This bill (S 4955) sets new standards for how New York's Medicaid Inspector General audits and reviews payments to healthcare providers. It requires the Inspector General to follow specific protocols when checking claims, cost reports, or payments, including providing providers access to applicable standards before audits begin. Key provisions include mandating detailed explanations in audit reports, considering factors like whether errors were minor clerical mistakes (e.g., transposed codes), and limiting recoupment for isolated errors. The bill directly affects Medicaid providers who receive state medical assistance payments, ensuring audits are transparent, fair, and based on clear, documented procedures.
This bill (S 6551) requires health insurance plans in New York to cover image-guided breast biopsies when recommended by a physician based on nationally recognized clinical guidelines. It directly affects patients seeking breast cancer screening and diagnosis, as well as insurance companies that must now include this specific procedure in mandatory coverage. The bill amends insurance law to explicitly add "image-guided breast biopsies" to the list of covered services alongside mammograms, ultrasounds, and MRI scans. Coverage applies only when the procedure aligns with evidence-based guidelines developed by independent medical organizations. The change takes effect January 1, 2026, for all new or renewed insurance policies.
Exempts any covered substance use disorder and mental health treatment services and all FDA approved medications for the treatment of substance use disorder, HIV, hepatitis C and mental health conditions, from all recipient restriction program coverage and payment restrictions.
Directs the commissioner of the office of mental health to promulgate rules and regulations prohibiting any suicide prevention or mental health services hotline operated or sponsored by the state from being automated.
This bill amends New York's insurance law to require health insurers to cover image-guided breast biopsies as part of mandatory breast cancer screening. It directly affects patients seeking breast cancer detection and insurers who must provide this coverage when recommended by a physician following nationally recognized clinical guidelines. The key change adds "image-guided breast biopsies" to the list of covered screening and diagnostic imaging procedures, alongside mammograms and ultrasounds. Coverage applies only when the procedure is recommended by a physician and aligns with evidence-based clinical guidelines. The requirement takes effect January 1, 2026, for new or renewed insurance policies.
Includes implants, replacement dental prosthetic appliances, crowns and root canals as medically necessary dental care and services for coverage under the Medicaid program if a qualified dentist authorizes the procedures.
This bill establishes a licensing system for dietitians and nutritionists in New York. It defines "licensed dietitian" and "licensed nutritionist," requiring professionals to meet specific education and training standards to practice. The law restricts the use of titles like "dietitian" or "nutritionist" to only those who are licensed, and specifies that only licensed professionals can provide medical nutrition therapy and therapeutic diets for health conditions. It also clarifies the scope of practice for both professions, including services like nutrition counseling and managing dietary needs for chronic diseases.
Establishes a clinical preceptorship personal income tax credit for certain health care professionals who provide preceptor instruction to students studying to be a health care professional.
Authorizes holders of certain operating certificates for treatment of persons with developmental disabilities to provide behavioral analysis services, so long as the professional providing such services is operating within their scope of practice; authorizes holders of such operating certificates to employ or contract with applied behavior analysts and mental health counselors.
Establishes the mental health educational opportunity program and the mental health higher educational opportunity program to provide additional educational opportunities for students at certain universities and colleges in the state to enroll in academic programs that lead to a degree or degrees required for licensure in any of the mental health professions.
