Healthcare (Medicaid)

failed · New York · Assembly May 19, 2026

A 10464: Relates to Medicaid accountability

Relates to improving Medicaid accountability; verifies Medicaid enrollment data; audits certain Medicaid program areas; creates managed care payment safeguards; establishes a biometric verification pilot program.

Topics ✓ HealthcareSupports HealthcareBill strengthens Medicaid accountability, verifies enrollment data, audits programs, and creates payment safeguards to protect healthcare access and integrity.90% confidence

Sub-Topics Medicaid

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in committee · New York · Senate Mar 31, 2026

S 9630: Provides for emergency appropriation for the period April 1, 2026 through April 7, 2026

This bill provides emergency funding to keep state government operations running from April 1 through April 7, 2026, while waiting for the regular state budget to be passed. It allocates approximately $248 million to pay state employee salaries and another $10 million for non-personal service expenses like supplies and contracts. The legislation also includes $6.4 million for federal food and nutrition programs and $610 million for medical assistance, with specific spending limits on Medicaid expenditures. These funds are intended to cover essential government functions during a brief period when the state lacks a fully enacted budget for the new fiscal year.

Topics ✓ Budget & TaxesSupports Budget & TaxesBill provides emergency funding to maintain state government operations and essential services like Medicaid and food programs, directly supporting budget and fiscal management.95% confidence ✓ HealthcareSupports HealthcareBill allocates $610M for medical assistance and includes funding for federal food/nutrition programs, directly supporting healthcare services.85% confidence

Sub-Topics Appropriations State Budget Medicaid

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passed both · New York · Senate Jun 4, 2026

S 9573: Relates to a nursing facility transition and diversion Medicaid waiting list

Authorizes the commissioner of health to establish nursing facility transition and diversion Medicaid waiting lists per designated waiver region, once the federally approved capacity for the waiver is reached.

Topics ✓ HealthcareSupports HealthcareBill establishes Medicaid waiting lists for nursing facility transitions, improving patient access to healthcare services and strengthening support for nursing facility care.85% confidence

Sub-Topics Long-Term Care Medicaid

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in committee · New York · Senate Mar 12, 2026

S 9448: Adds Down syndrome to the definition of developmental disability and expands such definition to include certain individuals below the age of ten

Adds Down syndrome to the definition of developmental disability for the purpose of making Down syndrome an automatic qualifier for Medicaid; expands the definition of developmental disability to include certain individuals below the age of ten who cannot demonstrate that their disability constitutes a substantial handicap to their ability to function in a normal society, but that have a high probability of meeting such criteria later in life; expands the definition of developmental disability to include certain individuals below the age of four.

Topics ✓ HealthcareSupports HealthcareBill expands Medicaid eligibility by adding Down syndrome to developmental disability definition, directly increasing healthcare coverage access.90% confidence

Sub-Topics Medicaid Tags People with Disabilities

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in committee · New York · Senate Mar 18, 2026

S 9496: Requires medicaid and insurers to include coverage for testing of PFAS levels in blood

This bill requires Medicaid and health insurance providers to cover blood tests for PFAS levels when ordered by a licensed physician. PFAS refers to perfluoroalkyl and polyfluoroalkyl substances, which are a group of chemicals found in certain consumer products and industrial applications. The law applies to all medical, major medical, and comprehensive-type insurance policies, as well as medical assistance programs, starting on January 1 following its enactment. Coverage is only required when a healthcare provider legally authorized under state education law orders the testing. The bill includes a provision that medical assistance will not cover these tests if federal funding for them is unavailable.

Topics ✓ HealthcareSupports HealthcareBill mandates insurance coverage for PFAS blood testing, expanding healthcare access and protecting patient rights to necessary diagnostic services.95% confidence ✓ VeteransSupports VeteransBill mandates coverage for PFAS blood testing, which addresses potential health concerns from chemical exposure that may affect veterans who served in environments with PFAS contamination.75% confidence

Sub-Topics Insurance Medicaid

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in committee · New York · Senate Mar 18, 2026

S 9507: Provides additional support to medically fragile children

This bill expands support for medically fragile children by requiring health insurance plans to adjust how they review and approve medical services for this group. It mandates that utilization review decisions consider children's unique developmental needs rather than applying adult standards, and ensures coverage for services like private duty nursing, therapy, and home care that help children reach their maximum functional capacity. The legislation also requires insurers to maintain networks of providers with specialized expertise in medically fragile care, accommodate prolonged discharge plans when needed, and consider family circumstances such as employment and caregiving capacity when arranging care. Additionally, it prohibits medical necessity reviews for certain critical private duty nursing services and allows payment for hospital stays when specialized home care is unavailable during discharge transitions.

Topics ✓ HealthcareSupports HealthcareBill expands health insurance coverage for medically fragile children, mandates better utilization review standards, and ensures coverage for essential services like nursing and therapy.95% confidence

Sub-Topics Children's Health Hospitals Medicaid

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in committee · New York · Assembly May 19, 2026

A 10165: Includes seizure detecting monitors for certain infants under standard coverage for Medicaid recipients

This bill expands Medicaid coverage to include seizure-detecting monitors for infants with epilepsy, other seizure disorders, or a family history of seizures. The legislation limits this benefit to one monitor per eligible infant to manage costs while ensuring access to necessary medical equipment. It applies to Medicaid recipients and will take effect on the first day of January following its enactment.

Topics ✓ HealthcareSupports HealthcareAdds seizure monitor coverage to Medicaid for infants, expanding access to critical medical devices under public health program.90% confidence

Sub-Topics Medicaid

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passed · New York · Senate Jun 1, 2026

S 9139: Includes seizure detecting monitors for certain infants under standard coverage for Medicaid recipients

This bill expands Medicaid coverage to include seizure-detecting monitors for infants diagnosed with epilepsy, other seizure disorders, or those with a family history of seizures. The legislation specifically limits this benefit to one monitor per eligible infant to manage costs within the standard coverage plan. By amending the Social Services Law, the bill ensures these medical devices are available to qualifying families starting on January 1st of the following year.

Topics ✓ HealthcareSupports HealthcareAdds seizure monitoring coverage for infants under Medicaid, expanding access to critical health services for vulnerable patients.90% confidence

Sub-Topics Children's Health Medicaid

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in committee · New York · Assembly Feb 20, 2026

A 10290: Authorizes individuals receiving hospice services to enroll in managed long term care plans

This bill permits individuals receiving hospice services to enroll in managed long-term care plans without being forced to disenroll. It specifically prevents Medicare or Medicaid hospice enrollment from making someone ineligible for these plans, ensuring continued access to coordinated care. The bill requires managed care plans and hospice programs to coordinate services through shared care planning, clear communication protocols, and information sharing (while respecting privacy laws). New standards for care coordination must be established by the health department, with guidance issued to providers. This directly affects hospice patients, managed care plans, and local social services districts in New York.

Topics ✓ HealthcareSupports HealthcareRemoves barrier preventing hospice patients from enrolling in managed care, ensuring continued access to coordinated care without forced disenrollment.95% confidence

Sub-Topics Long-Term Care Medicaid Medicare

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in committee · New York · Senate Apr 21, 2026

S 9241: Establishes the adult care facility voucher demonstration program

Establishes the adult care facility voucher demonstration program for persons with dementia, Alzheimer's diagnosis, or other cognitive impairments to provide a sliding-scale subsidy for adult care facility residents who are at risk of losing nursing home care due to depleted resources and to individuals who are not eligible for Medicaid or supplemental security income, but in need of adult day care services.

Topics ✓ HealthcareSupports HealthcareProvides sliding-scale subsidies for dementia/alzheimers care access, expanding coverage for vulnerable populations excluded from Medicaid and SSI.95% confidence

Sub-Topics Long-Term Care Medicaid

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