An Act to facilitate timely access to quality health care by expanding access to patient navigation
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed House
- Passed Senate
- To Governor
- Became Law
Overview
This bill aims to improve access to quality healthcare by expanding the availability of patient navigation services. It defines key terms like ‘community health worker’ and ‘patient navigation services,’ which include services like chronic disease screening, social needs assessments, health education, and support for patients transitioning between care settings. The bill requires health insurers and Medicaid managed care organizations to cover these services and establishes reimbursement guidelines for trained patient navigators.
Key provisions
- Defines ‘community health worker’ and ‘patient navigation services’.
- Requires health insurers and Medicaid managed care organizations to cover patient navigation services.
- Establishes reimbursement for trained patient navigators who hold relevant certifications.
- Mandates the Executive Office of Health and Human Services to seek federal authorization and maximize federal funding.
- Requires the Office of Medicaid to create regulations to implement the bill.
- Sets a start date of January 1, 2026, for the bill’s application.
- Allows for the approval of other training or certification programs beyond national patient navigation certifications.
Who is affected
- Individuals eligible for screening, follow-up, or treatment services.
- Community health workers.
- Health insurers and health plans.
- Medicaid managed care organizations.
Bill text
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Sponsors
Official sponsors from legislative records.
22 on record
Primary sponsor
Joint Committee on Financial Services
Cosponsors
Amy Mah Sangiolo
Danillo A. Sena
David Paul Linsky
Arguments
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