Healthcare (Medicaid)

in committee · New York · Senate Feb 18, 2026

S 9224: Relates to educating nursing home residents about the role of legal counsel in applying for Medicaid and Medicare benefits

This bill requires nursing homes to inform residents about their right to seek legal help when applying for Medicaid or Medicare benefits. It mandates that nursing homes include a specific statement in their communications regarding access to legal counsel for these applications. The provision would be added to public health law, requiring facilities to provide this information directly to residents. The bill focuses on increasing awareness of legal assistance options, not changing Medicaid or Medicare eligibility rules.

Topics ✓ HealthcareSupports HealthcareBill mandates nursing homes to inform residents about legal counsel for Medicaid/Medicare applications, improving access to healthcare benefits and protecting patient rights in coverage navigation.95% confidence

Sub-Topics Long-Term Care Medicaid Medicare

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in committee · New York · Senate Feb 17, 2026

S 9219: Relates to Medicaid accountability

Relates to improving Medicaid accountability; verifies Medicaid enrollment data; audits certain Medicaid program areas; creates managed care payment safeguards; establishes a biometric verification pilot program.

Topics ✓ HealthcareSupports HealthcareBill strengthens Medicaid program integrity through data verification, audits, and payment safeguards, protecting program funding and preventing fraud in healthcare services.85% confidence

Sub-Topics Medicaid

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in committee · New York · Senate Feb 13, 2026

S 9205: Relates to requirements for the appointment of a guardian for personal needs or property management

Provides for requirements for the appointment of a guardian for personal needs or property management; requires financial institutions to provide all necessary bank statements for a Medicaid application to a requesting department of social services within thirty days of having received such request.

Topics ✓ HealthcareSupports HealthcareRequires financial institutions to provide Medicaid application documents within 30 days, streamlining access to healthcare coverage85% confidence

Sub-Topics Medicaid

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in committee · New York · Assembly May 20, 2026

A 10274: Establishes the adult care facility voucher demonstration program

Establishes the adult care facility voucher demonstration program for persons with dementia, Alzheimer's diagnosis, or other cognitive impairments to provide a sliding-scale subsidy for adult care facility residents who are at risk of losing nursing home care due to depleted resources and to individuals who are not eligible for Medicaid or supplemental security income, but in need of adult day care services.

Topics ✓ HealthcareSupports HealthcareProvides sliding-scale subsidies for dementia/Alzheimer's care via voucher program, expanding access for non-Medicaid eligible individuals needing adult day care services.90% confidence

Sub-Topics Long-Term Care Medicaid

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in committee · New York · Senate Jun 5, 2026

S 9275: Requires Medicaid to cover gender-affirming care regardless of federal funding; prohibits discriminatory practices by health care entities and insurers; relates to coverage for treatment for gender dysphoria

Requires Medicaid to cover gender-affirming care regardless of federal funding; prohibits discriminatory practices by health care entities including hospitals, certain professionals, and insurers; requires insurance coverage for services or treatments for gender dysphoria or gender incongruence.

Topics ✓ HealthcareSupports HealthcareRequires Medicaid coverage for gender-affirming care, expands access to transgender healthcare services, prohibits discrimination in coverage and insurance practices.95% confidence

Sub-Topics Insurance Medicaid

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in committee · New York · Assembly Feb 12, 2026

A 10211: Requires medicaid and insurers to include coverage for testing of PFAS levels in blood

This bill requires New York Medicaid and private health insurers to cover blood testing for PFAS (perfluoroalkyl and polyfluoroalkyl substances) when ordered by a licensed physician or healthcare provider. It applies to all comprehensive health insurance plans, including Medicaid, and defines PFAS as specific chemicals linked to environmental contamination. Coverage must be provided for the testing itself, though the bill notes that Medicaid coverage depends on available federal funding. The law takes effect January 1, 2027, for new or renewed policies.

Topics ✓ HealthcareSupports HealthcareMandates Medicaid and insurers to cover PFAS blood testing, expanding health coverage for environmental health concerns.95% confidence

Sub-Topics Insurance Medicaid

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in committee · New York · Senate Apr 29, 2026

S 8678: Expands Medicaid coverage to include pharmacological treatment for hyperhidrosis

Expands Medicaid coverage to include pharmacological treatment for hyperhidrosis when such treatment is ordered by a physician, registered physician assistant, or registered nurse practitioner; provides that the provisions shall not take effect unless all necessary approvals under federal law and regulation have been obtained to receive federal financial participation in the costs.

Topics ✓ HealthcareSupports HealthcareBill explicitly expands Medicaid coverage for pharmacological hyperhidrosis treatment, directly advancing patient access to healthcare services and aligning with support indicators.95% confidence

Sub-Topics Healthcare Workforce Medicaid

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in committee · New York · Assembly Jan 21, 2026

A 9686: Requires insurance and Medicaid coverage for inpatient and outpatient substance abuse treatment for a period of not less than forty-five days

This bill requires health insurance plans and Medicaid to cover inpatient and outpatient substance abuse treatment for a minimum of 45 days. It directly affects individuals seeking treatment for substance use disorders by mandating that insurers cannot impose stricter financial limits or treatment restrictions on these services than they do for general medical care. Key provisions include prohibiting extra costs or prior authorization requirements for substance treatment that are more restrictive than those applied to other medical benefits. The law applies to all comprehensive insurance policies and Medicaid plans, ensuring coverage for detoxification, rehabilitation, and medically necessary residential care without arbitrary time limits.

Topics ✓ Criminal JusticeSupports Criminal JusticeMandates substance abuse treatment coverage, directly supporting rehabilitation programs to reduce recidivism - key criminal justice reform indicator.95% confidence ✓ HealthcareSupports HealthcareMandates insurance/Medicaid coverage for substance abuse treatment, removing financial barriers and aligning with general medical care standards, directly expanding mental health services access.95% confidence

Sub-Topics Insurance Medicaid Substance Abuse

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in committee · New York · Senate Jun 4, 2026

S 8838: 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 fee schedule for the same service or item.

Topics ✓ HealthcareSupports HealthcareBill mandates full reimbursement for DME providers under Medicaid, improving access to essential equipment and preventing underpayment that could restrict provider participation in healthcare services.95% confidence

Sub-Topics Medicaid

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in committee · New York · Assembly Mar 11, 2026

A 9519: Requires certain health insurance policies include coverage for services provided by pharmacists related to contraceptives

This bill requires most health insurance plans issued after 2020 to cover contraceptive services provided by pharmacists without cost-sharing. It mandates coverage for all FDA-approved contraceptives (including over-the-counter options), emergency contraception, patient counseling, and follow-up care, with pharmacists receiving administrative fees at least at Medicaid rates. Plans must allow dispensing up to 12 months of contraceptives at once and cover alternative versions if preferred options aren’t available or medically unsuitable. This directly affects insured individuals seeking contraceptive care and insurers offering comprehensive health coverage.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for pharmacist-provided contraceptives without cost-sharing, expanding access to reproductive healthcare services and removing financial barriers.95% confidence

Sub-Topics Insurance Medicaid Women's Health

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