S 4589 New York Senate · 2025 Regular Session

Relates to federal qualified health center rate adequacy

Bill S 4589 modifies how Federally Qualified Health Centers (FQHCs) are reimbursed for their operating costs. Beginning in April 2025, and every three years thereafter, the department will analyze actual FQHC costs over the prior five years, considering factors like services provided, staffing, and technology. Based on this analysis, the department will develop and issue updated payment rates, removing existing payment ceilings or caps. The bill ensures that no FQHC will receive a lower operating cost component or overall payment rate than what was applied before September 30, 2025.

Bill status in committee 1 of 4 stages cleared

Introduction

Feb 2025

Committee Review

Floor Vote

Governor

Introduced Feb 10, 2025 Last action Mar 17, 2026

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What changed between versions

S4589 → S4589A · 5 edits

MODERATE

This bill was amended to extend the timeline for increased funding rates for federally qualified health centers from 2025 to 2026. The changes also updated the list of sponsoring senators and added procedural language indicating the bill was recommitteed to the Health Committee after amendments.

Scope change

The bill's scope remains the same - it still applies to federally qualified health centers in New York - but the effective dates for rate adjustments were extended by one year.

TIMELINE

The operating cost component rate adjustments now apply through September 30, 2026 instead of September 30, 2025.

The requirement for the department to develop updated payment rates now begins April 1, 2026 instead of April 1, 2025.

ELIGIBILITY

The minimum rate floor protection now applies to rates used prior to September 30, 2026 instead of September 30, 2025.

TECHNICAL

Added procedural language indicating the bill was recommitteed to the Health Committee after amendments and committee discharge.

Updated the list of sponsoring senators to reflect new sponsors (ADDABBO, BRISPORT, BYNOE, FAHY, GONZALEZ, SERRANO, WALCZYK) and removed original sponsors (BORRELLO, BROUK, CLEARE, COMRIE, COONEY, FERNANDEZ, GALLIVAN, GOUNARDES, HARCKHAM, HELMING, HINCHEY, HOYLMAN-SIGAL, JACKSON, KAVANAGH, LIU, MARTINS, MAY, OBERACKER, PARKER, SALAZAR, SEPULVEDA, SKOUFIS, STAVISKY, STEC, WEBB).

Floor votes

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Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

Mar 17, 2026

Committee

REPORTED AND COMMITTED TO FINANCE

upper

Mar 5, 2026

Upper · Passed

PRINT NUMBER 4589A

upper

Mar 5, 2026

Upper · Passed

AMEND AND RECOMMIT TO HEALTH

upper

Jan 7, 2026

Committee

REFERRED TO HEALTH

upper

Apr 29, 2025

Committee

REPORTED AND COMMITTED TO FINANCE

upper

Feb 10, 2025

Committee

REFERRED TO HEALTH

upper

1 primary · 32 co-sponsors