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New York law

Healthcare & Benefits Laws in New York.

New York healthcare law combines federal frameworks (Medicare, Medicaid, ACA, HIPAA, EMTALA) with state-specific statutes governing facility licensing (through the Department of Health) and professional licensing (through the State Education Department and various boards). New York retains a robust Certificate of Need program under Public Health Law § 2801 et seq. New York expanded Medicaid under the ACA. New York operates the I-STOP Prescription Drug Monitoring Program. Reproductive Health Act (2019) codified abortion rights; Comprehensive Contraception Coverage Act (2019) requires insurance coverage.

Last verified: 2026-04-17

State law

Key New York Statutes

Certificate of NeedN.Y. Pub. Health Law §§ 2801 et seq.

New York requires Certificate of Need approval for hospital construction, major capital expenditures, new services, and bed additions. Administered through the Public Health and Health Planning Council.

MedicaidN.Y. Soc. Serv. Law Article 5

New York expanded Medicaid under the ACA. New York's Medicaid program is one of the most generous in the U.S. Covers adults up to 138% FPL, plus separate Essential Plan (138-200% FPL) and Child Health Plus.

Reproductive Health ActN.Y. Pub. Health Law § 2599-aa; N.Y. Penal Law revisions

Enacted January 2019. Codified abortion access at the state level. Expanded legal abortion access through 24 weeks and thereafter for health of the woman or in absence of fetal viability.

I-STOP Prescription Drug Monitoring ProgramN.Y. Pub. Health Law § 3343-a

Mandatory Prescription Drug Monitoring Program. Prescribers must register and check PMP before prescribing Schedule II-IV controlled substances in most circumstances. E-prescribing also mandated.

Medical LicensureN.Y. Educ. Law §§ 6520 et seq.

State Board for Medicine licenses physicians. Office of Professional Medical Conduct (under NY Dept. of Health) investigates complaints and initiates discipline.

State law

Official Sources

Not Legal Advice

This page summarizes publicly available statutes and rules for informational purposes only. It does not constitute legal advice, and no attorney-client relationship is created by viewing this content. Laws change — always verify with the primary source or consult a licensed attorney in New York.

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