Healthcare (Medicaid)

in committee · New York · Senate Jan 7, 2026

S 3762: Provides for coverage for certain individuals under the 1332 state innovation program

This bill creates a New York State 1332 innovation program under a federal waiver, providing health insurance coverage for New Yorkers under age 65 with household incomes between 133% and 250% of the federal poverty level who don't qualify for Medicaid or employer-sponsored insurance. It requires coverage for essential health services, including access to cancer centers (at Medicaid reimbursement rates), dental, vision, and support for chronic illnesses. Eligibility excludes those eligible for Medicaid, the Child Health Insurance Program, or affordable employer coverage. The program is subject to federal approval and aims to fill coverage gaps for this specific income group.

Topics ✓ HealthcareSupports HealthcareExpands health coverage for uninsured NY adults (133-250% FPL) via state innovation program, mandating essential services including cancer care, dental, and chronic illness support.95% confidence

Sub-Topics Children's Health Insurance Medicaid

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in committee · New York · Assembly Jan 7, 2026

A 7220: Relates to the general hospital indigent care pool and funding for safety net and enhanced safety net hospitals

This bill adjusts funding for hospitals serving high numbers of low-income and uninsured patients (safety net hospitals). It allocates $139.4 million annually to major public hospitals and $969.9 million to other general hospitals, but applies annual reductions of $150 million (2020-2022) and $275.4 million (2023 onward) to the latter group - unless hospitals qualify as "enhanced safety net hospitals" under specific criteria. To qualify, hospitals must meet metrics like serving at least 45% Medicaid/uninsured patients, operating under financial hardship, or providing critical community services. Starting in 2026, the bill mandates an additional $228.4 million in funding for qualified safety net hospitals to support their operations and maintain services for vulnerable populations.

Topics ✗ Budget & TaxesOpposes Budget & TaxesBill imposes $275.4M annual cuts (2023+) to general hospitals unless qualifying as enhanced safety net, defunding non-qualifying essential providers despite initial funding allocation.85% confidence ✓ HealthcareSupports HealthcareAllocates $139.4M annually to public hospitals and $969.9M to safety net hospitals with conditional funding retention to support low-income care access.95% confidence

Sub-Topics Hospitals Medicaid

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in committee · New York · Senate Jan 7, 2026

S 1712: Relates to including the services and care of school psychologists under Medicaid

This bill (S 1712) requires Medicaid to cover services provided by school psychologists certified under education law, where those services would otherwise qualify for Medicaid coverage. It directly affects students receiving psychological services in schools and school psychologists who provide those services. The key provision adds a specific category to Medicaid coverage, clarifying that such services must be covered without altering the scope of practice defined for school psychologists under education law. The bill takes effect 180 days after enactment.

Topics ✓ EducationSupports EducationRequires Medicaid to cover school psychologists' services, expanding student access to mental health support in schools without altering scope of practice.95% confidence ✓ HealthcareSupports HealthcareExpands Medicaid coverage to include school psychology services, directly supporting mental health access for students without altering scope of practice.95% confidence

Sub-Topics Student Health Healthcare Workforce Medicaid Mental Health

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passed · New York · Senate Jun 4, 2026

S 6736: Relates to requiring Medicaid to cover a wearable medical device to treat certain forms of cancer

Requires Medicaid to cover a wearable medical device that uses low-intensity, alternating electric fields delivered to the tumor site to treat glioblastoma and other cancers as recommended by medical and scientific evidence.

Topics ✓ Budget & TaxesSupports Budget & TaxesRequires Medicaid to fund a new cancer treatment device, increasing state government spending on public health programs as mandated coverage.90% confidence ✓ HealthcareSupports HealthcareBill mandates Medicaid coverage for a cancer treatment device, expanding access to evidence-based medical care under public health programs.95% confidence

Sub-Topics Medicaid

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in committee · New York · Senate Nov 25, 2025

S 6377: Requires Medicaid to cover gender-affirming care regardless of federal funding; prohibits discriminatory practices by health care entities and insurers; relates to coverage for treatment for gender dysphoria

This bill requires New York Medicaid to cover all medically necessary gender-affirming care, regardless of federal funding availability. It prohibits healthcare entities (including hospitals, licensed professionals, and insurers) from discriminating against patients based on gender identity, sexual orientation, or other protected characteristics. Insurers must cover treatment for gender dysphoria without excluding it based on transgender status, and cannot apply annual deductibles or coinsurance for this care - except in high-deductible health plans. The law also mandates that insurers provide appeal rights for denied coverage related to gender dysphoria treatment.

Topics ✓ HealthcareSupports HealthcareBill mandates Medicaid coverage of gender-affirming care, prohibits discrimination by healthcare entities/insurers, and requires coverage for gender dysphoria treatment, expanding health coverage and protecting patient rights.95% confidence

Sub-Topics Insurance Medicaid

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in committee · New York · Assembly Jan 7, 2026

A 8604: Provides additional support to medically fragile children

This bill requires health insurers to review coverage requests for medically fragile children differently, considering their unique medical needs rather than using standard adult guidelines. It mandates case-by-case decisions for services like skilled nursing, therapy, and home health care to help these children reach age-appropriate functional capacity. Insurers must pay for inpatient hospital or residential care days when specialized home services aren't available or when waiting for a residential facility bed. The law directly affects children with complex medical conditions requiring 24/7 care, their families, and health insurers managing Medicaid or private plans.

Topics ✓ HealthcareSupports HealthcareMandates insurers to cover specialized care for medically fragile children, expanding access and protecting patient rights under healthcare coverage.95% confidence

Sub-Topics Children's Health Hospitals Medicaid

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in committee · New York · Senate Jun 2, 2026

S 2113: Relates to Medicaid accountable care organizations

Senate Bill 2113 allows Medicaid accountable care organizations (ACOs) comprised of private physician practices to purchase group health insurance for their members and employees. The bill amends insurance law to create a new category for these specific ACO policies, requiring the organizations to be established for purposes other than just obtaining insurance and to have been active for at least two years. These policies must cover a minimum of 100 individuals at the time of issue and can be funded by the ACO, members, or both. It also exempts qualifying ACO policies from certain small group rating rules, enabling them to access experience-rated health insurance.

Topics ✓ HealthcareSupports HealthcareBill enables Medicaid ACOs to purchase group insurance, expanding coverage options for members/employees through new insurance category requirements.85% confidence

Sub-Topics Insurance Medicaid

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in committee · New York · Assembly Apr 24, 2026

A 6596: Requires Medicaid to cover gender-affirming care regardless of federal funding; prohibits discriminatory practices by health care entities and insurers; relates to coverage for treatment for gender dysphoria

Requires Medicaid to cover gender-affirming care regardless of federal funding; prohibits discriminatory practices by health care entities including hospitals, certain professionals, and insurers; requires insurance coverage for services or treatments for gender dysphoria or gender incongruence.

Topics ✓ HealthcareSupports HealthcareRequires Medicaid coverage for gender-affirming care and prohibits discrimination, expanding access to essential healthcare services for transgender patients.95% confidence

Sub-Topics Insurance Medicaid

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