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2026 Priorities

2026 Reproductive and Sexual Health Rights and Access Agenda

At a time when our fundamental freedoms face unrelenting attacks, New York must rise as the bold, unwavering resistance our nation needs. We are a state shaped by people who refused to bow to injustice—and that legacy demands action now. We cannot simply hold the line; we must push it forward

BUDGET PRIORITIES

$35M to Backfill Planned Parenthood’s Medicaid Defund. In July of 2025, President Trump and his allies in Congress advanced legislation that prohibits Planned Parenthoods from receiving federal Medicaid funding. This action threatens access to care not only for those on Medicaid, but for all patients that rely on Planned Parenthood for essential care. In recognition of this, Governor Hochul committed to backfilling this loss in October and included this funding in her Executive Budget. The final state budget must reflect this commitment.  


$30M in Funding for the Reproductive Freedom and Equity Program (RFEP) + $1M in funding for the New York Abortion Access Fund (NYAAF). In 2022, Governor Hochul made a historic $25M investment in new grant funding to support abortion access. Funding for the RFEP has remained flat since its inception in 2022, despite the increasing attacks on abortion access and the rising costs of care. This year, we must grow this program to $30M, and ensure the budget protects $1 million in funding for the New York Abortion Access Fund (NYAAF), which in 2025 helped over 3K callers facing barriers access abortion care in New York.


$25M in Funding to Support Access to Medication Abortion and Care Later in Pregnancy. The FY26 budget included $25M to support access to medication abortion and care later in pregnancy. This was a deeply needed investment to address unsustainable Medicaid reimbursement for these critical services. Providers have yet to receive this funding, and the need for it is only growing. New York must maintain this investment into the future to ensure providers can sustainably deliver the care their patients need and deserve without the financial barriers of the past.   


$10M in Funding for the Reproductive Health Care Improvement Program. The FY26 established the Reproductive Health Care Improvement Program a capital funding stream to help providers address the unique needs of their individual health centers – supporting not only security upgrades, but necessary health center renovations that improve access to care and facilitate debt retirement.   


$15M in Additional Funding to Support the Family Planning Grant (FPG). This grant supports access to a range of essential primary and preventive reproductive health care services for low-income, uninsured, and underinsured individuals. However, the grant remains seriously underfunded and now is at risk given potential threats to the federal Title X family planning program. It is critical that the state increase funding for the grant to ensure our most vulnerable communities can continue to receive the care they need regardless of federal funding. 


$8M for the Gender-Affirming Care Access Program. The Gender-Affirming Care Access Program would deliver direct financial support to providers of gender-affirming care, increasing access and reducing barriers to care. At a time of escalating hostile federal threats on transgender and nonbinary people, this program ensures New York continues to support essential health care. The Legislature must pass A.8841/S.7924 to create the fund and include $8M in the FY27 budget to support it.

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PASSAGE OF LEGISLATION THAT ADVANCES OUR RIGHTS AND FREEDOMS   

Electronic Health Records Privacy A.2613 Lunsford/S.1633 Fernandez   Passed the Senate!    
Electronic health records have become increasingly portable and interconnected, leading to patients’ entire medical records becoming available to all providers with access. This places patients who receive abortion and gender affirming care at risk, particularly those patients who receive this care in New York and travel back to a state that criminalizes such care. This legislation would require electronic health record companies to create the ability to segment electronic health records and suppress sensitive health information at a patient’s direction. 


New York Health Information Privacy Act A.10357 Rosenthal/S.9269 Krueger 

Health data tracking is happening all around us. Whether through apps like a period tracking app, or digital tools such as Fitbits or smartwatches, New Yorkers’ health information is being compiled and used by companies to boost profits rather than improving user health. This legislation would offer New Yorkers greater control over their health data and make it harder for such data to be used by hostile actors to pursue individuals for the delivery, assistance, or receipt of sexual reproductive health care in New York.


Fund Practical Support for Abortion Patients A.2137 González-Rojas/S.135 Cleare  Passed the Senate! 
This bill would expand our state’s Reproductive Freedom + Equity program to fund practical support needs of patients seeking abortion who are facing barriers like the cost of transportation, lodging, meals, and childcare. 


Enact Hospital Transparency A.10203 Rozic/S.8965 Hinchey

As we witness access to abortion and gender-affirming care being eviscerated nationwide, it is critical that patients have the necessary tools to determine whether their local hospital provides the care they need and to lay the foundation to address health care deserts across the state. This bill would require the Department of Health to publish a list of excluded services from each general hospital on the Department website, and public reporting on how the denial of these services impacts patients’ access to care. 


Protect Access to Medication Abortion​​ ​​​​​A.9217 Paulin / S.8544 Hinchey Passed Both Houses! 
Despite over two decades of documentation showing the safety and efficacy of mifepristone in managing pregnancy loss, the Health and Human Services (HHS) Secretary announced the Food and Drug Administration (FDA) would conduct a new review that could jeopardize the drug’s approval or conditions of use. This legislation would protect access by clarifying that state law does not prohibit the prescribing and dispensing of mifepristone solely because the FDA changed its conditions of use.   


Comprehensive Sexual and Reproductive Health Program A.6571 Rozic/S.5981 Fernandez  Passed the Senate!
This bill will would put into statute a commitment fully fund the state’s longstanding Family Planning Grant program with state dollars. 


Provider Confidentiality on Medication Abortion Prescription Labels A.10428 Reyes/S.8656 Mayer Passed the Senate! 
Building on legislation that was enacted in 2025, this bill would expand protections for abortion providers and patients by allowing medication abortion to be dispensed without identifying information, including the patient’s name or address or the dispensing facility’s name or address, on the prescription label.


Prescription Labeling Confidentiality for Gender-Affirming Care A.6927 Simone  
This legislation would create an important layer of protection for providers of gender-affirming care by allowing them to put their organizational practice name rather than the prescriber’s name on medication labels specific to the provision of this care.  


Gender-Affirming Care Access Program A.8841 González-Rojas/S.7924 Gonzalez   
Legally protecting the provision of gender-affirming care is just the first step in making access to this care a reality. This bill would establish a grant program to fund providers and other organizations to support access to gender-affirming care. 


Protecting Coverage of Gender-Affirming Care A.6596 Rosenthal / S.9275 Rivera  This bill would build on existing state protections for gender-affirming care by ensuring New York continues to provide Medicaid coverage regardless of federal threats or actions and would prohibit discrimination in private health insurance plans.    

COALITION PRIORITES  
PPESA is proud to support the following legislative priorities of our coalition partners.  

Maternal Health, Dignity, & Consent Act A.860 Rosenthal/S.845 Salazar  
Pregnant and post-partum New Yorkers are all too often drug-tested with no medical reason, and without their knowledge or consent, and screened for substance use without any context for how this information will be used. The consequences are devastating - families are harmed through separation, and people’s sense of safety and trust in their providers, and the medical system is fundamentally altered and fractured. This legislation takes steps towards addressing this trauma and harm by requiring that providers inform patients about the medical basis for a drug test or screen, providing them with the knowledge of how it relates to their or their newborn’s care, and that a positive result could have certain legal consequences.   


Prohibiting the Use of Restraints on People Who are Pregnant, Birthing, and Post Pregnancy A.1607 Rosenthal/S.2666 Salazar  Passed the Senate!
Despite New York’s prohibition on shackling people who are pregnant, in labor or delivery, or recovering from pregnancy outcomes, loopholes in our state law have allowed this dangerous and degrading practice to continue. This legislation would narrow the exceptions in which shackling may be permitted.   


Supporting Breastfeeding and Nursery Access for Incarcerated Parents A.1670 Rosenthal/S.2667 Salazar  
This legislation would provide resources and supports to facilitate breastfeeding and lactation, improve access to nursery programs with extended timeframes for children to stay with parents, and require data collection on nursery program participation in New York.   


The CARE Act A.4879 Kelles/S.4583 Salazar    
All people deserve access to the care and resources they need to maintain their health and wellbeing even in carceral settings. The Care Act would establish a comprehensive statutory policy of human rights related to incarcerated pregnant or postpartum people in New York State. 


Gender Identity Respect Dignity and Safety Act (GIRDS)A.5478 Gallagher/S.1049 Salazar   
This legislation protect the safety of transgender individuals in the carceral system by requiring that prisons and jails presumptively place transgender, gender nonconforming, nonbinary, and intersex people in facilities which most closely align with their gender identity.  


Decriminalization of Sexually Transmitted Infections A.733 González-Rojas/S.9822 Salazar
Under NYS law, it is a misdemeanor for any person with a known STI to have sexual intercourse with another person with no exceptions for when someone with a known STI discloses their status, has an STI at an undetectable level, or takes action to reduce harm in sexual activity. This legislation would repeal that section of our law. 


The Healthy and Safe Students Act A.7496 González-Rojas/S.6901 Salazar    
New York currently has no requirement for schools to provide any sex education, and many public schools that do offer sex education often include inaccurate, incomplete, or biased information. This legislation would require public and charter school students receive medically accurate, age-appropriate, inclusive comprehensive sex ed.


The New York for All Act  A.3506 Reyes /S.2235 Gounardes This legislation will help immigrant New Yorkers live openly without fear of criminalization as part of a cruel and inhumane federal deportation agenda with new statutory protections which will prohibit state and local agencies from working with Immigrations and Customs Enforcement (ICE), Customs and Border Protection (CBP), and all federal agencies conducting civil immigration enforcement.

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