New York A 1069: Relates to the functions of the Medicaid inspector general with respect to audit and review of medical assistance program funds

Bill Text

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A01069 Summary:

BILL NOA01069B

&nbsp

SAME ASSAME AS S04955-B

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SPONSORPaulin

&nbsp

COSPNSRRosenthal, Vanel, Simon, Jacobson, Santabarbara, Kelles, McMahon, Gonzalez-Rojas, Burdick, Jensen,
 Beephan, Lucas, Lupardo, Steck, Shimsky, Weprin, Hevesi, Septimo, Levenberg, Simone, Blumencranz,
 Seawright, Ramos, Sayegh, Gibbs, Tapia, Brabenec, Dinowitz, Raga, Meeks, Davila, Woerner, De Los
 Santos, Epstein, Bologna, Bronson, Clark, Gallagher, Kay, Bichotte Hermelyn, Griffin, Lunsford,
 Angelino, Gallahan, Lee

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MLTSPNSR

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Amd §§30-a & 35, add §37, Pub Health L

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Requires the Medicaid inspector general to comply with standards relating to the audit and review of medical assistance program funds.

Go to top A01069 Actions:

BILL NOA01069B

&nbsp

01/08/2025referred to health

02/20/2025amend (t) and recommit to health

02/20/2025print number 1069a

03/18/2025reported referred to ways and means

01/07/2026referred to ways and means

04/14/2026amend and recommit to ways and means

04/14/2026print number 1069b

Go to topA01069 Committee&nbspVotes:

Committee:HEALTH Chair:Paulin 
DATE:03/18/2025AYE/NAY:25/0 Action: Favorable refer to committee Ways and Means PaulinAyeJensenAye

DinowitzAyeGandolfoAye

RosenthalAyeBlumencranzAye

HevesiAyeGrayAye

SteckAyeMaherAye

BraunsteinAyeSlaterAye

SolagesAyeChludzinskiAye

Bichotte HermelAyeNorberAye

SayeghAye

McDonaldAye

ReyesAye

Gonzalez-RojasAye

RajkumarAye

ForrestAye

KellesAye

LucasExcused

MeeksAye

LunsfordAye

Go to topA01069 Floor&nbspVotes:

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

Go to topA01069 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 1069--B

 2025-2026 Regular Sessions

 IN ASSEMBLY

 January 8, 2025
 ___________

 Introduced by M. of A. PAULIN, ROSENTHAL, VANEL, SIMON, JACOBSON, SANTA-
 BARBARA, KELLES, McMAHON, GONZALEZ-ROJAS, BURDICK, JENSEN, BEEPHAN,
 LUCAS, LUPARDO, STECK, SHIMSKY, WEPRIN, HEVESI, SEPTIMO, LEVENBERG,
 SIMONE, BLUMENCRANZ, SEAWRIGHT, RAMOS, SAYEGH, GIBBS, TAPIA, BRABENEC,
 DINOWITZ, RAGA, MEEKS, DAVILA, WOERNER, DE LOS SANTOS, BOLOGNA, BRON-
 SON, CLARK, GALLAGHER, KAY, BICHOTTE HERMELYN, GRIFFIN, LUNSFORD,
 ANGELINO, GALLAHAN -- read once and referred to the Committee on
 Health -- committee discharged, bill amended, ordered reprinted as
 amended and recommitted to said committee -- reported and referred to
 the Committee on Ways and Means -- recommitted to the Committee on
 Ways and Means in accordance with Assembly Rule 3, sec. 2 -- committee
 discharged, bill amended, ordered reprinted as amended and recommitted
 to said committee

 AN ACT to amend the public health law, in relation to the functions of
 the Medicaid inspector general with respect to audit and review of
 medical assistance program funds

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

 1 Section 1. Section 30-a of the public health law is amended by adding
 2 three new subdivisions 4, 5 and 6 to read as follows:
 3 4. "Overpayment" shall mean any amount not authorized to be paid under
 4 the medical assistance program, whether paid as the result of inaccurate
 5 or improper cost reporting, improper claiming, unacceptable practices,
 6 fraud, abuse or mistake.
 7 5. "Applicable standards" shall mean the state laws, regulations and
 8 duly promulgated policies, guidelines, protocols and interpretations of
 9 state agencies with jurisdiction in effect at the time the provider
 10 engaged in the regulated conduct or provision of services that the
 11 inspector general is auditing or reviewing.
 12 6. "Clerical or minor error or omission" shall include mathematical or
 13 computational mistakes; transposed procedure or diagnostic codes; inac-

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD02919-08-6

 A. 1069--B 2

 1 curate data entry; computer errors; duplicate claims; and incorrect data
 2 items, such as provider number, use of a modifier or date of service.
 3 § 2. The public health law is amended by adding a new section 37 to
 4 read as follows:
 5 § 37. Audit and recovery of medical assistance payments to providers.
 6 Any audit or review of any provider contracts, cost reports, claims