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NY A04793

Bill

Status

Introduced

2/6/2015

Primary Sponsor

James Brennan

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Origin

Assembly

2015-2016 General Assembly

AI Summary

  • Expands medical assistance presumptive eligibility to cover individuals discharged from mental hospitals, correctional facilities, or local correctional facilities for mental illness treatment for 90 days from discharge.

  • Requires applicants to be certified as severely and persistently mentally ill by a physician, lack insurance coverage, and appear otherwise eligible for medical assistance to qualify for presumptive eligibility.

  • Limits payment for mental illness treatment services to 100 percent of the standard rate payable under medical assistance, with no local share in costs during the presumptive eligibility period.

  • Requires the Department of Health to submit an evaluation of the expanded program to the governor and legislature by March 31, 2018, including effects on access, quality, and cost of care.

  • Establishes that if ineligibility determinations exceed 15 percent in a local district, payments for subsequently ineligible persons shall be reimbursed according to existing provisions rather than from state funds alone.

Legislative Description

Ensures that uninsured persons discharged from mental hospitals have continuous access to medications; expands the medical assistance presumptive eligibility program to include persons without insurance who are discharged from psychiatric inpatient care; requires the department health to submit a report on the impact of expanding the program to include persons discharged from psychiatric inpatient care.

Last Action

referred to social services

1/6/2016

Committee Referrals

Social Services2/6/2015

Full Bill Text

No bill text available