Healthcare (Medicaid)

in committee · New York · Senate Aug 14, 2026

S 10681: Establishes a Medicaid fraud tip board and Medicaid fraud tip reward fund

Establishes a Medicaid fraud tip board which shall develop and administer a system offering monetary rewards to certain individuals reporting Medicaid fraud; creates a Medicaid fraud tip reward fund.

Topics ✓ HealthcareSupports HealthcareBill strengthens Medicaid integrity by funding a fraud tip board and rewards, protecting program resources and ensuring sustainable healthcare coverage.85% confidence

Sub-Topics Medicaid

Track

in committee · New York · Senate Aug 14, 2026

S 10680: Relates to the handling of tips received through the office of the Medicaid inspector general's Medicaid fraud hotline

Relates to the handling of tips received through the office of the Medicaid inspector general's Medicaid fraud hotline; provides that the office of the Medicaid inspector general's Medicaid fraud hotline shall be the official Medicaid fraud hotline of the state of New York; directs the Medicaid inspector general to compile and provide to the governor, the temporary president of the senate, the speaker of the assembly, the minority leader of the senate, the minority leader of the assembly and the attorney general an annual report containing information on tips received through the Medicaid fraud hotline.

Topics ✓ HealthcareSupports HealthcareBill strengthens Medicaid fraud detection by formalizing the hotline and reporting mechanisms, which protects program integrity and funds.75% confidence

Sub-Topics Medicaid

Track

in committee · New York · Assembly Jul 29, 2026

A 11624: Requires Medicaid coverage of applied behavior analysis therapy rendered during school hours

This bill requires Medicaid to cover applied behavior analysis therapy provided during school hours for students in grades kindergarten through twelfth who have an autism spectrum disorder. The therapy must be delivered in public or non-public schools, and the specific definitions for the treatment and therapy will follow existing state insurance law. By adding this coverage to Medicaid, the legislation ensures that eligible students can access this support within their educational setting without additional out-of-pocket costs. The changes will take effect approximately 90 days after the bill is signed into law.

Topics ✓ EducationSupports EducationBill expands educational access by mandating Medicaid coverage for autism therapy within K-12 schools, ensuring students receive necessary support during school hours.95% confidence ✓ HealthcareSupports HealthcareBill mandates Medicaid coverage for autism therapy, expanding health benefits and improving patient access to essential services.95% confidence

Sub-Topics K-12 Education Medicaid

Track

in committee · New York · Senate Jul 13, 2026

S 10660: Relates to adaptive aquatic safety services for individuals with disabilities

Relates to adaptive aquatic safety services for individuals with disabilities; directs the commissioner of health to evaluate and seek approval for the inclusion of adaptive aquatic safety services as an available service component under applicable Medicaid home and community-based services authorities; relates to adaptive aquatic accessibility at state-funded public aquatic facilities; directs the commissioner of health to promulgate regulations requiring lifeguard certification and recertification courses to include instruction concerning aquatic safety for individuals with disabilities; authorizes school districts and boards of cooperative educational services to incorporate adaptive aquatic safety goals into individualized education programs where appropriate to address certain skills.

Topics ✓ HealthcareSupports HealthcareBill expands Medicaid coverage to include adaptive aquatic safety services, improving access to health-related care for individuals with disabilities.85% confidence

Sub-Topics Medicaid

Track

in committee · New York · Assembly Jun 4, 2026

A 11569: 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 to improve access to nursing facility transition and diversion services, strengthening healthcare capacity.85% confidence

Sub-Topics Medicaid

Track

in committee · New York · Assembly May 28, 2026

A 11517: Relates to insurance coverage for bruxism diagnosis and treatment

Requires policies which provide dental coverage to provide coverage for bruxism diagnosis and treatment, including the cost of occlusal guards; requires medicaid and HMO coverage.

Topics ✓ HealthcareSupports HealthcareBill mandates insurance coverage for bruxism diagnosis, treatment, and occlusal guards, expanding access to dental care.95% confidence

Sub-Topics Insurance Medicaid

Track

in committee · New York · Senate May 29, 2026

S 10606: Relates to insurance coverage for bruxism diagnosis and treatment

Requires policies which provide dental coverage to provide coverage for bruxism diagnosis and treatment, including the cost of occlusal guards; requires medicaid and HMO coverage.

Topics ✓ HealthcareSupports HealthcareBill mandates insurance coverage for bruxism diagnosis, treatment, and occlusal guards, expanding access to dental care.95% confidence

Sub-Topics Insurance Medicaid

Track

in committee · New York · Senate Jun 5, 2026

S 9875: Authorizes individuals receiving hospice services to enroll in managed long term care plans

This bill allows people who are currently receiving hospice care to enroll in managed long-term care plans without losing their existing benefits. It ensures that individuals can choose hospice services under Medicare or Medicaid while remaining in a managed long-term care program, rather than being forced to leave that program. To support this change, the bill requires state agencies to create rules for better communication and shared care planning between hospice providers and long-term care administrators. Additionally, these programs must exchange necessary information to ensure that patients receive continuous care without unnecessary delays or disruptions.

Topics ✓ HealthcareSupports HealthcareBill protects patient access to hospice care while maintaining managed long-term care benefits, preventing forced program exits.90% confidence

Sub-Topics Long-Term Care Medicaid Medicare

Track

in committee · New York · Senate May 15, 2026

S 10458: Prohibits Medicaid from requiring prior authorization for certain HIV medications

Prohibits Medicaid service providers from requiring prior authorization for antiretroviral prescription drugs for the treatment or prevention of the human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS).

Topics ✓ HealthcareSupports HealthcareBill removes prior authorization barriers for HIV medications, directly improving patient access to essential healthcare services.95% confidence

Sub-Topics Medicaid

Track

in committee · New York · Assembly Apr 1, 2026

A 10784: Establishes a workgroup to conduct analysis on the ambulatory patient group rates and commercial insurance rates for behavioral health services

This bill creates a workgroup to study how behavioral health services are currently paid for under Medicaid and commercial insurance plans. The group will include representatives from providers, patients, families, and government officials to analyze current rates and actual costs of care. Its main task is to develop a report with recommendations on whether current payment levels are adequate and if new payment models are needed, with findings due by October 2027. The workgroup members will serve without pay but can be reimbursed for their expenses. Once completed, the report will be sent to state leaders to inform future policy decisions.

Topics ✓ HealthcareSupports HealthcareBill creates a workgroup to analyze behavioral health payment adequacy, aiming to improve funding and access for mental health services.75% confidence

Sub-Topics Medicaid Mental Health

Track