Docket Room
A 9553·NY·house

Relates to limiting audit and review of certain medical assistance program funds

In CommitteeFiled Jan 14, 2026
Sponsor: Amy Paulin
Latest Action

REPORTED REFERRED TO WAYS AND MEANS

Feb 11, 2026

Summary

The bill adds a new section to New York’s public health law that restricts how Medicaid auditors can recoup overpayments. If a provider’s paperwork was non‑compliant at the time of filing but later becomes compliant due to rule changes, auditors can only recover the amount of the specific claims they examined, without extrapolating to other claims. New reviews on the same issue are barred unless fraud or false billing is proven.

AI-generated summary — may be incomplete or inaccurate. Verify against the official bill text.

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