Bill > S05173

This bill amends the social services law to prohibit medical assistance providers from refusing to provide care, services, or supplies to individuals who are dually eligible for both Medicaid and Medicare. Specifically, the bill adds a provision that if a medical assistance provider offers services under the Medicare program (a federal health insurance program primarily for people 65 and older or with certain disabilities), they cannot refuse to provide the same services to a patient who is eligible for both Medicare and Medicaid. The bill defines a "medical assistance provider" broadly, including any person, firm, partnership, hospital, or entity providing care under the title. The new provision aims to ensure that dually eligible patients receive the same level of care across both insurance programs. The bill also requires the commissioner of health to make any necessary amendments to the state medical assistance plan to implement this change, and it will take effect 180 days after becoming law. This legislation addresses potential discrimination or unequal treatment of patients who have coverage through both Medicaid and Medicare.

Health and Social Services

https://www.nysenate.gov/legislation/bills/2025/S5173