S8838 • 2025

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

Healthcare

Passed Legislature

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

Sponsor: Gustavo Rivera
Last action: 2026-06-04
Official status: Senate Floor Calendar
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
COMMITTEE DISCHARGED AND COMMITTED TO RULES
2026-06-04 Senate
ORDERED TO THIRD READING CAL.1735
2026-06-04 Senate
SUBSTITUTED BY A10576
2026-05-19 Senate
REPORTED AND COMMITTED TO FINANCE
2026-02-17 Senate
AMEND (T) AND RECOMMIT TO HEALTH
2026-02-17 Senate
PRINT NUMBER 8838A
2026-01-08 Senate
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
        ________________________________________________________________________

                                          8838

                                    I N  S E N A T E

                                     January 8, 2026
                                       ___________

        Introduced  by  Sens.  RIVERA,  ASHBY,  BAILEY, BORRELLO, BROUK, CLEARE,
          COMRIE,  FAHY,  FERNANDEZ,  GALLIVAN,  GOUNARDES,  HARCKHAM,  HELMING,
          HINCHEY, JACKSON, LIU, MARTINS, MATTERA, MAY, MAYER, MYRIE, OBERACKER,
          O'MARA,  PALUMBO, PERSAUD, RAMOS, RHOADS, C. RYAN, SALAZAR, SCARCELLA-
          SPANTON, SKOUFIS, WEBER, WEIK -- read twice and ordered  printed,  and
          when printed to be committed 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
          and complex  rehabilitation  technology  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 AND COMPLEX REHABILITATION TECHNOLOGY FEE SCHEDULE FOR
     7  THE SAME SERVICE OR ITEM.
     8    § 2. This act shall take effect on the ninetieth day  after  it  shall
     9  have become a law; provided, however, that the amendments to subdivision
    10  4  of  section  364-j  of the social services law made by section one of
    11  this act shall not affect the repeal of such section and shall be deemed
    12  repealed therewith.



         EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD04119-01-5