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

Status: SUBSTITUTED BY A2520 (as of 2025-06-12)

State: New York · Session: 2025-2026 · Bill: S 1616

Sponsors: Gustavo Rivera, Alexis Weik, Andrew Gounardes, Anthony H. Palumbo, Brad Hoylman-Sigal, Christopher Ryan, Cordell Cleare, George Borrello, Jack M. Martins, Jake Ashby, Jamaal Bailey, James Skoufis, Jessica Ramos, Jessica Scarcella-Spanton, John Liu, Julia Salazar, Leroy Comrie, Mario Mattera, Michelle Hinchey, Nathalia Fernandez, Pamela Helming, Patricia Fahy, Patrick M. Gallivan, Pete Harckham, Peter Oberacker

Bill Text

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S01616 Summary:

BILL NOS01616 

&nbsp

SAME ASSAME AS A02520

&nbsp

SPONSORRIVERA

&nbsp

COSPNSRASHBY, BAILEY, BORRELLO, BROUK, CLEARE, COMRIE, FAHY, FERNANDEZ, GALLIVAN, GOUNARDES, HARCKHAM,
 HELMING, HINCHEY, HOYLMAN-SIGAL, JACKSON, LIU, MARTINS, MATTERA, MAY, MAYER, MYRIE, OBERACKER,
 O'MARA, PALUMBO, PERSAUD, RAMOS, RHOADS, RYAN C, SALAZAR, SCARCELLA-SPANTON, SKOUFIS, WEBER, WEIK

&nbsp

MLTSPNSR

&nbsp

Amd §364-j, Soc Serv L

&nbsp

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.

Go to top S01616 Actions:

BILL NOS01616 

&nbsp

01/13/2025REFERRED TO HEALTH

05/13/2025REPORTED AND COMMITTED TO FINANCE

05/28/20251ST REPORT CAL.1345

05/29/20252ND REPORT CAL.

06/04/2025ADVANCED TO THIRD READING 

06/12/2025SUBSTITUTED BY A2520

&nbspA02520 AMEND= McDonald (MS)

&nbsp01/17/2025referred to health

&nbsp04/28/2025reported referred to ways and means

&nbsp06/06/2025reported referred to rules

&nbsp06/09/2025reported 

&nbsp06/09/2025rules report cal.487

&nbsp06/09/2025ordered to third reading rules cal.487

&nbsp06/09/2025passed assembly

&nbsp06/09/2025delivered to senate

&nbsp06/09/2025REFERRED TO RULES

&nbsp06/12/2025SUBSTITUTED FOR S1616

&nbsp06/12/20253RD READING CAL.1345

&nbsp06/12/2025PASSED SENATE

&nbsp06/12/2025RETURNED TO ASSEMBLY

&nbsp10/09/2025delivered to governor

&nbsp10/16/2025vetoed memo.40

&nbsp10/17/2025tabled

Go to topS01616 Committee&nbspVotes:

Go to topS01616 Floor&nbspVotes:

There are no Assembly votes for this bill in this legislative session.

Go to topS01616 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 1616

 2025-2026 Regular Sessions

 IN SENATE

 January 13, 2025
 ___________

 Introduced by Sens. RIVERA, ASHBY, FERNANDEZ, GALLIVAN, HARCKHAM, HOYL-
 MAN-SIGAL, JACKSON, MAY, SKOUFIS, WEBER -- read twice and ordered
 printed, and when printed to be committed to the Committee on Health

 AN ACT to amend the social services law, in relation to providing 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

 The People of the State of New York, represented in Senate and Assem-
 bly, do enact as follows:

 1 Section 1. Subdivision 4 of section 364-j of the social services law
 2 is amended by adding a new paragraph (x) to read as follows:
 3 (x) Managed care providers shall pay, directly or indirectly, for
 4 durable medical equipment, prosthetics, orthotics, and related supplies
 5 at no less than one hundred percent of the medical assistance durable
 6 medical equipment and complex rehabilitation technology fee schedule for
 7 the same service or item.
 8 § 2. This act shall take effect on the ninetieth day after it shall
 9 have become a law; provided, however, that the amendments to subdivision
 10 4 of section 364-j of the social services law made by section one of
 11 this act shall not affect the repeal of such section and shall be deemed
 12 repealed therewith.

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD04119-01-5

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