Relates to reimbursement for Medicaid for services required by state law; provides department of health must pay 100% of the non-federal share for services required by state law, not federal.
Summary
Bill A04650 seeks to amend the social services law in New York to ensure that the Department of Health pays 100% of the non-federal share for Medicaid services that are mandated by state law but not required by federal law. This change is intended to provide clarity and assurance regarding the funding of certain Medicaid services that are essential at the state level, thereby potentially enhancing the availability of these services to residents who rely on Medicaid.
Impact
If enacted, this bill would significantly alter the financial responsibilities of the New York State Department of Health regarding Medicaid services. By mandating full reimbursement for the non-federal share of state-required services, it could lead to increased funding for various healthcare services that are not federally mandated, potentially expanding access to care for vulnerable populations in the state.
Sentiment
The sentiment surrounding Bill A04650 appears to be cautiously optimistic, with support from those advocating for enhanced Medicaid services. However, there may be concerns regarding the financial implications for the state budget, as fully covering the non-federal share could strain resources.
Contention
Notable points of contention may arise from fiscal conservatives who are concerned about the potential increase in state expenditures due to the full reimbursement requirement. Additionally, there may be differing opinions on which services should be prioritized for funding under this new mandate, with advocates for various healthcare sectors likely to have differing views.
Relates to reimbursement for Medicaid for services required by state law; provides department of health must pay 100% of the non-federal share for services required by state law, not federal.
Requires the executive office of health and human services to apply to the Centers for Medicare and Medicaid Services for a state plan amendment for reimbursement for health services in a school.
Requires the executive office of health and human services to apply to the Centers for Medicare and Medicaid Services for a state plan amendment for reimbursement for health services in a school.
Community Health, Department of; submit a waiver request to the federal Centers for Medicare and Medicaid Services to authorize the qualification of certain caregivers for Medicaid reimbursement
Medicaid Third Party Liability Act This bill modifies requirements relating to Medicaid third-party liability. Current law generally requires legally liable third parties (e.g., health insurers) to pay claims before Medicaid. However, Medicaid must pay first (and seek reimbursement from liable third parties) for claims for (1) preventive pediatric care, and (2) services for an individual for whom child support enforcement is being conducted by the state. The bill repeals these exceptions. Current law also requires state Medicaid programs to take all reasonable measures to identify legally liable third parties. The bill specifically prohibits federal Medicaid payment for services to individuals for whom third-party insurance information was not obtained and verified by the state.
Protect Medicaid Act This bill prohibits federal payment under Medicaid for the administrative costs of providing health benefits to noncitizens who are ineligible for Medicaid based on their immigration status. The Department of Health and Human Services must report on specified information regarding states that provide health benefits to such individuals.