S 9507 New York Senate · 2025 Regular Session

Provides additional support to medically fragile children

This bill expands support for medically fragile children by requiring health insurance plans to adjust how they review and approve medical services for this group. It mandates that utilization review decisions consider children's unique developmental needs rather than applying adult standards, and ensures coverage for services like private duty nursing, therapy, and home care that help children reach their maximum functional capacity. The legislation also requires insurers to maintain networks of providers with specialized expertise in medically fragile care, accommodate prolonged discharge plans when needed, and consider family circumstances such as employment and caregiving capacity when arranging care. Additionally, it prohibits medical necessity reviews for certain critical private duty nursing services and allows payment for hospital stays when specialized home care is unavailable during discharge transitions.
Bill status in committee 1 of 4 stages cleared
Introduction
Mar 2026
Committee Review
Floor Vote
Governor
Introduced Mar 18, 2026 Last action Mar 18, 2026
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Total actions
1
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Committee
1
Mar 18, 2026
Committee
REFERRED TO HEALTH
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Toby Stavisky
Toby Stavisky
DDemocratic
NY
11