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S4922

An act to amend the Public Health Law — 2024-04-03 · Calendar #662

The New York State Senate passed S4922, a Public Health Law amendment, by a vote of 43-18 on Wednesday. The bill's passage came after the chamber rejected an appeal of a procedural ruling that blocked a proposed amendment addressing Medicaid coverage for children. Sen. Helming had sought to amend the bill to establish a six-month grace period for children determined ineligible for Medicaid and delay their disenrollment until the end of July 2024. Helming argued the amendment was germane to the underlying bill, both dealing with health insurance coverage for children, and noted that over 1.1 million New Yorkers—many of them children—have lost Medicaid coverage since the state began its redetermination process in July 2023. Acting President Cooney ruled the amendment nongermane under Senate Rule 6, Section 4B. When Helming appealed the ruling, senators voted 20-0 by show of hands to sustain the chair's decision, preventing the amendment from being considered. The bill ultimately passed with 18 senators voting in opposition, including Ashby, Borrello, Canzoneri-Fitzpatrick, Gallivan, Griffo, Helming, Lanza, Martins, Mattera, Murray, O'Mara, Ortt, Palumbo, Rhoads, Rolison, Stec, Tedisco, and Weik.
PASSED Ayes: 43 · Nays: 18

Debate Summary

Sen. Helming appealed the presiding officer's ruling that her proposed amendment was nongermane. The amendment would establish a six-month grace period for children determined ineligible for Medicaid coverage and delay disenrollment until the end of the July 2024 redetermination period. Helming argued the amendment was germane because both the bill and amendment pertain to health insurance coverage for children, and cited that over 1.1 million New Yorkers, many of them children, have lost Medicaid coverage following the state's redetermination process that began in July 2023. The appeal of the chair's ruling was defeated by a show of hands vote of 20-0, allowing the presiding officer's nongermane ruling to stand.

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
Gallivan nay Republican
Griffo nay Republican
Helming nay Republican
Lanza nay Republican
Martins nay Republican
Mattera nay Republican
Murray nay Republican
O'Mara nay Republican
Ortt nay Republican
Palumbo nay Republican
Rhoads nay Republican
Rolison nay Republican
Stec nay Republican
Tedisco nay Republican
Weik nay Republican

Amendments

Sponsor Description Outcome
Sen. Helming Would implement a six-month grace period for children determined ineligible for Medicaid coverage and fully delay disenrollment for children until the end of the July 2024 redetermination unwinding period. ruled nongermane and out of order

An act to amend the Public Health Law — 2023-06-06 · Calendar #622

The New York State Senate passed legislation sponsored by Sen. Sepúlveda that prohibits health plans administering the Child Health Plus program from requiring participating providers to also accept other insurance products offered by the same insurer. The bill passed 43-19 on a roll call vote. Sen. Sepúlveda argued that providers are currently compelled by insurers with significant market power to accept all of an insurer's products—including Medicaid, Essential Plan, and commercial plans—as a condition of network participation, even when doing so is not economically feasible. The legislation would allow providers to participate in Child Health Plus alone. Sen. Gallivan opposed the measure, citing concerns raised in the Governor's veto message from the prior year. Gallivan noted that the Governor had warned the bill could result in narrower commercial networks and allow providers to favor participation in only higher-reimbursement plans, leaving fewer healthcare options for children and others. Gallivan stated that no changes had been made to address those concerns and announced his opposition to the bill.
PASSED Ayes: 43 · Nays: 19

Debate Summary

Sen. Sepúlveda sponsored legislation prohibiting health plans administering Child Health Plus from requiring participating providers to also accept other insurance products offered by the same insurer. Sen. Sepúlveda argued that providers should have the ability to participate in Child Health Plus without being compelled to accept all of an insurer's other products, which may not be financially feasible. Sen. Gallivan questioned whether providers currently lack negotiating power and raised concerns about the Governor's prior veto, citing risks of narrower commercial networks and providers favoring higher-reimbursement plans.

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
Gallivan nay Republican
Griffo nay Republican
Helming nay Republican
Lanza nay Republican
Martins nay Republican
Mattera nay Republican
Murray nay Republican
O'Mara nay Republican
Ortt nay Republican
Palumbo nay Republican
Rhoads nay Republican
Rolison nay Republican
Stec nay Republican
Tedisco nay Republican
Walczyk nay Republican
Weik nay Republican