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NY S03358

Bill

Status

Introduced

1/27/2025

Primary Sponsor

Gustavo Rivera

Click for details

Origin

Senate

2025-2026 General Assembly

AI Summary

  • Requires claims for services from licensed home care agencies and fiscal intermediaries to be submitted only on forms approved by the Centers for Medicare and Medicaid Services (CMS)

  • Allows home care agencies and fiscal intermediaries to submit claims directly to insurers or through a billing entity of their own choosing

  • Prohibits insurers from requiring home care agencies or fiscal intermediaries to use a specific billing entity by contract or other action

  • Prohibits insurers from impeding the timely processing and payment of claims

  • Preserves insurers' ability to review and audit claims for fraud, waste, and abuse

  • Takes effect 30 days after becoming law

Legislative Description

Provides that the submission of claims for services provided by home care agencies shall be done on forms approved by the centers for Medicare and Medicaid services.

Last Action

REFERRED TO HEALTH

1/7/2026

Committee Referrals

Health1/7/2026
Rules6/13/2025
Health1/27/2025

Full Bill Text

No bill text available