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Bill > S08838


NY S08838

NY S08838
Provides parity to durable medical equipment providers by requiring Medicaid managed care organizations to reimburse such providers at no less than one hundred percent of the medical assistance durable medical equipment fee schedule for the same service or item.


summary

Introduced
01/08/2026
In Committee
01/08/2026
Crossed Over
Passed
Dead

Introduced Session

2025-2026 General Assembly

Bill Summary

AN ACT to amend the social services law, in relation to providing parity to durable medical equipment providers by requiring Medicaid managed care organizations to reimburse such providers at no less than one hundred percent of the medical assistance durable medical equipment fee schedule for the same service or item

AI Summary

This bill requires Medicaid managed care organizations, which are private companies that contract with the state to provide Medicaid services, to reimburse providers of durable medical equipment (DME), prosthetics, orthotics, and related supplies at a rate that is at least 100% of the established fee schedule for those items. This means that these organizations cannot pay DME providers less than what the state's Medical Assistance Durable Medical Equipment Fee Schedule dictates for the same service or item, ensuring fair payment for essential medical equipment and devices provided to Medicaid beneficiaries.

Committee Categories

Health and Social Services

Sponsors (33)

Last Action

PRINT NUMBER 8838A (on 02/17/2026)

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