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Assembly Bill A10842A

2025-2026 Legislative Session

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

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Current Bill Status - In Assembly Committee

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Bill Amendments

co-Sponsors

2025-A10842 - Details

Current Committee:
Assembly Health
Law Section:
Health

2025-A10842 - Summary

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.

2025-A10842 - Bill Text download pdf 

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   10842
 
                           I N  A S S E M B L Y
 
                               April 6, 2026
                                ___________
 
 Introduced  by  M.  of A. WIEDER, YEGER -- read once and referred to the
   Committee on Health
 
 AN ACT directing 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 PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1.  Under  the authority of state plan amendment #17-0058, as
 amended by state plan amendment #23-0050, the department of health shall
 establish an alternative payment methodology (APM) for federally  quali-
 fied  health centers to preserve and improve patient access to fertility
 care. Any payments made under the  APM  shall  be  in  addition  to  any
 payments  made  under  the prospective payment system (PPS) or any other
 alternative payment methodology for federally qualified health  centers.
 The  APM  shall  provide  for  payments  to be made by the department of
 health to federally qualified health centers in an amount equal  to  the
 difference  between  (a)  the  aggregate  amount the federally qualified
 health center paid to acquire eligible injectable  fertility  drugs  for
 Medicaid  patients  under  section  340B  of  the  federal public health
 services act between January 1, 2024 and December 31, 2024 and  (b)  the
 aggregate  amount  the federally qualified health center would have paid
 to acquire those drugs based on average wholesale acquisition  cost  for
 such  drugs during the same period. For purposes of this section, eligi-
 ble injectable fertility drugs shall be limited  to  gonadotropin,  GNRH
 antagonists, and GNRH agonists.
   § 2. This act shall take effect immediately.
 
 
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD09276-05-6

co-Sponsors

2025-A10842A (ACTIVE) - Details

Current Committee:
Assembly Health
Law Section:
Health

2025-A10842A (ACTIVE) - Summary

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.

2025-A10842A (ACTIVE) - Bill Text download pdf 

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                 10842--A
 
                           I N  A S S E M B L Y
 
                               April 6, 2026
                                ___________
 
 Introduced  by  M.  of A. WIEDER, YEGER -- read once and referred to the
   Committee on Health -- committee  discharged,  bill  amended,  ordered
   reprinted as amended and recommitted to said committee
 
 AN  ACT  directing  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  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Under the authority of state plan  amendment  #17-0058,  as
 amended by state plan amendment #23-0050, the department of health shall
 establish  an alternative payment methodology (APM) for federally quali-
 fied health centers to preserve and improve patient access to  fertility
 care.  Any  payments  made  under  the  APM  shall be in addition to any
 payments made under the prospective payment system (PPS)  or  any  other
 alternative  payment methodology for federally qualified health centers.
 The APM shall provide for payments, in an amount  not  to  exceed  seven
 hundred  thousand dollars state share annually, exclusive of any federal
 matching funds, to be made by the  department  of  health  to  federally
 qualified  health  centers  in an amount equal to the difference between
 (a) the aggregate amount the federally qualified health center  paid  to
 acquire  eligible injectable fertility drugs for Medicaid patients under
 section 340B of the federal public health services act  between  January
 1, 2024 and December 31, 2024 and (b) the aggregate amount the federally
 qualified  health center would have paid to acquire those drugs based on
 average wholesale acquisition cost for such drugs during the same  peri-
 od.  For  purposes  of this section, eligible injectable fertility drugs
 shall be limited to gonadotropin, GNRH antagonists, and  GNRH  agonists;
 provided  however  that  nothing contained herein shall require coverage
 for additional drugs or in-vitro fertilization other than  those  listed
 here.
   § 2. This act shall take effect immediately.
 

  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD09276-07-6

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