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Assembly Bill A10576

2025-2026 Legislative Session

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

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Current Bill Status - In Assembly Committee

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2025-A10576 (ACTIVE) - Details

See Senate Version of this Bill:
S8838
Current Committee:
Assembly Health
Law Section:
Social Services Law
Laws Affected:
Amd §364-j, Soc Serv L
Versions Introduced in Other Legislative Sessions:
2021-2022: A5368, S5118
2023-2024: A3408, S3468

2025-A10576 (ACTIVE) - Summary

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.

2025-A10576 (ACTIVE) - Bill Text download pdf 

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   10576
 
                           I N  A S S E M B L Y
 
                              March 13, 2026
                                ___________
 
 Introduced  by M. of A. LUCAS -- read once and referred 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
   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:
 
   Section 1. Subdivision 4 of section 364-j of the social  services  law
 is amended by adding a new paragraph (x) to read as follows:
   (X)  MANAGED  CARE  PROVIDERS  SHALL  PAY, DIRECTLY OR INDIRECTLY, FOR
 DURABLE MEDICAL EQUIPMENT, PROSTHETICS, ORTHOTICS, AND RELATED  SUPPLIES
 AT  NO  LESS  THAN ONE HUNDRED PERCENT OF THE MEDICAL ASSISTANCE DURABLE
 MEDICAL EQUIPMENT FEE SCHEDULE FOR THE SAME SERVICE OR ITEM.
   § 2. This act shall take effect on the ninetieth day  after  it  shall
 have become a law; provided, however, that the amendments to subdivision
 4  of  section  364-j  of the social services law made by section one of
 this act shall not affect the repeal of such section and shall be deemed
 repealed therewith.
 
 
 
 
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD04119-03-6

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