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Read. Follow. Verify.New York bill requires actuarial fiscal notes for all insurance mandate and Medicaid expansion bills
Last action · January 7, 2026: NOTICE OF COMMITTEE CONSIDERATION - REQUESTEDSponsors: Pam Helming and 10 others
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What This Bill Would Do
New York legislation requires any bill that creates or expands a mandated insurance benefit, or alters Medicaid fee-for-service coverage, to include an detailing estimated cost impacts. Omission of the required fiscal note will invalidate the bill.
Changes the procedural requirements for advancing healthcare legislation in the state legislature by tying the validity of insurance and Medicaid mandate bills directly to the inclusion of detailed financial estimates.
- The New York State Legislature operates under the legislative law, which governs the formal procedures for introducing, analyzing, and enacting state laws. context
Who It Would Affect
Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.
insurance policyholders
Policyholders are impacted by mandated benefit bills whose potential annual cost and premium impacts must now be formally estimated via actuarial notes.
local social services districts
Local districts are affected because any bill expanding Medicaid fee-for-service coverage must explicitly calculate the estimated annual cost to them.
Department of Health
The department must be consulted in preparing fiscal notes for any bill adding, expanding, or requiring coverage under the Medicaid fee-for-service program.
Key Facts
You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.
Frequently Asked Questions
What happens if a bill proposing a new health insurance mandate is introduced without a fiscal note?
Who prepares the fiscal notes for bills that expand Medicaid fee-for-service coverage?
What else do you want to know?
News Coverage
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Votes, people, money & the original sourceWhere This Stands
Currently in committee. The next step in the legislative lifecycle is Floor Vote.
Procedural history
3 actions- Mar 16, 2026SenateNOTICE OF COMMITTEE CONSIDERATION - REQUESTED
- Jan 7, 2026SenateCommitteeREFERRED TO INVESTIGATIONS AND GOVERNMENT OPERATIONS
- Dec 17, 2025SenateCommitteeREFERRED TO RULES
Version history
Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.
View official text →Voting Record
Investigations And Government Operations Vote
Total
7
- Yes
- 2
- No
- 5
- Present
- 0
- Not voting
- 0
- Abstain
- 0
Lobbying Activity
No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.
Full breakdown
Who this bill affects and the strongest case for and against it, written only from the bill’s own text.
Sponsors
Show 6 more sponsors
Connected Entities
Sources
www.nysenate.gov
Analysis Score
0–100- Significance60How much this matters to a regular citizen
- Controversy15Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz25Current news / social attention level
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