Bill > S07052

This bill amends the New York Public Health Law to require the state commissioner of health to make a system of episodic payments available to all Medicaid managed care plans, child health insurance plans, and Essential Plans by October 1, 2025, and annually thereafter. The bill mandates that the commissioner notify these plans of their responsibility to ensure their members have access to certified home health agency services, emphasizing that such services are critical for improving patient care and reducing overall healthcare costs, particularly hospital expenses. The bill specifically highlights episodic payments as the standard method of payment for certified home health agencies by New York state government agencies. However, the legislation also allows managed care plans and certified home health agencies the flexibility to negotiate alternative payment methodologies, including value-based payments tied to health outcome measurements. This change aims to standardize and potentially improve home health care payment systems while maintaining some negotiation flexibility for healthcare providers and insurers.

Budget and Finance, Health and Social Services

https://www.nysenate.gov/legislation/bills/2025/S7052