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Bill

Bill

A 8747

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 Regular Session Introduced by Sam Berger and 5 co-sponsors

New York DOH must create an alternative payment method for FQHCs to preserve and improve patient access to fertility care, reshaping fertility-service reimbursement.

REFERRED TO HEALTH
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Bill Summary · A 8747

Summary of Assembly Bill A 8747

What the bill would do

  • Directs the New York State Department of Health (DOH) to establish an alternative payment methodology (APM) specifically for Federally Qualified Health Centers (FQHCs) with the aim of preserving and improving patient access to fertility care.

Purpose and intent

  • The bill seeks to ensure sustainable financing and reimbursement structures for fertility services provided at FQHCs.
  • By establishing an APM, the bill intends to remove or reduce barriers to access fertility care for patients served by FQHCs, aligning payment practices with broader access and equity goals.

Key provisions (as introduced)

  • The DOH is required to develop and implement an alternative payment methodology for FQHCs.
  • The primary stated objective of the APM is to preserve and improve patient access to fertility care.
  • The bill does not specify the exact design of the APM within the text provided; details such as how payments would be structured, metrics, or timelines are not enumerated in the summary.

Note: Specific design elements, eligibility criteria, covered fertility services, funding levels, and implementation timelines are not included in the available bill summary.

Who would be affected

  • Federally Qualified Health Centers (FQHCs) operating in New York state, as the recipients and executors of the APM.
  • Patients seeking fertility care at FQHCs, who could experience changes in access, coverage, or reimbursement dynamics under the new payment model.
  • The Department of Health, which would design and administer the APM.

Procedural and timeline aspects

  • Introduced: June 2, 2025.
  • Status: REFERRED TO HEALTH (Assembly Health Committee) — indicating the bill is under consideration by the committee but has not advanced to floor action.
  • Related/companion bill: S 8257 in the Senate (companion measure).

Sponsorship

  • Primary sponsor: Kalman Yeger.
  • Cosponsors: Amanda Septimo, Aron Wieder, Sam Berger, Paula Kay, Christopher Eachus.

Related legislation

  • Companion bill in the Senate: S 8257. This suggests parallel objectives in the Senate chamber and potential cross-chamber movement.

Potential impact and considerations

  • If enacted, DOH would assume responsibility for designing and implementing an APM for FQHCs, with the stated goal of preserving/improving fertility care access.
  • Potential implications include shifts in how fertility services are reimbursed to FQHCs, potential effects on patient eligibility and out-of-pocket costs, and the need for regulatory rulemaking and stakeholder engagement.
  • The bill’s current text provides high-level direction but does not specify implementation details, funding sources, performance metrics, or timelines.

Next steps

  • Monitor the Health Committee proceedings for amendments, fiscal notes, and potential passage.
  • Track action on the companion Senate bill S 8257 for parallel developments.

Compiled from official sources — confirm details with the bill’s official record.

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