A 4860 New York Assembly · 2025 Regular Session

Relates to capitated payments under the medical assistance program

This bill requires New York's medical assistance program (Medicaid) to shift from paying healthcare providers per service to fixed payments per patient (capitated payments). It mandates all future medical assistance payments become capitated starting five years after the law's effective date, with the health commissioner developing risk-based patient categories to adjust payments. The commissioner must draft legislation for this conversion within one year. This affects all healthcare providers receiving state Medicaid payments in New York.
Bill status in committee 1 of 4 stages cleared
Introduction
Feb 2025
Committee Review
Floor Vote
Governor
Introduced Feb 6, 2025 Last action Jan 7, 2026
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Full legislative history

Actions timeline

Total actions
2
Key actions
0
Committee
2
Jan 7, 2026
Committee
REFERRED TO HEALTH
lower
Feb 6, 2025
Committee
REFERRED TO HEALTH
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Jenifer Rajkumar
Jenifer Rajkumar
DDemocratic
NY
38