Bill > S09219

This bill aims to improve accountability within the Medicaid program by implementing several key measures. It mandates routine annual cross-checks of Medicaid enrollment data against various sources, including death records and federal eligibility information, to ensure ongoing accuracy and prevent improper payments to individuals who are deceased, duplicatively enrolled, or no longer eligible, all while preserving existing eligibility standards and due process. The bill also requires the Office of the Medicaid Inspector General to conduct regular audits of high-risk areas within the Medicaid program, such as managed care premium payments, claims processing, and billing accuracy, and to implement corrective action plans and recover improper payments. Furthermore, it establishes a limited pilot program for biometric verification, excluding facial recognition, to confirm service delivery or beneficiary identity in high-risk settings, with strict data privacy safeguards and alternatives for individuals with disabilities or hardship. Finally, the bill introduces payment safeguards for managed care programs, allowing for premium payments to be held in escrow during eligibility verification processes and ensuring that reports on audit findings and program integrity efforts are provided to the legislature.

Health and Social Services

https://www.nysenate.gov/legislation/bills/2025/S9219