Healthcare

passed · New York · Senate May 28, 2026

S 1634: Provides for primary care investment

Requires health care plans and payors to have a minimum of twelve and one-half percent of their total expenditures on physical and mental health annually be for primary care services.

Topics ✓ HealthcareSupports HealthcareMandates 12.5% annual spending on primary care, directly funding and strengthening primary healthcare services as required by the bill.95% confidence

Sub-Topics Insurance Primary Care

Track

in committee · New York · Senate May 12, 2026

S 705: Relates to fair pricing for low-complexity, routine medical care

Relates to fair pricing for low-complexity, routine medical care to more closely align payment rates across ambulatory settings for selected services that are safe and appropriate to provide in all settings.

Topics ✓ HealthcareSupports HealthcareBill aligns payment rates for routine medical care across settings to ensure fair pricing, improving provider access and reducing disparities in ambulatory care services.90% confidence

Track

in committee · New York · Senate Jan 23, 2026

S 8309: Relates to outpatient mental health, substance use disorder, residential and rehabilitation services and Medicaid fee-for-service

This bill shifts outpatient mental health and substance use disorder services under New York's Medicaid program from a managed care model back to traditional fee-for-service billing, requiring federal approval. It directly affects Medicaid beneficiaries receiving these services and the providers (licensed facilities, clinics) delivering them. Key provisions mandate that these services be administered under fee-for-service, with savings from the transition required to be reinvested into community-based behavioral health services starting in 2026. The change takes effect October 1, 2025, and applies to services for individuals with mental illness or substance use disorders.

Topics ✓ HealthcareSupports HealthcareShifts mental health/substance use services to fee-for-service under Medicaid, mandates reinvestment of savings into community services, strengthening access and provider support.95% confidence

Sub-Topics Mental Health Substance Abuse

Track

in committee · New York · Senate Jan 7, 2026

S 1282: Requires health insurance policies to offer full coverage for annual testing for ovarian cancer and requires certain health care providers offer annual testing for ovarian cancer

Requires health insurance policies to offer full coverage for annual testing for ovarian cancer; requires certain health care providers offer annual testing for ovarian cancer.

Topics ✓ HealthcareSupports HealthcareRequires full insurance coverage and mandates annual ovarian cancer testing, expanding patient access to preventive care services.95% confidence

Sub-Topics Insurance

Track

in committee · New York · Assembly Jan 7, 2026

A 3236: Enacts the "New York affordable drug manufacturing act"

Enacts the "New York affordable drug manufacturing act" to direct the commissioner of health to enter into partnerships to increase competition, lower prices, and address shortages in the market for generic prescription drugs, to reduce the cost of prescription drugs for public and private purchasers, taxpayers, and consumers, and to increase patient access to affordable drugs.

Topics ✓ HealthcareSupports HealthcareBill explicitly lowers drug prices, addresses shortages, and increases patient access to affordable medications through mandated partnerships and cost reduction goals.95% confidence

Sub-Topics Prescription Drugs

Track

in committee · New York · Senate Jan 7, 2026

S 8590: Relates to establishing timeframes for the payment of claims to hospitals

This bill requires health insurers to pay hospitals at contracted rates within specific timeframes, regardless of their own medical necessity or administrative policies. It establishes a joint committee process where insurers can request clinical documentation for up to 10% of paid claims (increasing to 15% if over half of requested claims were inappropriate) to review if care was medically necessary after payment. Hospitals must provide documentation within 60 business days, and unresolved disputes escalate to an independent third-party reviewer whose binding decision may require refunds if services weren't necessary. The policy directly affects hospitals and insurers, ensuring timely payments while creating a structured dispute resolution path for claim reviews. The law takes effect January 1, 2026.

Topics ✓ HealthcareSupports HealthcareBill mandates timely insurer payments to hospitals, preventing delays that disrupt care. Limits post-payment documentation reviews to 10-15% of claims, supporting hospital financial stability and service continuity.85% confidence

Sub-Topics Hospitals

Track

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

Track