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Gustavo Rivera

Sponsor · State Senator, District 33 · Democratic/Working Families

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Senate bill · S353 (2025-26)

Relates to the appointment of the state medicaid director

Latest action Feb 10, 2026

Summary

Provides for the appointment of the state medicaid director by the governor subject to confirmation by the senate.

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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

New York State Senate

Same as A2173, the matching bill in the Assembly.

Amends the Public Health Law.

Committee

Health · New York State Assembly

Also referred to Health · New York State Senate.

Purpose, from the sponsor's memo

This bill provides that the appointment of the Medicaid Director by the Governor shall be confirmed by the Senate.

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

Recorded votes

  • Vote: Floor vote

    NY SenateFeb 10, 2026Result: passed

    (62) (0) (0) (1)
  • Vote: Committee vote · Health

    Senate HealthFeb 4, 2026Result: passed

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

    NY SenateMar 3, 2025Result: passed

    (61) (0) (0) (2)
  • Vote: Committee vote · Health

    Senate HealthFeb 4, 2025Result: passed

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

The sponsor's argument

Why Gustavo Rivera says this is needed

New York State's Medicaid program now serves 1 in 3 residents and spends over $90 billion a year. Medicaid funding is used to support services available through the Department of Health, the Office of Mental Health, the Office of Addiction Services and Supports, and the Office for People With Developmental Disabilities. The federal government contributes funding to the state's program and has a role in overseeing it. Each state has a designated Medicaid Director. New York's Medicaid Director serves as a Deputy Commissioner within the Department of Health. According to the National Association of Medicaid Directors, "Medicaid directors are the senior leaders in states driving major innovations in health care while overseeing Medicaid, one of the nation's most vital and complex health care safety net programs, which covers more than 90 million Americans. Medicaid directors work tirelessly to provide the best possible health care to vulnerable Americans while being responsi- ble stewards of taxpayer dollars." Given the importance of this role in overseeing Medicaid and taxpayer funds, this legislation provides that the Medicaid Director shall be appointed by the Governor, to be confirmed with the advice and consent of the Senate.

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.

Full history

  1. Feb 10, 2026

    Sent to the executive

    DELIVERED TO ASSEMBLY

    NY Senate

  2. Feb 10, 2026

    Passed a chamber

    PASSED SENATE

    NY Senate

  3. Feb 10, 2026

    Referred to committee

    REFERRED TO HEALTH

    NY Assembly

  4. Feb 9, 2026

    Advanced to Third Reading

    ADVANCED TO THIRD READING

    NY Senate

  5. Feb 5, 2026

    2ND Report CAL.

    2ND REPORT CAL.

    NY Senate

Show full history (12 earlier events)
  1. Feb 4, 2026

    1ST Report CAL.282

    1ST REPORT CAL.282

    NY Senate

  2. Jan 7, 2026

    Died in Assembly

    DIED IN ASSEMBLY

    NY Assembly

  3. Jan 7, 2026

    Referred to committee

    REFERRED TO HEALTH

    NY Assembly

  4. Jan 7, 2026

    Referred to committee

    REFERRED TO HEALTH

    NY Senate

  5. Mar 3, 2025

    Sent to the executive

    DELIVERED TO ASSEMBLY

    NY Senate

  6. Mar 3, 2025

    Passed a chamber

    PASSED SENATE

    NY Senate

  7. Mar 3, 2025

    Referred to committee

    REFERRED TO HEALTH

    NY Assembly

  8. Feb 10, 2025

    Advanced to Third Reading

    ADVANCED TO THIRD READING

    NY Senate

  9. Feb 5, 2025

    2ND Report CAL.

    2ND REPORT CAL.

    NY Senate

  10. Feb 4, 2025

    1ST Report CAL.271

    1ST REPORT CAL.271

    NY Senate

  11. Jan 15, 2025

    Referred to committee

    REFERRED TO HEALTH

    NY Assembly

  12. Jan 8, 2025

    Referred to committee

    REFERRED TO HEALTH

    NY Senate

About this record

Summary

The summary comes from NY Open Legislation, the New York State Senate's public record. For more, see How we handle summaries.

Cosponsors

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

Party colors

Parties are shown in the same neutral colors.

Source

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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