A January Executive Order (EO) from President Donald Trump on gender-affirming care for minors directed the Department of Health and Human Services (HHS) to conduct a review of evidence and best practices for the treatment of gender dysphoria in minors and adolescents. HHS’s Office of Population Affairs issued a report yesterday detailing that review. The...

The US House of Representatives recently reintroduced a bill to foster parity between allopathic (MD) and osteopathic (DO) residency applicants. The Fair Access in Residency (FAIR) Act —sponsored by Representatives Diana Harshbarger (R-TN), Chellie Pingree (D-ME), Sam Graves (R-MO), Carol Miller (R-WV), and Donald Davis (D-NC)—would require GME programs to submit annual data to the...

In the fiscal year (FY) 2026 inpatient psychiatric facility (IPF) prospective payment system (PPS) proposed rule, the Centers for Medicare & Medicaid Services (CMS) proposed changes to allow certain resident cap slot adjustments. The IPF PPS is the Medicare payment system used for freestanding psychiatric facilities and psychiatric units within acute care hospitals. Section 4122...

GNYHA has submitted the attached comments in support of the New York State Department of Health’s (DOH) proposed regulatory changes to its certificate of need (CON) program. The proposed changes update and streamline many aspects of the program. Working with members, GNYHA recommended a comprehensive package of CON reforms to eliminate unnecessary barriers to modernizing...

The House of Representatives is progressing with partisan budget reconciliation legislation, which will serve as the primary vehicle for Congressional Republicans’ priorities this year. The budget resolution’s $880 billion “instruction” for the House Energy and Commerce Committee, which holds jurisdiction over Medicaid, paired with large-scale deficit reduction and spending targets, ensure that enormous Medicaid cuts...

Statements of Support A.183/S.3029 (Rosenthal/Stavisky): Licensure for Genetic Counselors A.957/S.1224 (Paulin/Rivera): School-Based Health Center Managed Care Carve-Out A.1069-A/S.4955-A (Paulin/Harkham): Enhances OMIG’s Audit Standards for Medicaid Providers A.1691/S.3359 (Paulin/Rivera): Telehealth Reimbursement Parity A.3285/S.1619 (McDonald/Rivera), Application Waiver for Pharmacists A.3319/S.1001 and A.5773: Reimburse Creative Arts Therapists A.7522/S.4867 (Lavine/Fahy): Prohibit Insurance Delays for Mental Health Treatments A.7832/S.4892-B (Hyndman/Stavisky):...

GNYHA has developed the attached Ambulatory Surgical Center (ASC) “calculator” to help facilities appropriately estimate ASC payment rates by HCPCS code. This file reflects the ASC payment rates effective April 1, 2025.

GNYHA has developed the attached outpatient prospective payment system (OPPS) “calculator” to help facilities appropriately estimate hospital-specific OPPS payments. This file reflects the OPPS payment rates effective April 1, 2025.

New York Governor Kathy Hochul held a press conference in Albany last night to announce a “general agreement” on the State Fiscal Year 2025-26 budget. However, we are still awaiting confirmation from legislative leaders that a final deal has been reached. We believe conversations about Medicaid investments and numerous health care proposals—including the status of...

Retreat: May 19-20 Cover Page Powerpoint Related Materials CQFP May 2025 Retreat Agenda Effective Use and Socialization of Data in Quality Improvement Using Performance Improvement Tools to Lead Change – Part I Using Performance Improvement Tools to Lead Change – Part II Creating a Culture of Safety The Patient Voice in Quality Improvement An Introduction...