Bill Text: NY S01747 | 2025-2026 | General Assembly | Introduced


Bill Title: Provides for eligibility for medical assistance for personal care services for persons with traumatic brain injury, developmental disability, cognitive impairments, blindness or visual impairment.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced) 2025-01-13 - REFERRED TO HEALTH [S01747 Detail]

Download: New_York-2025-S01747-Introduced.html



                STATE OF NEW YORK
        ________________________________________________________________________

                                          1747

                               2025-2026 Regular Sessions

                    IN SENATE

                                    January 13, 2025
                                       ___________

        Introduced  by  Sen.  RIVERA -- read twice and ordered printed, and when
          printed to be committed to the Committee on Health

        AN ACT to amend the social services law, in relation to eligibility  for
          medical  assistance  for personal care services for persons with trau-
          matic brain injury, cognitive impairments, developmental disabilities,
          blindness, or  visual impairment

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

     1    Section  1.  Subparagraph  (v)  of  paragraph  (e) of subdivision 2 of
     2  section 365-a of the social services law, as added  by  section  2-a  of
     3  part  MM  of  chapter  56  of  the  laws  of 2020, is amended to read as
     4  follows:
     5    (v) subject to the availability of  federal  financial  participation,
     6  personal  care  services other than personal emergency response services
     7  available pursuant to this paragraph shall be available only to individ-
     8  uals assessed as needing  at  least  limited  assistance  with  physical
     9  maneuvering  with more than two activities of daily living, or for indi-
    10  viduals with a dementia or Alzheimer's diagnosis, traumatic brain  inju-
    11  ry, cognitive impairment, developmental disability, blindness, or visual
    12  impairment,  assessed as needing at least supervision with more than one
    13  activity of  daily  living,  as  defined  and  determined  by  using  an
    14  evidenced  based validated assessment instrument approved by the commis-
    15  sioner and in accordance with regulations  of  the  department  and  any
    16  applicable  state  and  federal  laws  by  an  independent assessor. The
    17  provisions of this subparagraph shall  only  apply  to  individuals  who
    18  receive  an  initial authorization for such services on or after October
    19  first, two thousand twenty;
    20    § 2. Paragraph (c) of subdivision 2 of section  365-f  of  the  social
    21  services  law,  as  amended by section 3 of part MM of chapter 56 of the
    22  laws of 2020, is amended to read as follows:

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD04824-01-5

        S. 1747                             2

     1    (c) has been determined by the social services district,  pursuant  to
     2  an assessment of the person's appropriateness for the program, conducted
     3  with an appropriate long term home health care program, a certified home
     4  health  agency, or an AIDS home care program or pursuant to the personal
     5  care  program,  as  being  in need of home care services or private duty
     6  nursing and as needing at least limited assistance with physical  maneu-
     7  vering  with  more  than  two activities of daily living, or for persons
     8  with a dementia or Alzheimer's diagnosis, traumatic brain injury, cogni-
     9  tive impairment, developmental disability, blindness, or visual  impair-
    10  ment, assessed as needing at least supervision with more than one activ-
    11  ity  of daily living, provided that the provisions related to activities
    12  of daily living in this  paragraph  shall  only  apply  to  persons  who
    13  initially  seek  eligibility  for the program on or after October first,
    14  two thousand twenty, and who is able and willing  or  has  a  designated
    15  representative,  including  a  legal  guardian  able and willing to make
    16  informed choices, or a designated relative or other adult  who  is  able
    17  and  willing  to  assist  in making informed choices, as to the type and
    18  quality of services, including but not limited to such services as nurs-
    19  ing care, personal care, transportation and respite services; and
    20    § 3. This act shall take effect immediately.
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