New York A 10506: Relates to COVID-19 pandemic medical debt requirements

Bill Text

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A10506 Summary:

BILL NOA10506 

&nbsp

SAME ASNo Same As

&nbsp

SPONSORPaulin

&nbsp

COSPNSRSeawright, McDonald

&nbsp

MLTSPNSR

&nbsp

Amd §3614-f, Pub Health L

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Relates to reimbursement of home care aides; requires the commissioner of health to ensure rate ranges for Medicaid managed care organizations comply with certain reimbursement rates.

Go to top A10506 Actions:

BILL NOA10506 

&nbsp

03/06/2026referred to health

Go to topA10506 Committee&nbspVotes:

Go to topA10506 Floor&nbspVotes:

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

Go to topA10506 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 10506

 IN ASSEMBLY

 March 6, 2026
 ___________

 Introduced by M. of A. PAULIN -- read once and referred to the Committee
 on Health

 AN ACT to amend the public health law, in relation to regional minimum
 hourly base reimbursement rates for home care aides

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

 1 Section 1. Section 3614-f of the public health law is amended by
 2 adding six new subdivisions 5, 6, 7, 8, 9 and 10 to read as follows:
 3 5. (a) No Medicaid managed care organization shall reimburse providers
 4 employing workers subject to the minimum wage provisions established in
 5 subdivision two of this section in an amount that is less than the most
 6 current average fee for service county rates for level two personal care
 7 service for each region as posted by the department for personal care
 8 agencies or other providers delivering like services through other Medi-
 9 caid programs.
 10 (b) Alternatively, the commissioner may require Medicaid managed care
 11 organizations to pay a regional minimum hourly base reimbursement rate,
 12 which the commissioner will develop based on the total direct care
 13 related costs for home care aides and other direct care related staff
 14 necessary to comply with federal and state statutory and regulatory
 15 requirements for such providers and informed by provider cost reports
 16 filed with the department, provided that such resulting rate is not less
 17 than the fee for service rate in paragraph (a) of this subdivision. If
 18 the commissioner chooses to exercise this option, the minimum rate iden-
 19 tified in paragraph (a) of this subdivision shall apply until the
 20 regional minimum hourly base reimbursement rate is developed and imple-
 21 mented.
 22 6. For mainstream managed care and fully capitated Medicaid managed
 23 care products for those dually eligible for both Medicaid and Medicare,
 24 the commissioner shall submit any and all necessary applications for
 25 approvals and/or waivers to the federal centers for Medicare and Medi-
 26 caid services to secure approval, if necessary, under subdivision five
 27 of this section.

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD15106-01-6

 A. 10506 2

 1 (a) If approved by the federal centers for Medicare and Medicaid
 2 services, directed payments shall be made to such providers of Medicaid
 3 services through contracts with managed care organizations where appli-
 4 cable, provided that the commissioner ensures that such directed
 5 payments are in accordance with the terms of this section.
 6 (b) If the state directed payment is not approved, the provisions of
 7 subdivision seven of this section shall apply.
 8 7. For partially capitated managed long term care plans, or where
 9 state directed payments pursuant to subdivision six of this section have
 10 not been approved, the department shall require plans to justify
 11 contracts offering deviations from the reimbursement rate set in subdi-
 12 vision five of this section in a report to the department. Such report
 13 shall be sent to the department, with a copy to the provider prior to
 14 the finalizing of any contract, unless otherwise permitted by this
 15 section, within five working days of the contract being offered to a
 16 provider with rate deviations. Any report shall include a rationale for
 17 paying below the reimbursement rate set in subdivision five of this
 18 section, and the impacted provider shall have the opportunity to respond
 19 to the report within thirty days of fili