New York 2025-2026 Regular Session

New York Assembly Bill A07801

Introduced
4/11/25  
Refer
4/11/25  

Caption

Sets reimbursement rates for essential safety net hospitals at no less than regional average commercial rates for health care services provided by all hospitals in the same geographic region.

Summary

Bill A07801 aims to amend the public health law to establish reimbursement rates for essential safety net hospitals in New York. These hospitals primarily serve marginalized communities and a significant portion of their patients are either on Medicaid or uninsured. The bill seeks to provide enhanced reimbursement rates that reflect regional average commercial rates for healthcare services, thereby ensuring these hospitals can continue to operate and invest in their infrastructure and workforce. The legislation recognizes the historical underfunding of these hospitals and aims to create a more equitable healthcare system.

Impact

If enacted, this bill will significantly alter the reimbursement structure for essential safety net hospitals, requiring that they receive payments at no less than the regional average commercial rates. This change is expected to stabilize these hospitals financially, allowing them to improve their services and expand access to care in underserved communities. The bill may also necessitate that participating hospitals waive certain Medicaid Disproportionate Share Hospital allotments, which could impact their funding sources.

Sentiment

The sentiment surrounding Bill A07801 appears to be supportive among advocates for healthcare equity, as it addresses long-standing funding disparities faced by essential safety net hospitals. However, there may be concerns from some stakeholders about the implications of waiving Medicaid allotments and the potential administrative burden of compliance with the new reimbursement structure.

Contention

Notable points of contention include the requirement for eligible hospitals to waive Medicaid Disproportionate Share Hospital allotments, which some may view as a disadvantage. Additionally, there may be debate over the criteria for what constitutes an essential safety net hospital, particularly regarding the exclusion of certain types of hospitals from eligibility. Stakeholders in the healthcare sector, including hospital administrators and policymakers, may hold differing views on these provisions.

Companion Bills

No companion bills found.

Previously Filed As

NY A02089

Sets reimbursement rates for essential safety net hospitals at no less than regional average commercial rates for health care services provided by all hospitals in the same geographic region.

NY S03592

Sets reimbursement rates for essential safety net hospitals at no less than regional average commercial rates for health care services provided by all hospitals in the same geographic region.

NY SB1214

Relating to Medicaid reimbursement rates for rural hospitals; declaring an emergency.

NY H2445

Preserving essential services in our hospitals

NY HB2198

AHCCCS; reimbursement rates; rural hospitals

NY HB2219

Relating to reimbursement rates for hospital obstetric services.

NY HB1868

MEDICAID-SAFETY-NET HOSPITALS

NY SB1653

MEDICAID-SAFETY-NET HOSPITALS

NY HB2249

Requiring the secretary for aging and disability services to grant physical environment waivers for certain rural emergency hospitals to provide skilled nursing facility care and establishing the south central regional mental health hospital.

NY HB1978

Relating To The West Hawaii Regional Health Care System.

Similar Bills

No similar bills found.