Relates to Medicaid reimbursement rates for private duty nursing
This bill sets minimum Medicaid reimbursement rates for private duty nursing services starting July 1, 2026. It requires the Department of Health (DOH) to publish a private duty nursing rate schedule at least 30 days before implementation and annually thereafter. Reimbursements must be no less than 80% of the applicable CHAMPUS/TRICARE maximum allowable charge for New York locality. The policy directly affects Medicaid enrollees receiving private duty nursing care and the home care providers delivering these services.
Bill status
in committee
1 of 4 stages cleared
Introduction
Jan 2025
Committee Review
Floor Vote
Governor
Introduced Jan 31, 2025
Last action Jan 8, 2026
Maddy AI version diff · 2 comparisons
What changed between versions
A4162A
→
A4162B
·
3 edits
MINOR
This bill updates the effective date for private duty nursing reimbursement rates from January 1, 2026 to October 1, 2026, and adjusts section numbering in the Social Services Law to reflect a new subdivision. The changes delay when providers must meet the new payment standards while maintaining the same reimbursement requirements.
Scope change
The bill's applicability timeline changed from January 1, 2026 to October 1, 2026 for Medicaid enrollees receiving private duty nursing services.
TIMELINE
Changed the effective date for new Medicaid enrollees from January 1, 2026 to October 1, 2026 in both the Public Health Law and Social Services Law.
Changed the effective date for private duty nursing payment rates from July 1, 2026 to October 1, 2026.
TECHNICAL
Updated section numbering in the Social Services Law from subdivision 40 to subdivision 41 to accommodate the new provision.
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
6
Key actions
4
Committee
2
Amendments
4
Jan 8, 2026
Lower · Passed
PRINT NUMBER 4162B
lower
Jan 8, 2026
Lower · Passed
AMEND AND RECOMMIT TO HEALTH
lower
Jan 7, 2026
Committee
REFERRED TO HEALTH
lower
Apr 14, 2025
Lower · Passed
PRINT NUMBER 4162A
lower
Apr 14, 2025
Lower · Passed
AMEND AND RECOMMIT TO HEALTH
lower
Jan 31, 2025
Committee
REFERRED TO HEALTH
lower
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Amy Paulin
DDemocratic
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