Bill

Bill > A04908


NY A04908

NY A04908
Prohibits medical assistance providers from refusing to furnish care, services or supplies to any person who is entitled to receive such care, services or supplies under this title if such medical assistance provider furnishes the same care, services or supplies under the Medicare program pursuant to title XVIII of the federal social security act and the person is dually eligible under that program.


summary

Introduced
02/10/2025
In Committee
01/07/2026
Crossed Over
Passed
Dead

Introduced Session

2025-2026 General Assembly

Bill Summary

AN ACT to amend the social services law, in relation to prohibiting medical assistance providers from refusing to furnish care, services or supplies to any person who is entitled to receive such care, services or supplies under Medicaid because benefits payable under Medicaid are payable as secondary insurance

AI Summary

This bill amends the social services law to prohibit medical assistance providers (which include hospitals, firms, and other entities providing care under Medicaid) from refusing to furnish care, services, or supplies to any person who is dually eligible for both Medicaid and Medicare. Specifically, if a medical assistance provider offers the same care, services, or supplies under the Medicare program (Title XVIII of the federal Social Security Act), they cannot refuse to provide those services to a dually eligible patient under Medicaid. The bill also maintains existing provisions that prevent medical assistance providers from soliciting, receiving, or offering payments for service referrals or purchases under Medicaid. The amendments are designed to ensure that dually eligible patients receive consistent medical care across both Medicare and Medicaid programs. The bill will take effect 180 days after becoming law, and the commissioner of health is authorized to make necessary amendments to the state medical assistance plan to implement these changes.

Committee Categories

Health and Social Services

Sponsors (4)

Last Action

referred to health (on 01/07/2026)

bill text


bill summary

Loading...

bill summary

Loading...
Loading...