S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                        6555--B
                              2011-2012 Regular Sessions
                                 I N  A S S E M B L Y
                                    March 21, 2011
                                      ___________
       Introduced  by  M.  of  A. N. RIVERA, JEFFRIES, CRESPO, LINARES, COLTON,
         GIBSON, HEASTIE, SPANO, CASTRO, WEPRIN, J. RIVERA, P. RIVERA,  JAFFEE,
         MONTESANO,  RAIA,  DUPREY, ZEBROWSKI -- Multi-Sponsored by -- M. of A.
         ABBATE, ARROYO, BOYLAND, BROOK-KRASNY, CALHOUN, CAMARA, CONTE, CROUCH,
         GUNTHER, JOHNS, MAISEL, MALLIOTAKIS, McDONOUGH, McENENY, MOYA,  PERRY,
         PRETLOW, RAMOS, RODRIGUEZ, SAYWARD, STEVENSON, TENNEY -- read once and
         referred  to  the  Committee  on  Health -- committee discharged, bill
         amended, ordered reprinted as amended and recommitted to said  commit-
         tee  --  again  reported  from said committee with amendments, ordered
         reprinted as amended and recommitted to said committee
       AN ACT to amend the public health law, in relation to  establishing  the
         Medicaid  identification  and anti-fraud biometric technology program;
         and to amend the  social  services  law,  in  relation  to  conforming
         medical assistance identification with the Medicaid identification and
         anti-fraud biometric technology program
         THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section 1. The public health law is amended by adding  a  new  article
    2  2-B to read as follows:
    3                                  ARTICLE 2-B
    4              MEDICAID IDENTIFICATION AND ANTI-FRAUD BIOMETRIC
    5                             TECHNOLOGY PROGRAM
    6  SECTION 290. MEDICAID IDENTIFICATION AND ANTI-FRAUD BIOMETRIC TECHNOLOGY
    7                 PROGRAM.
    8          291. DEFINITIONS.
    9          292. BIOMETRIC TECHNOLOGY USE REQUIREMENT.
   10          293. RULES AND REGULATIONS.
   11    S  290.  MEDICAID  IDENTIFICATION  AND ANTI-FRAUD BIOMETRIC TECHNOLOGY
   12  PROGRAM. THERE IS HEREBY ESTABLISHED  IN  THE  DEPARTMENT  THE  MEDICAID
   13  IDENTIFICATION AND ANTI-FRAUD BIOMETRIC TECHNOLOGY PROGRAM.
   14    S 291. DEFINITIONS. AS USED IN THIS ARTICLE:
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD09573-08-1
A. 6555--B 2 1 1. "BIOMETRIC TECHNOLOGY" MEANS TECHNOLOGY THAT MEASURES AND ANALYZES 2 BIOLOGICAL DATA, INCLUDING BUT NOT LIMITED TO DNA, FINGER IMAGING, 3 VASCULAR PATTERNS, EYE RETINAS AND IRISES, VOICE PATTERNS, FACIAL 4 PATTERNS AND HAND MEASUREMENTS, FOR AUTHENTICATION PURPOSES. 5 2. "BIOMETRIC VERIFICATION DEVICE" MEANS A DEVICE CAPABLE OF USING 6 BIOMETRIC VERIFICATION TECHNOLOGY TO VERIFY THE IDENTITY OF A MEDICAID 7 RECIPIENT OR PROVIDER. 8 S 292. BIOMETRIC TECHNOLOGY USE REQUIREMENT. 1. THE DEPARTMENT, IN 9 CONSULTATION WITH THE OFFICE OF THE MEDICAID INSPECTOR GENERAL AND THE 10 OFFICE OF THE ATTORNEY GENERAL, SHALL DEVELOP A REQUEST FOR PROPOSALS TO 11 IMPLEMENT A PROGRAM REQUIRING THE USE OF BIOMETRIC TECHNOLOGY BY HOSPI- 12 TALS, CLINICS AND PHARMACIES, FOR THE PURPOSES OF PATIENT AND PROVIDER 13 IDENTIFICATION AND FOR USE AS AN ANTI-FRAUD APPLICATION IN THE MEDICAID 14 PROGRAM. 15 2. SUCH REQUEST FOR PROPOSALS SHALL INCLUDE AT A MINIMUM THAT (A) 16 MEDICAID RECIPIENTS AND PROVIDERS SHALL PROVIDE BIOMETRIC PROOF OF THEIR 17 IDENTITY ALONG WITH OTHER INFORMATION DEEMED NECESSARY BY THE COMMIS- 18 SIONER. 19 (B) SUCH PROGRAM WILL BE CAPABLE OF STORING BIOMETRIC MARKERS AND A 20 LOG OF DOCTOR AND PHARMACY VISITS FOR EACH SERVICE BILLED TO THE MEDI- 21 CAID PROGRAM. 22 (C) MEDICAID IDENTIFICATION SHALL BE ISSUED TO AND ACCEPTED BY THE 23 ADMITTING STAFF OF HEALTH CARE FACILITIES, MEDICAL STAFF PROVIDING 24 SERVICE TO MEDICAID RECIPIENTS AND PHARMACY STAFF. 25 (D) MEDICAID RECIPIENTS SHALL BE REQUIRED TO PROVIDE BIOMETRIC PROOF 26 OF IDENTIFY AT THE TIME OF EACH VISIT TO A DOCTORS OFFICE OR CLINIC AT 27 THE POINT OF ACTUALLY BEING SEEN BY THE DOCTOR OR CLINICAL STAFF, AND 28 SHALL AGAIN PROVIDE PROOF OF IDENTITY UPON COMPLETION OF CARE OR 29 SERVICES. 30 (E) BIOMETRIC VERIFICATION DEVICES SHALL BE USED IN PHARMACIES TO 31 VERIFY THE IDENTITY OF THE MEDICAID RECIPIENT AND THE VALIDITY OF THE 32 MEDICAID COVERAGE PRIOR TO OR IN CONJUNCTION WITH FILLING A 33 PRESCRIPTION. 34 (F) PROVISIONS SHALL BE INCLUDED FOR EMERGENCY SERVICES OR 35 PRESCRIPTIONS AND ALTERNATE IDENTIFICATION METHODS FOR MEDICAID RECIPI- 36 ENTS PHYSICALLY OR MENTALLY UNABLE TO PROVIDE BIOMETRIC IDENTIFICATION. 37 (G) FRAUD PREVENTION MARKERS INCORPORATED INTO SOFTWARE WHICH SHALL BE 38 USED TO OPERATE THE HARDWARE COMPONENT OF THE BIOMETRIC TECHNOLOGY SHALL 39 PREVENT AND/OR REJECT THE PAYMENT BY THE MEDICAID PROGRAM AND ALERT THE 40 SERVICE PROVIDER AT POINT OF SERVICE IF FRAUD OR POTENTIAL FRAUD IS 41 IDENTIFIED BY THE BIOMETRIC TECHNOLOGY SYSTEM. 42 (H) PROVISIONS SHALL BE INCLUDED TO ENSURE THAT MEDICAID RECIPIENTS 43 HAVE ACCESS TO EMERGENCY HEALTH SERVICES IN THE CASE OF A BIOMETRIC 44 TECHNOLOGY SYSTEM MALFUNCTION OR FRAUD DETECTION ALARM. 45 3. SUCH REQUEST FOR PROPOSALS SHALL SET FORTH REQUIREMENTS AS TO THE 46 RESULTS AND GOALS TO BE ACHIEVED, RATHER THAN SPECIFIC TECHNICAL METHODS 47 OR SYSTEMS, TO ALLOW CONSIDERATION OF THE WIDEST POSSIBLE CHOICE OF 48 AVAILABLE TECHNOLOGY. 49 4. SUCH REQUEST FOR PROPOSALS SHALL REQUIRE THAT THE PROGRAM SHALL BE 50 REVENUE NEUTRAL FROM INCEPTION, WHEREBY ANY PROGRAM COSTS ARE AT LEAST 51 OFFSET BY STATE MEDICAID SAVINGS, AND SHALL HAVE AS A PRIMARY GOAL 52 REDUCTION OF MEDICAID EXPENDITURES THROUGH ELIMINATION OF FRAUD AND 53 ABUSE. 54 5. (A) SUCH REQUEST FOR PROPOSALS FOR THE IMPLEMENTATION OF A PROGRAM 55 FOR BIOMETRIC TECHNOLOGY USE SHALL BE PUBLISHED ON OR BEFORE JANUARY
A. 6555--B 3 1 FIFTEENTH, TWO THOUSAND TWELVE, AND SHALL PROVIDE THAT PROPOSALS SHALL 2 BE OPENED ON OR BEFORE MARCH FIRST, TWO THOUSAND TWELVE. 3 (B) THE COMMISSIONER SHALL REPORT TO THE GOVERNOR, THE TEMPORARY PRES- 4 IDENT OF THE SENATE AND THE SPEAKER OF THE ASSEMBLY ON OR BEFORE MARCH 5 THIRTIETH, TWO THOUSAND TWELVE WITH REGARD TO THE PROGRESS MADE IN THE 6 DEVELOPMENT OF CRITERIA FOR A PROGRAM OF BIOMETRIC IDENTIFICATION AND OF 7 THE IMPLEMENTATION OF SUCH PROGRAM. 8 S 293. RULES AND REGULATIONS. THE COMMISSIONER IS AUTHORIZED AND 9 DIRECTED TO PROMULGATE SUCH RULES AND REGULATIONS AS HE OR SHE MAY DEEM 10 NECESSARY OR APPROPRIATE TO EFFECTUATE THE PURPOSES OF THIS ARTICLE. 11 S 2. Subdivision 1 of section 367-b of the social services law, as 12 added by chapter 639 of the laws of 1976, is amended to read as follows: 13 1. The department, IN CONSULTATION WITH THE COMMISSIONER OF HEALTH, 14 shall design and implement a statewide medical assistance information 15 and payments system for the purpose of providing individual and aggre- 16 gate data to social services districts to assist them in making basic 17 management decisions, to the department and other state agencies to 18 assist in the administration of the medical assistance program, and to 19 the governor and the legislature as may be necessary to assist in making 20 major administrative and policy decisions affecting such program. Such 21 system shall be designed so as to be capable of the following: 22 a. receiving and processing information relating to the eligibility of 23 each person applying for medical assistance and of issuing a medical 24 assistance identification card, AND WHEN AVAILABLE UTILIZING THE BIOME- 25 TRIC IDENTIFICATION ISSUED BY THE DEPARTMENT OF HEALTH, CONFORMING TO 26 THE REQUIREMENTS SET FORTH IN THE MEDICAID IDENTIFICATION AND ANTI-FRAUD 27 BIOMETRIC TECHNOLOGY PROGRAM ESTABLISHED PURSUANT TO ARTICLE TWO-B OF 28 THE PUBLIC HEALTH LAW to persons determined by a social services offi- 29 cial to be eligible for such assistance; 30 b. ACTIVATING MEDICAL ASSISTANCE IDENTIFICATION BY REQUIRING AN 31 APPLICANT RECEIVING SUCH IDENTIFICATION FROM THE DEPARTMENT TO HAVE IT 32 VERIFIED AT A SOCIAL SERVICES DISTRICT OFFICE IN THE SOCIAL SERVICES 33 DISTRICT IN WHICH THE APPLICANT RESIDES; 34 C. receiving and processing information relating to each qualified 35 provider of medical assistance furnishing care, services or supplies for 36 which claims for payment are made pursuant to this title; 37 [c.] D. receiving and processing, in a form and manner prescribed by 38 the department, all claims for medical care, services and supplies, and 39 making payments for valid claims to providers of medical care, services 40 and supplies on behalf of social services districts; AND 41 [d.] E. maintaining information necessary to allow the department, 42 consistent with the powers and duties of the department of health, to 43 review the appropriateness, scope and duration of medical care, services 44 and supplies provided to any eligible person pursuant to this chapter[; 45 and 46 e. initiating implementation of such a system for the district 47 comprising the city of New York, in a manner compatible with expansion 48 of such system to districts other than the district comprising the city 49 of New York]. 50 S 3. This act shall take effect immediately.