Sen. Nathalia Fernández

Provides that the prescribing, dispensing, or receipt of mifepristone or any drug used for medication abortion shall not be considered a criminal conversion act under certain circumstances; provides that mifepristone or any drug used for medication abortion shall not be deemed to be adulterated or misbranded under certain circumstances.

Creates a department of health education and outreach program on reproductive health services for consumers, patients, educators, and health care providers related to reproductive health services available in New York state including, but not limited to: access to family planning services such as contraceptives and pregnancy testing, testing and treatment for sexually transmitted infections; makes related provisions.

Establishes "SNAP for all", a state-funded supplemental nutrition assistance program to provide for those who are excluded from federal SNAP benefits solely due to immigration status; outlines eligibility requirements of applicants and operational requirements of the office of temporary and disability assistance.

Requires each institution within the state university of New York and the city university of New York offering in-person student instruction to have at least one vending machine making emergency contraception available for purchase.

Prevents public employers from diminishing health insurance benefits provided to retirees and their dependents or the contributions such employer makes for such health insurance coverage below the level of such benefits or contributions made on behalf of such retirees and their dependents by such public employer.

Provides practical support for access to abortion care including, but not limited to, reimbursement for ground and air transportation, lodging, meals, childcare, translation services, and doula support.

Maddy summaryS 3669 establishes a 7.8% targeted inflationary increase for designated programs and services for the 2025-2026 state fiscal year, effective April 1, 2025. This increase applies to rates of payments, contracts, or other forms of reimbursement for programs overseen by offices such as mental health, developmental disabilities, addiction services, and services for children, families, victims, and the aging. The bill specifies that this 7.8% increase is inclusive of most other inflationary adjustments for the period, limiting additional new increases. The goal is to help these programs account for the effects of inflation on their operational costs.

Establishes the comprehensive sexual and reproductive health program to provide funding to providers whose primary function is to facilitate access to comprehensive sexual and reproductive health care services and information for low-income, uninsured and underinsured individuals and provide support to providers to facilitate access to care, fund uncompensated care, and support community awareness of comprehensive sexual and reproductive health care services across New York state.

Establishes the New York state abortion clinical training program within the department of health for the purpose of training health care practitioners in the performance of abortion and related reproductive health care services; requires the commissioner of health to submit a report to the governor and the legislature.

Maddy summaryThis bill shifts outpatient mental health and substance use disorder services under New York's Medicaid program from a managed care model back to traditional fee-for-service billing, requiring federal approval. It directly affects Medicaid beneficiaries receiving these services and the providers (licensed facilities, clinics) delivering them. Key provisions mandate that these services be administered under fee-for-service, with savings from the transition required to be reinvested into community-based behavioral health services starting in 2026. The change takes effect October 1, 2025, and applies to services for individuals with mental illness or substance use disorders.