Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Jan 04, 2012 |
referred to health returned to senate died in assembly |
Jun 15, 2011 |
referred to health delivered to assembly passed senate |
Feb 07, 2011 |
advanced to third reading |
Feb 01, 2011 |
2nd report cal. |
Jan 31, 2011 |
1st report cal.41 |
Jan 05, 2011 |
referred to health |
Senate Bill S379
2011-2012 Legislative Session
Sponsored By
(R, C, IP) Senate District
Archive: Last Bill Status - In Senate Committee Health Committee
- Introduced
-
- In Committee Assembly
- In Committee Senate
-
- On Floor Calendar Assembly
- On Floor Calendar Senate
-
- Passed Assembly
- Passed Senate
- Delivered to Governor
- Signed By Governor
Actions
Votes
2011-S379 (ACTIVE) - Details
- Current Committee:
- Senate Health
- Law Section:
- Social Services Law
- Laws Affected:
- Amd ยง367-b, Soc Serv L
- Versions Introduced in Other Legislative Sessions:
-
2009-2010:
S7520
2013-2014: S2934
2011-S379 (ACTIVE) - Sponsor Memo
BILL NUMBER:S379 TITLE OF BILL: An act to amend the social services law, in relation to a medical assistance information and payment system PURPOSE OR GENERAL IDEA OF BILL: To provide a more cost effective and efficient method to determine the third party eligibility of Medicaid claims for prescription drugs, while at the same time generating hundreds of millions of dollars for New York State taxpayers. SUMMARY OF SPECIFIC PROVISIONS: Section one of the bill directs the department of health to implement an initiative establishing an automated real time prospective pre claims payment review process. Section two of the bill directs the Department to issue an RFP within ninety days of the effective date. Section three of the bill provides for an immediate effective date. JUSTIFICATION:
2011-S379 (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 379 2011-2012 Regular Sessions I N S E N A T E (PREFILED) January 5, 2011 ___________ Introduced by Sen. HANNON -- read twice and ordered printed, and when printed to be committed to the Committee on Health AN ACT to amend the social services law, in relation to a medical assistance information and payment system THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Subparagraph 2 of paragraph (b) of subdivision 8 of section 367-b of the social services law, as amended by chapter 109 of the laws of 2007, is amended to read as follows: (2) Coordination of benefits. Develop, test and implement an automated process to improve the coordination of benefits between the medical assistance program and other sources of coverage for medical assistance recipients. Such initiative shall initially examine the savings poten- tial to the medical assistance program through retrospective review of claims paid which shall be completed not later than January thirty- first, two thousand seven. If, based upon such initial experience, the Medicaid inspector general deems the automated process to be capable of including or moving to a prospective review, with negligible effect on the turnaround of claims for provider payment or on recipient access to services, then the Medicaid inspector general in subsequent tests shall examine the savings potential through prospective, pre-claims payment review. PROVIDED, HOWEVER, THAT THE DEPARTMENT OF HEALTH SHALL IMPLE- MENT AN INITIATIVE ESTABLISHING AN AUTOMATED REAL TIME PROSPECTIVE PRE- CLAIMS PAYMENT REVIEW PROCESS, INCLUDING, BUT NOT LIMITED TO, A PRIOR PHARMACY AUTHORIZATION AND PRE-PHARMACY CLAIMS REVIEW OF ALTERNATIVE INSURANCE COVERAGE PROGRAM, PROVIDED HOWEVER THAT ANY SUCH INITIATIVE HAS MINIMAL INITIAL COSTS TO THE DEPARTMENT OF HEALTH. ANY INITIATIVE IMPLEMENTED BY THE DEPARTMENT OF HEALTH SHALL HAVE A NEGLIGIBLE EFFECT ON THE TURNAROUND OF CLAIMS FOR PROVIDER PAYMENT OR ON RECIPIENT ACCESS TO SERVICES AND DEMONSTRATE SAVINGS POTENTIAL. EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted.
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