This bill establishes regional minimum hourly payment rates that Medicaid must reimburse home care providers for services delivered to Medicaid patients. It directly affects home care agencies and providers employing aides covered by minimum wage laws, requiring rates to cover all direct care costs - including base wages, overtime, benefits, taxes, and mandated programs like COVID-19 sick pay. The commissioner must set these rates regionally based on cost factors, adjust them annually for labor law changes, and publish them publicly. Oversight includes comptroller reviews of managed care contracts to ensure rates meet the minimum standards.
This bill establishes a new health coverage option under New York's 1332 state innovation program, allowing the state to create a health plan for specific uninsured New Yorkers who don't qualify for Medicaid or ACA marketplace plans. It directly affects residents under 65 with household incomes between 133% and 250% of the federal poverty line, including some noncitizens ineligible for Medicaid due to immigration status. Key provisions include requiring coverage for essential health services (like cancer care access at Medicaid rates, dental, vision, and chronic illness support), automatic enrollment for children born to eligible parents, and continued coverage during pregnancy for one year postpartum. The program requires federal approval under the ACA's Section 1332 waiver process and operates alongside existing Medicaid and marketplace plans.
This bill expands Medicaid coverage to include services provided by school psychologists who are certified or authorized under New York's education law. It directly affects students in public schools, as it allows school psychologists to bill Medicaid for services that were previously not covered under the program. The key provision adds school psychologists to Medicaid's covered providers, specifying that this change does not alter their existing scope of practice defined by education law. The bill requires state agencies to implement necessary rule changes before its effective date, 180 days after enactment.
This bill eliminates the "look-back period" for Medicaid applicants receiving home care (non-institutionalized individuals), meaning their past asset transfers won't be reviewed to determine eligibility. It repeals a specific provision in the Social Services Law that previously required a 60-month review of asset transfers for home care applicants. The bill changes the eligibility rules to remove this review period, directly affecting people applying for community-based long-term care services instead of nursing home care. The change applies to non-institutionalized applicants and removes the requirement for reviewing asset transfers made within a specified look-back window.
This bill automatically grants Medicaid eligibility to workers participating in strikes or labor disputes, directly affecting those who would otherwise lose coverage during such work stoppages. It requires Medicaid coverage to be limited to the duration of the strike, with no requirement to count personal resources toward medical costs. The health commissioner must establish regulations for eligibility, covered services, and a process for temporary "presumptive eligibility" based on preliminary information from qualified entities. The policy change takes effect immediately upon enactment.
Defines "mental health clubhouse"; provides that the department of health, in consultation with the office of mental health, shall authorize Medicaid reimbursement for services provided by mental health clubhouses.
Provides that where the commissioner of health assumes the responsibility for the transportation of medicaid recipients in rural areas, existing public transportation systems shall be used when such systems are appropriate, available and the least expensive modes of transportation.
This New York bill requires state health programs (like Medicaid) to cover medical marijuana as a prescription drug under specific laws, but does not mandate coverage for private insurance plans. It clarifies that medical marijuana dispensed legally should not be classified as a "drug" in school policies. The law directly affects patients using medical marijuana under New York's program and impacts coverage in state-run health programs, including Medicaid and elder care benefits. Private insurers remain free to decide whether to cover medical marijuana.
This bill allows licensed creative arts therapists (as defined under New York's Education Law Article 163) to bill Medicaid directly for their services. It amends the social services law to explicitly include these therapists in the list of providers permitted to bill Medicaid directly for covered mental health services. The change affects creative arts therapists who currently provide services within their scope of practice but may have previously needed intermediaries to access Medicaid reimbursement. The bill does not alter their scope of practice or expand covered services - it only changes the billing mechanism. This would streamline payment for these therapists while maintaining existing Medicaid coverage rules.
This bill requires the state to reimburse counties for costs incurred when purchasing or planning to purchase software that detects Medicaid fraud patterns. Counties must provide documentation like receipts to prove their software purchases. The state will fund these reimbursements using general budget money, with the Health Commissioner able to establish necessary rules for implementation.
