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

Official titleShow

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

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

Latest action Mar 24, 2026

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.

Not chosen yet

Where it stands

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

Introduced
In committee
Up for a vote
Passed one chamber
Passed
Enacted

New York State Senate

Committee

Health · New York State Assembly

Also referred to Health · New York State Senate.

Purpose, from the sponsor's memo

Requires the department of health to develop a supplemental Medicaid payment to federally qualified health centers for reimbursement for certain uncovered fertility drugs.

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

Recorded votes

Vote: Committee vote · Health
Senate HealthJan 27, 2026Result: passed
(20) (0) (0) (0)
Vote: Floor vote
NY SenateJan 27, 2026Result: passed
(57) (1) (0) (3)
Vote: Committee vote · Rules
Senate RulesJan 12, 2026Result: passed
(20) (0) (0) (0)
Vote: Floor vote
NY SenateJun 9, 2025Result: passed
(62) (0) (0) (1)
Vote: Committee vote · Rules
Senate RulesJun 9, 2025Result: passed
(21) (0) (0) (0)

Cosponsors

Amanda Septimo, Aron Wieder and 7 more on Agora

Democratic8
Republican1

See the full list on nysenate.gov

The sponsor's argument

Why Sam Sutton says this is needed

In 2017, New York State became the first state to provide Medicaid coverage for some services related to fertility, including coverage for some forms of ovulation enhancing drugs. CMS approved a State Plan Amendment for this coverage, submitted by New York State, which included a 90-10% federal-state match. While approval at that time limited cover- age to office visits, ultrasounds, and other services, it also included limited coverage of prescription drugs that promote fertility. Unfortu- nately, the list of drugs only included four types of oral ovulation enhancing drugs. Since that time, more effective drugs have become available, including injectable ovulation enhancing drugs to treat fertility issues. Several federally qualified health centers currently provide fertility services to their patients, including those enrolled in Medicaid. While commercial insurers generally cover the full range of fertility treat- ments, including injectable ovulation enhancing drugs, Medicaid only covers the less effective, oral drugs. This coverage imbalance results in Medicaid patients having to pay "out-of-pocket" for these more effec- tive drugs, while those with commercial insurance have these drugs covered by their insurance. To address this imbalance, some FQHCs assist their Medicaid patients in covering the out-of-pocket costs for these more effective injectable drugs but are significantly limited in the number of patients they can assist because of constrained financial resources. This bill will help address this coverage imbalance by providing FQHCs with a dedicated funding stream to offer the full range of fertility services to their patients enrolled in 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.

Full history

Mar 24, 2026
Enacting Clause Stricken
ENACTING CLAUSE STRICKEN
NY Assembly
Jan 29, 2026
Amend and Recommit to Health
AMEND AND RECOMMIT TO HEALTH
NY Assembly
Jan 27, 2026
Sent to the executive
DELIVERED TO ASSEMBLY
NY Senate
Jan 27, 2026
Ordered to Third Reading CAL.149
ORDERED TO THIRD READING CAL.149
NY Senate
Jan 27, 2026
Passed a chamber
PASSED SENATE
NY Senate

Show full history (13 earlier events)

Jan 27, 2026
Referred to committee
REFERRED TO HEALTH
NY Assembly
Jan 27, 2026
Reported out of committee
REPORTED AND COMMITTED TO RULES
NY Senate
Jan 9, 2026
Amend and Recommit to Health
AMEND AND RECOMMIT TO HEALTH
NY Senate
Jan 7, 2026
Died in Assembly
DIED IN ASSEMBLY
NY Assembly
Jan 7, 2026
Referred to committee
REFERRED TO HEALTH
NY Senate
Jan 7, 2026
Referred to committee
REFERRED TO HEALTH
NY Assembly
Jun 9, 2025
In committee
COMMITTEE DISCHARGED AND COMMITTED TO RULES
NY Senate
Jun 9, 2025
Sent to the executive
DELIVERED TO ASSEMBLY
NY Senate
Jun 9, 2025
Ordered to Third Reading CAL.1720
ORDERED TO THIRD READING CAL.1720
NY Senate
Jun 9, 2025
Passed a chamber
PASSED SENATE
NY Senate
Jun 9, 2025
Referred to committee
REFERRED TO HEALTH
NY Assembly
Jun 2, 2025
Referred to committee
REFERRED TO HEALTH
NY Assembly
May 27, 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 Nov 3, 2026. About our data

Read the record

Read on NY Senate (opens in a new tab) The official record on nysenate.gov.

Your position