Healthcare (Medicaid)

in committee · New York · Assembly Jan 7, 2026

A 7262: Relates to eligibility for medical assistance for infants up to age three

This bill extends Medicaid eligibility for infants from under age one to under age three, directly benefiting low-income infants and their families. It sets income eligibility at 200% of the federal poverty level (based on household size) and ensures children receiving in-patient medical care at age three remain covered until their treatment ends. The law also automatically extends coverage to infants born to parents already receiving medical assistance. These changes update New York's social services law to align with federal Medicaid rules for infant care.

Topics ✓ HealthcareSupports HealthcareExtends Medicaid eligibility to infants up to age three, expanding coverage access for low-income families under 200% FPL and ensuring continuity for in-patient care.95% confidence

Sub-Topics Children's Health Medicaid

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in committee · New York · Assembly Jan 7, 2026

A 8600: Relates to children's behavioral health outpatient rates

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.

Topics ✓ Budget & TaxesSupports Budget & TaxesDirects healthcare stability fund to increase Medicaid reimbursement rates for children's behavioral health services, explicitly allocating state funds to strengthen public health program funding.95% confidence ✓ HealthcareSupports HealthcareIncreases Medicaid reimbursement for children's behavioral health services and directs funds to expand access, directly supporting mental health care funding and access for minors.95% confidence

Sub-Topics Medicaid Mental Health

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passed both · New York · Assembly Jun 2, 2026

A 6522: Relates to Medicaid accountable care organizations

Bill A 6522 allows specific Medicaid Accountable Care Organizations (ACOs) to purchase group health insurance policies for their members and employees. It permits ACOs comprised solely of private physician practices to offer experience-rated health insurance plans. The bill establishes requirements for these policies, including minimum coverage numbers and methods for premium payment. It also exempts qualifying ACOs from certain small group rating rules, provided they meet criteria such as having a minimum number of employers and a significant Medicaid patient base.

Topics ✓ HealthcareSupports HealthcareBill enables Medicaid ACOs to offer experience-rated insurance plans, expanding coverage options and access for members while exempting them from restrictive rating rules.92% confidence

Sub-Topics Insurance Medicaid

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in committee · New York · Senate Jan 7, 2026

S 5173: Prohibits medical assistance providers from refusing to furnish care, services or supplies to any person for whom Medicaid is secondary insurance

Prohibits medical assistance providers from refusing to furnish care, services or supplies to any person who is entitled to receive such care, services or supplies under this title if such medical assistance provider furnishes the same care, services or supplies under the Medicare program pursuant to title XVIII of the federal social security act and the person is dually eligible under that program.

Topics ✓ HealthcareSupports HealthcareProhibits providers from denying care to dual-eligible patients (Medicare/Medicaid), improving access and protecting patient rights under healthcare coverage policies.90% confidence

Sub-Topics Medicaid Medicare

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in committee · New York · Senate Jan 7, 2026

S 4083: Establishes mandatory minimum medicaid coverage for hospital confinement for childbirth

Requires all insurance policies and health maintenance organization contracts to provide coverage for maternity patients and their newborns for hospital stays of at least 48 hours following childbirth by natural delivery and 96 hours following childbirth by caesarean section; provides similar coverage for patients who are recipients of medicaid.

Topics ✓ HealthcareSupports HealthcareMandates extended hospital coverage for childbirth, expanding maternity care access under Medicaid and insurance policies90% confidence

Sub-Topics Hospitals Medicaid Women's Health

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in committee · New York · Assembly Mar 10, 2026

A 8642: Enacts the "NYS health care tax reform act"

Enacts the "NYS health care tax reform act"; establishes a public goods and medicaid subsidy surcharge on insurance corporations; establishes a public goods and medicaid subsidy surcharge on business corporations; establishes a public goods and medicaid subsidy surcharge on pass-through entities; relates to filing fee surcharges; relates to revenues to be included in the health care reform act resources fund; establishes a public goods and medicaid surcharge on misclassified workers.

Topics ✓ Budget & TaxesSupports Budget & TaxesEstablishes corporate surcharges to fund health care reform, increasing tax revenue for public services per bill's revenue allocation to health care fund.90% confidence ✓ HealthcareSupports HealthcareEstablishes surcharges on insurers/businesses to fund healthcare reform, directly increasing dedicated revenues for health care programs.95% confidence

Sub-Topics Business Taxes Fees & Licensing Medicaid

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in committee · New York · Senate May 19, 2026

S 2332: Relates to long term care options for medicaid recipients; repealer

Repeals managed long term care provisions for Medicaid recipients; establishes provisions for fully integrated plans for long term care including PACE and MAP plans.

Topics ✓ HealthcareSupports HealthcareRepeals managed long-term care for Medicaid recipients while establishing integrated PACE/MAP plans, expanding coordinated care access and improving program structure.90% confidence

Sub-Topics Long-Term Care Medicaid

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in committee · New York · Assembly Jan 7, 2026

A 1462: Establishes a mandated window of five business days for both Medicaid and private insurers to respond to pre-authorization claims for testing and/or treatments made by physicians on behalf of oncology patients

Establishes a mandated window of five business days for both Medicaid and private insurers to respond to pre-authorization claims for testing and/or treatments made by physicians on behalf of oncology patients.

Topics ✓ HealthcareSupports HealthcareMandates 5 business days for insurers to respond to pre-authorization claims for oncology patients, improving timely access to critical treatments and reducing care delays.95% confidence

Sub-Topics Medicaid

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in committee · New York · Senate Jan 7, 2026

S 358: Relates to eligibility for home care services under medicaid; repealer

Bill S 358 aims to expand eligibility for personal and home care services funded by Medicaid. It removes specific functional assessment criteria, which currently require individuals to need assistance with a certain number of daily living activities to qualify. This includes removing particular requirements for those with dementia or Alzheimer's diagnoses. The bill directly affects individuals seeking to receive in-home care services through the Medicaid program by making it easier to meet eligibility standards.

Topics ✓ Budget & TaxesSupports Budget & TaxesExpanding Medicaid eligibility increases state spending on home care services, directly funding essential public programs per Budget & Taxes criteria.85% confidence ✓ HealthcareSupports HealthcareBill removes functional assessment barriers, expanding Medicaid home care eligibility for dementia/Alzheimer's patients and others, directly increasing access to health services.95% confidence

Sub-Topics Long-Term Care Medicaid

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in committee · New York · Senate Mar 26, 2025

S 6918: Enacts the "keep kids covered act" to provide automatic continuous enrollment in medical assistance and child health plus for certain children through age five

S 6918, the "Keep Kids Covered Act," ensures children under age six who qualify for medical assistance remain continuously enrolled without interruption. It requires the state to establish an automated system that prevents coverage gaps during annual renewals for these children, directly affecting families with young children previously eligible for Medicaid or Child Health Plus. Key provisions mandate automatic enrollment through age five, eliminate income-based eligibility reviews during this period, and require departments to notify parents of extended coverage rights. The law aims to maintain consistent healthcare access for vulnerable children without requiring additional applications or paperwork from families.

Topics ✓ HealthcareSupports HealthcarePrevents coverage gaps for children under 5 in Medicaid/Child Health Plus via automatic enrollment, strengthening continuous healthcare access and protecting vulnerable populations.95% confidence

Sub-Topics Children's Health Medicaid Tags Children

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