Bill > S07705

This bill aims to ensure that Medicaid reimbursement rates for private duty nursing services are adequate, particularly for enrollees covered by Medicaid as of October 1, 2026, under agreements with licensed home care services providers. It mandates that payments for these hourly nursing services, including those provided by licensed home care services agencies and health maintenance organizations, must be at least equal to a benchmark rate, which is defined as the fee-for-service rate calculated under existing state law at the time the services are rendered. Furthermore, the bill establishes that these payments will be no less than eighty percent of the appropriate CHAMPUS/TRICARE maximum allowable charge for the New York locality, with the Department of Health required to publish a private duty rate schedule at least thirty days before the October 1, 2026, effective date and annually thereafter.

Budget and Finance, Health and Social Services

https://www.nysenate.gov/legislation/bills/2025/S7705