New York 2025-2026 Regular Session

New York Assembly Bill A00283

Introduced
1/8/25  
Refer
1/8/25  
Report Pass
5/19/25  
Refer
5/19/25  

Caption

Directs the commissioner of health to contract with an independent entity to conduct a comprehensive assessment of the existing methodology used to determine payment for early intervention screenings, evaluations, services and service coordination; directs recommendations on reimbursement methodology as well as needs under the program.

Summary

This bill directs the New York State Commissioner of Health to hire an independent entity to conduct a comprehensive review of the Early Intervention Program. The study must examine how services are delivered, including in-person and telehealth models, and assess whether current reimbursement rates are adequate, effective, and aligned with the full implementation of individualized family service plans. It also requires analysis of the state’s payment methodology for screenings, evaluations, services, and service coordination, along with comparisons to other states and an evaluation of provider costs, travel time, administrative burdens, and salary levels for comparable professionals outside the program. The review must also consider program quality, efficiency, accessibility, and service utilization across different service models such as group, individual, facility-based, and home-based services. In addition, it must estimate the number of children likely to need early intervention services over the next five years, the workforce needed to meet that demand, and opportunities for input from parents, caregivers, providers, and municipalities. The commissioner must submit a report with findings and recommendations within two years, and the Department of Health must issue a request for proposals within 180 days after the act becomes law.

Impact

The bill does not directly change reimbursement rates or program rules immediately, but it creates a formal state review process that could lead to future amendments to the Public Health Law and related regulations governing early intervention. It requires the Department of Health to contract for an independent study and to produce recommendations on payment methodology, service delivery models, and measures to address barriers such as bilingual service needs, travel time, technology access, geographic disparities, and historically underserved areas. The bill would affect the Department of Health, early intervention providers, municipalities, families of eligible children, and potentially the state budget if later recommendations result in higher reimbursement or expanded service capacity.

Sentiment

The available voting history suggests strong support for the bill, with the Assembly Health Committee advancing it unanimously by a 24-0 vote. The bill’s framing emphasizes program adequacy, access, and workforce needs, indicating broad interest in improving early intervention services rather than reducing them. No committee transcript is available, but the committee action implies a generally favorable view of the proposal.

Contention

The main issues likely to draw scrutiny are the cost and scope of the required study, and whether any future recommendations could increase state or local spending through higher reimbursement rates or expanded service requirements. Stakeholders may differ on how payment methodology should be changed, including whether to use enhanced rates, modifiers, or other adjustments for telehealth, bilingual services, travel time, and regional cost differences. Providers and advocates are likely to support a review of underpayment and access barriers, while budget-conscious policymakers may focus on fiscal implications and the feasibility of implementing recommendations statewide.

Companion Bills

NY S01222

Same As Directs the commissioner of health to contract with an independent entity to conduct a comprehensive assessment of the existing methodology used to determine payment for early intervention screenings, evaluations, services and service coordination; directs recommendations on reimbursement methodology as well as needs under the program.

Previously Filed As

NY S01222

Directs the commissioner of health to contract with an independent entity to conduct a comprehensive assessment of the existing methodology used to determine payment for early intervention screenings, evaluations, services and service coordination; directs recommendations on reimbursement methodology as well as needs under the program.

NY S01198

Directs the commissioner of health to do a comprehensive assessment of the existing methodology used to determine payment for early intervention screenings, evaluations, services and service coordination; directs recommendations on reimbursement methodology as well as needs under the program.

NY S1061

Amends existing law regarding the director's ability to issue orders regarding methodologies for determining material injury under the rules for conjunctive management.

NY S07918

Relates to reimbursement for anesthesia services; provides that an insurer may use a time related reimbursement methodology for anesthesia services if such methodology is based upon criteria established by an independent organization.

NY A05375

Relates to reimbursement for anesthesia services; provides that an insurer may use a time related reimbursement methodology for anesthesia services if such methodology is based upon criteria established by an independent organization.

NY S10296

Establishes minimum compensation standards for the reimbursement of home health agencies and persons employed thereof; directs the commissioner of health, in consultation with the commissioner of the office for people with developmental disabilities to develop methodologies to determine such minimum compensation standard.

NY S09393

Requires insurance carriers to provide access to underwriting models or granular claim data to the department of financial services to evaluate underwriting practices and risk assessment methodologies.

NY SB1382

Medicaid; establishing the Diabetes Prevention Program; specifying certain services, coverage limits, and payment methodologies. Effective date.

NY S09056

Directs the commissioner of transportation to enter into a contract with a third-party entity to conduct a comprehensive study of worker safety on highway road projects.

NY SB1648

Medicaid; creating the Healthy Moms, Healthy Babies Act; requiring coverage and reimbursement of specified services; requiring certain reimbursement methodology. Effective date.

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