S 7052 New York Senate · 2025 Regular Session

Relates to the rates of payment for certified home health agencies

This bill requires New York State to establish episodic payments (a payment system based on specific care episodes rather than per visit) as the standard method for reimbursing certified home health agencies starting October 1, 2025. It directly affects Medicaid managed care plans, child health insurance plans, and Essential Health Plans operating in New York by mandating they use this payment system and ensure access to home health services for enrolled members. The law requires the state commissioner to notify these plans annually about their responsibilities, emphasizing that home health services reduce avoidable hospital costs. Plans may still negotiate alternative payment rates with agencies, including value-based options tied to health outcomes.
Bill status in committee 1 of 4 stages cleared
Introduction
Mar 2025
Committee Review
Floor Vote
Governor
Introduced Mar 31, 2025 Last action Jan 7, 2026
Maddy AI version diff · 1 comparison

What changed between versions

S7052 S7052A · 4 edits
MODERATE
This bill was amended to add a new sponsor (Sen. Fernandez) and include committee action history. The substantive policy content remains unchanged, with the main addition being a new paragraph (d) to section 3614 of the public health law that establishes episodic payment systems for home health agencies and requires managed care plans to ensure member access to these services.
Scope change
The bill's scope remains focused on amending the public health law regarding payment rates for certified home health agencies. No substantive changes to applicability or eligibility criteria were made.
TECHNICAL

Bill number changed from S7052 to S7052A to reflect committee amendments and recommitment.

ELIGIBILITY

Added Sen. Fernandez as a co-sponsor to the bill.

REQUIREMENT

Added new paragraph (d) requiring Medicaid managed care plans, child health insurance plans, and Essential Plans to make episodic payment systems available and notify members of their responsibilities regarding home health agency access by October 1, 2025 and annually thereafter.

TIMELINE

Established October 1, 2025 as the initial deadline for implementing the episodic payment system requirements, with annual renewals thereafter.

Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
5
Key actions
2
Committee
3
Amendments
2
Jan 7, 2026
Committee
REFERRED TO HEALTH
upper
Jun 6, 2025
Upper · Passed
PRINT NUMBER 7052A
upper
Jun 6, 2025
Upper · Passed
AMEND AND RECOMMIT TO FINANCE
upper
May 13, 2025
Committee
REPORTED AND COMMITTED TO FINANCE
upper
Mar 31, 2025
Committee
REFERRED TO HEALTH
upper
1 primary · 1 co-sponsor

Sponsors