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Senate bill · S1225 (2025-26)

Requires periodic reviews of pending applications for material change in the coverage status of certain matters relative to new health technology assessment or…

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Requires periodic reviews of pending applications for material change in the coverage status of certain matters relative to new health technology assessment or medical evidence

The heading above is this same sentence with its legal opening removed. No words were added, changed or reordered.

Latest action May 19, 2026

New York State Senate

Same as A11025, the matching bill in the Assembly.

Sponsor

Gustavo Rivera

State Senator, District 33 · Democratic/Working Families

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Summary

Requires periodic reviews of pending applications for material change in the coverage status of certain matters relative to new health technology assessment or medical evidence.

Summary from NY Open Legislation. How we handle summaries

Amends the Social Services Law.

From NY Open Legislation, the NY Senate and Assembly, and official rosters. This record was last updated Oct 30, 2026. About our data

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Purpose, from the sponsor's memo

Requires periodic reviews of pending applications for material change in the coverage status of certain matters relative to new health technology assessment or medical evidence.

Filed with the bill. Read it on nysenate.gov (opens in a new tab)

Where it stands

Passed one of the two chambers; it still needs the other.

  1. Introduced
  2. In committee
  3. Up for a vote
  4. Passed one chamber
  5. Passed
  6. Enacted

Committee

Health · New York State Assembly

Also referred to Health · New York State Senate.

Cosponsors

Showing the cosponsors who are on Agora, A to Z. The official record may list more.

Read on NY Senate (opens in a new tab)
  • Democratic1

Shown in neutral colors by design; Agora is non-partisan.

The sponsor's argument

Why Gustavo Rivera says this is needed

In 2015, the Evidence Based Benefits Review Advisory Committee (EBBRAC) was established to accept evidence from providers of services and tech- nologies for the purpose of determining whether Medicaid should cover such services or technologies. The Department of Health (DOH) was authorized to contract with a consultant to review the dossiers submit- ted by provider applicants. From 2015 through 2017, the vendor selected by the DOH to review provid- er applications was Oregon Health Sciences. In 2017, that vendor's contract was terminated; however, no new vendor has been selected. As EBBRAC is the mandated body to review such applications, the lack of a vendor to review submitted evidence has severely hampered its ability to approve new technologies or services and has likewise left providers of new technologies or services without an avenue to secure Medicaid cover- age. As EBBRAC's website shows, it has not met since 2017. This bill would amend the EBBRAC process to ensure that the DOH main- tains the ability to approve or disapprove new technologies or services without a vendor. It also provides a meaningful and transparent process for providers who seek to have such technology or service covered by Medicaid.

This is the sponsor's own case for the bill, quoted from their memorandum. It is not Agora's description of what the bill does.

Recorded votes

  • Vote: Floor vote

    NY SenateMar 5, 2026Result: passed

    (59) (0) (0) (4)
  • Vote: Committee vote · Health

    Senate HealthFeb 9, 2026Result: passed

    (14) (0) (0) (1)
  • Vote: Floor vote

    NY SenateApr 28, 2025Result: passed

    (60) (0) (0) (2)
  • Vote: Committee vote · Health

    Senate HealthMar 4, 2025Result: passed

    (15) (0) (0) (0)

Full history

  1. May 19, 2026

    Reported out of committee

    REPORTED REFERRED TO WAYS AND MEANS

    NY Assembly

  2. Apr 23, 2026

    Referred to committee

    REFERRED TO HEALTH

    NY Assembly

  3. Mar 5, 2026

    Sent to the executive

    DELIVERED TO ASSEMBLY

    NY Senate

  4. Mar 5, 2026

    Passed a chamber

    PASSED SENATE

    NY Senate

  5. Mar 5, 2026

    Referred to committee

    REFERRED TO HEALTH

    NY Assembly

Show full history (12 earlier events)
  1. Feb 11, 2026

    Advanced to Third Reading

    ADVANCED TO THIRD READING

    NY Senate

  2. Feb 10, 2026

    2ND Report CAL.

    2ND REPORT CAL.

    NY Senate

  3. Feb 9, 2026

    1ST Report CAL.303

    1ST REPORT CAL.303

    NY Senate

  4. Jan 7, 2026

    Died in Assembly

    DIED IN ASSEMBLY

    NY Assembly

  5. Jan 7, 2026

    Referred to committee

    REFERRED TO HEALTH

    NY Senate

  6. Apr 28, 2025

    Sent to the executive

    DELIVERED TO ASSEMBLY

    NY Senate

  7. Apr 28, 2025

    Passed a chamber

    PASSED SENATE

    NY Senate

  8. Apr 28, 2025

    Referred to committee

    REFERRED TO HEALTH

    NY Assembly

  9. Mar 10, 2025

    Advanced to Third Reading

    ADVANCED TO THIRD READING

    NY Senate

  10. Mar 5, 2025

    2ND Report CAL.

    2ND REPORT CAL.

    NY Senate

  11. Mar 4, 2025

    1ST Report CAL.486

    1ST REPORT CAL.486

    NY Senate

  12. Jan 8, 2025

    Referred to committee

    REFERRED TO HEALTH

    NY Senate