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A 4162

Relates to Medicaid reimbursement rates for private duty nursing

2025 Regular Session Introduced by Amy Paulin

Sets Medicaid reimbursement rates for private duty nursing, changing payments to PDN providers and affecting Medicaid beneficiaries who rely on PDN care.

PRINT NUMBER 4162A
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WeVote Research Nonpartisan
Bill Summary · A 4162

Legislative Summary: A4162A – Relates to Medicaid reimbursement rates for private duty nursing

Overview

  • Bill number: A4162A
  • Title: Relates to Medicaid reimbursement rates for private duty nursing
  • Primary sponsor: Amy Paulin
  • Purpose: The bill addresses Medicaid reimbursement for private duty nursing (PDN) services. The available information confirms that the measure seeks to modify or set Medicaid reimbursement rates specifically for private duty nursing.

Key provisions (as indicated by the bill's scope)

  • The bill would govern how Medicaid reimburses private duty nursing services. The exact statutory changes, such as rate formulas, schedule adjustments, inflation updates, caps, or implementation details, are contained in the bill’s text (not provided here).
  • Any changes would apply to PDN services under the state’s Medicaid program and would influence how providers are compensated for PDN care.

Note: The specific rate calculations, trigger dates, cap limits, provider eligibility requirements, and any associated reporting or regulatory reforms are not detailed in the information available. The official text of A4162A would spell out the precise provisions, timelines, and any phased implementation.

Affected parties

  • Medicaid beneficiaries who rely on private duty nursing services.
  • Private duty nursing providers who bill Medicaid for PDN services.
  • The New York State Department of Health (or applicable state agency administering Medicaid) responsible for PDN payment policies and rate setting.

Procedural history and timeline

  • Introduced: January 31, 2025
  • Legislative action: Referred to the Assembly Committee on Health on January 31, 2025
  • Actions in 2025: Amendments and recomments to Health shown on April 14, 2025
  • Status: PRINT NUMBER 4162A (indicating an amended print version was prepared on or around April 14, 2025)
  • Related legislative activity: A7488 (prior session), companion bills S7705 (in the Senate) and S7705 (companion in another chamber)

Legislative context

  • Sponsor: Amy Paulin (primary)
  • Related bills: A7488 (previous session), S7705 (companion)
  • The amendments and recommittal to Health suggest ongoing consideration and potential refinements before final passage.

Next steps for readers

  • Review the official text of A4162A for exact provisions, rate formulas, effective dates, and implementation details.
  • Monitor health committee actions and floor votes for updates on amendments and timeline.
  • If tracking the fiscal impact, look for the bill’s accompanying fiscal note (if released) and any budget-related provisions.

This summary captures the essential publicly available information about A4162A: its focus on PDN Medicaid reimbursement, key procedural milestones, sponsor, and related bills. For precise language and effective dates, consult the bill’s full text and current legislative status.

Compiled from official sources — confirm details with the bill’s official record.

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