← All Bills

S1634

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 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.

Recorded Votes

Recorded votes are predominantly dissenting (nay) votes captured from roll call records.

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