Healthcare (Medicaid)

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 Jan 7, 2026

S 1499: Directs the commissioner of the department of health to apply for a waiver to implement a work requirement for able-bodied adult recipients of Medicaid

Directs the commissioner of the department of health to apply for a waiver to implement a work requirement for able-bodied adult recipients of Medicaid.

Topics ✗ HealthcareOpposes HealthcareImposes work requirement on Medicaid recipients, restricting access to healthcare coverage for able-bodied adults per bill's explicit directive to apply for waiver.90% confidence

Sub-Topics 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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in committee · New York · Assembly Jan 27, 2026

A 2126: Relates to requiring a referenced rate for prescription drugs

This bill creates a pilot program requiring New York state health programs to pay no more than the lowest price for certain prescription drugs in Canada. It sets maximum prices based on the most recent drug pricing lists from Ontario, Quebec, British Columbia, and Alberta, starting with the five most expensive drugs. State agencies and health plans must pay these Canadian-based rates for covered drugs, and any savings generated must be passed directly to consumers through reduced costs. The program applies only to state-funded health plans and agencies purchasing drugs for state programs, excluding Medicaid.

Topics ✓ HealthcareSupports HealthcareMandates state programs to pay Canadian drug prices, passing savings to consumers and reducing prescription costs, improving access to affordable medications.95% confidence

Sub-Topics Medicaid Prescription Drugs

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passed · New York · Senate Mar 13, 2025

R 488: Senate budget resolution in response to the 2025-2026 Executive Budget submission

This Senate resolution (R 488) expresses the New York State Senate's position on the Governor's 2025-2026 Executive Budget proposal. It incorporates specific amendments to the Governor's budget bills (S.3000-B through S.3009-B) and details the Senate's recommended funding changes for state agencies. The resolution directly affects state programs by adding $20 million for Addiction Services grants, restoring $3.1 million for agricultural programs, increasing Aging Services funding by $33.8 million, and proposing Medicaid coverage expansions. It serves as the Senate's formal budget proposal to be considered during the legislative budget conference process.

Topics ✓ Budget & TaxesSupports Budget & TaxesAdds $20M for Addiction Services, restores $3.1M for agriculture, increases Aging Services funding - all direct funding expansions for public programs.90% confidence ✓ HealthcareSupports HealthcareAdds $20M for Addiction Services grants, a direct healthcare program funding increase per bill summary.90% confidence

Sub-Topics State Budget Medicaid Substance Abuse

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in committee · New York · Assembly Jan 7, 2026

A 6586: Requires health insurance policies and Medicaid to cover patient navigation services

Bill A 6586 requires health insurance plans and Medicaid to cover patient navigation services for individuals with serious conditions expected to last at least three months and at high risk of hospitalization, nursing home placement, or health decline. These services help connect patients to social supports like transportation, housing, food assistance, and healthcare appointments, and include referrals, enrollment help, and care coordination. Certified navigators (trained through approved programs) must provide these services under a healthcare provider's supervision. The law applies to all medical, major medical, and comprehensive insurance policies, ensuring coverage for high-risk patients who need help accessing care.

Topics ✓ HealthcareSupports HealthcareRequires insurance/Medicaid to cover patient navigation services, expanding coverage for high-risk patients and improving access to care coordination and social supports.95% confidence

Sub-Topics Insurance Long-Term Care Medicaid

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in committee · New York · Senate Jan 7, 2026

S 1813: Relates to medical assistance for patients for infertility treatment

This bill amends New York's social services law to require medical assistance (like Medicaid) to cover specific fertility treatments for patients using oral or injectable ovulation drugs. It mandates coverage for necessary monitoring services - including office visits, diagnostic tests (like ultrasounds), and blood work - during infertility treatment. If federal funding isn't available for these services, the state would use its own funds to support a grant program ensuring access. The policy directly affects patients seeking fertility care who rely on state medical assistance programs.

Topics ✓ Budget & TaxesSupports Budget & TaxesMandates state funds for infertility coverage if federal funds unavailable, increasing state healthcare spending under budget allocation.85% confidence ✓ HealthcareSupports HealthcareMandates Medicaid coverage for infertility treatments and monitoring services, expanding health insurance access for reproductive care.95% confidence

Sub-Topics Medicaid

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in committee · New York · Assembly Jan 7, 2026

A 7239: Requires Medicare and Medicaid managed care providers to provide coverage for certain out-of-network health care

Requires Medicare and Medicaid managed care providers to provide coverage for certain out-of-network health care when the patient has a long term relationship with a medical professional who is not a recurring provider under the managed care provider's network.

Topics ✓ HealthcareSupports HealthcareMandates coverage for out-of-network care under Medicare/Medicaid when patients have long-term provider relationships, expanding access and protecting patient continuity of care.95% confidence

Sub-Topics Medicaid Medicare

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