All Roll Calls
Yes: 158 • No: 76
Sponsored By: Budget
Signed by Governor
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63 provisions identified: 35 benefits, 10 costs, 18 mixed.
Youth who meet the legal definition of homeless youth can consent to care without another person’s permission. This also covers youth served by approved runaway and homeless youth crisis programs or transitional independent living support programs. Covered care includes medical, dental, hospital, and behavioral health services.
Beginning October 1, 2025, Medicaid covers medically necessary, standard fertility preservation when medical treatment may directly or indirectly cause infertility. Covered services include collecting, freezing, preserving, and storing eggs or sperm, plus FDA-approved prescription drugs meeting Medicaid coverage requirements. Experimental services and in vitro fertilization are excluded. Storage coverage ends when Medicaid eligibility ends, and all coverage requires federal matching funds.
Eligible adults with cystic fibrosis retain access to New York’s assistance program until its March 31, 2027 repeal date. The law extends the program provisions but states no benefit amount or detailed eligibility test.
New York keeps authority to seek expanded Basic Health Program eligibility through December 31, 2030. The waiver can raise the income limit from 200% to 250% of the federal poverty level. Access depends on the waiver and the program’s eligibility rules. The next specified amendments take effect January 1, 2031.
New York hospitals must maintain sexual-violence response coordinators and enough certified sexual-assault forensic examiners to meet hospital needs. Examiners must be on call 24 hours a day, every day of the year. Eligible examiners are nurses, nurse practitioners, physician assistants, or physicians working within their legal scope. They must meet forensic training and evidence-preservation requirements and maintain health department certification.
Beginning April 1, 2025, the health commissioner must establish provider grants for uncompensated infertility care, subject to available funds. The program serves people unable to afford care, uninsured or underinsured people, and people whose insurance providers deem unusable. At least one funded provider must be in New York City and one in an upstate region. Services must follow state standards incorporating major fertility and obstetric professional standards, and providers must protect patient confidentiality. The law does not state a grant total or individual benefit amount.
Accredited hospitals and examiner programs, and licensed providers, must give sexual-assault survivors covered services without charge and bill the Office of Victim Services. Coverage includes forensic exams, related facility care, necessary lab tests, and drugs, including emergency-room HIV prevention treatment. Follow-up HIV prevention treatment for adults age 18 or older remains reimbursable under established procedures. Hospitals must provide requested emergency contraception unless medically contraindicated; they are not required to provide it during pregnancy. These protections cover survivors of any sex.
Covered psychiatric facilities must screen patients for suicide, violence, and substance-use risks and use the results in discharge planning. Before discharge, patients with elevated self-harm or suicide risk need an individual community suicide safety plan shared with aftercare providers. For elevated violence risk, discharge plans must address risk factors and access to weapons. Facilities must collaborate with county community services officials, outpatient and residential providers, and schools when available or applicable.
Hospitals and psychiatric emergency programs must reasonably try to identify and promptly notify existing community mental health providers, following confidentiality law. Covered psychiatric facilities must send discharge summaries and treatment recommendations to providers responsible for aftercare. Facilities must obtain contact information if possible and confirm an aftercare appointment within seven days after discharge. If diligent efforts find no opening, they must document those efforts and schedule the earliest possible appointment afterward. Patients leaving against medical advice or declining aftercare must receive treatment options and an appointment whenever possible.
New York general hospitals must screen people seeking emergency care without payment or insurance questions delaying the examination. If an emergency condition is found, hospitals must provide available stabilizing care or arrange a legally proper transfer. For active labor, care includes delivery; stabilizing care can include lawful abortion when withholding it likely materially worsens the patient's condition during transfer. Hospitals with capacity must accept appropriate transfers needing their specialized services, and must maintain updated emergency-care protocols. The law also repeals Public Health Law section 2803-o-1; the supplied text does not explain that repeal's practical effect.
Transferring an unstabilized emergency patient requires an informed written request from the patient or authorized decision-maker, plus practitioner certification that benefits outweigh risks. Hospitals must first reduce risks, secure an accepting facility with space and qualified staff, and arrange qualified transport and equipment. Available relevant records must accompany the transfer unless the patient objects. Qualified practitioners acting within their legal scope can make specified emergency-care decisions, including whether someone is in active labor. Hospitals cannot punish practitioners for refusing unsafe transfers or providing needed stabilizing care, or punish people who report violations.
For calendar year 2025, New York provides additional Medicaid inpatient payments to hospitals with emergency rooms, excluding major public general hospitals. Hospitals need at least a 35% Medicaid share of inpatient discharges. Alternatively, they need at least a 30% Medicaid share of total discharges and must provide obstetrical services. Eligibility uses institutional cost-report data from two years before the rate year, reported by October 1 of the prior year. Payments require federal matching funds and must stay within the aggregate upper payment limit; no total amount is stated.
The law changes a past award deadline for unfunded applications under health department request for applications 18406. It moves the deadline from December 31, 2022, to February 28, 2023. Up to $450 million is authorized, subject to budget director approval and an available lawful appropriation. The provision takes effect April 1, 2025; it does not report how many awards were made.
For state fiscal years beginning April 1, 2025, Medicaid hospital outpatient operating payments receive an additional uniform rate increase. The payment plan needs approval from the budget director and health commissioner. The increase depends on federal matching funds and Healthcare Stability Fund rules. This provision does not state the increase's percentage or provide a payment to patients.
Eligible health and social-service programs get a 2.6% increase for covered costs or contracts from April 1, 2025, through March 31, 2026. Covered fields include mental health, addiction, developmental disabilities, temporary assistance, children and families, and aging. Funding depends on appropriations, budget director approval, and federal approval where required. Recipients must certify that specified staff recruitment, retention, or critical non-staff costs come before executive pay increases or other compensation. The law does not guarantee individual raises or household payments.
Nursing homes get up to $445 million in added Medicaid payments for April 1, 2025, through March 31, 2026. The law allows up to $385 million for state fiscal years beginning April 1, 2026. Assisted living programs get up to $15 million for state fiscal years beginning April 1, 2025, and thereafter. These additions require health commissioner and budget director approval, federal funding, and Healthcare Stability Fund support. Payments go to providers, not residents.
For April 1, 2025, through March 31, 2026, the law adds up to $425 million in Medicaid hospital payments. This is in addition to other specified increases. Payments need approval from the health commissioner and budget director, federal funding, and available Healthcare Stability Fund support. Hospitals receive the money, not households.
Medicaid recipients permanently placed in a residential health care facility for three consecutive months lose eligibility for specified managed-care options. The exclusion also covers other Article 44 care-coordination models. Medicaid Advantage Plus members are exempt. Implementation must continue to support community living; the rule does not state that Medicaid coverage itself ends.
Beginning in calendar year 2025, the law reduces certain major public hospitals' Medicaid safety-net distributions by $113.4 million annually. The same provision also specifies a $139.4 million distribution. New York City Health and Hospitals Corporation facilities cannot receive distributions under this provision. These changes affect hospital funding, not direct household payments.
Residential health care facilities continue paying a 6% assessment on covered receipts from April 1, 2025, through March 31, 2029. Covered receipts include patient-care payments and other operating income received on a cash basis. Medicare payments are excluded. This is a facility charge, not a direct tax on patients.
Subject to federal approval and a federal tax-rule waiver, covered health plans owe a tax based on member months. Medicaid rates are $126 below 250,000 member months, $88 from 250,000 to under 500,000, and $25 at 500,000 or more. Essential Plan rates are $13 below 250,000 and $7 at or above that threshold. Other specified coverage rates are $2 below 250,000 and $1.50 at or above that threshold. Plans pay quarterly unless the commissioner sets another schedule; the contracted administrator collects payments for the Healthcare Stability Fund.
The serious-harm standard includes substantial physical danger when mental illness causes inability or refusal to meet essential needs. These needs include food, clothing, necessary medical care, personal safety, and shelter. Psychiatric nurse practitioners can certify specified involuntary admissions; the section 9.27 pathway requires separate physician and nurse-practitioner certificates plus an application. Exams must occur within 10 days before admission, and existing disqualifications also apply to nurse practitioners. Domestic partners can report emergencies to community services officials when immediate psychiatric care is needed and serious harm is likely.
Domestic partners can petition for assisted outpatient treatment, but filing does not itself require treatment. For orders that expired within six months, eligibility assessments can consider substantially worsening symptoms that substantially limit treatment compliance. They can also consider noncompliance after expiration that led to emergency care, inpatient admission, or incarceration. Past noncompliance alone does not prevent a finding that the person is likely to benefit from treatment.
The Health Department can enter, change, or extend contracts for independent Medicaid care assessments and reassessments. These reviews cover personal care, consumer-directed assistance, other designated services, and managed long-term care eligibility. Separate clinical panels provide personal care orders and decide consumer-directed assistance eligibility. Both types of contracts must end by September 30, 2028; they do not guarantee approval for care.
Covered behavioral health and social service programs receive a 2.6% inflation increase for April 1, 2025–March 31, 2026, subject to appropriations. It includes other newly applied inflation, trend, or cost-of-living factors. Commissioners generally cannot add other new targeted inflation or cost-of-living increases during that period. COVID-19 federal relief payments are exempt. The Office of Children and Family Services can still apply specified extra trend or staff-retention factors to eligible programs.
The Healthcare Stability Fund can cover state Medicaid costs, higher managed-care payments, service and quality support, and health care capital projects. It can also repay the general fund for Medicaid spending; all uses require legislative funding and budget director approval. Beginning April 1, 2025, the act’s Medicaid payment increases depend on available fund money. The Health Department must suspend or end them with budget director approval when projected balances are insufficient; they can resume when sufficient. Existing Medicaid supplemental rebate rules continue through March 31, 2030.
Through March 31, 2029, specified hospital, residential care, home health, personal care, and assisted living rates have no positive trend adjustment. This covers trend factors for calendar years 2017–2029 and excludes residential facilities or units mainly serving children under 21. For prior rate periods, the commissioner need not approve specified hospital appeals and capital adjustments above $80 million annually through March 31, 2029. Within that limit, serious financial hardship must guide appeal priorities. Rate adjustments and settlements need budget director approval; settlements can offset money facilities owe the Health Department.
Covered psychiatric emergency facilities must reasonably try to identify and promptly notify a patient's existing community mental health provider. Qualifying patients leaving emergency care must receive advice about suitable follow-up services. For patients with complex needs, facilities must coordinate discharge planning with an applicable care management program. They must also make suitable care-management, community, residential, or peer-service referrals when services are available. Psychiatric emergency programs must also follow added Office of Mental Health requirements.
Beginning April 1, 2025, an attending qualified health care provider must certify a pregnancy loss. Hospitals must promptly prepare the certificate when the loss occurs there, unless a coroner or medical examiner issues it. Without an attending provider, individuals seeking to arrange disposition of pregnancy tissue can request certification from specified county medical officials. Permits for moving, burying, or otherwise handling the tissue must be issued on request under public health rules. Local registrars issue permits requested by funeral directors taking possession; county medical officials cannot investigate pregnancy losses under unattended-death rules.
The law continues the specified fair-hearing provision for Fully Integrated Duals Advantage participants through January 1, 2028. This preserves a way for participants to challenge program decisions. It does not change Medicare or Medicaid benefit amounts.
Specified Medical Indemnity Fund payment rules remain in place until June 1, 2026, instead of December 31, 2025. These rules originally took effect June 30, 2017. The extension does not state how any recipient’s payment changes.
Patients meeting the state's regulatory definition of complex needs must receive written service plans and discharge summaries. Covered facilities must arrange discharge referrals and give a verbal clinical handoff to receiving outpatient programs and applicable licensed residential programs. They must communicate discharge plans to designated care managers when applicable. Referrals for care management, community services, and peer services must be clinically appropriate and follow regulations.
Beginning April 1, 2025, a parent who experienced a stillbirth can request a stillbirth certificate. If both parents have died, a lawful estate representative, sibling, or either parent's parents can request one. The state health department, or New York City's health department for city stillbirths, must allow electronic requests.
Covered psychiatric facilities must give the patient’s existing community mental health provider a chance to join discharge planning, with consent. Available local peer-support programs can also participate with the patient’s consent. With consent and confidentiality safeguards, the service plan can be shared with family, friends, or others concerned about the patient. These rules cover discharge and conditional release.
Beginning April 1, 2025, induced pregnancy losses are registered within 72 hours only when requested to arrange disposition of pregnancy tissue. Those reports include only necessary information; electronic filing begins March 30, 2027. Pregnancy-loss certificates and reports generally omit names, Social Security numbers, and other identifying details unless the individual requests otherwise. Identifying records are limited to the individual, their lawful representative, and authorized Health Department staff; deidentified federal reporting is allowed. Unauthorized release of identifying information carries a civil penalty of up to $5,000 per release.
Beginning April 1, 2025, licensed funeral directors and undertakers no longer pay the statutory burial or removal permit fee. The provision does not state the fee amount or require lower prices for families.
Officers directing removal for likely serious harm must request emergency medical transport when medical needs, local capacity, and safety make it practical. The police training council must develop crisis policies and recommend required training on de-escalation, less force, and alternatives to criminal justice. Current officers have 36 months from the provision's effective date to train, or 24 months in cities of at least one million. Beginning April 1, 2025, at least one state-local panel each quarter reviews a selected serious-mental-illness incident involving deadly force that seriously injured another person. The commissioner must consider case-review requests from local governments and qualifying mental health organizations.
Effective immediately, the law continues three provisions of a 2007 health consumer and provider protection act through June 30, 2027. The supplied text does not describe the specific protections or identify payment amounts.
Previously approved mobile integrated and community paramedicine programs can continue through May 22, 2027. Programs must have been operating and Health Department-approved by May 11, 2023, under Executive Order No. 4 of 2021. They can continue only in their approved form and capacity. The related act’s effective date is deemed May 22, 2023.
The law extends two foster family care demonstration programs through December 31, 2027. These are the programs authorized by the 1983 and 1984 laws. The supplied provisions do not state funding amounts, eligibility rules, or available services.
Mental hygiene commissioners keep authority to design and run temporary demonstration programs through March 31, 2028. Authority for temporary operators to continue specified programs and services also lasts through that date. Those services support people with serious mental illness, developmental disabilities, or substance dependence. Both extensions take effect immediately.
New York's mental health and addiction agencies must create a behavioral health crisis technical assistance center. It supports public-health-led response plans, local training, emergency coordination, and best practices, and must employ peers with lived experience. Annual reports to state leaders begin no later than December 31, 2027. Mental health and substance-use crisis providers can access municipal 911 records through the emergency-services exception. Commercial use unrelated to emergency services remains prohibited.
Government payments to certified home health agencies continue using 60-day episodes through March 31, 2029, under a method dating to April 1, 2012. Payments use a statewide base price adjusted for regional wages and patient needs, and require federal matching funds. Services for children under 18 and groups excluded by regulation are outside this method. Bad-debt and charity-care allowances for certified home health agencies also continue through June 30, 2029.
The law adds up to $40 million in Medicaid clinic payments for April 1, 2025, through March 31, 2026. It allows up to $20 million beginning April 1, 2026. The money supports federally qualified health centers and covered diagnostic and treatment centers, not direct household payments. Increases require health commissioner and budget director approval, federal funding, and Healthcare Stability Fund support.
Existing government inpatient hospital payment provisions continue until April 1, 2028. Extra Medicaid inpatient payments are authorized for qualifying public hospitals from April 1, 2025, through March 31, 2028. Eligible hospitals include state- or SUNY-operated hospitals, qualifying county hospitals, and qualifying hospitals in Westchester, Erie, or Nassau County. The county-operated category excludes a city with over one million residents. Extra payments require federal matching eligibility and cannot exceed remaining Medicaid and uninsured-patient losses after other Medicaid payments.
Municipalities keep authority to charge emergency medical service fees for nine years after the underlying law’s enactment, instead of four. That law applies to health care claims submitted starting 90 days after it took effect. Municipalities are allowed, but not required, to charge fees. This extension sets no fee amount.
Officers using the specified equivalency certificate or approved State University of New York public safety course must receive mental health crisis training. This additional service-qualification requirement follows the regulations adopted for that training.
State authority to set physicians' and surgeons' malpractice insurance rates continues for policy periods through June 30, 2026. The annual surcharge cap stays at 8% until July 1, 2026. Beginning that date, the cap is 25% of the approved adequate rate. This raises the maximum allowed surcharge, not a guaranteed charge for every clinician.
From April 1, 2025, through March 31, 2026, agency commissioners can recover targeted inflation funding used contrary to the appropriation or law. This applies to local government units and direct contract providers receiving the funding. Recovery can include withholding other money owed to the recipient.
Nassau Health Care Corporation needs Nassau County Interim Finance Authority approval for contracts or obligations over $1 million. This adds an approval step for large commitments. It does not create a household fee or filing duty.
Taxed health plans must file reports needed to administer the provider tax. After a report is 60 days late and delinquency notice is given, each failure can bring a $10,000 fine. No fine applies when the plan shows good cause. The state can audit payments and reports for six years after the calendar year they are due. They then generally become final, except for timely identified delinquencies, audits already begun, and specified related adjustments or combined payments.
Beginning April 1, 2025, spontaneous miscarriages and stillbirths must be reported electronically to the state health department within 72 hours. That reporting requirement expires March 30, 2027. Beginning April 1, 2025, the attending provider or designee must tell parents in writing about their right to a stillbirth certificate. If both parents have died, notice goes to a specified estate representative, sibling, or parent of the parents.
School-based health center services for Medicaid recipients cannot be provided through managed care until at least April 1, 2026. The law keeps these services outside that payment and delivery system. It does not end the services themselves.
The state can fine managed-care providers $250 to $25,000 per violation of state contracts or applicable laws and rules. Each failure to provide required services or items to an enrollee counts separately, as does each day of an ongoing violation. Providers must receive a formal hearing before a fine is assessed, and severity determines the amount. Fines can be offset against payments and must come from administrative costs and profits. They cannot be passed through to providers or subcontractors.
Beginning April 1, 2025, the mental health commissioner can create additional panels reviewing serious community incidents involving serious mental illness. Reviews can cover physical injury, serious preventable medical complications, or violent crimes, and recommend fixes to service gaps. The commissioner must send final reports, or relevant portions, to recipients of their recommendations. Recipients must keep reports confidential and cannot share them further. The commissioner must notify the Senate's temporary president and Assembly speaker when reports are issued.
Facilities established, run, administered, or overseen by Nassau Health Care Corporation must follow state Article 28 health-facility requirements. This adds state regulatory obligations to their operations and brings their services under those standards. The provision sets no household payment or benefit amount.
State officials must review excess malpractice pool funding for the July 1, 2025–June 30, 2026 policy period. Certification of insufficient funds by the health commissioner and financial services superintendent allows the related funding-transfer provision to apply. Initial physician and dentist applicants must have qualified and had excess or equivalent coverage purchased for the period ending June 30, 2025. If prior coverage totals exceed new certifications, hospitals can certify additional applicants using the statutory proportional-share formula.
The hospital excess liability pool can purchase or reimburse eligible malpractice coverage from July 1, 2025, through June 30, 2026. Doctors and dentists need eligibility certification from a licensed general hospital. They must maintain required primary coverage or use an eligible hospital channeling program. If pool money is insufficient, covered clinicians owe a share of the shortfall. Failure to pay under the state insurance superintendent's deadlines and procedures can result in canceled coverage.
Several existing medical reimbursement provisions remain in force. One set from the 1995 medical reimbursement and welfare reform law continues through June 30, 2027. Another 1995 reimbursement provision and specified Public Health Law reimbursement rules continue from April 1, 2025, through March 31, 2029. The supplied text does not describe their payment formulas, affected recipients, or payment amounts.
The law continues specified earlier health provisions, including sections 12–14 of a 1995 law from April 1, 2025, through March 31, 2029. It extends sections 73–80-a of the 2013 health budget law through December 31, 2027, instead of December 31, 2025. A separate health-entity law expires August 1, 2027, while preserving an exception for qualifying sales of all or a material portion of assets. The exception requires an approval request during 2017 and approval before July 31, 2018. The supplied text does not explain these laws' underlying requirements or specific household effects.
The Nassau County Interim Finance Authority can obtain corporation records and consult on budgets; borrowing requires prior review and comments within 30 days. This review applies to borrowing proposed for issuance after July 1, 2000. The authority can impose fiscal control for missed debt payments, operating-fund deficits of at least 1%, or specified legal findings or certifications. During control, it can require reports, oversee financial plans, and review covered contracts and obligations. Control ends when qualifying conditions cease and cannot exceed the later of January 1, 2030, or all authority bonds’ refunding, discharge, or defeasance.
Beginning June 1, 2025, Nassau Health Care Corporation has 11 voting directors: six Governor-appointed, two county executive-appointed, and three county legislature-appointed. Legislative appointments split two majority and one minority; county appointees and four Governor appointees must live in Nassau, including legislative leaders’ recommended appointees. Current terms end June 1, with holdovers allowed; new initial terms last two or four years, then five years. The Governor selects the chair, and a majority of directors in office replaces the former 60% quorum requirement. The board chooses the chief executive without county executive approval, but the Nassau County Interim Finance Authority must approve pay and benefits.
Late provider-tax payments accrue interest at the rate set by the referenced state law. The commissioner can waive interest or penalties for financial hardship, Medicaid service difficulties, or missing department information, with an alternative payment schedule. Overpayments receive tax credits or, when no payment is due, refunds at the plan's choice. Overpayment interest requires a commissioner-directed overpayment and at least $1 in interest. In qualifying transactions, transferring all enrollees shifts the full tax to the successor; partial transfers leave it with the original plan.
Budget
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There are no cosponsors for this bill.
All Roll Calls
Yes: 158 • No: 76
committee vote • 5/7/2025
Finance Committee Vote
Yes: 15 • No: 7
Senate vote • 5/7/2025
FLOOR Vote
Yes: 42 • No: 20
House vote • 5/7/2025
Assembly floor vote
Yes: 101 • No: 49
SIGNED CHAP.57
DELIVERED TO GOVERNOR
RETURNED TO SENATE
PASSED ASSEMBLY
MESSAGE OF NECESSITY - 3 DAY MESSAGE
ORDERED TO THIRD READING RULES CAL.180
SUBSTITUTED FOR A3007C
REFERRED TO WAYS AND MEANS
DELIVERED TO ASSEMBLY
PASSED SENATE
MESSAGE OF NECESSITY - 3 DAY MESSAGE
ORDERED TO THIRD READING CAL.968
PRINT NUMBER 3007C
AMEND (T) AND RECOMMIT TO FINANCE
PRINT NUMBER 3007B
AMEND (T) AND RECOMMIT TO FINANCE
PRINT NUMBER 3007A
AMEND (T) AND RECOMMIT TO FINANCE
REFERRED TO FINANCE
Amendment C
5/6/2025
Amendment B
3/10/2025
Amendment A
2/21/2025
Original
1/22/2025
S 9051, Prohibits artificial intelligence companions from using features which are considered unsafe for minors
S 10643, Relates to labor peace agreements and the cannabis industry wage board; repealer
A 5175, Requires certain security features and warning labels on baby monitors
S 8953, Establishes the Clarence Center Volunteer Exempt Firefighter's Benevolent Association
S 9968, Establishes the Harris Hill Volunteer Fire Company Benevolent Association
A 10052, Extends the effectiveness of the authority of the town of Red Hook to impose real estate transfer taxes and to deposit revenue from such taxes into a community preservation fund