Healthcare (Medicaid)

in committee · New York · Assembly Jan 7, 2026

A 1928: Relates to rural ambulance support

Authorizes the commissioner of health to make adjustments to payments for the provision and reimbursement of transportation costs for the purposes of providing increased access to Medicaid Basic Life Support, Advanced Life Support Level 1, Advanced Life Support Level 2, and Specialty Care Transport in rural communities.

Topics ✓ Budget & TaxesSupports Budget & TaxesAdjusts Medicaid payments for rural ambulance services, increasing government funding for essential healthcare access under state budget appropriations.95% confidence ✓ HealthcareSupports HealthcareAuthorizes Medicaid reimbursement adjustments to increase rural ambulance access, directly expanding emergency care coverage for rural communities.92% confidence

Sub-Topics Hospitals Medicaid

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in committee · New York · Senate Jan 7, 2026

S 326: Increases Medicaid reimbursement payment aggregate for private duty nursing services and care

Increases medicaid reimbursement payment aggregate for private duty nursing services and care by 15 million dollars for period 7/1/26 to 3/31/27, and by 20 million dollars annually thereafter for each period from April 1 to March 31.

Topics ✓ HealthcareSupports HealthcareBill increases Medicaid reimbursement funding by $15M (7/1/26-3/31/27) and $20M annually, directly expanding healthcare program funding for nursing services.95% confidence

Sub-Topics Medicaid

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in committee · New York · Assembly Jan 7, 2026

A 1112: Establishes regional minimum hourly base reimbursement rates for home care aides

This bill requires New York's Commissioner of Health to establish regional minimum hourly reimbursement rates for home care providers serving Medicaid patients. It directly affects home care agencies and providers who employ home care aides, mandating rates that cover all necessary costs - including base wages, benefits, payroll taxes, operational expenses, and compliance costs. The rates must be set regionally based on actual service costs, adjusted annually to reflect labor law changes, and published publicly. Providers must justify any contract rates below these minimums, and the comptroller can audit contracts to ensure adequacy. The goal is to ensure reimbursement rates support fair wages and operational needs for home care workers under Medicaid.

Topics ✓ Budget & TaxesSupports Budget & TaxesMandates reimbursement rates covering payroll taxes and operational costs, ensuring adequate Medicaid funding for home care providers.85% confidence ✓ HealthcareSupports HealthcareMandates regional reimbursement rates covering all costs for Medicaid home care aides, ensuring provider sustainability and access to care.90% confidence ✓ Labor & EmploymentSupports Labor & EmploymentMandates regional minimum reimbursement rates covering base wages, benefits, and operational costs for home care aides, directly advancing fair compensation standards.95% confidence

Sub-Topics Audits & Accountability Long-Term Care Medicaid

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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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in committee · New York · Senate Jan 7, 2026

S 3131: Relates to aligning Medicaid optional benefits with the requirements of article 43 of the insurance law

This bill (S 3131) requires that Medicaid optional benefits for adults over 21 years old must not exceed the minimum health insurance benefit levels required for private health plans under state law. It directly affects adult Medicaid beneficiaries receiving optional services (like dental or vision care), excluding long-term care. The key mechanism sets a cap on these benefits to align them with private insurance minimums, aiming to reduce state Medicaid costs. Implementation requires federal approval for plan changes and gives the health commissioner authority to create necessary regulations.

Topics ✗ Budget & TaxesOpposes Budget & TaxesBill caps Medicaid optional benefits to reduce state costs, directly restricting public program spending under budget management.90% confidence ✗ HealthcareOpposes HealthcareBill caps Medicaid optional benefits (e.g., dental/vision) at private insurance minimums, restricting additional coverage to reduce costs. Limits patient access to expanded services.85% confidence

Sub-Topics Insurance Long-Term Care Medicaid

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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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