Provides for medical assistance to address the consequences of poliomeyelitis.
TITLE OF BILL: An act to amend the social services law, in relation to medical assistance for poliomeyelitis
PURPOSE OR GENERAL IDEA OF BILL:
This bill would include poliomyelitis, commonly known as polio, in the list of diseases and conditions eligible for Medicaid funding for orthopedic footwear.
SUMMARY OF SPECIFIC PROVISIONS:
Section 1. Paragraph (g) of subdivision 2 of section 365-a of the social services law, as amended by section 7 of part D of chapter 56 of the laws of 2012, is amended to include poliomyelitis.
The Medicaid Redesign Team (ART) was created to reform New York State's Medicaid program and reduce its costs, Various MET recommendations have been adopted in both the 2011-12 and 2012-13 Executive Budgets. One of the areas the MET focused on was reimbursement for the purchase of orthopedic and corrective footwear.
Since April 1st, 2012, Medicaid has only reimbursed providers for prescription orthopedic footwear when it is an integral part of a lower limb orthotic, part of a diabetic treatment plan, or used to treat a child with growth or development problems. It can be argued that polio present just as many challenges to everyday life as the conditions currently eligible under the law. Individuals living with polio can experience vast disparities in the length of their legs and corrective footwear is necessary to compensate for the disparity.
This footwear can cost up to $750, which is quite a sum for an individual or a family on a modest or fixed income. The reinstatement of polio into the list of diseases and conditions eligible for Medicaid funding for orthopedic footwear is a reasonable proposal and will significantly help improve the quality-of-life for those living with the disease.
PRIOR LEGISLATIVE HISTORY:
To be determined,
This act shall take effect on the one hundred twentieth day after it shall have become law.
STATE OF NEW YORK ________________________________________________________________________ 4433 2013-2014 Regular Sessions IN SENATE April 1, 2013 ___________Introduced by Sen. SAVINO -- 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 medical assist- ance for poliomeyelitis THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Paragraph (g) of subdivision 2 of section 365-a of the social services law, as amended by section 7 of part D of chapter 56 of the laws of 2012, is amended to read as follows: (g) sickroom supplies, eyeglasses, prosthetic appliances and dental prosthetic appliances furnished in accordance with the regulations of the department; provided further that: (i) the commissioner of health is authorized to implement a preferred diabetic supply program wherein the department of health will receive enhanced rebates from preferred manufacturers of glucometers and test strips, and may subject non-pre- ferred manufacturers' glucometers and test strips to prior authorization under section two hundred seventy-three of the public health law; (ii) enteral formula therapy and nutritional supplements are limited to coverage only for nasogastric, jejunostomy, or gastrostomy tube feeding, for treatment of an inborn metabolic disorder, or to address growth and development problems in children, or, subject to standards established by the commissioner, for persons with a diagnosis of HIV infection, AIDS or HIV-related illness or other diseases and conditions; (iii) prescription footwear and inserts are limited to coverage only when used as an integral part of a lower limb orthotic appliance, as part of a diabetic treatment plan,
[or]to address growth and development problems in children OR TO ADDRESS CONSEQUENCES OF POLIOMEYELITIS; and (iv) compression and support stockings are limited to coverage only for preg- nancy or treatment of venous stasis ulcers; S 2. This act shall take effect on the one hundred twentieth day after it shall have become a law.EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD07790-01-3