A 2520: 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.

  
  STATE OF NEW YORK ________________________________________________________________________ 2520 2025-2026 Regular Sessions  IN ASSEMBLY January 17, 2025 ___________ Introduced by M. of A. McDONALD, LUPARDO, COLTON, SIMON, MAHER, McDO- NOUGH, BUTTENSCHON, SAYEGH, STIRPE, GALLAHAN, NOVAKHOV, JACKSON, SHIM- SKY, EACHUS, PAULIN, MORINELLO, ZACCARO, HEVESI, STECK, BENEDETTO, BURDICK, SEAWRIGHT, PALMESANO, BICHOTTE HERMELYN, DeSTEFANO, TAYLOR, WEPRIN, MEEKS, DINOWITZ, FITZPATRICK, McMAHON, ROSENTHAL, BRABENEC -- Multi-Sponsored by -- M. of A. LEVENBERG -- read once and referred to the Committee on Health 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 The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Subdivision 4 of section 364-j of the social services law 2 is amended by adding a new paragraph (x) to read as follows: 3 (x) Managed care providers shall pay, directly or indirectly, for 4 durable medical equipment, prosthetics, orthotics, and related supplies 5 at no less than one hundred percent of the medical assistance durable 6 medical equipment and complex rehabilitation technology fee schedule for 7 the same service or item. 8 § 2. This act shall take effect on the ninetieth day after it shall 9 have become a law; provided, however, that the amendments to subdivision 10 4 of section 364-j of the social services law made by section one of 11 this act shall not affect the repeal of such section and shall be deemed 12 repealed therewith. EXPLANATION--Matter in italics (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD04119-01-5