Healthcare (Medicaid)

died · New York · Senate Feb 25, 2026

S 6232: Authorizes a prenatal and postpartum informational mobile application

This bill requires New York's health department to create and operate a free mobile application for individuals eligible for Medicaid who are pregnant, postpartum, or planning pregnancy. The app must provide New York-specific resources, links to state programs, and support in multiple languages, with strict privacy protections prohibiting personal data sharing. Developers must report anonymized usage data (like user numbers and engagement) to state lawmakers. The app will be available across mobile platforms and must comply with state health resource standards.

Topics ✓ HealthcareSupports HealthcareCreates free mobile app with prenatal/postpartum resources for Medicaid-eligible individuals, improving healthcare access and protecting patient privacy per bill summary.95% confidence ✓ TechnologySupports TechnologyRequires strict privacy protections prohibiting personal data sharing, aligning with data privacy safeguards in technology policy90% confidence

Sub-Topics Medicaid Women's Health Data Privacy

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in committee · New York · Assembly Jan 7, 2026

A 8836: Relates to the establishment of a healthy birth grant demonstration program; excludes healthy birth grants from income for certain purposes

This New York bill establishes a $1,800 "healthy birth grant" for households with new parents receiving medical assistance during the third trimester of pregnancy. The grant is paid per child and excludes the funds from being counted as income for eligibility or benefit calculations under SNAP, Medicaid, property tax exemptions, energy assistance, and other state/local public benefit programs. The program requires a federal waiver to operate and includes provisions to coordinate with existing benefits. It directly affects low-income new parents in New York who qualify for medical assistance during pregnancy.

Topics ✓ Budget & TaxesSupports Budget & TaxesExcludes $1,800 grant from income calculations for SNAP/Medicaid eligibility, preventing reduced benefits and supporting fiscal management of existing public programs.85% confidence ✓ HealthcareSupports HealthcareBill provides $1,800 healthy birth grant per child, excluding funds from income calculations for Medicaid/SNAP eligibility, directly expanding access to healthcare benefits without reducing existing coverage.95% confidence

Sub-Topics Property Tax Medicaid

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passed · New York · Senate Jun 1, 2026

S 4955: Relates to the functions of the Medicaid inspector general with respect to audit and review of medical assistance program funds

This bill (S 4955) sets new standards for how New York's Medicaid Inspector General audits and reviews payments to healthcare providers. It requires the Inspector General to follow specific protocols when checking claims, cost reports, or payments, including providing providers access to applicable standards before audits begin. Key provisions include mandating detailed explanations in audit reports, considering factors like whether errors were minor clerical mistakes (e.g., transposed codes), and limiting recoupment for isolated errors. The bill directly affects Medicaid providers who receive state medical assistance payments, ensuring audits are transparent, fair, and based on clear, documented procedures.

Topics ✓ Budget & TaxesSupports Budget & TaxesRequires detailed Medicaid audit protocols promoting fiscal accountability in government spending oversight, aligning with fiscal responsibility indicators.85% confidence ✓ HealthcareSupports HealthcareImproves Medicaid audit fairness by requiring detailed explanations and considering minor errors, protecting provider access to funds and ensuring efficient program operations.85% confidence

Sub-Topics Audits & Accountability Medicaid

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in committee · New York · Assembly Jan 7, 2026

A 1907: Eliminates a look-back period for home care for non-institutionalized Medicaid applicants; and repeals a certain provision of the social services law relating thereto

This bill eliminates the "look-back period" for non-institutionalized Medicaid applicants seeking home care services. It repeals a provision requiring Medicaid applicants to have no asset transfers below fair market value for 60 months prior to application, instead establishing a 30-month look-back period (pending federal approval) for home care eligibility. This change directly affects individuals applying for community-based long-term care services who previously faced eligibility delays due to past asset transfers. The policy simplifies eligibility by removing penalties for asset transfers made within the shorter look-back window.

Topics ✓ HealthcareSupports HealthcareShortens Medicaid look-back period from 60 to 30 months, reducing eligibility barriers for home care services and improving access to community-based healthcare.95% confidence

Sub-Topics Long-Term Care Medicaid

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in committee · New York · Senate Jan 7, 2026

S 3745: Provides for insurance and medicaid coverage for standard fertility preservation services provided due to iatrogenic infertility

Provides that Medicaid and policies issued in this state that provide coverage for hospital, surgical or medical care shall provide coverage for standard fertility preservation services when a necessary cancer treatment may directly or indirectly cause iatrogenic infertility to a covered person.

Topics ✓ HealthcareSupports HealthcareMandates Medicaid/insurance coverage for fertility preservation during cancer treatment, expanding access to essential healthcare services.95% confidence

Sub-Topics Hospitals Medicaid

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in committee · New York · Senate Jan 7, 2026

S 7052: Relates to the rates of payment for certified home health agencies

This bill requires New York State to establish episodic payments (a payment system based on specific care episodes rather than per visit) as the standard method for reimbursing certified home health agencies starting October 1, 2025. It directly affects Medicaid managed care plans, child health insurance plans, and Essential Health Plans operating in New York by mandating they use this payment system and ensure access to home health services for enrolled members. The law requires the state commissioner to notify these plans annually about their responsibilities, emphasizing that home health services reduce avoidable hospital costs. Plans may still negotiate alternative payment rates with agencies, including value-based options tied to health outcomes.

Topics ✓ HealthcareSupports HealthcareMandates episodic payments for home health agencies, ensuring access to services under Medicaid/insurance plans, directly improving patient access to home health care.95% confidence

Sub-Topics Children's Health Hospitals Medicaid

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in committee · New York · Assembly Jan 7, 2026

A 6935: Relates to requiring Medicaid to cover a wearable medical device to treat certain forms of cancer

Requires Medicaid to cover a wearable medical device that uses low-intensity, alternating electric fields delivered to the tumor site to treat glioblastoma and other cancers as recommended by medical and scientific evidence.

Topics ✓ HealthcareSupports HealthcareRequires Medicaid coverage for cancer treatment device, expanding health services access as per medical evidence.95% confidence

Sub-Topics Medicaid

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in committee · New York · Assembly Jan 12, 2026

A 2018: Relates to long term care options for medicaid recipients; repealer

Repeals managed long term care provisions for Medicaid recipients; establishes provisions for fully integrated plans for long term care including PACE and MAP plans.

Topics ✓ HealthcareSupports HealthcareRepeals managed long-term care, establishes integrated PACE/MAP plans enhancing Medicaid coverage and access for recipients.85% confidence

Sub-Topics Long-Term Care Medicaid

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in committee · New York · Assembly Mar 18, 2026

A 6904: Adds Down syndrome to the definition of developmental disability and expands such definition to include certain individuals below the age of ten

This bill amends New York's mental hygiene law to automatically include Down syndrome as a qualifying condition under the definition of developmental disability for Medicaid eligibility. It adds Down syndrome to a list of specific conditions (alongside cerebral palsy, autism, and others) that now qualify individuals for Medicaid without needing separate assessments. People with Down syndrome who meet income and other standard Medicaid criteria will automatically qualify under this change. The law takes effect immediately upon enactment.

Topics ✓ HealthcareSupports HealthcareBill automatically includes Down syndrome in Medicaid eligibility, expanding health coverage without separate assessments for qualifying individuals.95% confidence

Sub-Topics Medicaid

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in committee · New York · Senate Jan 7, 2026

S 7259: 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 sexual health education including HIV prevention and PrEP, advancing public health access and preventive care services.95% confidence

Sub-Topics Medicaid

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