Bill Text: NY A04046 | 2023-2024 | General Assembly | Introduced


Bill Title: Establishes an annual cost of living adjustment for human services programs indexed to inflation.

Spectrum: Strong Partisan Bill (Democrat 15-1)

Status: (Introduced) 2024-01-03 - referred to social services [A04046 Detail]

Download: New_York-2023-A04046-Introduced.html



                STATE OF NEW YORK
        ________________________________________________________________________

                                          4046

                               2023-2024 Regular Sessions

                   IN ASSEMBLY

                                    February 9, 2023
                                       ___________

        Introduced  by M. of A. GUNTHER -- read once and referred to the Commit-
          tee on Social Services

        AN ACT relating to establishing an annual cost of living adjustment  for
          designated human services programs

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

     1    Section 1. 1. Subject to available appropriations and approval of  the
     2  director  of  the  budget,  the  commissioners  of  the office of mental
     3  health, office for people with  developmental  disabilities,  office  of
     4  addiction  services  and  supports,  office  of temporary and disability
     5  assistance, office of children and family services, and the state office
     6  for the aging shall  establish  an  annual  cost  of  living  adjustment
     7  (COLA),  effective  beginning  April  1,  2023,  for  projecting for the
     8  effects of inflation upon rates of payments,  contracts,  or  any  other
     9  form of reimbursement for the programs and services listed in paragraphs
    10  (i),  (ii),  (iii),  (iv),  (v),  and  (vi)  of subdivision four of this
    11  section.  The COLA established herein shall be applied to the  appropri-
    12  ate  portion  of reimbursable costs or contract amounts. Where appropri-
    13  ate, transfers to the department  of  health  (DOH)  shall  be  made  as
    14  reimbursement for the state share of medical assistance.
    15    2.  Notwithstanding  any inconsistent provision of law, subject to the
    16  approval of the director of  the  budget  and  available  appropriations
    17  therefore,  for state fiscal years beginning April 1, 2023 and thereaft-
    18  er, the commissioners shall provide funding to support an annual cost of
    19  living adjustment under this section in an amount equal to the  consumer
    20  price  index  -  urban  (CPI-U) from the previous July, published by the
    21  bureau of labor statistics of the U.S.  Department  of  Labor,  for  all
    22  eligible  programs  and  services  as determined pursuant to subdivision
    23  four of this section.
    24    3. Notwithstanding any inconsistent provision of law, and as  approved
    25  by  the  director  of  the  budget, the annual cost of living adjustment

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD05015-01-3

        A. 4046                             2

     1  (COLA) established in subdivision two of this section shall be inclusive
     2  of all other cost of living type increases, inflation factors, or  trend
     3  factors  that are newly applied effective April first of each such state
     4  fiscal  year.  Except  for  the  annual cost of living adjustment (COLA)
     5  established in subdivision two of this section, the commissioners  shall
     6  not  apply  any  other new cost of living adjustments for the purpose of
     7  establishing  rates  of  payments,  contracts  or  any  other  form   of
     8  reimbursement.
     9    4.  Eligible  programs and services. (i) Programs and services funded,
    10  licensed, or certified by the office of mental health (OMH) eligible for
    11  the cost of living adjustment established in  subdivision  two  of  this
    12  section,  pending  federal approval where applicable, include: office of
    13  mental health licensed outpatient programs, pursuant to  parts  587  and
    14  599  of  title  14  CRR-NY  of  the  office of mental health regulations
    15  including clinic, continuing day  treatment,  day  treatment,  intensive
    16  outpatient  programs and partial hospitalization; outreach; crisis resi-
    17  dence; crisis stabilization, crisis/respite beds;  mobile  crisis,  part
    18  590  comprehensive psychiatric emergency program services; crisis inter-
    19  vention; home based crisis intervention; family care;  supported  single
    20  room occupancy; supported housing; supported housing community services;
    21  treatment  congregate; supported congregate; community residence - chil-
    22  dren and  youth;  treatment/apartment;  supported  apartment;  community
    23  residence  single  room  occupancy;  on-site  rehabilitation; employment
    24  programs; recreation; respite care; transportation;  psychosocial  club;
    25  assertive  community  treatment;  case  management;  care  coordination,
    26  including health home plus  services;  local  government  unit  adminis-
    27  tration;  monitoring  and  evaluation;  children  and  youth  vocational
    28  services; single point of access; school-based  mental  health  program;
    29  family  support  children  and youth; advocacy/support services; drop in
    30  centers; recovery centers; transition management services; bridger; home
    31  and community-based waiver services; behavioral health  waiver  services
    32  authorized  pursuant to the section 1115 MRT waiver; self-help programs;
    33  consumer service dollars; conference of local mental hygiene  directors;
    34  multicultural   initiative;   ongoing  integrated  supported  employment
    35  services;  supported  education;  mentally  ill/chemical  abuse   (MICA)
    36  network;  personalized  recovery  oriented services; children and family
    37  treatment and support services; residential treatment facilities operat-
    38  ing pursuant to part 584  of  title  14-NYCRR;  geriatric  demonstration
    39  programs;  community-based  mental  health family treatment and support;
    40  coordinated children's service initiative; homeless services; and  prom-
    41  ises zone.
    42    (ii)  Programs  and  services  funded,  licensed,  or certified by the
    43  office for people with developmental disabilities (OPWDD)  eligible  for
    44  the  cost  of  living  adjustment  established  herein,  pending federal
    45  approval where applicable, include: local/unified services; chapter  620
    46  services;  voluntary operated community residential services; article 16
    47  clinics; day treatment  services;  family  support  services;  100%  day
    48  training;  epilepsy services; traumatic brain injury services; hepatitis
    49  B services;  independent  practitioner  services  for  individuals  with
    50  intellectual  and/or  developmental  disabilities;  crisis  services for
    51  individuals with intellectual and/or developmental disabilities;  family
    52  care  residential  habilitation;  supervised  residential  habilitation;
    53  supportive residential habilitation; respite; day habilitation; prevoca-
    54  tional services; supported employment; community habilitation;  interme-
    55  diate  care  facility  day and residential services; specialty hospital;
    56  pathways to employment; intensive behavioral services;  basic  home  and

        A. 4046                             3

     1  community-based  services  (HCBS)  plan  support;  health  home services
     2  provided  by  care  coordination  organizations;  community   transition
     3  services;  family  education  and training; fiscal intermediary; support
     4  broker; and personal resource accounts.
     5    (iii)  Programs  and  services  funded,  licensed, or certified by the
     6  office of addiction services and supports (OASAS) eligible for the  cost
     7  of  living adjustment established herein, pending federal approval where
     8  applicable, include: medically supervised withdrawal services - residen-
     9  tial; medically supervised withdrawal services -  outpatient;  medically
    10  managed  detoxification; medically monitored withdrawal; inpatient reha-
    11  bilitation services; outpatient  opioid  treatment;  residential  opioid
    12  treatment; KEEP units outpatient; residential opioid treatment to absti-
    13  nence;  problem  gambling  treatment;  medically  supervised outpatient;
    14  outpatient  rehabilitation;   specialized   services   substance   abuse
    15  programs;  home and community-based waiver services pursuant to subdivi-
    16  sion 9 of section 366 of the social services law;  children  and  family
    17  treatment and support services; continuum of care rental assistance case
    18  management;  NY/NY  III  post-treatment  housing;  NY/NY III housing for
    19  persons at risk for homelessness;  permanent  supported  housing;  youth
    20  clubhouse;  recovery  community  centers;  recovery community organizing
    21  initiative; residential rehabilitation services for youth (RRSY); inten-
    22  sive residential; community residential; supportive living;  residential
    23  services;  job  placement  initiative;  case  management; family support
    24  navigator; local government unit administration; peer engagement;  voca-
    25  tional   rehabilitation;   support   services;  HIV  early  intervention
    26  services; dual diagnosis coordinator; problem gambling resource centers;
    27  problem  gambling  prevention;  prevention  resource  centers;   primary
    28  prevention services; other prevention services; and community services.
    29    (iv)  Programs  and  services  funded,  licensed,  or certified by the
    30  office of temporary and disability assistance (OTDA)  eligible  for  the
    31  cost  of  living adjustment established herein, pending federal approval
    32  where applicable, include:  nutrition  outreach  and  education  program
    33  (NOEP).
    34    (v) Programs and services funded, licensed, or certified by the office
    35  of  children  and family services (OCFS) eligible for the cost of living
    36  adjustment established herein, pending federal approval  where  applica-
    37  ble,  include:  programs  for  which  the  office of children and family
    38  services establishes maximum state aid rates pursuant to  section  398-a
    39  of  the social services law and section 4003 of the education law; emer-
    40  gency foster homes; foster family boarding homes and therapeutic  foster
    41  homes as defined by the regulations of the office of children and family
    42  services;  supervised  settings  as defined by subdivision 22 of section
    43  371 of the social services law, as added by section 1-a  of  part  L  of
    44  chapter  56  of  the  laws  of 2021; adoptive parents receiving adoption
    45  subsidy pursuant to section 453 of the social services law; and  congre-
    46  gate  and  scattered supportive housing programs and supportive services
    47  provided under the NY/NY  III  supportive  housing  agreement  to  young
    48  adults leaving or having recently left foster care.
    49    (vi) Programs and services funded, licensed, or certified by the state
    50  office  for  the aging (SOFA) eligible for the cost of living adjustment
    51  established herein, pending federal approval where applicable,  include:
    52  community  services  for  the elderly; expanded in-home services for the
    53  elderly; and supplemental nutrition assistance program.
    54    5. Each local government unit or direct  contract  provider  receiving
    55  funding  for  the  cost  of  living  adjustment established herein shall
    56  submit a written certification, in such form and at such  time  as  each

        A. 4046                             4

     1  commissioner  shall prescribe, attesting how such funding will be or was
     2  used to first promote the recruitment  and  retention  of  non-executive
     3  direct  care staff, non-executive direct support professionals, non-exe-
     4  cutive clinical staff, or respond to other critical non-personal service
     5  costs prior to supporting any salary increases or other compensation for
     6  executive level job titles.
     7    6.  Notwithstanding any inconsistent provision of law to the contrary,
     8  agency commissioners shall be authorized to recoup funding from a  local
     9  governmental  unit  or  direct  contract provider for the cost of living
    10  adjustment established herein determined to have been used in  a  manner
    11  inconsistent  with  the  appropriation,  or  any other provision of this
    12  section. Such agency commissioners shall be  authorized  to  employ  any
    13  legal mechanism to recoup such funds, including an offset of other funds
    14  that are owed to such local governmental unit or direct contract provid-
    15  er.
    16    §  2.  This  act  shall take effect immediately and shall be deemed to
    17  have been in full force and effect on and after April 1, 2023.
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