STATE OF NEW YORK
        ________________________________________________________________________

                                         925--A

                               2025-2026 Regular Sessions

                   IN ASSEMBLY

                                       (Prefiled)

                                     January 8, 2025
                                       ___________

        Introduced by M. of A. PAULIN -- read once and referred to the Committee
          on  Health -- committee discharged, bill amended, ordered reprinted as
          amended and recommitted to said committee

        AN ACT to amend the public health law, in relation to  quality  improve-
          ment and increased consumer transparency in assisted living residences

          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:

     1    Section 1. Subdivision 7 of section 4656 of the public health law,  as
     2  added  by  a chapter of the laws of 2024, amending the public health law
     3  relating to quality improvement and increased consumer  transparency  in
     4  assisted  living residences, as proposed in legislative bills numbers S.
     5  8865 and A. 5790-B, is amended to read as follows:
     6    7. (a) All assisted living residences, as defined in  subdivision  one
     7  of  section forty-six hundred fifty-one of this article, including those
     8  licensed and certified as an assisted living  residence,  special  needs
     9  assisted living residence, or enhanced assisted living residence, shall:
    10    (i)  report  annually  on  quality  measures  to be established by the
    11  department, in consultation with industry and consumer  representatives,
    12  including  the  long-term care ombudsman or their representative, in the
    13  form and format prescribed by the department, with the first report  due
    14  no later than [January] April fifteenth, two thousand twenty-five; and
    15    (ii)  post  information,  including the starting monthly service rate,
    16  range for starting rent, approved admission or residency agreement,  and
    17  a  consumer-friendly  summary  of  all service fees, through a reporting
    18  system to be developed by the department, in consultation with  industry
    19  and  consumer  representatives,  that  takes into account differences in
    20  licensure and certification, services,  agreements  and  fee  structures
    21  across  facilities.  Such  information  shall be posted in a conspicuous
    22  place on the facility's website and in a public space within the facili-
    23  ty and shall be made available to the public on forms developed  by  the

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD02841-03-5

        A. 925--A                           2

     1  department.  Beginning on [October] January first, two thousand [twenty-
     2  four] twenty-five, this  information  shall  also  be  reported  to  the
     3  department.
     4    (b)  The department shall develop a system to score the results of the
     5  assisted living quality reporting obtained pursuant to paragraph (a)  of
     6  this  subdivision,  in consultation with industry and consumer represen-
     7  tatives. Facilities scoring in the top quartile  shall  be  granted  the
     8  classification  of advanced standing on their annual surveillance sched-
     9  ules.
    10    [(i) Notwithstanding subparagraph one of paragraph (a) of  subdivision
    11  two  of  section  four  hundred  sixty-one-a of the social services law,
    12  facilities  achieving  an  advanced  standing  classification  shall  be
    13  surveyed  every  eighteen months. All other facilities shall be surveyed
    14  on an unannounced basis no less than annually; provided,  however,  that
    15  this  shall not apply to surveys, inspections or investigations based on
    16  complaints received by the department under any other provision of law.
    17    (ii)]  Facilities  may  remain  on  advanced  standing  classification
    18  provided  they  meet the scoring requirements in assisted living quality
    19  reporting and until such  time  when  they  do  not  meet  such  scoring
    20  requirements.
    21    (c)  Effective  [January  thirty-first]  April thirtieth, two thousand
    22  twenty-five, the department shall post on its website the results of the
    23  assisted living quality reporting, collected  pursuant  to  subparagraph
    24  (i) of paragraph (a) of this subdivision.
    25    (d)  No  later  than  [February  fifteenth] December thirty-first, two
    26  thousand twenty-five, the department shall report to the legislature  on
    27  the  development  of a quality scoring system for adult care facilities,
    28  including adult homes and enriched housing providers. Such report  shall
    29  examine  the  specific  quality  measures  recommended and a process for
    30  information collection.
    31    § 2. This act shall take effect on the  same  date  and  in  the  same
    32  manner  as a chapter of the laws of 2024, amending the public health law
    33  relating to quality improvement and increased consumer  transparency  in
    34  assisted  living residences, as proposed in legislative bills numbers S.
    35  8865 and A. 5790-B, takes effect.