All Roll Calls
Yes: 57 • No: 27
New YorkS 30072025-2026 Regular SessionSenateWALLET
Enacts into law major components of legislation necessary to implement the state health and mental hygiene budget for the 2025-2026 state fiscal year
Sponsored By: Budget
Became Law
FINANCEWAYS AND MEANS
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Bill Overview
Analyzed Economic Effects
29 provisions identified: 17 benefits, 4 costs, 8 mixed.
Medicaid covers fertility preservation
Starting October 1, 2025, Medicaid covers standard fertility preservation when treatment may cause infertility. It pays for collecting, freezing, and storing eggs or sperm, and FDA‑approved drugs for preservation. IVF is not covered. Storage is paid only while you stay on Medicaid. Coverage depends on federal funding being available.
Higher Medicaid rates for providers
Hospitals get a 7.5% boost to inpatient Medicaid operating payments and 6.5% for outpatient, starting April 1, 2023. Nursing homes get a 6.5% operating increase, with up to $285 million (Apr 1, 2024–Mar 31, 2025), up to $445 million (Apr 1, 2025–Mar 31, 2026), and up to $385 million each year after. Assisted living programs get 6.5% more, with up to $15 million for Apr 1, 2024–Mar 31, 2025 and up to $15 million a year after. FQHCs and D&TCs get up to $40 million more for Apr 1, 2025–Mar 31, 2026 and up to $20 million a year after. These increases require state and federal approvals and tie to the new Healthcare Stability Fund.
Per-member tax on health plans
The law creates a per‑member‑month tax on health plans. Rates include: $126 for Medicaid member months under 250,000; $88 for 250,000–499,999; $25 for 500,000 or more; $13 for Essential Plan member months under 250,000; and $7 for 250,000 or more. Plans owe the tax by multiplying each tier’s member‑months by its rate. The tax applies only after approval by the Budget Director and federal CMS.
Public hospital funding changes
For 2025 and after, $139.4 million is directed to major public hospitals as Medicaid DSH, but their total distributions are cut by $113.4 million each year; NYC Health + Hospitals does not receive these distributions. From April 1, 2025 to March 31, 2028, the state may make extra inpatient payments to public general hospitals, up to 100% of Medicaid and uninsured losses, with federal approval. Rules for government‑paid inpatient services continue through April 1, 2028.
Grants for infertility care access
Beginning April 1, 2025, the state funds grants to providers for infertility care you cannot afford. It targets people who are uninsured, underinsured, or unable to pay. At least one grantee will be in New York City and one upstate. Grants depend on available funds and must protect patient privacy.
Hospitals must staff forensic examiners
Hospitals must keep sexual violence response coordinators and certified forensic examiners. Examiners must be licensed, complete required training and a preceptorship, and be on‑call 24/7 as needed. They must maintain certification under rules the health department will set.
Quarterly mental health review panels
The Office of Mental Health must run at least one incident review panel each quarter. Panels include OMH, criminal justice, and the local chief executive (or designee). Law enforcement tied to an active case cannot serve. Final reports are not confidential, but recipients cannot share them further. OMH must send a two‑year cumulative report to the governor and legislature.
Hospitals must report community benefit spending
Starting October 1, 2025, general hospitals that file IRS Form 990 must send that form and the data behind it to the health department by July 1 each year. Hospitals that do not file Form 990 must submit similar information. The department will publish a statewide summary by October 1, 2026 and every year after.
Public dashboard on opioid settlement spending
Starting one year after the first deposit, the commissioners must publish a dashboard by November 1 each year. It shows baseline funding, how money was used, who got awards and for what, and measures of effectiveness. The dashboard is public and helps prevent replacing other funding with settlement dollars.
Stronger privacy for 911 call records
E911 call records can only be shared with public safety agencies, other government bodies, or emergency‑service providers. The records cannot be used for commercial purposes except to provide emergency services. This strengthens caller privacy for everyone.
Health program rules extended to 2029
Many temporary health provisions that would have ended in 2025 now stay in force through March 31, 2029. Separate sections 105‑b to 105‑f also remain through June 30, 2027. These extensions keep existing rules and program powers in place.
Medicaid drug rebate powers extended
New York keeps its supplemental Medicaid drug rebate authority through March 31, 2030. This lets the state continue to negotiate rebates and manage prescription costs.
Police crisis training tied to pensions
The state requires standard training for all police on responding to mental-health crises. Training covers recognition, de‑escalation, using less force, and non‑criminal options. Current officers must finish within 36 months, or within 24 months in any city with one million or more people. A police officer’s continuous-service pension credit counts only if they complete this required training.
6% tax on nursing home receipts
Residential health care facilities must pay a 6% assessment on gross receipts that are not from Medicare. This applies to receipts from April 1, 2025 through March 31, 2029. Medicare (Title XVIII) receipts are excluded.
School clinic Medicaid shift delayed
School‑based health center services for Medicaid enrollees do not move into managed care until at least April 1, 2026. If you get care at a school clinic on Medicaid, your care coordination stays the same until then.
2.6% boost for human services providers
From April 1, 2025 to March 31, 2026, eligible programs get a 2.6% inflation increase, if funded and approved by the budget director. Recipients must certify they used the money first to hire and keep frontline staff or cover critical costs, before any executive pay. Agencies can recoup the funds if they are used in ways not allowed, including by offsetting other payments.
Healthcare Stability Fund and pause power
The state creates a Healthcare Stability Fund to hold MCO tax money and other appropriations. The money can pay the state share of Medicaid capitation, services, and quality programs with legislative appropriation and budget approval. The Budget Director can pause or end the 2025 Medicaid payment increases if the fund balance is too low. The budget office also reports Medicaid spending by service and region every quarter through March 31, 2027.
Provider cost controls extended to 2029
A cap of $80 million a year continues on certain retroactive nursing home rate revisions for periods before April 1, 2029. Certified home health agencies remain on episodic payments through March 31, 2029, with children under 18 and some groups excluded. Trend factors for many hospital, long‑term care, home health, personal care, and assisted living services stay at no more than zero through March 31, 2029, with specified exclusions.
Stronger privacy after pregnancy loss
The law uses the term “pregnancy loss” instead of “fetal death.” A licensed health care provider must confirm the loss. Only the person who had the loss, their lawful representative, and authorized Health Department staff can get identifying information. De‑identified data can still be shared for federal reports. Takes effect April 1, 2025.
Cystic fibrosis help extended
The adult cystic fibrosis assistance program remains in effect through March 31, 2027. Help continues until then.
Foster family care demos extended
Foster family care demonstration programs from 1983, 1984, and 1985 continue through December 31, 2027. Services and supports now in place keep going until that date. For the 1984 act, some remaining parts take effect 120 days after enactment.
Public reports on local opioid funds
Every local government that received statewide opioid settlement money must, by November 1 each year, post how it used the funds on its website. They must also send the same report to the Office of Addiction Services and Supports. OASAS reposts these reports online.
Electronic death records and fee change
Starting April 1, 2025, the health department builds and runs an electronic death registration system to replace paper steps. The department will consult users like registrars and funeral directors. Also on April 1, 2025, the law removes a payment‑collection rule tied to burial or removal permits for funeral directors.
Independent assessor contracts run longer
Contracts for independent assessors and clinical panels can now run through September 30, 2028. This replaces the old September 30, 2025 limit.
Paramedicine programs extended four years
Mobile integrated and community paramedics programs approved by May 11, 2023 may keep operating for four years after this section takes effect. The community‑based paramedicine demonstration also runs for four years after its act’s effective date. This keeps services going longer where they exist.
Longer authorization to bill EMS
The state extends the law that lets municipalities and others bill for emergency medical services. The authorization now lasts nine years after it became law, instead of four. It applies to health care claims submitted on or after the 90th day after enactment.
New rules after pregnancy loss
If you have a spontaneous miscarriage or stillbirth, you must file an electronic report with the health department within 72 hours. If you have an induced termination and ask to register it to arrange disposition, you may register within 72 hours; this option ends March 30, 2027. You can also request a certificate of stillbirth; providers must inform you in writing of this right. The department may charge the same fee as for a birth or death certificate.
New board for Nassau Health Care
On June 1, 2025, Nassau Health Care Corporation’s board is reset to eleven voting directors. Six are appointed by the governor, two by the county executive, two by the majority leader of the county legislature, and one by the minority leader. Current directors’ terms end that day but they can serve until successors are named. Directors are unpaid and a majority forms a quorum.
Tighter oversight of Nassau health system
Starting June 1, 2025, Nassau Health Care Corporation needs outside approval for any contract or obligation over $1 million. The corporation also must finish a study and sustainability plan for Nassau University Medical Center and A. Holly Patterson by December 1, 2026. The study must review finances, facilities, capacity, services, and community needs, and get input from experts, unions, and local groups.
Sponsors & Cosponsors
Sponsor
Budget
Affiliation unavailable
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
committee vote • 5/7/2025
Finance Committee Vote
Yes: 15 • No: 7
Senate vote • 5/7/2025
FLOOR Vote
Yes: 42 • No: 20
Actions Timeline
SIGNED CHAP.57
5/9/2025SenateDELIVERED TO GOVERNOR
5/8/2025SenateRETURNED TO SENATE
5/7/2025HousePASSED ASSEMBLY
5/7/2025HouseMESSAGE OF NECESSITY - 3 DAY MESSAGE
5/7/2025HouseORDERED TO THIRD READING RULES CAL.180
5/7/2025HouseSUBSTITUTED FOR A3007C
5/7/2025HouseREFERRED TO WAYS AND MEANS
5/7/2025HouseDELIVERED TO ASSEMBLY
5/7/2025SenatePASSED SENATE
5/7/2025SenateMESSAGE OF NECESSITY - 3 DAY MESSAGE
5/7/2025SenateORDERED TO THIRD READING CAL.968
5/7/2025SenatePRINT NUMBER 3007C
5/6/2025SenateAMEND (T) AND RECOMMIT TO FINANCE
5/6/2025SenatePRINT NUMBER 3007B
3/10/2025SenateAMEND (T) AND RECOMMIT TO FINANCE
3/10/2025SenatePRINT NUMBER 3007A
2/21/2025SenateAMEND (T) AND RECOMMIT TO FINANCE
2/21/2025SenateREFERRED TO FINANCE
1/22/2025Senate
Bill Text
Amendment C
5/6/2025
Amendment B
3/10/2025
Amendment A
2/21/2025
Original
1/22/2025
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