Provides parity to durable medical equipment providers by requiring Medicaid managed care organizations to reimburse such providers at no less than one hundred percent of the medical assistance durable medical equipment and complex rehabilitation technology fee schedule for the same service or item.
Sen. Gustavo Rivera
Sponsored bills
Maddy summaryThis bill simplifies enrollment and recertification processes for Medicaid recipients in New York, particularly those requiring long-term care. It mandates that eligible individuals who have not chosen a managed care plan after 120 days of need be automatically assigned to one based on factors like quality and location. Additionally, the law allows people to confirm their financial resources without submitting new documentation if their situation has not changed, and it establishes automatic recertification for specific groups, such as those receiving fixed Social Security income or Medicare savings. While these changes aim to reduce administrative burdens, recipients must still report significant changes in their income or circumstances, and the bill includes provisions for hearings if eligibility is later denied.
Requires that any penalties for violations of housing standards or building and fire codes be assessed and imposed within fourteen days; increases certain fine amounts for violations of housing standards.
Maddy summaryThis bill requires public water systems serving specific residential areas to identify and inspect for lead service lines. It defines a covered water system as one serving at least fifteen connections or regularly providing water to twenty-five year-round residents. The law mandates that these systems offer free inspections and outlines a process where, if a property owner does not respond within thirty days, consent can be obtained from other adult occupants living on the property. Additionally, the bill allows water systems to take steps authorized by local codes to secure access if consent is initially refused, while ensuring that non-owner occupants are not held liable for consenting to the inspection.
Maddy summaryThis bill requires that medical services offered at school-based health centers be provided directly to eligible students rather than through managed care programs. It mandates that these specific services continue to operate outside of the standard managed care system used for medical assistance recipients. The change ensures that care delivered in schools bypasses the usual managed care structure, though the bill has been substituted by another version and remains under consideration.
Requires a caller making a report of suspected child abuse or maltreatment to the central registry to leave their name and contact information; prohibits the office of children and family services from releasing information identifying a person who made such a report.
Requires periodic reviews of pending applications for material change in the coverage status of certain matters relative to new health technology assessment or medical evidence.
Prohibits the sale of certain products that contain regulated perfluoroalkyl and polyfluoroalkyl substances; requires manufacturers of products containing PFAS to provide notice of such fact to persons that offer the products for sale or distribution; provides penalties for violations.
Prevents the displacement of call center workers who provide call center services for the government in certain circumstances; provides protections for call center workers when contracts with call center contractors are terminated; requires new call center contractors to hire existing call center workers; protects collective bargaining agreements.
Includes implants, replacement dental prosthetic appliances, crowns and root canals as medically necessary dental care and services for coverage under the Medicaid program if a qualified dentist authorizes the procedures.