A10842 • 2025

Directs the department of health to establish an alternative payment methodology (APM) for Federally Qualified Health Centers to preserve and improve patient access to fertility care

Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor: Aron Wieder
Last action: 2026-04-21
Official status: In Assembly Committee
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.

Directs the department of health to establish an alternative payment methodology (APM) for Federally Qualified Health Centers to preserve and improve patient access to fertility care

Directs the department of health to establish an alternative payment methodology (APM) for Federally Qualified Health Centers to preserve and improve patient access to fertility care Directs the department of health to establish an alternative payment methodology (APM) for federally qualified health centers to preserve and improve patient access to fertility care.

What This Bill Does

Directs the department of health to establish an alternative payment methodology (APM) for Federally Qualified Health Centers to preserve and improve patient access to fertility care Directs the department of health to establish an alternative payment methodology (APM) for federally qualified health centers to preserve and improve patient access to fertility care.

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

2026-04-21 Assembly
AMEND AND RECOMMIT TO HEALTH
2026-04-21 Assembly
PRINT NUMBER 10842A
2026-04-06 Assembly
REFERRED TO HEALTH

Official Summary Text

Directs the department of health to establish an alternative payment methodology (APM) for Federally Qualified Health Centers to preserve and improve patient access to fertility care
Directs the department of health to establish an alternative payment methodology (APM) for federally qualified health centers to preserve and improve patient access to fertility care.

Current Bill Text

Read the full stored bill text

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

                                          10842

                                  I N  A S S E M B L Y

                                      April 6, 2026
                                       ___________

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

        AN ACT directing the department of health to  establish  an  alternative
          payment  methodology  (APM)  for federally qualified health centers to
          preserve and improve patient access to fertility care

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

     1    Section  1.  Under  the authority of state plan amendment #17-0058, as
     2  amended by state plan amendment #23-0050, the department of health shall
     3  establish an alternative payment methodology (APM) for federally  quali-
     4  fied  health centers to preserve and improve patient access to fertility
     5  care. Any payments made under the  APM  shall  be  in  addition  to  any
     6  payments  made  under  the prospective payment system (PPS) or any other
     7  alternative payment methodology for federally qualified health  centers.
     8  The  APM  shall  provide  for  payments  to be made by the department of
     9  health to federally qualified health centers in an amount equal  to  the
    10  difference  between  (a)  the  aggregate  amount the federally qualified
    11  health center paid to acquire eligible injectable  fertility  drugs  for
    12  Medicaid  patients  under  section  340B  of  the  federal public health
    13  services act between January 1, 2024 and December 31, 2024 and  (b)  the
    14  aggregate  amount  the federally qualified health center would have paid
    15  to acquire those drugs based on average wholesale acquisition  cost  for
    16  such  drugs during the same period. For purposes of this section, eligi-
    17  ble injectable fertility drugs shall be limited  to  gonadotropin,  GNRH
    18  antagonists, and GNRH agonists.
    19    § 2. This act shall take effect immediately.



         EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD09276-05-6