Healthcare (Medicaid)

passed · New York · Senate Apr 22, 2026

S 940: 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 such coverage for patients who are recipients of medicaid.

Topics ✓ HealthcareSupports HealthcareMandates minimum Medicaid coverage for childbirth hospital stays, expanding access to maternity care and ensuring insurance coverage for essential postpartum care.95% confidence

Sub-Topics Hospitals Medicaid Women's Health

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in committee · New York · Senate Jan 7, 2026

S 1790: Includes care and services provided by a child advocacy center under standard coverage for Medicaid recipients

Includes care and services provided by a child advocacy center licensed, certified, or otherwise authorized by the office of children and family services under standard coverage for Medicaid recipients.

Topics ✓ HealthcareSupports HealthcareExpands Medicaid coverage to include child advocacy center services, increasing access to specialized care for recipients under standard coverage terms.95% confidence

Sub-Topics Medicaid

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in committee · New York · Senate Mar 9, 2026

S 8157: 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 surcharge mechanisms and fund allocation.95% confidence ✓ HealthcareSupports HealthcareBill establishes corporate surcharges to fund healthcare reform via the health care reform act resources fund, directly advancing healthcare funding.95% confidence

Sub-Topics Business Taxes Fees & Licensing Medicaid

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in committee · New York · Senate Jan 7, 2026

S 556: Requires coverage under medicaid and health insurance plans for treatment for smoking cessation

Requires that medicaid and health insurance plans provide coverage for costs of prescription smoking cessation treatment that is ordered by a physician; establishes a coverage limit for each covered individual.

Topics ✓ HealthcareSupports HealthcareMandates Medicaid/insurance coverage for physician-prescribed smoking cessation treatment, expanding preventive healthcare access and strengthening coverage requirements.95% confidence

Sub-Topics Insurance Medicaid

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in committee · New York · Senate Apr 20, 2026

S 5565: Requires health insurance policies and Medicaid to cover patient navigation services

Bill S 5565 requires health insurance policies, including comprehensive-type coverage, and Medicaid to cover patient navigation services. This coverage is for individuals facing serious health conditions expected to last at least three months, who are at high risk for outcomes like hospitalization or physical decline. Patient navigation services include screening for nonclinical needs such as transportation or housing, connecting individuals to support services, and assisting with healthcare appointments. Reimbursement is provided to trained and certified patient navigators who work under the general supervision of a licensed healthcare provider.

Topics ✓ HealthcareSupports HealthcareMandates insurance/Medicaid coverage for patient navigation services addressing nonclinical barriers, expanding access for high-risk patients and strengthening care coordination.95% confidence

Sub-Topics Insurance Medicaid

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in committee · New York · Assembly Jan 7, 2026

A 2156: Relates to medical assistance for patients for infertility treatment

This bill would require New York's Medicaid program to cover ovulation-enhancing drugs and specific monitoring services for women seeking infertility treatment. It mandates coverage for the drugs themselves, office visits, hysterosalpingograms, pelvic ultrasounds, and blood tests necessary to monitor the treatment. If federal funding for these services falls below 90%, the state must use its own funds to create a grant program to maintain coverage. The bill directly affects Medicaid-eligible women undergoing infertility treatment by expanding their covered services to include these specific treatments and monitoring procedures.

Topics ✓ HealthcareSupports HealthcareExpands Medicaid coverage to include infertility treatments like ovulation drugs and monitoring services, directly increasing access to healthcare services for Medicaid-eligible patients.95% confidence

Sub-Topics Medicaid

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in committee · New York · Senate Jan 7, 2026

S 2449: 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 HealthcareRequires Medicare/Medicaid managed care to cover out-of-network care for patients with long-term provider relationships, expanding access and protecting patient continuity of care.95% confidence

Sub-Topics Medicaid Medicare

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in committee · New York · Assembly Jan 7, 2026

A 4051: Relates to including accountable care organizations within the definition of a managed care provider

This bill amends New York's social services law to include accountable care organizations (ACOs) under the legal definition of "managed care provider." It directly affects ACOs established under Article 29-E of the Public Health Law, allowing them to operate under the same regulatory framework as traditional managed care plans for Medicaid programs. The key change adds specific language to the law stating that ACOs qualify as managed care providers, streamlining their eligibility for Medicaid contracts. The Health Commissioner must implement these changes through regulations, effective immediately upon the bill's enactment.

Topics ✓ HealthcareSupports HealthcareBill expands ACO regulatory eligibility under Medicaid managed care, streamlining access to coordinated care services for beneficiaries without restricting coverage.90% confidence

Sub-Topics Medicaid Public Health

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in committee · New York · Senate Jan 7, 2026

S 6164: Relates to prescription drugs in Medicaid managed care programs; repealer

Requires Medicaid managed care, and Child Health Plus plans to adopt the procedural protections of the Preferred Drug Program, including "prescriber prevails", for all drugs.

Topics ✓ HealthcareSupports HealthcareRequires Medicaid managed care to adopt 'prescriber prevails' protections, ensuring doctors' drug choices aren't overridden, improving patient access and rights.95% confidence

Sub-Topics Children's Health Medicaid Prescription Drugs

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in committee · New York · Assembly Jan 7, 2026

A 5199: Ensures that temporary protected status beneficiaries continue to receive Medicaid benefits

This bill (A 5199) ensures that New York residents with Temporary Protected Status (TPS) or Deferred Action for Childhood Arrivals (DACA) status maintain Medicaid benefits even if the federal government ends those programs. It directly affects TPS beneficiaries and DACA recipients in New York by preventing the state from canceling their Medicaid coverage due to changes in federal immigration designations. Key provisions require the state health department to: (1) keep Medicaid benefits active for TPS/DACA recipients if federal programs end, and (2) extend eligibility to former TPS/DACA recipients who meet all other Medicaid requirements except immigration status. The law takes effect immediately upon enactment.

Topics ✓ HealthcareSupports HealthcareBill maintains Medicaid coverage for TPS/DACA recipients, protecting healthcare access for vulnerable populations without restricting benefits.95% confidence ✓ ImmigrationSupports ImmigrationBill explicitly protects Medicaid access for TPS/DACA recipients, maintaining critical health services amid federal program uncertainty95% confidence

Sub-Topics Medicaid DACA & Dreamers

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