New York A 9679: Relates to Medicaid reimbursement rates for rural home health care providers

Bill Text

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A09679 Summary:

BILL NOA09679 

&nbsp

SAME ASNo Same As

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SPONSORCashman

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COSPNSR

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MLTSPNSR

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Amd §§368-a & 365-l, Soc Serv L

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Increases Medicaid reimbursement rates for rural home health care providers to cover actual costs of delivery.

Go to top A09679 Actions:

BILL NOA09679 

&nbsp

01/21/2026referred to health

Go to topA09679 Committee&nbspVotes:

Go to topA09679 Floor&nbspVotes:

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

Go to topA09679 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 9679

 IN ASSEMBLY

 January 21, 2026
 ___________

 Introduced by M. of A. CASHMAN -- read once and referred to the Commit-
 tee on Health

 AN ACT to amend the social services law, in relation to Medicaid
 reimbursement rates for rural home health care providers

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

 1 Section 1. Subdivision 1 of section 368-a of the social services law
 2 is amended by adding a new paragraph (g-1) to read as follows:
 3 (g-1) Notwithstanding paragraph (g) of this subdivision, section three
 4 hundred sixty-four-j of this title or any other provision of law,
 5 reimbursement for home health services provided in accordance with para-
 6 graph (d) of subdivision two of section three hundred sixty-five-a of
 7 this title by an individual or shared aide provided by an approved home
 8 health agency when such services are determined to be cost effective and
 9 appropriate to meet the recipient's needs for assistance, where such
 10 services are delivered in a rural area of the state, to be designated by
 11 the commissioner in regulation, shall be increased to include an amount
 12 necessary to cover the disparate transportation costs associated with
 13 providing such services in rural areas. The commissioner shall develop
 14 methodologies for calculating such delivery costs which are separate
 15 from direct personal care. Such reimbursement increase shall include all
 16 home health services provided for eligible recipients under this arti-
 17 cle, including those available or obtained through federal waivers.
 18 § 2. Subdivision 1 of section 365-l of the social services law, as
 19 added by section 37 of part H of chapter 59 of the laws of 2011, is
 20 amended to read as follows:
 21 1. Notwithstanding any law, rule or regulation to the contrary, the
 22 commissioner of health is authorized, in consultation with the commis-
 23 sioners of the office of mental health, office of [alcoholism and
 24 substance abuse services] addiction services and supports, and office
 25 for people with developmental disabilities, to (a) establish, in accord-
 26 ance with applicable federal law and regulations, standards for the
 27 provision of health home services to Medicaid enrollees with chronic
 28 conditions, (b) establish payment methodologies for health home services

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD05558-01-5

 A. 9679 2

 1 based on factors including but not limited to the complexity of the
 2 conditions providers will be managing, the anticipated amount of patient
 3 contact needed to manage such conditions, transportation costs, and the
 4 health care cost savings realized by provision of health home services,
 5 (c) establish the criteria under which a Medicaid enrollee will be
 6 designated as being an eligible individual with chronic conditions for
 7 purposes of this program, (d) assign any Medicaid enrollee designated as
 8 an eligible individual with chronic conditions to a provider of health
 9 home services.
 10 § 3. This act shall take effect immediately.

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