Bill > A07220

This bill makes several key changes to hospital funding and Medicaid reimbursement in New York State. It modifies the general hospital indigent care pool by adjusting Medicaid Disproportionate Share Hospital (DSH) payments for major public and other general hospitals, reducing annual distributions to non-major public hospitals by $275 million starting in 2023. The bill introduces a new framework for defining and supporting "safety net" and "enhanced safety net" hospitals, which are hospitals that serve a high proportion of Medicaid and uninsured patients. Starting in the state fiscal year 2026, the bill mandates increases in medical assistance rates for these hospitals, with specific allocations: $34.1 million for major public enhanced safety net hospitals, $228.4 million for other qualified and enhanced safety net hospitals (with at least $12.5 million designated for critical access or sole community hospitals), and an additional $12.5 million for hospitals that might otherwise see reduced payments. The bill also authorizes additional annual payments of $200 million for public general hospitals in cities with over one million residents and $100 million for other public general hospitals, based on their medical assistance and uninsured patient losses. These changes aim to provide financial support to hospitals that serve vulnerable populations and ensure the continued maintenance of critical healthcare services.

Health and Social Services

https://www.nysenate.gov/legislation/bills/2025/A7220