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NY A05825
Bill
Status
2/20/2025
Primary Sponsor
Keith Brown
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AI Summary
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Requires the State Comptroller to audit the Department of Health and other relevant state agencies at least once every three years to evaluate oversight of Medicaid managed care organizations
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Audits must assess whether managed care organizations comply with federal and state mental health and substance use disorder parity requirements
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Audits must evaluate whether managed care organizations maintain adequate networks of health care providers to meet enrollee needs, and review annual fraud and abuse complaint reports
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Comptroller must publish a report with compliance determinations for each Medicaid managed care organization, including detailed explanations for each determination
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Reports must be submitted to the Governor, Attorney General, and legislative leadership by July 1st following the effective date, with subsequent reports due every three years thereafter
Legislative Description
Directs the state comptroller to conduct an audit of the department of health and other agencies to ensure that the agency meets its responsibilities to review and assess Medicaid managed care organizations for compliance with federal and state requirements to maintain adequate health care providers within network, and to meet mental health and substance use disorder parity requirements.
Last Action
enacting clause stricken
5/20/2025