Bill
Bill > A02520
NY A02520
Provides parity to durable medical equipment providers by requiring Medicaid managed care organizations to reimburse such providers at no less than one hundred percent of the medical assistance durable medical equipment and complex rehabilitation technology fee schedule for the same service or item.
summary
Introduced
01/17/2025
01/17/2025
In Committee
04/28/2025
04/28/2025
Crossed Over
Passed
Dead
Introduced Session
2025-2026 General Assembly
Bill Summary
AN ACT to amend the social services law, in relation to providing parity to durable medical equipment providers by requiring Medicaid managed care organizations to reimburse such providers at no less than one hundred percent of the medical assistance durable medical equipment and complex rehabilitation technology fee schedule for the same service or item
AI Summary
This bill aims to ensure fair reimbursement for durable medical equipment (DME) providers within New York's Medicaid managed care system. Specifically, the legislation requires Medicaid managed care organizations to reimburse DME providers at a rate of at least 100% of the state's existing medical assistance durable medical equipment and complex rehabilitation technology fee schedule for identical services or items. The term "durable medical equipment" typically refers to medical devices and equipment that can withstand repeated use, such as wheelchairs, hospital beds, oxygen equipment, and prosthetic devices. By mandating this reimbursement parity, the bill seeks to protect DME providers from potentially lower payment rates that might be set by managed care organizations, thereby ensuring these essential healthcare providers can continue to serve Medicaid patients effectively. The bill will take effect 90 days after becoming law, providing a transition period for implementation.
Committee Categories
Budget and Finance, Health and Social Services
Sponsors (52)
Dana Levenberg (D)*,
John McDonald (D)*,
Andrea Bailey (R),
Michael Benedetto (D),
Rodneyse Bichotte Hermelyn (D),
Karl Brabenec (R),
Chris Burdick (D),
Marianne Buttenschon (D),
Robert Carroll (D),
Patrick Chludzinski (R),
Sarah Clark (D),
William Colton (D),
Manny De Los Santos (D),
Joe DeStefano (R),
Jeffrey Dinowitz (D),
Chris Eachus (D),
Mike Fitzpatrick (R),
Jeff Gallahan (R),
Jarett Gandolfo (R),
Jessica González-Rojas (D),
Scott Gray (R),
Steve Hawley (R),
Andrew Hevesi (D),
Chantel Jackson (D),
Josh Jensen (R),
Anna Kelles (D),
Nikki Lucas (D),
Jen Lunsford (D),
Donna Lupardo (D),
Brian Maher (R),
Brian Manktelow (R),
Dave McDonough (R),
Karen McMahon (D),
Demond Meeks (D),
Angelo Morinello (R),
Misha Novakhov (R),
Phil Palmesano (R),
Amy Paulin (D),
Phil Ramos (D),
Linda Rosenthal (D),
Nader Sayegh (D),
Rebecca Seawright (D),
Joseph Sempolinski (R),
Maryjane Shimsky (D),
Jo Anne Simon (D),
Matt Slater (R),
Robert Smullen (R),
Phil Steck (D),
Al Stirpe (D),
Al Taylor (D),
David Weprin (D),
John Zaccaro (D),
Last Action
reported referred to ways and means (on 04/28/2025)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.nysenate.gov/legislation/bills/2025/A2520 |
| BillText | https://assembly.state.ny.us/leg/?default_fld=&bn=A02520&term=2025&Summary=Y&Actions=Y&Text=Y&Committee%26nbspVotes=Y&Floor%26nbspVotes=Y#A02520 |
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