b
 2 to read as follows:
 3 § 41-b. Audits of agencies by the comptroller. 1. At least once every
 4 three years, the state comptroller shall conduct an audit of the depart-
 5 ment of health, and any other department, bureau, board, commission,
 6 authority or any other agency or instrumentality of the state deemed
 7 necessary by the state comptroller, for the purpose of ensuring the
 8 state meets its responsibility to review and assess managed care organ-
 9 izations, including health management organizations, prepaid health
 10 services plans, and HIV special need plans that provide health insurance
 11 coverage through the New York state Medicaid program, for compliance
 12 with federal and state mental health and substance use disorder parity
 13 requirements.
 14 2. (a) Upon completion of such audit, the state comptroller shall
 15 publish a report that details the results of such audit including, but
 16 not limited to, a determination of the state's effectiveness in measur-
 17 ing and evaluating Medicaid managed care organizations for compliance
 18 with statutory and regulatory requirements pursuant to article forty-
 19 four of the public health law. Such requirements to be considered and
 20 evaluated shall include annual reports of complaints of fraud and abuse,

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD09647-01-5

 A. 5825 2

 1 as well as a plan to remedy such deficiencies submitted by Medicaid
 2 managed care organizations, managed care organization compliance in
 3 maintaining a network of health care providers adequate to meet the
 4 needs of plan enrollees, and adherence to federal and state mental
 5 health and substance use disorder parity requirements by managed care
 6 organizations. The state comptroller shall also determine if each Medi-
 7 caid managed care organization is compliant with federal and state
 8 requirements and provide thorough explanations detailing the reason, or
 9 reasons for each Medicaid managed care organization compliance determi-
 10 nation.
 11 (b) The state comptroller shall provide such report to the governor,
 12 the attorney general, the temporary president of the senate, the speaker
 13 of the assembly, the minority leader of the senate, the minority leader
 14 of the assembly, the chair and the ranking member of the senate commit-
 15 tee on alcoholism and substance use disorders, the chair and the ranking
 16 member of the assembly committee