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S1634

Sponsored by Gustavo Rivera D

Primary Care Investment Act; an act to amend the Insurance Law — 2025-06-11 · Calendar #274

The New York State Senate passed the Primary Care Investment Act on a 49-10 roll call vote, with the measure redirecting existing state healthcare spending to boost primary care funding to at least 12.5 percent of total healthcare expenditures over time. Sponsor Sen. Rivera argued the bill addresses a critical shortage, noting that 4.7 million New Yorkers live in areas lacking adequate primary care access. He contended the reallocation would not increase overall state health spending but would shift resources to preventive care, ultimately saving money by identifying chronic conditions earlier and encouraging people to seek regular medical care rather than emergency services. Sen. Bailey supported the measure, emphasizing that primary care serves as the essential gateway to the medical system and that physicians should be incentivized to pursue primary care rather than other specialties. Ten senators voted against the bill: Ashby, Borrello, Canzoneri-Fitzpatrick, Chan, Oberacker, Palumbo, Rhoads, Tedisco, Walczyk, and Weik. The bill takes effect immediately upon enactment.
Passed Senate Ayes: 49 · Nays: 10

Debate Summary

Sen. Rivera presented the Primary Care Investment Act, which redirects existing state healthcare spending to increase primary care funding to at least 12.5 percent of total healthcare spending over time. He argued that 4.7 million New Yorkers live in primary care shortage areas and that investing in primary care would identify chronic conditions earlier and ultimately save money. Sen. Bailey supported the bill, emphasizing that primary care serves as the essential entry point to the medical system and that doctors should be incentivized to pursue primary care rather than other specialties.

Roll Call — Official API Data

Full roll call from the Open Legislation API. Every senator's recorded vote is shown.

Senator Vote Party District
Joseph P. Addabbo Jr. AYE Democrat SD-15
Jamaal Bailey AYE Democrat SD-36
April Baskin AYE Democrat SD-63
Jabari Brisport AYE Democrat SD-25
Siela Bynoe AYE Democrat SD-6
Cordell Cleare AYE Democrat SD-30
Leroy Comrie AYE Democrat SD-14
Jeremy Cooney AYE Democrat SD-56
Patricia Fahy AYE Democrat SD-46
Nathalia Fernandez AYE Democrat SD-34
Michael Gianaris AYE Democrat SD-12
Kristen Gonzalez AYE Democrat SD-59
Andrew Gounardes AYE Democrat SD-26
Pete Harckham AYE Democrat SD-40
Pamela Helming AYE Republican SD-54
Michelle Hinchey AYE Democrat SD-41
Brad Hoylman-Sigal AYE Democrat SD-47
Robert Jackson AYE Democrat SD-31
Brian Kavanagh AYE Democrat SD-27
Liz Krueger AYE Democrat SD-28
Andrew J. Lanza AYE Republican SD-24
John Liu AYE Democrat SD-16
Monica Martinez AYE Democrat SD-4
Jack M. Martins AYE Republican SD-7
Mario Mattera AYE Republican SD-2
Rachel May AYE Democrat SD-48
Shelley Mayer AYE Democrat SD-37
Thomas F. O'Mara AYE Republican SD-58
Robert Ortt AYE Republican SD-62
Kevin S. Parker AYE Democrat SD-21
Roxanne J. Persaud AYE Democrat SD-19
Jessica Ramos AYE Democrat SD-13
Gustavo Rivera AYE Democrat SD-33
Robert Rolison AYE Republican SD-39
Christopher Ryan AYE Democrat SD-50
Sean Ryan AYE Democrat SD-61
Julia Salazar AYE Democrat SD-18
James Sanders Jr. AYE Democrat SD-10
Jessica Scarcella-Spanton AYE Democrat SD-23
Luis R. Sepúlveda AYE Democrat SD-32
José M. Serrano AYE Democrat SD-29
James Skoufis AYE Democrat SD-42
Toby Ann Stavisky AYE Democrat SD-11
Andrea Stewart-Cousins AYE Democrat SD-35
Lea Webb AYE Democrat SD-52
William Weber AYE Republican SD-38
Samra Brouk EXC Democrat SD-55
Dean Murray EXC Republican SD-3
Zellnor Myrie EXC Democrat SD-20
Sam Sutton EXC Democrat SD-22
Jake Ashby NAY Republican SD-43
George Borrello NAY Republican SD-57
Patricia Canzoneri-Fitzpatrick NAY Republican SD-9
Stephen T. Chan NAY Republican SD-17
Patrick M. Gallivan NAY Republican SD-60
Joseph A. Griffo NAY Republican SD-53
Peter Oberacker NAY Republican SD-51
Anthony H. Palumbo NAY Republican SD-1
Steve Rhoads NAY Republican SD-5
Dan Stec NAY Republican SD-45
James Tedisco NAY Republican SD-44
Mark Walczyk NAY Republican SD-49
Alexis Weik NAY Republican SD-8

Transcript Mentions

These votes were extracted from the floor transcript by AI. NYS Senate roll calls are read in full, but AI extraction may not capture every senator — so this list is incomplete and skews toward named dissenting votes. Use the Official API Data table above for the complete roll call.

Senator Vote Party
Ashby nay Republican
Borrello nay Republican
Canzoneri-Fitzpatrick nay Republican
Chan nay Republican
Oberacker nay Republican
Palumbo nay Republican
Rhoads nay Republican
Tedisco nay Republican
Walczyk nay Republican
Weik nay Republican

Committee Hearings

Hearings where this bill was discussed. Transcripts are published after the hearing date — see hearing pages for availability.

FINANCE — JOINT LEGISLATIVE HEARING In the Matter of the 2025-2026 EXECUTIVE BUDGET ON HEALTH 2025-02-11