On September 2nd, the New York State Department of Health (DOH) submitted a final version of its proposal for a new Section 1115 demonstration amendment, now titled the New York Health Equity Reform (NYHER), to the Centers for Medicare & Medicaid Services (CMS).
In general, only limited changes have been made to the original draft, which was posted for public comment in April. The waiver still requests a total federal investment of $13.52 billion over five years. However, it now identifies a single “central goal” of reducing health disparities, advancing health equity, and supporting the delivery of social care, with the four previous goals relabeled as “strategies.”
A document outlining changes from the draft version is attached and available here. SPG’s updated full summary of the proposal is also attached and available here, and a redline version showing changes from the previous summary is available here.