Healthcare (Medicaid)

in committee · New York · Assembly Jan 7, 2026

A 5652: Allows counties to opt out of providing certain optional Medicaid benefits to prospective beneficiaries

Authorizes the state to allow counties to opt out of the county cost of medical assistance payments to any new enrollees who have either never received such benefits or who have reenrolled after a period of absence; directs the commissioner of health to apply for any and all federal waivers required to implement the provisions of this subdivision.

Topics ✗ HealthcareOpposes HealthcareBill allows counties to opt out of optional Medicaid benefits for new enrollees, restricting access to healthcare coverage and limiting benefits.95% confidence

Sub-Topics Medicaid

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in committee · New York · Assembly Jan 7, 2026

A 6729: Relates to educational materials pertaining to sexual health to individuals enrolled in Medicaid

Requires social services districts to distribute educational materials pertaining to sexual health, including information on HIV prevention and pre-exposure prophylaxis to individuals enrolled in Medicaid.

Topics ✓ HealthcareSupports HealthcareRequires Medicaid recipients to receive sexual health/HIV prevention education, expanding access to critical public health information within healthcare services.95% confidence

Sub-Topics Medicaid

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in committee · New York · Assembly Jan 7, 2026

A 7583: Authorizes Medicaid coverage for the complex care assistant program

Establishes a program for specific individuals to become complex care assistants and provide private duty complex care services to children or young adults with developmental disabilities who are Medicaid enrollees.

Topics ✓ HealthcareSupports HealthcareBill explicitly authorizes Medicaid coverage for complex care assistants, expanding healthcare access for children/young adults with developmental disabilities under Medicaid program.95% confidence

Sub-Topics Medicaid

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in committee · New York · Senate Jan 7, 2026

S 7615: Expands Medicaid coverage to include neuropsychological exams for dyslexia

Bill S 7615 expands Medicaid coverage to include comprehensive neuropsychological examinations for dyslexia. This means individuals covered by Medicaid could receive these specialized diagnostic tests. To be covered, the exams must be performed by a licensed healthcare professional upon referral from a physician. The bill ensures access to specific diagnostic testing for dyslexia for Medicaid recipients.

Topics ✓ HealthcareSupports HealthcareExpands Medicaid coverage to include dyslexia diagnostic exams, increasing access to specialized healthcare services for beneficiaries.95% confidence

Sub-Topics Medicaid

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in committee · New York · Senate May 26, 2026

S 6532: Provides for licensing of a dental therapist

Requires individuals who practice the profession of dental therapy to be licensed and registered in the state; provides Medicaid reimbursement for dental therapy services.

Topics ✓ HealthcareSupports HealthcareEnables Medicaid reimbursement for dental therapy services, expanding access to covered dental care under public health program.95% confidence

Sub-Topics Medicaid

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in committee · New York · Assembly Jan 7, 2026

A 1043: Increases the amount of the savings exemption for eligibility for Medicaid

This bill increases New York's Medicaid savings exemption limit from approximately $225,000 to $300,000 for household resources (excluding retirement accounts). It directly affects disabled adults aged 16-64 who meet income and resource criteria, allowing them to retain more savings while qualifying for Medicaid. The key change simplifies the asset limit to a flat $300,000 threshold for one- or two-person households, replacing a previous percentage-based calculation. The policy takes effect January 1, 2026, pending federal funding approval.

Topics ✓ HealthcareSupports HealthcareIncreases Medicaid eligibility by raising savings exemption limit, expanding access to healthcare coverage for disabled adults without reducing benefits.95% confidence

Sub-Topics Medicaid

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in committee · New York · Senate Jun 12, 2025

S 1616: Provides parity to durable medical equipment providers by requiring Medicaid managed care organizations to reimburse such providers

Provides parity to durable medical equipment providers by requiring Medicaid managed care organizations to reimburse such providers at no less than one hundred percent of the medical assistance durable medical equipment and complex rehabilitation technology fee schedule for the same service or item.

Topics ✓ HealthcareSupports HealthcareRequires Medicaid MCOs to reimburse durable medical equipment providers at 100% of fee schedule, ensuring fair payment and improving patient access to essential equipment.92% confidence

Sub-Topics Medicaid

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in committee · New York · Assembly Jan 7, 2026

A 8781: Directs the state comptroller to conduct an audit of the department of health and other agencies to ensure compliance with federal and state requirements

Directs the state comptroller to conduct an audit of the department of health and other agencies to ensure that the agency meets its responsibilities to review and assess Medicaid managed care organizations for compliance with federal and state requirements to maintain adequate health care providers within network, and to meet mental health and substance use disorder parity requirements.

Topics ✓ HealthcareSupports HealthcareMandates audit to ensure Medicaid and mental health parity compliance, protecting existing healthcare standards and provider network requirements.85% confidence

Sub-Topics Medicaid Substance Abuse

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in committee · New York · Assembly Jan 7, 2026

A 5275: Requires patient's health home to use the adverse childhood experience questionnaire in assessing the patient's health risks

Requires home health care professionals to use the adverse childhood experience questionnaire in assessing the patient's health risks; makes Medicaid reimbursement of primary care providers contingent upon such use; requires the department of social services to report to the senate and assembly health committees.

Topics ✓ HealthcareSupports HealthcareMandates ACE questionnaire use in health assessments, ties Medicaid reimbursement to compliance, enhancing preventive care and risk identification for trauma-informed healthcare.95% confidence

Sub-Topics Medicaid Primary Care

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in committee · New York · Assembly Jan 7, 2026

A 1198: Relates to eligibility for home care services under medicaid; repealer

This bill removes specific eligibility restrictions for Medicaid home care services in New York. It repeals a provision requiring individuals seeking home care to meet strict activity-of-daily-living criteria (like needing assistance with multiple tasks) or dementia-related supervision levels. The change directly affects Medicaid recipients needing home care services, particularly those with dementia or Alzheimer's who previously faced these barriers. The policy shift simplifies eligibility by eliminating these prior requirements for people applying on or after October 1, 2020. The bill modifies New York's social services law to broaden access to home care services under Medicaid.

Topics ✓ HealthcareSupports HealthcareRemoves eligibility barriers for Medicaid home care, expanding access for dementia patients and simplifying enrollment under public health coverage.95% confidence

Sub-Topics Long-Term Care Medicaid

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