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Senate Bill S8157A

2025-2026 Legislative Session

Enacts the "NYS health care tax reform act"

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Current Bill Status - In Senate Committee Health Committee

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Bill Amendments

co-Sponsors

2025-S8157 - Details

See Assembly Version of this Bill:
A8642
Current Committee:
Senate Health
Law Section:
Public Health Law
Laws Affected:
Amd §§2807-j & 2807-s, Pub Health L; add §§1510-a, 220, 221 & 866-a, amd §658, Tax L; amd §92-dd, St Fin L

2025-S8157 - Summary

Enacts the "NYS health care tax reform act"; establishes a public goods and medicaid subsidy surcharge on insurance corporations; establishes a public goods and medicaid subsidy surcharge on business corporations; establishes a public goods and medicaid subsidy surcharge on pass-through entities

2025-S8157 - Sponsor Memo

2025-S8157 - Bill Text download pdf

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   8157
 
                        2025-2026 Regular Sessions
 
                             I N  S E N A T E
 
                               May 15, 2025
                                ___________
 
 Introduced  by  Sen.  RAMOS  -- read twice and ordered printed, and when
   printed to be committed to the Committee on Health
 
 AN ACT to amend the public health law, the tax law and the state finance
   law, in relation to enacting the "NYS health care tax reform act"
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1.  Short  title. This act shall be known and may be cited as
 the "NYS health care tax reform act".
   § 2. Legislative findings. The legislature hereby finds that:
   The affordability of health care and  health  insurance  is  extremely
 important  in  ensuring  that the maximum number of New York state resi-
 dents can obtain high quality affordable health care.
   Health care and health insurance  are  currently  subject  to  several
 taxes that directly and indirectly increase the cost of health insurance
 coverage,  including  an annual flat tax on all privately insured people
 in New York state called the covered lives assessment and a 9.63%  sales
 tax surcharge on certain hospital based health services (HCRA taxes).
   Collectively,  the  taxes  on health care, health insurance, and other
 taxes were budgeted at $6.5 billion in the FY 2025 state  budget.  These
 taxes  are  now  the  fourth largest revenue source for the state behind
 only the personal income, sales, and broad-based business  taxes.  These
 taxes  have  been  increased  fourteen  times since the program began in
 1997. The program is now far larger  and  is  used  for  purposes  never
 originally contemplated when first enacted.
   The  taxes  on  health  care  and  health  insurance are fundamentally
 regressive taxes because the taxes are unrelated to a consumer's  wealth
 or  ability to pay, directly impact hospitalization costs at a time when
 consumers are facing some of  their  greatest  health  care  challenges,
 directly  increase  the cost of health insurance, and are counterproduc-
 tive to the public  policy  objective  of  making  health  insurance  as
 affordable as possible. Even worse, these taxes are levied in a horribly
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD13012-02-5
              

co-Sponsors

2025-S8157A (ACTIVE) - Details

See Assembly Version of this Bill:
A8642
Current Committee:
Senate Health
Law Section:
Public Health Law
Laws Affected:
Amd §§2807-j & 2807-s, Pub Health L; add §§1510-a, 220, 221 & 866-a, amd §658, Tax L; amd §92-dd, St Fin L

2025-S8157A (ACTIVE) - Summary

Enacts the "NYS health care tax reform act"; establishes a public goods and medicaid subsidy surcharge on insurance corporations; establishes a public goods and medicaid subsidy surcharge on business corporations; establishes a public goods and medicaid subsidy surcharge on pass-through entities

2025-S8157A (ACTIVE) - Sponsor Memo

2025-S8157A (ACTIVE) - Bill Text download pdf

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  8157--A
 
                        2025-2026 Regular Sessions
 
                             I N  S E N A T E
 
                               May 15, 2025
                                ___________
 
 Introduced  by  Sens.  RAMOS, LIU -- read twice and ordered printed, and
   when printed to be committed to the Committee on Health -- recommitted
   to the Committee on Health in accordance with Senate Rule 6, sec. 8 --
   committee discharged, bill amended, ordered reprinted as  amended  and
   recommitted to said committee

 AN ACT to amend the public health law, the tax law and the state finance
   law, in relation to enacting the "NYS health care tax reform act"
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Short title. This act shall be known and may  be  cited  as
 the "NYS health care tax reform act".
   § 2. Legislative findings. The legislature hereby finds that:
   The  affordability  of  health  care and health insurance is extremely
 important in ensuring that the maximum number of New  York  state  resi-
 dents can obtain high quality affordable health care.
   Health  care  and  health  insurance  are currently subject to several
 taxes that directly and indirectly increase the cost of health insurance
 coverage, including an annual flat tax on all privately  insured  people
 in  New York state called the covered lives assessment and a 9.63% sales
 tax surcharge on certain hospital based health services (HCRA taxes).
   Collectively, the taxes on health care, health  insurance,  and  other
 taxes  were  budgeted at $6.5 billion in the FY 2025 state budget. These
 taxes are now the fourth largest revenue source  for  the  state  behind
 only  the  personal income, sales, and broad-based business taxes. These
 taxes have been increased fourteen times  since  the  program  began  in
 1997.  The  program  is  now  far  larger and is used for purposes never
 originally contemplated when first enacted.
   The taxes on  health  care  and  health  insurance  are  fundamentally
 regressive  taxes because the taxes are unrelated to a consumer's wealth
 or ability to pay, directly impact hospitalization costs at a time  when
 consumers  are  facing  some  of  their greatest health care challenges,
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD13012-03-6
              

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