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
Role
Legislator
Party
State
District
P
Lea Webb
DDemocratic/Working Families
Co
NF
Nathalia Fernández
DDemocratic
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