S 1484: Reimburses counties who have purchased or will purchase Medicaid fraud detection software.

  
  STATE OF NEW YORK ________________________________________________________________________ 1484 2025-2026 Regular Sessions  IN SENATE January 10, 2025 ___________ Introduced by Sen. O'MARA -- read twice and ordered printed, and when printed to be committed to the Committee on Health AN ACT to amend the social services law, in relation to the state reimbursement of county payments for medical assistance fraud, waste and abuse detection software The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Subdivision 1 of section 368-a of the social services law 2 is amended by adding a new paragraph (aa) to read as follows: 3 (aa) (i) Notwithstanding any other provision of law, the full amount 4 expended by the local social services district for medical assistance 5 fraud, waste and abuse investigations via the use of data mining soft- 6 ware shall be reimbursed by the state if the county has previously 7 purchased or intends to purchase such software. For the purposes of this 8 paragraph, "data mining software" shall mean a database application that 9 utilizes advanced data searching capabilities and statistical analyses 10 to discover patterns and correlations in the use and abuse of medical 11 assistance practices. Any county that has previously purchased such 12 software must supply adequate documentation, including any receipts, 13 that details such purchase. The state shall disburse grants, when appli- 14 cable, from the general fund for this purpose. 15 (ii) The commissioner of health may develop rules and regulations as 16 necessary to carry out the provisions of this paragraph. 17 § 2. This act shall take effect immediately. EXPLANATION--Matter in italics (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD03734-01-5