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NY A08781
Bill
Status
6/2/2025
Primary Sponsor
Phillip Steck
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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 the state effectively ensures managed care organizations comply with federal and state mental health and substance use disorder parity requirements
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Reviews must evaluate managed care organization compliance with maintaining adequate networks of health care providers, handling fraud and abuse complaints, and submitting deficiency remediation plans
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Comptroller must publish reports 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, legislative leaders, and chairs/ranking members of relevant Senate and Assembly committees by July 1st following the act's effective date, with subsequent reports due every three years
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
referred to governmental operations
1/7/2026