This bill (S 1224) prevents school-based health center services from being delivered to medical assistance recipients (like Medicaid beneficiaries) through private managed care insurance plans. It amends state law to require these services to continue being provided directly outside of managed care programs. The key change ensures that students receiving medical assistance can access school health services through traditional public health channels, not through private insurance networks. The bill was passed by the legislature in June 2025 but was vetoed by the governor on October 16, 2025, so it did not become law.
This bill (S 4167) automatically grants Medicaid eligibility to youth exiting foster care in New York State. Specifically, it makes youth placed under certain Family Court Act sections (353.3 or 353.5) presumptively eligible for Medicaid starting the day they are released from court-ordered placement. This automatic eligibility lasts for up to 60 days or until a formal Medicaid determination is made, whichever comes first. During this period, medical care provided by eligible providers counts as Medicaid-covered services. The bill aims to ensure continuous health coverage for vulnerable youth transitioning out of foster care.
This bill (A 7365) requires New York's Medicaid program to cover medically tailored meals and medical nutrition therapy for eligible beneficiaries. It directly affects Medicaid recipients with chronic conditions who need assistance with daily living activities, such as those managing diabetes or heart disease. The law defines covered services as nutritional assessments, counseling, and prescribed meals provided by certified dietitians or nutritionists, ordered by a healthcare provider. Coverage must align with federal funding rules and focus on disease management. The bill mandates the Health Commissioner to implement regulations within 180 days of enactment.
This bill establishes clear rules for Medicaid coverage of specialized medical equipment called "complex rehabilitation technology" (e.g., customized wheelchairs, adaptive seating) for individuals with severe disabilities like spinal cord injuries or cerebral palsy. It defines "complex needs patients," sets strict requirements for suppliers (including accreditation, on-site evaluations, and repair services), and mandates Medicaid to create proper billing procedures. The bill ensures reimbursement rates account for the high costs of these devices and requires managed care organizations to follow these rules. Its goal is to guarantee reliable access to necessary equipment for qualifying patients.
Increases Medicaid reimbursement rates for certain behavioral health services provided to individuals under the age of twenty-one; directs that funds in the healthcare stability fund can be used for the funding of children's behavioral health outpatient rate increases.
This bill (S 4502) repeals a 2011 law that imposed an annual spending cap on state Medicaid funding and related administrative processes. It specifically removes Sections 91 and 92 of Chapter 59, which limited how much the state could spend on Medicaid each year. By eliminating this cap, the bill allows Medicaid funding to increase without the previous annual spending restriction. This change directly affects the state’s Medicaid program, which provides health coverage to low-income residents, by removing a barrier to funding growth. The repeal would take effect immediately upon enactment.
This bill changes how residential habilitation services are reimbursed for people with developmental disabilities who receive Medicaid. It defines three types of service days: "retainer days" (for medical leave), "service days" (regular care in community residences), and "therapy days" (for family visits or vacations), each paid at 100% of the daily rate but with annual limits (max 14 retainer days per facility capacity and 96 therapy days per person). Starting July 1, 2024, providers will also receive an occupancy adjustment for vacant beds (due to moves or deaths), which adjusts their operating rate by up to 5% based on actual occupancy. These rules apply to facilities licensed or approved by New York's Office for People with Developmental Disabilities.
Authorizes certain facilities to provide treatment for the mental health and health care needs of individuals admitted for a substance use disorder; provides that such services shall be reimbursable by Medicaid and private insurance.
Requires Medicaid to provide comprehensive coverage for the treatment of obesity including coverage for intensive behavioral therapy, bariatric surgery, and FDA-approved anti-obesity medication.
Bill A 8055 proposes to change how outpatient mental health and substance use disorder services are administered under Medicaid. It shifts these services, along with comprehensive Medicaid case management, from a managed care model back to a fee-for-service system. This change, subject to federal approval, directly affects individuals with mental illness or substance use disorder who rely on these services and the licensed facilities that provide them. The bill also requires that any savings generated by this transition be reinvested into community-based behavioral health services.
