A10576 • 2025

Provides parity to durable medical equipment providers by requiring Medicaid managed care organizations to reimburse such providers

Healthcare

Active

The official status still shows this bill as active or still awaiting another formal step.

Sponsor: Nikki Lucas
Last action: 2026-06-04
Official status: Passed Senate
Effective date: Not listed

Plain English Breakdown

Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.

Provides parity to durable medical equipment providers by requiring Medicaid managed care organizations to reimburse such providers

Provides parity to durable medical equipment providers by requiring Medicaid managed care organizations to reimburse such providers 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.

What This Bill Does

Provides parity to durable medical equipment providers by requiring Medicaid managed care organizations to reimburse such providers 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.

Limits and Unknowns

This entry is temporarily using official source text because the generated explanation could not be confirmed against the official bill text during the last sync.

Bill History

2026-06-04 Senate
SUBSTITUTED FOR S8838A
2026-06-04 Senate
3RD READING CAL.1735
2026-06-04 Senate
PASSED SENATE
2026-06-04 Senate
RETURNED TO ASSEMBLY
2026-06-03 Assembly
REPORTED REFERRED TO RULES
2026-06-03 Assembly
REPORTED
2026-06-03 Assembly
RULES REPORT CAL.417
2026-06-03 Assembly
ORDERED TO THIRD READING RULES CAL.417
2026-06-03 Assembly
PASSED ASSEMBLY
2026-06-03 Assembly
DELIVERED TO SENATE
2026-06-03 Senate
REFERRED TO RULES
2026-04-28 Assembly
REPORTED REFERRED TO WAYS AND MEANS
2026-03-13 Assembly
REFERRED TO HEALTH

Official Summary Text

Provides parity to durable medical equipment providers by requiring Medicaid managed care organizations to reimburse such providers
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.

Current Bill Text

Read the full stored bill text

S T A T E   O F   N E W   Y O R K
        ________________________________________________________________________

                                          10576

                                  I N  A S S E M B L Y

                                     March 13, 2026
                                       ___________

        Introduced  by M. of A. LUCAS -- read once and referred to the Committee
          on Health

        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

          THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
        BLY, DO ENACT AS FOLLOWS:

     1    Section 1. Subdivision 4 of section 364-j of the social  services  law
     2  is amended by adding a new paragraph (x) to read as follows:
     3    (X)  MANAGED  CARE  PROVIDERS  SHALL  PAY, DIRECTLY OR INDIRECTLY, FOR
     4  DURABLE MEDICAL EQUIPMENT, PROSTHETICS, ORTHOTICS, AND RELATED  SUPPLIES
     5  AT  NO  LESS  THAN ONE HUNDRED PERCENT OF THE MEDICAL ASSISTANCE DURABLE
     6  MEDICAL EQUIPMENT FEE SCHEDULE FOR THE SAME SERVICE OR ITEM.
     7    § 2. This act shall take effect on the ninetieth day  after  it  shall
     8  have become a law; provided, however, that the amendments to subdivision
     9  4  of  section  364-j  of the social services law made by section one of
    10  this act shall not affect the repeal of such section and shall be deemed
    11  repealed therewith.





         EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD04119-03-6