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Assembly Bill A8747

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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Bill Amendments

co-Sponsors

2025-A8747 - Details

Law Section:
Health

2025-A8747 - 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-A8747 - Bill Text download pdf 

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   8747
 
                        2025-2026 Regular Sessions
 
                           I N  A S S E M B L Y
 
                               June 2, 2025
                                ___________
 
 Introduced  by M. of A. 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. Such payments shall be in  addition  to  any  prospective  payment
 system  (PPS)  or any other alternative payment methodology for eligible
 federally qualified health centers. The APM shall be determined  by  the
 department  and  shall  equal  the  difference between what the eligible
 provider would have been paid for certain  classes  of  fertility  drugs
 under  section  340B  of  the federal public health services act between
 January 1, 2024 and December 31, 2024 and the amount that  the  eligible
 provider  would  have  been  reimbursed for such drugs by a managed care
 organization, if covered by such managed care organization. For purposes
 of this section, eligible fertility drugs shall be limited to  gondotro-
 pion, 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.
                                                            LBD09276-02-5

co-Sponsors

2025-A8747A (ACTIVE) - Details

Law Section:
Health

2025-A8747A (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-A8747A (ACTIVE) - Bill Text download pdf 

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  8747--A
 
                        2025-2026 Regular Sessions
 
                           I N  A S S E M B L Y
 
                               June 2, 2025
                                ___________
 
 Introduced  by  M.  of A. YEGER, BERGER, WIEDER, KAY, SEPTIMO, EACHUS --
   read once and referred to the Committee on Health  --  recommitted  to
   the  Committee on Health in accordance with Assembly Rule 3, sec. 2 --
   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 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.
                                                            LBD09276-04-5

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