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Senate bill · S1634 (2025-26)

Provides for primary care investment

Latest action May 28, 2026

New York State Senate

Same as A1915, the matching bill in the Assembly.

Sponsor

Gustavo Rivera

State Senator, District 33 · Democratic/Working Families

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Summary

Requires health care plans and payors to have a minimum of twelve and one-half percent of their total expenditures on physical and mental health annually be for primary care services.

Summary from NY Open Legislation. How we handle summaries

Amends the Insurance Law.

From NY Open Legislation, the NY Senate and Assembly, and official rosters. This record was last updated Oct 31, 2026. About our data

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Purpose, from the sponsor's memo

This bill aims to enhance the role of primary care in New York's current healthcare delivery to improve the general health of residents and avoid more costly health interventions down the road.

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, Insurance · New York State Assembly, Insurance · New York State Senate, Ways and Means · New York State Assembly.

The sponsor's argument

Why Gustavo Rivera says this is needed

Primary care should be a person's first contact with the health care system when seeking care. It understands and maintains wellness, and focuses on identifying, preventing, and treating illness before it becomes a chronic condition. Research shows that an increase of just one primary care provider per 10,000 people can generate 5.5% fewer hospital visits, 11% fewer emergency department visits, and 7% fewer surgeries. We know that health systems oriented towards primary care simply func- tion better. Yet, it is estimated that as little as 5% of U.S. health- care spending goes toward primary care. New York spends more per capita on health care than the national average but consistently ranks below many other states in key health indicators. This is indicative of a lack of access to primary care and an overall underinvestment by the state. Currently, at least ten states have acted to rebalance their healthcare spending through legislative, regulatory, or executive means. This bill would define, measure, and report on current primary care spending in New York. It would also establish tangible metrics for primary care spending in the state and lay out a process for achieving those goals. By establishing these metrics this bill would help shift the balance of healthcare spending in the State to place a greater emphasis on proac- tive and preventative primary care services. This would serve to improve the overall health of the residents of New York and potentially avoid more costly medical interventions that can be avoided.

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 SenateMay 28, 2026Result: passed

    (43) (17) (0) (3)
  • Vote: Committee vote · Health

    Senate HealthMay 5, 2026Result: passed

    (13) (2) (0) (0)
  • Vote: Floor vote

    NY SenateJun 11, 2025Result: passed

    (46) (13) (0) (4)
  • Vote: Committee vote · Health

    Senate HealthFeb 4, 2025Result: passed

    (14) (1) (0) (0)

Full history

  1. May 28, 2026

    Sent to the executive

    DELIVERED TO ASSEMBLY

    NY Senate

  2. May 28, 2026

    Passed a chamber

    PASSED SENATE

    NY Senate

  3. May 28, 2026

    Referred to committee

    REFERRED TO WAYS AND MEANS

    NY Assembly

  4. May 7, 2026

    Advanced to Third Reading

    ADVANCED TO THIRD READING

    NY Senate

  5. May 6, 2026

    2ND Report CAL.

    2ND REPORT CAL.

    NY Senate

Show full history (16 earlier events)
  1. May 5, 2026

    1ST Report CAL.968

    1ST REPORT CAL.968

    NY Senate

  2. Apr 29, 2026

    Amend and Recommit to Ways and Means

    AMEND AND RECOMMIT TO WAYS AND MEANS

    NY Assembly

  3. Apr 29, 2026

    Reported out of committee

    REPORTED REFERRED TO WAYS AND MEANS

    NY Assembly

  4. Apr 27, 2026

    Amend and Recommit to Health

    AMEND AND RECOMMIT TO HEALTH

    NY Senate

  5. Jan 7, 2026

    Died in Assembly

    DIED IN ASSEMBLY

    NY Assembly

  6. Jan 7, 2026

    Referred to committee

    REFERRED TO HEALTH

    NY Senate

  7. Jan 7, 2026

    Referred to committee

    REFERRED TO INSURANCE

    NY Assembly

  8. Jun 11, 2025

    Sent to the executive

    DELIVERED TO ASSEMBLY

    NY Senate

  9. Jun 11, 2025

    Passed a chamber

    PASSED SENATE

    NY Senate

  10. Jun 11, 2025

    Referred to committee

    REFERRED TO INSURANCE

    NY Assembly

  11. Feb 10, 2025

    Advanced to Third Reading

    ADVANCED TO THIRD READING

    NY Senate

  12. Feb 5, 2025

    2ND Report CAL.

    2ND REPORT CAL.

    NY Senate

  13. Feb 4, 2025

    1ST Report CAL.274

    1ST REPORT CAL.274

    NY Senate

  14. Jan 22, 2025

    Amend and Recommit to Insurance

    AMEND AND RECOMMIT TO INSURANCE

    NY Assembly

  15. Jan 14, 2025

    Referred to committee

    REFERRED TO INSURANCE

    NY Assembly

  16. Jan 13, 2025

    Referred to committee

    REFERRED TO HEALTH

    NY Senate